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coolpeach specializes in ER/Ortho.


coolpeach's Latest Activity

  1. coolpeach

    Please take our burnout survey

    Ok Done
  2. coolpeach

    Employment drug screen to include nicotine

    Baylor hospital system in Dallas/Fort Worth and I believe system wide will start testing in Jan 2012 and will no longer hire nicotine users.
  3. coolpeach

    Needing a Tubex!

    I work in Texas and the still have them at the major hospital I work in, and get new ones all the time. I would double check that.
  4. coolpeach

    Lunch breaks

    I work in a major hospital and we are supposed to get one 30 minute meal break and two 10 minutes rest breaks. No one ever takes the 10 minute rest breaks. I often do not even get a meal break, and the times that I do I certainly cannot leave the floor. I am in the break room with my phone, pager etc, and very seldom am I not called away in the middle of eating to attend to some aspect of nursing care.
  5. coolpeach

    frequent call in's or no shows

    I have never understood the (call in 4 hours prior to start of shift). I work 12 hour shifts which end up being 13 with report. We always stay late so lets say an average of 14 hours. The hospital is an inner city hospital so most of us drive an hour both ways from the suburbs. Example:(day shift) Official end of shift is 7pm, but you have to stay until 7:30 for bedside reporting. Then you usually stay until 8:30 at least charting. If you drive an hour home then you pull into your drive way at 9:30pm. You shower, eat and its at least 10:30pm. Lets say it takes an hour to wind down and fall asleep its now 11:30pm. If the official start of shift is 6:45 am, then four hours prior would be 2:45am in the morning. This would mean that if all you did was shower, eat and go to sleep you would need to wake up after only 3 hours in order to make the call. Who can do that. If you wake up sick its going to be when you wake up at 4:30am, not at 2:45 am. Right.
  6. I am a fairly new nurse (a little over a year now). I was shocked at all the rude behavior when I first started. I started carrying around gum in my pocket in case I ran into nasty behavior. I would hand the rude individual a piece of gum while saying something in joking sort of way, and telling them to cheer up. Usually the person would step back, apologize, and we would go on. There have been a couple of times where the offense was such that I had to give some attitude back, but only a couple. Usually just calling them out in a joking way in front of others with the gum was enough. I personally think a lot of it was being new. As the months passed I slowly gained a little trust and respect from some of my fellow nurses. The bullies are less likely to pick on you when you have others in your corner. In addition, they start to realize that you are staying for a while and often times find someone else newer to pick on. There are also times now when someone says something which I would have considered rude 8 months ago, but now I just shrug it off to xyz is really stressed over that new admit, having a bad day or whatever. Working with the same people day in and day out and getting to know them you learn when to take personally. I know I have been short with people and had to apologize because I was overwhelmed, stressed etc. I guess it happens to all of us.
  7. coolpeach

    Holy cow! Now i'm confused!

    I graduated in in 09, and started an internship in the ER about a month later. Orientation was a week and the entire internship including orientation was three months long. Needless to say it didn't go well. There were three of use in the internship (two of us were brand new graduates, and one had experience in a different area of nursing). The other new graduate fell out first, then the experienced nurse just didn't show up one day. Called me at home to tell me it just wasn't worth it, and she went back to her prn. I toughed it out, but I cried on my way to work and on my way home every day. It was horrible. They just didn't understand why I didn't go from new graduate to super ER nurse in two months. If I asked a question it was why don't you know that why are you asking questions. Anyway, I quit after 4 months and got a job on a med surg floor as a novice nurse. This meant I was new to the hospital system, but not a new nurse. Another nurse who had 10 + years experience started at the same time I did on my floor. Our orientation was 2 weeks total. This included 2 days of system wide orientation followed by a day of hospital wide orientation, a day of testing, a few days with the educator, a day of check off with the educator (IV's, NG tubes, foleys, dosage calc test etc), a few days learning the computer system, pixis, scanners, setting up passwords. Then a week of floor orientation where we did a scavenger hunt day, a half day with the secretary, a half day with PT, half day with OT (I work ortho), a few hours in the cast room. On our last day we just sort of followed a nurse around asking question learning how things worked. Then we had two months with a preceptor before being on our own. I actually had an additional two weeks because when on orientation your on days, but my shift was night shift so after orientation I moved to night and you get two additional weeks to get used to how things work on night shift. Needless to say I was much better prepared to do my job. I have been there a little over a year now.
  8. coolpeach

    He// to the NO!

    A few months ago we were told that we were not to stay beyond 15 minutes over per shift without approval. Of course with our patient load we stay a minimum of 15 min beyond that. Usually we stay 45 minutes, and sometimes up to 2 hours beyond that. Being a new nurse I asked others what they did when they had to stay late to finish charting. I was told just to clock out and then chart so you wouldn't get in trouble. H*&^ to the NO. I started cutting out things that were non patient related. When they called me on it I explained that I couldn't stay late and there were only so many hours in a shift. I then got approval to stay as late as I needed.
  9. coolpeach

    Graduated 12/10, still no job, giving up...

    I am sorry you are having such a difficult time. For what its worth I work with several male nurses and they are all great. I have noticed they are often times easier to work with (less drama), great when it comes to heavy lifting, and just as caring and compassionate as any female nurse.
  10. coolpeach

    ER and strange phenomena

    Two weeks ago I had 3 patients in one night who were either injured at other hospitals, had something go wrong in surgery at another hospital etc, and ended up at ours to correct the problem. I have been on my floor for over a year and never gotten one patient like that, and it was three at the same time. I called it law suit row.
  11. coolpeach

    Attention all night shift nurses, techs, cnas, and pcts...

    At where I work both nights and days are short staffed. I like nights better simply because I feel more in control of my environment. Occasionally pt's have to leave the unit, but not nearly as often as days where they are going to PT, OT, Xray, etc etc etc. When I get there at 7pm the Dr's have already come and gone. Any new orders from that point on will only get on the chart if I call the Dr and get them so nothing sneaks up on me. During the day the Dr's are in and out writing orders, and the nurses are responsible if any of those orders are late or missed. I serve snack with bedtime insulin, but otherwise all meals times are over by the time I get to work. We do not have visiting hours and a lot of our patients have relatives stay until 11p, and usually have one relative spend the night, but still not as bad as days. I work on an ortho unit so it feels like I am always passing pain meds. Some patients get them q 4, and some as often as q 1. In addition, we have regular meds, dressing changes, and patients who have other issues in addition to their ortho issues. My biggest problem is not having enough tech support. When all the foley's come out we have patients that are min assist x 1, 2 and sometimes even 3 to get to bedside commode, bathroom or sometimes even bedpan. When we only have one tech or two, but each has 15 + patients then its a mess. I find myself trying to run around doing total care for the most part because they are stuck in a room, or I have a patient who I need help with, but that help isn't available.
  12. coolpeach

    Work bags: What do you take and what's in it?

    I take a backpack and a lunch kit. Front pocket: Steth, badge, watch (all my other nursing stuff I keep in a bag in my locker). Middle pocket: Gum, mints, body spray, lotion, keys, electronic cigarettes, cell phone cord, extra cell phone battery. Back Big Pocket: tampons, hair clips, Tylenol, Pepcid, cough drops, brush, a little pouch with travel toothbrush, toothpaste, hair spray, mouthwash, a jacket, and my tens unit. My lunch is usually some soup, a sandwich, and lots of munchie stuff like crackers, fruit, cheese, peanuts, chips etc. In addition, I usually have a monster, or 5 hour energy just in case I need it at 3am.
  13. coolpeach

    Chronic lateness- what is that about?

    At where I work if you call out its 1 occurrence, and if your late its 1/3 occurrence. If you get 3 occurrences in a 12 month rolling period its a verbal warning, 5 is a written warning, 7 is your final warning, and 8 your fired. So you could be late 21 times a year if you never missed a day, but after that its the ax. Its a big hospital system, and this comes from HR not our floor management. I have been there a little over a year, and I have seen people get fired already for it.
  14. coolpeach

    No burn out....enough is enough!

    Its not just extra shifts, but nurse pt ratios and the acuity of the patients. When a 12 hour shift which is really 13 with report routinely turns into 15 hour shifts its too much. Most of us live at least 45 min - hour away so that's a 17 hour day. That only leaves 7 hours to sleep, eat, and shower. Never mind that I am a single parent and my poor kids spend days without seeing their mom. On my days off I am just catching up, but never really living. I am a new nurse and have seen the nurses try to stand up for themselves. They are told "Sorry, we have no choice, but to give you that patient". And a couple of weeks ago "A nurse was told that he had better get used to it because it or he would get another patient." I guess with the economy and job market we are expendable at best.
  15. coolpeach

    Anyone take Cymbalta?

    My Dr just prescribed Cymbalta for anxiety/depression and I am having trouble trying to schedule when to take it. It says to take it at the same time every day. According to what others are saying if you don't take it at close to the same time each day you will get a mega headache. In addition, some of what I have read says it can make you really tired when you take it. Other people say it will make cause insomnia and make you a bit out of it for a few hours. Clearly I need to take a dose to see how it affects me personally before making the decision to take it at bedtime or when I get up. Here are my issues: 1. I am a single parent who works nights. My bedtime the three days I work is in the AM including a few hour nap on the fourth day after I get off. Then I have a late bedtime on that fourth night, and a PM bedtime the fifth and sixth night, and stay up all day and night on the seventh night. I have to be alert and awake to take my kids to appointments etc on my days off, and being a single parent I can't just sleep in. Also I only get about 5-6 hours of sleep (I was a 9 hour a night sleeper prior to nursing) is this enough on this med. 2. If it causes insomnia and makes you a bit out of it then I really need the few hours of sleep I do get so I shouldn't take it before bedtime. Has anyone had experience on what a bit out of it means. Any info from anyone who has taken it would be appreciated.
  16. coolpeach

    Low Census...and LOVING IT!

    Shouldn't every day be like this?????? I have been a nurse for a year and half, working for a little over a year. The way things is truly upsetting, sad, and scary all at the same time. What other profession expects you to work 12 (13 hours) if you include shift reports, and we all know its more like 15 without meal breaks or usually any breaks for that matter and often 4 or 5 hours of sleep. Then we get more than we can realistically do (which is why it turns into 15 hours). The other day one of the nurses complained that she had 6 patients (which right now is the max). The problem was that four had PCA's, 3 were contact isolation, 2 had dementia/confusion, one had an NG and continuous feeding with all meds crushed going in tube, and one had to have everything crushed and fed in apple sauce, and one had to have dressing changes 3 or 4 times per shift due to edema/weeping. When the nurse got her sixth patient she said...."Hold on, this is more than I can handle". The supervisor told her this is the load so get used to it, or I will give you seven. I have told them I couldn't take anymore previously, and been told " I am sorry, but we don't have a choice". I got into this profession to make a difference, and I barely have time to keep everyone alive. Not to mention they are constantly adding new tasks to our already overburdened workload, new things that must be charted etc, and when one thing isn't done its our behinds on a platter. I forgot to chart that I took the tech took a foley out last shift, and I know I will be written up on Wed when I got back in. I feel like saying, "Hey I worked 3 shifts in a row (39 hours), plus stayed at least an hour over that the two prior shifts (41 hours), and two hours over my last shift (43 hours) in three days. With an hour drive each way thats 49 hours in three days with 12 hours sleep, and all I did was forget to chart a foley....we are all very lucky thats all I did.