delrionurse

delrionurse

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All Content by delrionurse

  1. Nurse Patient Ratio in Emergency Department

    Worked ER in a southern state, terrible. 1:6. Intubated, STEMI's, strokes, ROSC/CPR's, septic shock, SVT's. With no tech, doing the full work up, doing your own triage. No nurse available to help...
  2. Do you regret becoming a nurse?

    I don't regret becoming a nurse. I only regret that it would be the only prospect that I have. If you are cornered into bedside nursing only, that I would regret. Certain states have horrible...
  3. What was she thinking?!

    In many areas, lack of staff at night and weekends are the norm at skilled nursing facilities. Smaller SNF's don't even have a receptionist to answer the phone. Answering the phone is just not a...
  4. New Grad Feeling Unsupported

    It sounds like not a good fit. Tell them to try to switch units, or you will have to give your two weeks notice. You have addressed the preceptors not being supportive, they are aware. It won't get...
  5. As mentioned, turn pt to the side and suction them. A little physio on the back helps also while suctioning. Sometimes when you turn a patient, you can hear the crackles more clearly after. If the...
  6. 2 Nurse Skin ✔ q Shift ❓

    And nursing should never be that way. That's why nurses are quitting left and right, for the ridiculous administration that doesn't put a stop to things that make nurses have to do like this. Facility...
  7. What made her suspect you shouldn't be driving and that you were impaired? You said you identify as someone with a disability. How does this play into you being perceived as impaired? If you have a...
  8. What should be done to mean nurses?

    They should be
  9. Insulin Before Dextrose or Vice Versa?

    Calcium first if there are EKG changes, right? But if no EKG changes, insulin first?..Just a
  10. Unsafe Interventional Radiology Practice

    And doctors don't need an order to give procedural sedation meds. They won't have their licenses under investigation for ridiculous things not under their control. Nurses can't have 25mg of Roc or...
  11. Insulin Before Dextrose or Vice Versa?

    For hyperkalemia, I give the insulin first due to the potential emergency (plus it's important to note how the patient looks ie. vomiting, weak, abd pain, EKG changes?) Then I give the dextrose. The...
  12. Unsafe Interventional Radiology Practice

    Sounds like an easy way to get thrown under the bus. The reason for the sloppy rules in that office seems to be that doctors don't have to watch their back like nurses
  13. In the ER, the charge nurse will literally kick out a patient in a room to put a more unstable patient. Who is the patient going to look at why they are getting out of the room. The nurse. I...
  14. Learning IV Skills Outside of My Job

    No, he/she could buy IV supplies at a medical supply
  15. Learning IV Skills Outside of My Job

    Do you have family members or friends that will let you practice on them. I started IV's without having any experience with them and I had to call for help a lot. I'm still not great at getting deep...
  16. There's no criminal conviction, you're not on their payroll, and your status is not being 'hired'. You may want to call HR to see if there is a policy on that before you notify your
  17. Decapitated baby

    Maam, no. What do you think happens when you conceal in such a manner and in such horrific circumstances. The board will get to the bottom of this, and I'm sure they will be notified. That is their...
  18. Decapitated baby

    This story is so horrifying that all sides need to be presented. No one has heard the nurses or doctor's side. The bottom line is you weren't there. Sure the parents may be giving an accurate...
  19. I don't think the poster was being brittle with an innocuous person coming up to them asking if they need help. She is speaking about the person who has experience, knows the nurse/nurses are...
  20. Asking for help in an inadequately staffed department is beyond the problem. You are telling the manager what they already know. In places like the ER, you don't have to get report on a patient to...
  21. What are the things that make you want to leave nursing?

    1. Being overworked doing the job of 3-4 people. 2. Being
  22. The Collapsing Healthcare System in the US

    Also, operating with not enough nurse and no techs. So nurses are doing the work of 3-4 people, but the hospitals have the money to pay the doctors, pay lawsuits, give the housekeepers breaks, but...
  23. Left the ICU after 1.5 yrs, where to next?

    If it's a well run
  24. Quitting job

    Thank you. I needed to hear
  25. Quitting job

    Would you stay at a job you are completely unhappy at? I made a mistake and signed a contract and am miserable at my job. I have been there less than a year and it's my first job as an RN. The job has...