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CaliRN2019

CaliRN2019 BSN

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CaliRN2019 has 3 years experience as a BSN.

CaliRN2019's Latest Activity

  1. CaliRN2019

    Doc Won't See Me Because I Treat Covid Patients

    Stop telling people details. They don't need to know and you use PPE anyways. When people ask about exposure its my understanding that means without PPE, like household members. I used to be upfront about my job ( tele covid unit) until my therapist of 3 years whom I respected and trusted so deeply wouldn't have me in her office ( starting last April) while other clients where allowed in with masks. That freaking hurt.
  2. What is the appropriate response when family blames you for the patient dying, even if you did nothing wrong and death insists on taking its course? We have had so many Covid situations lately where patients are DNR/DNI but are in respiratory distress and family refuses comfort or hospice. Such a slow and awful death. The other day a spouse was fixated on the fact that we had not been feeding her husband ( Sp02 70-88%, lethargic, ALOC) and insisted I take off the non rebreather to give him his PO meds and feed him to "save his life". She continued to scream at me ( over the phone) that I was killing him. It feels so unfair to watch a patient slowly suffer and die without relief due to patients own specific parameters and then get blamed for it.
  3. I had an 82 year old male with Covid who was clearly dying on my tele floor. He was on Vapotherm at 40L 100% Fi02 plus a non rebreather flush for 2 weeks. He was a DNR/DNI, yet not comfort care or hospice. You know, that icky and painful in between suffering. His family took many days to finally agree on comfort care. My last day with him he was becoming increasingly lethargic and his sats were 75-80% all day. His son was allowed to visit that day (which helped him decide it was OK to initiate comfort care orders). By the son's body language and general "feel" I got from him, I don't believe he realized the gravity of the situation and that it was probably going to be the last day he saw his dad alive. I felt the need to educate him, warn him, or let him know that now would be a good time to say your goodbyes but I didn't know how. As the bedside nurse, how do you approach the subject? I understand the Dr. is responsible for a large part of that conversation but the particular resident was new and seemed unfamiliar with our hospitals comfort care/hospice issues. I wasn't within earshot of their conversation at the time but I suspected she didn't get her point across.
  4. CaliRN2019

    New Nurse - Unsafe Hospital

    It doesn't make sense to me that a patient in restraints would also need a sitter and be a 1:1. In my hospital, patients are either in restraints or a 1:1, not both (unless they are a very extreme case which is rare). Also, right now we are in the middle of a pandemic and things are different. I am in California and our strict 4 patients to 1 nurse ratios are currently out the window because of the influx of patients needing beds and the crisis we are in. All our ICUs are currently 3:1 as well. We are also now keeping patients that normally would go straight to the ICU on our tele floor as long as possible. Many are dying but ICU beds are full, so there isn't anything else to do. This is extraordinary circumstances, so if your hospital has a large number of covid patients, things are going to look differently then they normally would.
  5. I'm not sure if legally they can make you take it, but I'm sure there will be incentives. For instance, before COVID our hospital would require us to wear masks at all times during flu season if we chose not to get the flu shot. I can see the same thing happening for the COVID immunization.
  6. CaliRN2019

    How far is too far of a commute?

    Yikes! I worked 12 hour NOCs for a while and my 25 min. drive home was often rough. 1 hour would have been unsafe for me, but maybe different for you. I am now on 12 hour days and drive 45 minutes into work. I actually enjoy the drive because it is nearly a straight shot and zero traffic. There are other hospitals 45 minutes from where I live that pay more but I would have to battle traffic and the drive would be stressful. You need to take into account the quality of the drive. It is an easy no brainer where you can sort out your thoughts or jam to music? Or is it a stressful?
  7. CaliRN2019

    Reaching out to a deceased patients family

    Absolutely do NOT reach out through facebook. It violates HIPAA and professional boundaries. You could lose your job over it as well.
  8. CaliRN2019

    Never feeling good enough, despite milestones

    Thank you for all the wise advice guys. And I appreciate you not jumping down my throat about putting other specialties down. After re-reading my initial post I can see how that might have been assumed, but it is not what I meant. I will continue on my floor and hone my skills and maybe later down the road try another specialty 🙂
  9. CaliRN2019

    The Nursing School to Welfare Pipeline

    I have to disagree, there isn't "zero difference in RN to BSN pay". Yes there is. My hospital is proof of that. It is about a $5/hour difference. Also, several high paying hospitals in my area prefer BSN nurses over ADN. Not every place. But some. You DO increase your pay and chance of getting the job you want with a BSN.
  10. Before I started nursing school, I used to look at any nurse in amazement! It didn't matter if they worked in a hospital, school, home health, whatever. You were the ***! Then I got into nursing school and started clinicals and came to think "Oh NO, I MUST work in a hospital with acute care patients to feel like I am really "doing this" and a "real" nurse. Now as a new grad on a busy tele floor in a large hospital, I feel like THIS status isn't good enough. Now I need to be in the ER or ICU with critically ill patients to be the "real deal". I wonder how far this will go? What if I get into the ICU, then it might not be a good enough hospital next. I feel like the bar keeps moving and no matter what I do I can't keep up. I really like the floor I am on. They pay is good, the people are good. Sometimes the pt acuity seems too easy and I crave something harder, but it is frustrating that I don't feel like a "real" hardcore badass nurse. I don't feel good enough. How do you all come to terms with where you are and learn to just be happy with where you are at?