beekindRN

beekindRN ASN, RN

ICU

Member
  • Content

    47
  • Visitors

    1,632
  • Followers

    0
  • Likes

    142

All Content by beekindRN

  1. Seriously? I'm concussed!

    I'm breaking my no-sceeen rule to rant. I fell last week and gave myself a gnarly concussion the afternoon before my first night of three. I worked two days, but the third day I left at the beginning...
  2. Seriously? I'm concussed!

    I did the first two days ? I had no idea it was that bad. My face hurt and I had a headache, but I was functional. I even stayed up about 24 hours the day after the fall because of work and family...
  3. RN providing total care for 4-5 patients

    Totally reasonable to be mad. Our CCU consists of an ICU and a step down unit. In ICU, I'm doing total care, but that's q2h oral care, q2h turns, one or two baths, and a couple poops. We're so short...
  4. There's been a lot of rants and vents about nursing, but let's focus on the odd tasks that make you happy. Maybe you love post-OP patients or CRRT or giving bed baths...what's something that makes you...
  5. Nursing Smells You Love?

    This is real, real morbid, but I love the smell of a body bag. It's such a fresh plastic scent. IV tubing is nice too, but not as
  6. Thready Pulse in Cardiac Arrest

    I agree. It all depends on rhythm. If the patient is v-fib or v-tach, that's not a perfusing rhythm. Ask the MD, if possible. "Doc, patient is in [insert rhythm here] with a thready pulse. Would you...
  7. I'm fairly certain we're on call the whole shift. The latest I was called in was 1 am on a 7p to 7a shift. We're unofficially cleared at 1 am. Usually if something awful comes in after that, they'll...
  8. What is your "thing" and how do you deal with it?

    Burns. I can deal with gangrene, I can deal with wounds, I can deal with pressure ulcers. But ugh, burns freak me the heck out. I even skipped class in nursing school that day. But mine is fairly easy...
  9. Our staffing is odd right now. We have a lot of agency nurses finishing their contracts and a lot higher acuity patients than normal. We're WICKED short-staffed. My boss asked last week if I was...
  10. Question regarding minimum staffing

    Nope nope nope. I only read the first paragraph and skimmed the rest. I'd check your laws for staffing ratios at the very least. 1) We had a dry spell this summer. We follow a strict staffing ratio,...
  11. Rant: Feeling like the worst nurse ever

    Full moon was the 15th
  12. Words of Guidance to New Nurse

    1000x times yes! I'm not sure how your schedule is done, but I'm able to view online everyone who will be working with me. I like to pick a "preceptor," so I never go into a shift clueless. I know who...
  13. Ineffective Compressions

    I participated in a code yesterday that was textbook. Everything went as expected, but the overall prognosis for the patient was extremely poor. This was her fourth (and seemingly endless) code in...
  14. New Onset Afib

    If you sat outside his room monitoring him all night, that's continuous monitoring. I would call the MD and say he is not currently Afib with RVR but with his extensive cardiac history, I'm afraid he...
  15. Ineffective Compressions

    This is wicked -- thank you so much! This patient had JUST arrived to our ICU, so she didn't have an A-line and her pulse ox wasn't reading even on her forehead. I don't hope for another code soon,...
  16. Ineffective Compressions

    We do not have access to feedback pads, but are the process of introducing them at our facility. I thought the aide's compressions were well timed, as I was recording and literally watching the clock....
  17. Panicking Over Vaccines 3 Weeks until School Starts!!!

    My school said that this would "exclude" you from starting this semester, and you'd have to reapply for the following semester. I, like you, missed my timeline for vaccinations. I was in the middle...
  18. Nurse as a Patient?

    Hello all! I recently had a shift that left a bitter taste in my mouth. One of my patients was a coworker from another unit. Let's call her "Claire." Claire works in the ED and is a well-regarded...
  19. Nurse as a Patient?

    I provided a non biased report, but explained the issues and encouraged oncoming nurses to glance at some notes entered about her behavior. My shift brought aboard a team conference with management...
  20. Nurse as a Patient?

    I told her ? When she was being particularly manipulative, I told her I was going to document all care given and conversations had appropriately, and that my goal is to provide good care. She was not...
  21. Nurse as a Patient?

    The ED knows and doesn't mind a bit! They even tubed up chocolate chip cookies and warm wipes to her last night
  22. Nurse as a Patient?

    Update: I'm back in this unit but do not have her as a patient. I have been commended by two house supervisors and three nurses on how I handled the situation. Management is VERY aware, everything was...
  23. Never feeling good enough, despite milestones

    I'm an ICU nurse. After a particularly rough shift, my coworker and I were discussing things that scared us $#!+less. It did not involve codes, CRRT, vssopressors, pulling sheaths, emergent...
  24. Stress at work

  25. Am I experiencing signs of burnout in ICU?

    I've felt this way about jobs in the past. I'm blessed at my current job with wonderful coworkers, and I feel that makes the difference. I would talk to your doctor about the potential for...