workingforskies

workingforskies

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All Content by workingforskies

  1. What about my pain!?

    Of course you are right. Let's also ignore the personal responsibility the patient chose to eschew by apparently not taking Tylenol and/or Motrin to manage her pain. Let's also ignore that she had 2 weeks of ear pain. I wonder if she went to a cli...
  2. Pediatrics Question

    I have been a pediatric nurse for almost 10 years now, mostly in ER’s. Some pediatric IV start tips. -Gather all your equipment and have everything set up on a tray BEFORE you enter the room. Setting up in the room only increases the anxiety ...
  3. Pediatric IV's?

    A 20 on an 8 year old is fine. I have, on occasion, used 20g's on dehydrated infants that I knew were going to be admitted for a while when they had the veins for it. An FYI. When starting IV's on babies, if you are right handed, the left, medial...
  4. booted from er job while on general medical leave

    You mentioned the 3 magic letters. "HCA". Trust me, you will be better off in the long run.
  5. Nursing and Spirituality

    I hope it is just your memory because that is an astonishingly one sided definition. I am an unabashed atheists. That statement implies that my lack of spirituality means that my life has no meaning or purpose. I can assure you that I am FAR from ...
  6. Every other weekend- what century are we in?

    If this were a male dominated profession, we would be getting paid at least twice as much as we get now, there would be pool tables in every break room, and the free turkey we get every Christmas would have a fat bundle of stock options stuffed in it...
  7. do not rehire?

    Absolutely it would not be inappropriate. You did them a favor by expressing an interest and taking the time of applying to work there. Asking for an honest explanation as to why you were not hired is certainly not unreasonable. Besides, what are ...
  8. There is a regulatory body in my state, (and I have no idea which one), which has stated in writing that the next 'drink in a unit area' violation at the hospital where I work at will result in a $10,000 fine.
  9. One of my biggest complaints: Drink at the nurses station = $10,000 fine. 7 ER patients for one nurse = nothing.
  10. Need Positive "Cheerleader" Phrases for 1st job

    Empathy, understanding, a smile, a positive attitude, taking a few moments to listen. Things like that are far more effective than a few worthless catch phrases. Also, be VERY careful about blithely saying, "you are going to get better" or things ...
  11. How do I deal with a liar?

    Get over it. The drama, the drama....
  12. I was going to reply until I noticed this at the very bottom. " Last edited by SteveRN21 : Today at 11:47 AM. Reason: removed link to business website per site TOS" This is a nursing related discussion board. Please spam somewhere else.
  13. Going over grid...........

  14. Interview advice: What would you ask?

    Onyx77 hit it on the head with questions you can be asked during a typical peer interview. Some questions I have learned to ask during an interview for an ER position. -What is the FTE to patient ratio on that unit? (A Full Time Equivalent or ...
  15. This is a drug allergy question....who will it stump?

    Just a guess mind you... Most deaths from allergic reactions come from decreased O2 exchange from increased airway inflammation. As fetuses get their oxygen from the mother's blood instead of through direct exchange of air, I would not think the eff...
  16. Personal Statement - Query

    It's an interview. It's an absurdly subjective question. Tell them what they want to hear. When I see questions like that, I roll my eyes and break out my creative writing pen. And before all the "tsk tsk'ers" weigh in on my lack of integrity at...
  17. Patient Load

    Sounds like you and I work at the same place. (Do the initials H.C.A. mean anything to you? LOL) The California staffing law has set the following ratios as an acceptable ER assignment: General ER - 4:1 Critical care. (ie ICU patients.) - 2:1 Trau...
  18. ED protocols that include zofran?

    If there is a protocol to give it, it is my understanding that is the same as a written medical order. In the sense of being accused of practicing medicine without a license, you would be covered as long as everything was appropriately documented. ...
  19. It's Eval Time!! Why we're unable to score all "excellent" ratings

    Actually, you can. It's called voting with your feet. The evaluation system at Vanderbilt was one of the (many) reasons I left that hospital. The hospital I work at now has an interesting system. Those that do not meet expectations are dismissed...
  20. It's Eval Time!! Why we're unable to score all "excellent" ratings

    As that could definitely affect your compensation, find a new place to work. It sounds like to me as if they have a quota system. Under that system, you could have the top 5 best nurses who ever lived and 1 will be rated high, 1 would be rated low ...
  21. Hagar cartoon 3/9/08

    I did not, in any way, find that to be the least bit offensive. I did not find it all that entertaining either. (It's in the comic section. Why would anyone allow themselves to be offended by something so benign in the funny pages?)
  22. Criticize my charting!

    A good note. My mother is a PhD RN. When I was in nursing school, she told me that when you write an assessment, assume it is for a jury. What you write on a chart is the picture of that patient as you saw them at that moment. I have never forgot...
  23. Open Letter to Nursing School Seniors...

    To expand on this. You are in school to learn how to pass the boards first and be a nurse second. To anyone on that last lap, keep that as your sole focus and the stress about what happens after that will go away. (At least it did for me.) When y...
  24. Greedy Govt

    .............Ummmmmmmmmmmmmmm.........Well, alrighty then.
  25. Funniest real orders you have seen in a chart?

    Funniest order I have ever seen written…. We had a real fighter in our pediatric bone marrow transplant unit. A 5 year old full of hell’s fire. (BTW, 10 years later and she is still doing fine!) Everything was a battle with her. One da...