CaliRN2019

CaliRN2019 BSN

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All Content by CaliRN2019

  1. 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...
  2. Vaccinating Hospital Patients Before Discharge

    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
  3. Vaccinating Hospital Patients Before Discharge

    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...
  4. Have you worked with a GOAT in healthcare?

    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...
  5. When patients assault staff

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

    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...
  7. I'm a sexless nurse, part 2

    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
  8. Difficult AMA situations

    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...
  9. Difficult AMA situations

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

    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...
  11. 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...
  12. 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...
  13. Nurses are Pushed to the Brink

    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...
  14. 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...
  15. 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...
  16. 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...
  17. 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...
  18. 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
  19. Med Surg without CNAs?

    Our hospital does not have any CNA's. We are a tele floor and had a mix of covid and non covid patients, max of 4 patients. It's tough but it makes the nurses rely on each other and our team work is...
  20. I actually just finished Vulnerable populations and it wasn't any more time consuming then any other class, I took it with Legacy of the Family. The first couple classes I took one at a time to feel...
  21. Just Say “NO” to Nurse Staffing Laws

    I feel like your article actually supports the need for safe staffing laws. Yes, they possibly could create more wait times, nursing shortage, and more cost. Well that is how our healthcare system is...
  22. 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...
  23. 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...
  24. 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...