CaliRN2019 BSN

CaliRN2019 has 6 years experience as a BSN.

Latest Activity

1. Vaccinating Hospital Patients Before Discharge

   CaliRN2019 replied to CaliRN2019's topic in COVID

   At my hospital it isn't up to the provider. The hospital offers it to anyone on discharge, just like the flu vaccine during flu season. There are no stipulations at all.

2. Vaccinating Hospital Patients Before Discharge

   CaliRN2019 replied to CaliRN2019's topic in COVID

   I guess the debate then is "mild illness". Many patients I discharge I feel are more then mildly ill. Many go home with after extensive multiple surgeries, PICCS for long term ABX, drains, complicated wounds, and many are so weak they are not able to...

3. Vaccinating Hospital Patients Before Discharge

   CaliRN2019 posted a topic in COVID

   My hospital has been offering the J&J vaccine to patients on discharge. I feel uncomfortable with this because I know how many people feel quite ill for a time period after getting vaccinated and I don't feel this is the right time to be giving h...

4. Have you worked with a GOAT in healthcare?

   CaliRN2019 replied to DesiDani's topic in General Nursing

   I haven't met the "perfect" example like many of you have wrote before me ( love reading them!) but I must say I am so lucky to have my first line supervisor. She has all our ( RN's) backs and will instantly squash any rude or demeaning MD that happe...

5. Which patients are you most scared to take care of?

   CaliRN2019 replied to SilverBells's topic in General Nursing

   That is an interesting comment about being most scared of SBO's. I work on a surgical floor and GI patients are our bread and butter. They rarely ever lead to demise. It's always the other ones that randomly pop in our floor such as ETOH Cirrhosis pa...

6. I'm a sexless nurse, part 2

   CaliRN2019 replied to nursingaround1's topic in General Nursing

   Americans have their own culture, just like you have your own culture. What is normal and OK for one might not be OK and normal for another. Big deal. What is the point of this post?

7. When patients assault staff

   CaliRN2019 posted a topic in General Nursing

   I am curious on how other nurses and hospitals deal with patients who end up physically assaulting health care staff. My hospital is in an underserved community and we can have rough crowds, lots of homeless, lots of addiction, etc. I have read a lot...

8. Difficult AMA situations

   CaliRN2019 replied to CaliRN2019's topic in General Nursing

   NRSKaren, to clarify RN's don't remove permacaths at my facility either. Patients go to IR for that at my facility, but they certainly don't let homeless and/or drug users leave with PICCS or permacaths to the streets for several reasons. Consulting ...

9. Difficult AMA situations

   CaliRN2019 posted a topic in General Nursing

   I am curious to know how everyone handles difficult AMA situations. Those who can just get up and go home are one thing. We have a huge homeless population and I have come into some questionable situations where I am unsure what the ethical thing to ...

10. Rationing Care in COVID: Whose life is worth saving?

    CaliRN2019 replied to Nurse Beth's topic in General Nursing

    My hospital in the Central Valley has been at this point already for several weeks. I have seen Doctors talk to patients with poor prognosis ( but still hanging in on vapotherm around 90%) and pushing DNR's hard. Our success rate of getting covid pat...

11. Doc Won't See Me Because I Treat Covid Patients

    CaliRN2019 replied to bitter_betsy's topic in COVID

    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 ther...

12. Nurses are Pushed to the Brink

    CaliRN2019 replied to Nurse Beth's topic in COVID

    YES! Please hire some ancillary staff! The hospital I work at in the Central Valley got rid of their CNA's 7 years ago for a few bucks pay raise for the RNs. I can't believe the RN's and union let this happen. We are understaffed, ICU patients remain...

13. How to Respond When Family Blames You for Patient Dying

    CaliRN2019 posted a topic in General Nursing

    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 distre...

14. How do you tell a family member their loved one will die?

    CaliRN2019 posted a topic in General Nursing

    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 s...

15. New Nurse - Unsafe Hospital

    CaliRN2019 replied to NurseL20's topic in General Nursing

    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 ...