NurseLy

NurseLy BSN, RN

Med surg

Member
  • Content

    27
  • Visitors

    1,335
  • Followers

    0
  • Likes

    80

All Content by NurseLy

  1. We just recently heard that our hospital system is in the process of bringing international nurses in to help fill some of the staffing shortages. We haven’t got a lot of information about how...
  2. I transferred from a surgical floor (after 4 years)to a neuro ICU. Two different hospitals but the same health system. I have oriented in the neuro ICU for 6 weeks and I think I have 2 weeks left. I...
  3. Is it too soon to panic? (Hate my new job)

    I went back to my old job and was welcomed with open arms. I am so glad I did. That job (the people/negative environment and lack of management/organization) made me hate going to work everyday....
  4. Which position would be better?

    Personally, I could put up with some less than ideal stuff for straight days and a 20 minute commute. Those are high priorities for
  5. Covid and Non-Covid on Same Floor?

    I believe we are still testing all patients. So people come in with other complaints — ie chest pain… but they incidentally test positive. If they have no covid symptoms we still place them in...
  6. Covid and Non-Covid on Same Floor?

    We mix covid and not in our units. If symptomatic covid and receiving treatment we keep them between two units. We do have non covid patients mixed in the same units depending on the bed needs at...
  7. Yes, I'm Vaxxed But...

    We are not the patients in the scenario we are the health care providers. We have the privilege of providing care to the most vulnerable patient populations. By vaccinating ourselves we offer that...
  8. Pulling Meds For Another Nurse To Pass

    I have seen this done and I have done this before in places I have worked. Occasionally if the oncoming shift is going to be very short or especially busy we will pull meds for the oncoming shift and...
  9. Is it too soon to panic? (Hate my new job)

    Thanks for the insight. I am sure you are right, there is a lot I don’t know and that’s keeping the work feeling very task-y right now. I can certainly understand the importance of the frequent...
  10. Criticalcare

    If you are pretty confident that you want critical care I say just start applying. If you get an interview set up and it goes well, you can request an opportunity to shadow at that time. (Where I work...
  11. Practice a clear and concise SBAR. Make sure the assessment data is relevant. (When I was new I would write out at times key points I didn’t want to forget to say because I was nervous!) S:...
  12. I think it’s totally appropriate to tell a patient they can not sit on a bed pan constantly. Just a thought - when I worked rehab, we absolutely did not use bedpans. It did not matter if the...
  13. It sounds like you handled a tough situation well. I don’t think you did anything wrong. Just two things that come to my mind reading your post 1. Notify the appropriate provider,...
  14. Patients Viewing Nursing Notes In Real Time

    Notes should never be written with wording such as pt is argumentative and non compliant. An objective way to say the same ... pt educated on xyz, pt declines xyz at the time. I am certain you...
  15. Patients Viewing Nursing Notes In Real Time

    Our names show up in the patient chart that they can access with our first name and last initial only. There is still an option for us to keep notes hidden. In our EPIC there is a button we can...
  16. I'm a Monkey...

    From reading what you described, I think it sounds more like an issue of your body adjusting to nights which more orientation will not help. Dayshift is much busier typically - heavier med pass,...
  17. Are you exhausted?

    Our unit has been a covid step down unit for a year now. (We just “celebrated” having made it one year since our first covid patient came through the door) I could not agree more. We are all...
  18. Leaving bedside

    The stress and anxiety you feel is normal and we have all felt those same feelings. The general rule of thumb is it takes 1 year to feel comfortable, 2 years to feel competent. Regardless...
  19. Staying up with changing protocols

    Do you have a place you can refer to before completing a task, if it is something you haven’t done recently? Separate from our policies we have access to lippincot, like an online archive of...
  20. Vanco trough

    Yes with a double lumen they don’t have to be compatible.. where I work we do not routinely draw blood from a picc. If your policy is such that you can, you can draw a Vanco trough the same as...
  21. Team nursing

    Just wondering if any other hospitals use or are transitioning to team nursing? Our covid numbers are through the roof and we have expanded making more beds in our hospital. We have a staffing...
  22. I am not sure why your response sounds insulted. We all know and agree that this shouldn’t be the state of schooling. I am not doubting that there are going to be hardships due to that inadequate...
  23. Proning patients as you said. A lot of studies show this is really helpful in increasing oxygenation and preventing people from progressing to needing more oxygen. So even a patient on only 3-4L still...
  24. I felt the same way my first year of nursing when I started in rehab. someone told me, and it stuck with me, if you need an RN license to be hired for that position, that makes you are a...
  25. For a transfer to the ICU it is always the physician who calls the family, in my hospital. It never hurts to ask them, just to be sure the ball isn’t dropped. Once the patient is transferred...