kbrn2002 ADN, RN

Geriatrics, Dialysis

RN from WI

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All Content by kbrn2002

  1. kbrn2002

    I made a mistake!

    I wouldn't even qualify what you did as a mistake. It was a simple lack of knowledge. So this wasn't a mistake, it was just something new for you to learn. Now you've learned it so don't beat yourself...
  2. Wow, I am so sorry you are needing to resort to posting in a thread on AN looking for help. You must be having a heck of a hard time getting those positions filled! Who knows, maybe you'll get lucky...
  3. kbrn2002

    IV experience

    IV placement policies vary so much place to place. Some hospitals or some floors within the hospital all nurses do their own. Some places have a dedicated IV team so floor nurses rarely if ever place...
  4. kbrn2002

    Dodging The Mucus Bullet

    We had a long time resident in LTC with a trach. The quickest way for her to clear a mucus plug was to get her laughing and stand back before the offending snot was cleared in God knows what...
  5. kbrn2002

    Longest Shift You've Worked

    Unfortunately this happens in LTC frequently. Especially if there is any doubt about the residents cognitive ability to make sound decisions. The family that supports the residents right to refusal of...
  6. kbrn2002

    Are nurses really leaving nursing in droves?

    Turnover in the LTC I used to work for has been much higher than usual the year and half since I left. I still talk to a few people from there and about 1/2 of the nurses are new. Like me I am sure...
  7. kbrn2002

    What I Hate About Nursing In 2021

    All of it you mentioned. For me the most glaring problem is the multi-million dollar salaries of the top brass. It made huge news when some volunteered to give up their raises or even donate back some...
  8. kbrn2002

    Did I Do The Right Thing?

    Holy smokes did you ever do the right thing! I hope he was removed from that unsafe and frankly abusive environment immediately. I don't usually advocate for the arrest of a likely overwhelmed family...
  9. kbrn2002

    Management Progression Assistance

    While it's not a job in hospital management have you at all considered pursuing an upper level management position outside of acute care? I honestly don't know that a Director of Nursing position...
  10. kbrn2002

    Back problems-unable to do heavy lifting

    I worked in a LTC for many years and the level of care required when we got an admission from an assisted living always astounded me. How did those so called minimal care assisted living's care for...
  11. kbrn2002

    Need help deciding what I want to do

    First off stop seeing your education experience as a hindrance. You did pass the NCLEX therefor you were smart enough to do so. Put the rest behind you where it belongs. Agency work is a...
  12. kbrn2002

    Seeking Advice - Please!

    I would think that the varied patient population of your current unit would be more of an asset for your long term plans that the highly specialized patient population of either the respiratory or...
  13. kbrn2002

    Waiting Around to Die

    We all start dying the minute we are born. It's just a matter of how long that process takes. For some sadly it's way too short. For some sadly, it's way too
  14. kbrn2002

    Why is LTC so hated

    All of this, especially the part I bolded is so true! Too many, just way too many residents to feel like there's time in the day to get everything done much less done well. Even in facilities that...
  15. If a person is determined to become a nurse the best advice I can give is remember that determination will be needed. Remember that determination to succeed when faced with adversity because nursing...
  16. I didn't leave my LTC job because of difficult residents/family but that was another factor I considered when I finally had enough. It honestly wasn't even the super difficult residents or their...
  17. kbrn2002

    I don’t know if I want to be a nurse anymore

    We may be in the minority here but I have to agree with you that an art history or art degree is at this point in OP's life a total waste of money. It makes about zero sense for somebody who...
  18. kbrn2002

    The good ,the bad and....tell me

    Wow, that's a lot a shifts for an 18 chair clinic! Even the bigger clinics in our area run two shifts typically though they did expand one clinic to three shifts when we had some COVID positive...
  19. kbrn2002

    Things I wish my patients understood

    Dialysis edition: Just because you are going to dialyze on Monday doesn't mean you can spend the whole weekend eating fast food, Chinese and then drinking a ton because it makes you thirsty. I...
  20. kbrn2002

    The good ,the bad and....tell me

    Wow, I am sorry. That is not a nice schedule at all. Definitely not all clinics are like that! All the clinics in our district use block scheduling. My particular schedule as well as the nurse that...
  21. kbrn2002

    The good ,the bad and....tell me

    As Hoosier said dialysis is a huge learning curve. That being said I found the orientation/training process while a little shall we say intense it was pretty thorough. I've only been in dialysis...
  22. kbrn2002

    Longest Shift You've Worked

    Thanks for stepping in to help! Those wildfires are so scary! I have family and friends scattered through Washington, Oregon and California. I never used to think twice about wildfire season but these...
  23. Here's one for the "poop" category in the award goes to...We had an elderly confused gentleman, not unusual in the LTC setting at all. He was somewhat continent of bowel and unable to get out of bed...
  24. kbrn2002

    New to Dialysis

    That accelerated training timeline would make me think twice about staying honestly. There's no way you should be expected to be functional as a dialysis nurse with 4 weeks training. At Fresenius...
  25. kbrn2002

    Longest Shift You've Worked

    My longest continuous time on the clock was 77 hours during a snowstorm that shut down the town for several days. We were supposed to work 16 on, 8 off with pay but the reality was more like 18 to 20...