SarHat17

SarHat17 ASN, RN

Outpatient Cardiology, CVRU, Intermediate

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All Content by SarHat17

  1. My husband wants to retire

    Is he looking to leave bedside/direct patient care nursing or just healthcare in general? There are so many non-direct patient care options that with his experience could be available to him. If he has any kind of career guidance/support options at h...
  2. Is your highschool in a different state than your college/nursing school by any chance? I took AP English in highschool in Florida, and that "counted" when I was attending college in Florida, but when we moved to a different state, I had to take Engl...
  3. CNA’s restarting IV pump

    How else can you remove a gown that doesn't have sleeves that snap together? The ED gowns at our hospital are just regular sleeves, so there is no other way to remove the gown without pausing the infusion, safely securing the line (we have green Curo...
  4. Over Nursing

    ^^This! When I started, we had a "brain/SBAR" sheet for each patient. I used that for notes/etc on each patient, but made a sheet that had very basic boxes for each of the potential 6 patients I would have overnight. (Called it "My Brain Sheet" I thi...
  5. Bedside report - hate it? Like it? Love it?

    Other people visiting in the room would possibly have questions/responses to sensitive information (not to mention that it would be inappropriate to share this information to whoever else besides the patient is in the room in the majority of situatio...
  6. Breakroom Pet Peeves

    I think Steve was one of the "bouncers" on the Jerry Springer shows and then spun off to do his own. ? It's such awful television! ?‍♀️
  7. ADN or BSN?

    Here's my recent situation to consider if it's helpful! I have my ADN (and the program was definitely not easy or less stressful) and have been researching/considering going back for BSN vs MSN. My future opportunities are hugely opened up with ...
  8. Why sterile water for PEG tube?

    We recently had a process/policy change at our hospital. The RD explained that their practice and policy changed (at the national/international level) to cover water used in PEG tubes, etc, because while tap water may be appropriate and safe in one c...
  9. RN no experience raising kids

    IMO, I agree with waiting on further schooling for now. It sounds like you are interested in working, just trying to figure out how to juggle family activities and childcare with a job. Depending on how long your husband is away with his job, you wil...
  10. Please tell me it’s just Medsurg!!

    I'm not sure it is everywhere (in my experience). Depending on how critical or high acuity patients are on your unit, it definitely makes a difference in your ratios. When we changed to a lower ratio Intermediate floor, it noticeably affected my feel...
  11. Should I call the doctor for a BP of 175/72?

    @MunoRN I think this could get sticky, depending on the context and interpretation. (I'm not referring to current treatment trends of BP in the hospital.) Using my clinical judgement to call on a patient with an "elevated" BP to let the Dr evalu...
  12. Consider a longer orientation as a bonus, instead of a "punishment?" (I HOPE your hospital doesn't present that as punitive!) It's really difficult to switch back and forth in such a short time; it's really strange they are doing it all mixed in this...
  13. Are you on-call or expected to be available to address these needs on Saturday and Sunday? It's likely a yes/no question. Ask your supervisor or HR for confirmation. If no, then every single call needs to be re-directed to the on-call person ass...
  14. Failed orientation, now what?

    I started on that unit as a new grad, and (before we moved into a remodeled tower) the EMU generally was staffed by one more experienced RN and a newer RN, plus a CNA. Once we moved into the new tower, the EMU was one whole floor, and staffed just as...
  15. Tips to improve morale

    My first reaction to previous posts was 1. every reply is negative, and 2. I agree with most of it. We were all asked for similar ideas regarding morale and resiliency recently, and while I am more in the Susie Sunshine camp, I know they were as...
  16. Failed orientation, now what?

    I started as a new RN on the Neuro floor (inpatient, not outpatient or clinic). We had 3 "floors" for Neuro, and one almost exclusively focused on epilepsy patients/diagnoses/pseudoseizures, etc. Having solid experience on the outpatient side could g...
  17. Urgent: Need advice please?

    Where I work, we have N95s available, along with Level 3s and Level 1s (to change and protect the Level 3 or N95 we wear with all patients.) Requirement is to wear a Level 3 (with Level 1 over it) in all patient care areas. N95 or Papr in Covid rooms...
  18. RN coworker discouraged me

    Calling someone a hypochondriac and crazy does not fall under "constructive criticism." I'd be tempted to reply back with the actual definition of "constructive criticism," which definitely does not include labeling someone with a disorder or calling...
  19. New Nurse having trouble with CNA

    I'm so sorry you're dealing with this. I don't have experience in the ICU (regarding positioning for ICP), but in regards to the BP cuff, you could reply, "It's important to be able to make frequent adjustments and monitor the patient's BP very close...
  20. Time Management Tips Please

    Try searching for other posts on this topic; there are a lot of good tips! Here’s my post from there to give you some ideas: Deep breath! You will get through it! This is a VERY stressful and crazy time, and you are NEW and finding your...
  21. BULLYING at work as Usual

    Have you started/completed the process to follow that policy? I'm sorry if I missed further explanation, but if you have completed all the steps to be officially exempted (per policy), then I would ask for further clarification why the nurse manager ...
  22. Paperwork or punches?

    I think you have answered your question right here. You are acknowledging that this is wrong, and since the policies/facility is not actively changing the way these situations are handles, I would leave ASAP. This is an environment where both your jo...
  23. How far is too far of a commute?

    Depends on your situation. Would it be an option to commit to 3 shifts in a row and stay at a local hotel/airbnb? (If you find some options like these, and explain the situation, they may be able to work with you for a financial and scheduling arrang...
  24. Scheduling question and Advise!

    *Edit: I re-read the post. It sounds like the tentative schedule showed one thing and the finalized showed another. Definitely take that to the scheduling person/union rep to find out why the change was made. I don't have experience with ...
  25. Change jobs, again?

    Are there cath lab patients that ultimately transfer to ICU? Any opportunity to connect more with that aspect while working in cath lab? (Just throwing out some ideas.) At my hospital, unstable STEMIs or cath lab patients with a lot of interventions ...