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"nursy"

"nursy" RN

ICU, ER, Home Health, Corrections, School Nurse

Content by "nursy"

  1. "nursy"

    Who wants to hire a graduate nurse at 55?

    I know everyone wants experienced nurses, but my school district just hired a new grad, maybe try school nursing?
  2. "nursy"

    Save your back, do powerlifting

    I've never even heard of such a thing, you guys are lucky! Everytime I had to move a patient in a bed from ICU, down the hall, into the elevator, down another hall and then transfer the patient, boy I could feel it. And the "steer" mechanism never worked right so it was miserable!
  3. "nursy"

    Is it possible for a manager to smile too often?

    If that's the only thing they can find to complain about, I would say you are all pretty lucky. Maybe they're just jealous because you're happy.
  4. "nursy"

    Save your back, do powerlifting

    I don't know if nurses all have to be powerlifters, but I do think that some kind of strength training, is very helpful. Even with "no lift" policies, you still need a lot of strength to do nursing. Pushing a 350 pound patient in a 1000 lb bed down a hallway, turning patients, lifting them up in bed when they slide down, pushing and pulling them in and out of CT machines, holding up a heavy leg when someone is doing a dressing change, the list goes on and on. If you are not in shape, you will end up at the very least, very sore, or worse, with back injuries. Even in my 60's I stay in shape and work out, and half the time I run circles around some of the younger nurses who are always complaining about back pain, being exhausted, etc.
  5. "nursy"

    I regret going into nursing-what should i do?

    If you read enough of these posts you will see that new grads very often have a really hard time getting that first position. But your anxiety and depression and probably impacting how you present yourself in interviews. I would highly recommend some counseling or therapy to get yourself into a better place. Maybe a family member can help you out.
  6. "nursy"

    Patients in Med Surg Needing 1:1

    Jeez, how else am I going to get my coffee?????
  7. "nursy"

    Plant-based (vegan) mandate for NY hospitals

    OK, so we have now been called, hypocrites, murderers, pshycopaths and sociopaths. It's obvious that your way of engaging in a discussion is to call everyone names. So.....I'm done.
  8. "nursy"

    Plant-based (vegan) mandate for NY hospitals

    The point is not how easy it is to supplement. The point is that if humans were designed to be exclusively vegan, they wouldn't need to supplement.
  9. "nursy"

    Plant-based (vegan) mandate for NY hospitals

    For the record, I am vegan. However, humans cannot survive on plant based diet without supplementation, specifically vit b12. Most meat eaters do not go around psychotically killing animals for their enjoyment. Humans have been eating meat since the beginning of time, and this has been ethically and morally accepted since the beginning of time. If you do not wish to do so, I commend you. But there is no need to be judgemental of others. You are not going to win anyone over to your side by calling them hypocritical murderers.
  10. "nursy"

    Plant-based (vegan) mandate for NY hospitals

    Yep, I guess all meat eating caregivers are just a bunch of murderous hypocrites. While I'm busy changing my profession, I think we might as well kill off all the animals who are carnivores, so they aren't all killing each other.
  11. "nursy"

    RN to BSN dilemma (for an older RN)

    Is there any possibility that your infusion skills would transfer to another setting? A lot depends on where you are located, but when I lived in Florida there was a huge demand for independent contractor PICC nurses. The reimbursement was quite good, and you could set your own hours. There are also outpatient infusion centers, and oncology centers that use infusion nurses. These probably would not require a BSN.
  12. "nursy"

    Guidance

    Don't think it's weird, I think you're lucky to have someone that supportive to help you out.
  13. "nursy"

    Question: Tooth or Foot First?

    It is relatively routine to prescribe antibiotics during dental procedures after you have had a prosthetic implanted (i.e. knee replacement). The thinking is that bacteria can migrate from dental infections to the prosthetic, causing infections. So in that vein, you would want to do dental first, make sure everything is healed up, no infections, then proceed with ortho.
  14. "nursy"

    Interview Question

    The trick is to find something that shows that your handling of the situation led to personal growth and/or showed that you are a team player. That's what the recruiters are usually looking for.
  15. "nursy"

    Ethics question

    "OP says" are the key words here. There is no proof of anything. Was the sister there 24/7? Was she the only one feeding the patient? And nowhere does the OP state the sister was impersonating and presenting herself as an RN. Only as a "nurse, " which can mean anything.
  16. "nursy"

    Corrections Nurse for new grads

    Scenario: officers bring in an inmate who can barely stand up and is sweating profusely. He states he thinks he is having an anaphylactic reaction. First vitals are 80 over palp. He looks like he is ready to arrest. You are the only one there. Nearest medical help is two blocks away in another building. And then he arrests. It's just you...no code team, no code blue button to push to summon help. Scenario: Officers bring in an inmate who supposedly took "something." Inmate is completely out of control to the extent that 4-5 burly officers are having trouble keeping him under control as he is flailing and kicking and screaming and punching and foaming at the mouth. Now he's all yours. Common scenario: A man down is called and you and your ER kit go rushing to the scene. Inmate is lying face down on his bunk, unresponsive. What do you do? All these scenarios (and I could list many more) need excellent assessment skills, and experience in emergency responses, as well as just experience dealing with medical issues. Now, if as a new grad, you are going to be working closely with others as a team, who can orient you and bring you up to speed, then maaaaaaybeeee. Or if you would just be assigned to medpass, then, again, maybe. Overall, I would recommend what everyone always recommends to new nurses, get some experience in med surg, then figure out what you want to do later.
  17. "nursy"

    Ageism in Corrections?

    Whether you are taken seriously or not has nothing to do with how you look and everything to do with how you present yourself and how you behave. During orientation you will be given extensive training on how to deal with inmates. If you do everything as instructed, you will be fine. If, however, you start crossing lines, you will get in trouble fast.
  18. "nursy"

    Ethical dilemmas of correctional nursing

    I have worked in corrections and agree completely with all the above posters. Rehab and recidivism are huge issues in the U.S. but your job as a corrections nurse are not going to magically revolutionize the system. If you want to change the system, go back to school and become a lawyer or an activist. All the providers I worked with were genuinely compassionate and caring. Unfortunately, some of the worst issues I encountered were from my fellow nurses. It was almost impossible to get fired from my prison, so there was drug diversion, malingering, back stabbing, and a host of other issues that eventually drove me out. But the actual job of corrections nursing, I very much enjoyed, and felt like what I did, really mattered.
  19. "nursy"

    Ethics question

    Your legal obligation is Zero. Anyone can call themselves a nurse. Nursing is a verb that has multiple meanings: we nurse our infants; we nurse our dog/cat back to health; etc etc. When you got hired wherever you work, you didn't get hired because you are a "nurse," you got hired because you are a Licensed Registered Nurse, and you showed proof of licensure. Seeking advice from your sister is no different than seeking advice from Dr Google. Your problem is plain old typical sibling rivalry, or whatever you want to call the interaction between siblings. I am not being judgemental, in fact I have very similar issues with my sister, and things bother me about her, that are out of proportion to the severity of the issues, yet she drives me nuts. But that's on me. And I work very hard to try to disengage and mind my own business. I suggest you do the same, make life easier on yourself.
  20. "nursy"

    Advice needed!

    Unfortunatelly, I a lot of these employees have outlasted many nurses and supervisors, and have no fear of consequences. Unless your supervisors agree to enforce any kind of consequences, you are probably out of luck.
  21. "nursy"

    Strange HTN case

    I check my pressure at home and it's 130/80.. At the dentist 30 minutes later it's 179/100. I have white coat syndrome big time. That can be one possibility for your patient. Also, more and more the experts are emphasizing the correct way to take a BP is with a patient resting without talking or any stimulation for 5 minutes before the reading is done. Then recheck readings at the end of the visit, when the stress levels may have gone down. Also, if I take my own pressure several times in a row, they go down every time, as I sit quietly. So you take one reading in one arm and it's high, then a few minutes later the reading in the other arm is lower, cause the patient has been sitting quietly. Admittedly, that's just me. And you quite possibility have been doing everything perfectly, I just wanted to throw in the possibilities. Also I'm surprised there was no at home monitoring ordered. Other than that, the results of those tests will hopefully shed some light.
  22. "nursy"

    At a crossroads

    Downhearted, we actually have a lot of things in common. I too had a spouse who drank too much. I had to be in control at home and take on all the extra responsibilities. You may be in control at home, but believe me it is taking a toll on you and your family. Stress can be really insidious, affecting you in ways that you don't even realize. And believe me your teen(s) is affected by your spouse's drinking. I also was an IV Queen. During my career as an infusion specialist, I've placed about 10,000 PICC lines. Then I went to ICU (big mistake), got completely burned out and switched to school nursing with the big fat pay cut. Have not regretted it for one second. There are so many different nursing options out there, so what if you "lose your skills," you will gain many new ones. I still highly recommend that you find someone to talk to. Maybe even something like AlAnon, and maybe Alateen for your teen. They are readily available and free. Having been there, I really can feel your frustration. Good luck.
  23. "nursy"

    At a crossroads

    The user name you chose for yourself kind of says it all. I don't think this is a nursing problem, but quite possibly symptoms of anxiety or depression. I highly recommend that you consider talking to someone (counelor/therapist) to sort out your feelings. You say you have a lot going on at home. All the more reason to seek help because your loved ones at home are probably struggling as well. I wish you the best.
  24. "nursy"

    Brain farts

    OK so you did make a mistake. Not like me who never makes mistakes because I am perfect. Oh wait...NOT. Anyway, while this was an error, what I'm wondering is on your facility's back up/safety procedures. If a patient is NPO there should be a sign on the door or above the bed or some kind of warning somewhere so that everyone knows. The patient should also be aware that they are NPO (assuming they are alert). Was there something in place? If not maybe you can initiate something to prevent further errors.
  25. "nursy"

    PICC Lines and air bubble

    Been a nurse for 40 years. Was a PICC nurse for 15 years, have put in approx 10,000 PICCs. NEVER have seen a single patient (or heard of a single patient) that was harmed by air bubbles. I did have one patient when I was doing home health who had a faulty pump (unbeknownst) to me. When it alarmed "air" she kept pushing the button to override it. So she pumped herself full of air. Her mom called me in a panic because patient was SOB. I happened to be close by and rushed over there, and could remember one thing from school "in case of air embolism put patient on left side" Which I did. DIdn't know what else to do. Called provider. They said place on left side. OK then what? Provider had no idea. So patient layed on left side for about 30 minutes. I looked things up later and what this does it allows the air to rise up into a little corner of the atrium and then it just slowly reabsorbs. Which is what happened and patient was fine. So do be vigilant, but relax, you'll be fine.
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