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coolpeach specializes in ER/Ortho.


coolpeach's Latest Activity

  1. coolpeach

    Please take our burnout survey

    Ok Done
  2. coolpeach

    Fictional vital sign charting

    I hope they aren't making them up. I give meds based on the vitals.
  3. coolpeach

    Just a reminder to watch what you say!

    My FB is set so that only my friends/family allowed and see or view anything related to my profile. I do not have co-workers on my FB. I have had few ask me, and I always tell them I don't do FB. I also occasionally google myself just to make sure nothing pops up. I do not list where I work and describe it as "The hospital that must not be named". We actually had to do a learning module onliine related to social networking sites. It said if you list where you work then you must follow each statement you make with....the views presented on my views, and in no way represent my place of employments views. Its crazy !!!!! I worry sometimes about being on here, but jeezz you have to vent somewhere.
  4. coolpeach


    I did most of my med surg early on in my clinicals as a student, and as such sort of followed the RN around. I didn't see how things really were through the eyes of a nurse. At the end of my clinical experience I was in the ER, and did my internship there. It wasn't what I thought it would be because you were either getting patients who were really ill, injured etc, and your main goal was get them breathing, keep them breathing, and get them somewhere else. Or you were getting patients who had a sore throat, runny nose etc, and your goal was get them out NOW so we can use this room for someone who isn't breathing. Either way I felt I was missing patient care. It was rare to get to care for the patient for more than a couple of hours. Sometimes they were never even awake, or so drugged they didn't even know you were there in that short time. In the ER we often has people who complained. There were drunk people, drugged up people, beaten up people, criminals brought in with handcuffs, scared people, hurt people, and often times just ****** off people. It reminded me of the saying if you feel well enough to complain you shouldn't be here. We didn't want people to complain, but often it was a fact of life. We looked at who complained and often it couldn't be helped. In med surg it seems it doesn't matter as much who. I was going along being friendly, yet assertive. I felt as long as I was ethical, safe, polite etc that I would be ok. Now I am afraid that its more about making the patient happy. Obviously I wouldn't be unsafe, or risk my license, but honestly I think if you get a lot of complaints then you might not be there long. And as people learn that they can complain and get free stuff (gift certificates, fee flowers, gifts from the gift shop, money off their bill, and other perks) then they will do what pays. Heck, if you find out you can get a couple hundred off your bills, a $25 gift certificate to Target, a beautiful arrangement of flowers, a free dinner with dessert for you AND your guest, and music therapy will come play in your room just for you....it makes a little complaining well worth it.
  5. coolpeach


  6. coolpeach


  7. coolpeach


    Ok...I really need to vent a bit. I am a somewhat new nurse who got into nursing to help people. I love people, have always been a people person, and have always reached out to those in need. I feel terrible saying this, but I am getting to where I don't like people at all. I do have some patients who are really great, but I don't have time for them do to the obnoxious ones who hit the call bell every 15 minutes. And of course even though you know who it is, and what it is because you have dealt with it 12 hours a night for the last two nights you have to drop what your doing (even helping the quiet ones in need). If you don't then you will get in trouble from management for not answer your call lights within a timely manner. You get the folks who call for their narcs every 15 minutes even though you just gave them 20 minutes before, and aren't due them again for 3 1/2 hours, but you have to go in each time they call (right skippy now) because if you don't the light will escalate to a manger who feels pain is an emergency right after ABC, and you didn't respond. It doesn't matter that you haven't been able to care for the other 6 patients they have entrusted to your care, and there is absoultly nothing you can do but say its still not time which is would remember, but he is on Metodone, PCA Dilaudid, Lyrica, Norco 10's and screaming for more. And woe is me they might complain. I am feel like I am a waitress, but instead of drinks I bring narcotics. The only difference is people would be arrested for treating a waitress for the way its acceptable to treat a nurse. Then you have the snooty horrible awful patients who feel they have checked into the Ritz for the weekend. They want their pillow fluffed, their apple sauce warmed, their feetsies tucked in. One women wanted to send me out to the whole foods store for her specialty brand of peanut butter. The fact that you have a post op who really is in need of care pales in comparison to the fact that they want lemon in their water. And then their are the drama queens (usually young women, but occasionally women in their 30's 40's). They generally are surrounded by family 24/7. They call you in every 10 minutes because their head hurts, their tummy hurts, their feet are tingly, they feel constipated etc etc etc. Each call their is panic in their voice, and when you get to the room the family is gathered around the death bed, the tone is emergent, and Scarlet requires immediate assistance for whatever ails her. I can't believe it when someone has elective surgery (they chose to do it) and then they call me in and act amazed that whatever they had surgery on hurts. Even if common sense fails you I would think that would have been part of the Drs pre surgical education...it will hurt, and even with the best pain meds there will still be come pain. And then you have the folks who call you in stating their pain is a 10 while laughing with family, eating ice cream, and complaining that the blankets are too thin. Really if your pain was a 10 you wouldn't give a rats behind about the blankets, would not be eating ice cream, and you certainly would be sincerely laughing and smiling like the day is long. And management what is wrong with management. Really???? How can they be so far removed from reality? They have to know all of this is going on. Didn't they used to be nurses or at least work in some clinical capacity? I really am starting to dislike people. This X-mas I didn't volunteer, didn't donate, didn't do anything. When I used to walk by a homeless man on the street I would give him a $ and want to do more. I would reach out, volunteer, and had a soft heart. Now it doesn't bother me at all. Is nursing making me a horrible person?
  8. coolpeach

    what nerve!

    I am a new nurse, graduated last Dec, and been at my hospital since July (5 months). I have NEVER been late, not even once. I also find I must start earlier, stay later, and work harder then the nurses who have more experience to get the same amount of work done. The more experienced nurses often find time to chitchat etc, and I never do because lacking experience everything takes me longer. How does this new nurse do it? I blame this on your hospital because they allow the behavior. When another nurse starts she will see the behavior of this nurse, and think its ok for her too. The hospital sets the standard for which everyone must adhere. The unit manager needs to step in and have a conversation with this employee.
  9. coolpeach

    2 weeks notice

    I was in a similar situation at the beginning of the year. Somehow the 3 interns (I was one of them) got on the bad side of the nurse manager, but I am not sure how. She never fires anyone, but instead makes things so horrible the quit. She did this and one by one the interns started to quit .....until there was me. I am older, have a family to support, and I wasn't going to quit. I dealt with horrible schedules, preceptors from hell, scary assignments, and much more. I held on tight, and kept making it through day by day. This manager had several people who she was personal pals with. They went out to clubs, an hung out etc. These people also ran to her with everything they could eaves drop on, or tattle about. The remaining nurses were terrified of her because they felt one wrong move or word would be their job. She ended up putting one her buds as my preceptor, and my life became hell. I am sure that this preceptor was given instructions, and they had powwows, and laughing sessions on planning my demise, and laughing at my fear. This preceptor was also angry because I took her friends job so that didn't help. I was doing great until out of the blue my manager moved me to this particular preceptor after she ran the other two interns off. Anyway, after a bit with this wonderful teacher I was called in and given the same speech as you. I knew my days were numbered...I just knew it. I knew if I really wanted I could stick it out, but I was afraid that they would put me in a situation where made a mistake and put my license at risk. I knew if I did hang on that eventually they would just fire me. I had not been at the job long enough to get unemployment so that didn't matter either way. I was afraid that being fired from my first job would make it much harder to find another job. I don't know if this is true, but its what I was afraid would happen. I was also afraid that if I gave my two weeks notice that they would walk me out. I ended up going over my managers head to her boss. I knew she was aware of what went on, but of course she acted like my best friend in the world. I told her about the difficult time I was having, and how it just wasn't a good fit. I didn't bring up all the bad stuff that was going on. I explained I just wanted out with a clean record, a letter of recommendation, and to work out my last two weeks. I said it in such a way, and made eye contact to let her know I knew she knew what was going on (if that makes sense). She did not want to risk me causing a stink, and I am sure she wanted the manager underneath her to be happy so she agreed. We set the following Monday to turn in my letter of resignation. I typed it up all official with "not a good fit". They did not want to pay a nurse to continue my internship with me since I was leaving so I made discharge for calls for 12 hours a day for two weeks (not fun, but I was getting paid). They wrote me a letter of recommendation, and even put it on good paper, and in a pretty envelope. She gave me her personal number to use as a reference. I started putting in online apps the weekend before I officially turned in my letter of resignation. I got a call that first week for a online interview. I went to an interview the second week, and got the job. The job was actually at my first choice for a hospital, but they weren't hiring when I graduated. So there were three days there that I actually officially had two jobs LOL. I am also listed as a rehire so thats good even though I would never go back there. This is just what I did, and I think I got really lucky here. I hope you do too.
  10. coolpeach

    Would a hospital hire and RN for an LPN job?

    Here in Texas you cannot. At a hospital where I worked at the beginning of the year we had such a request. The manager called the state board and they said, "NO" an RN cannot work as a tech. This particular person was currently employed as a tech there, and had just passed her NCLEX that week. The new RN internship didn't start for two weeks, and the hospital wanted permission to keep her on as a tech for those two weeks while waiting for the internship to start, and they were told no.
  11. coolpeach

    What do you pack in your lunch box?

    Leftovers when I have them. Campbells Chunky soup, sandwich, granola bars, cookies, crackers, cheese, pickles nuts, dry cereal in a baggie for snacking, occasionally a frozen meal or pizza pocket. My favorite night is Tues when I go get the family fried chicken for a treat, and take some to work.
  12. coolpeach

    What is a "good fit" to you?

    I work Ortho traum night shift. I would have to say Team work is a big plus, nurses willing to do Tech work if need be, and Techs will to help a nurse with a patient who they may not be assigned to. On night shift we are not as tense as the day shift the environment feels more relaxed so I would say someone who has a calm nature, and isn't uptight with a sense of humor.
  13. You SHOULD be passing meds before your orientation. The goal of orientation is to have you doing everything you should be doing (maybe not up to speed), but doing it at the end of orientation. Every new task will seem overwhelming, the first few times you it, and when it is added to everything else the whole thing will seem overwhelming. When you first come off orientation you will feel overwhelmed again. The I barely have my head above water, I am just trying not to kill someone feeling is pretty normal for the first year. I have not made my first year yet, but some days are great, and others I am very overwhelmed still. That being said, you should have at least had some training as to the task you are doing before you do it. If you do not understand it then you must go ask either your preceptor, another nurse, or your manager to make sure you understand what you are doing. As far as the speed it will get better.
  14. coolpeach

    Why do patients..??

    I had a patient last week who was horrible. When I got oncoming report they told me her family complained about the day shift nurses not doing anything for her during the day. I was determined to not get a complaint. This was a 29 year old princess who thought she was the only person in the hospital. If she wanted a snack it was far more important then the code down the hall. I was in that room for than my other 5 rooms combined all night long. Guess what the next morning I heard I got a complaint too. It appears I never checked on her, and responded to her needs. REALLY!!!
  15. coolpeach

    Urine test

    I am a fairly new nurse, but I have been employed for a year, and did clinicals for two years prior to that. In all that time I have seen two people with lung cancer. Every shift if I have 6 patients at least 4 or more will be diabetic. At least one or sometimes up to 3 three will be obese. Not overweight I mean (get the lift equipment) obese. If we are going to not hire smokers then we need to just get down to business. No hiring anyone more than 10 lbs over their ideal weight or anyone with high cholesterol. In addition, they should test for caffeine, and that will get rid of those pesky energy drinks, coffee, and soda's. If they refuse to hire the above that should open up the job market quite a bit.
  16. coolpeach

    Can You Believe This?

    I am a new Grad Dec 09, and I am shocked. I would have said, "No" too.