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Ann RN

Ann RN

ICU/CCU, CVICU, Trauma
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Ann RN specializes in ICU/CCU, CVICU, Trauma.

GO PHILLLIES!!!!!!

Ann RN's Latest Activity

  1. Ann RN

    new RN's in specialty areas

    And once again, I am just trying to help new nurses understand how we sometimes feel. And why. Believe me, it is not a personal affront. It is not an attack. And if you think a seasoned nurse's humble opinion on who the hospital should hire matters, you're kidding yourself.
  2. Ann RN

    new RN's in specialty areas

    We do not "trudge along". We are still learning, even after 30 years. We have to - things change. So please do not make the argument that we fall into a pattern. We take responsibility for our own education. And we do well. In no way do I believe that a new nurse getting experience on a med-surg floor is merely "putting in time". I applaud him/her for having the forethought to hone their time management & assessment skills while getting exposure to various treatments & procedures.
  3. Ann RN

    new RN's in specialty areas

    I'm trying to do this without being personally critical. I do not want to put all new nurses in the same basket, so to speak. You have been blessed to work in a unit where all the seasoned nurses are happy, no one is burned out & all is well. This is a rarity. Believe me, it's not that we do not want to teach or help new nurses - far from it. Nothing makes us happier than when we see a new nurse "get it". But there have been far too many times when we have seen a pt.'s care compromised because of a new nurse who did not "get it" & did not know enough to ask for help. We have seen critical labs missed & subtle clues that were not picked up. We have seen new nurses who had no critical thinking skills. And while we're precepting, it's OUR licenses on the line. Precepting is not easy - it's not just being there if the new nurse asks for help. It's anticipating, proactively teaching, monitoring, constructively critisizing, teaching more, evaluating, etc. So please try to understand our point of view. We're tired. And sometimes we just want to take care of our own patients.
  4. Ann RN

    new RN's in specialty areas

    Do you have any idea what you are REALLY getting into? A year as a nurse apprentice is not the same as a year as a graduate nurse on a general peds floor. And I hate to tell you, but you WILL be working with adults - parents. They can be harder to deal with than adult patients. Orienting new grads has absolutely burned out the majority of the seasoned nurses where I work. It is extremely hard to do. You will not have the assessment skills you need to pick up subtle changes when your preceptorship is done, & IMHO that is not safe - for both children & adults. I believe a patient deserves the safest & highest quality care possible. And I'm sorry, but that is just not from a new grad in a specialty area.
  5. Ann RN

    Please help me with my care plan and NANDA

    OK, here goes - 1. Decreased tissue perfusion R/T decreased cardiac output & AEB periods of confusion. 2. Knowledge deficit R/T disease process. 3. Altered nutritional status AEB nausea & poor appetite. Hope this helps.
  6. Ann RN

    Pregnancy is not a disease!!! (vent)

    You set yourself up for this. If you cannot do your job, you should not be there. Those of us who are not pregnant do not want to take MRSA home, either, whether or not we have children. Those of us without children also have families that are important to us. We deserve to spend holidays with them just as much as a nurse with children. I am so tired of nurses thinking that just because they have children they deserve holidays off more than me. Don't tell me I'm mean just because I, too, want time with my family or because I believe a pregnant nurse should not use her pregnancy as an excuse.
  7. Ann RN

    OMG! My feet are killing me!

    1. Ryka sneakers - made by women, for women. They have nitrogen shock absorbancy. Great stuff!
  8. Ann RN

    Please Read and Help w/decision. thx

    "I work Mon-Frid 8-4 days, and the company is very good to me, I mainly do paper work and only clinical things like Medi port meds that LPNs can't access. I get little perks like gifts and game tickets an hr for lunch, pretty much do my own thing. " Sorry, but I'm going to play devil's advocate. I hope what I say is wrong. It sounds like you are getting adequately compensated for the duties you have described. Maybe a higher salary is used on your "perks". I absolutely hate when an employer, or more often a pharmaceutical company, does this. That is why our salaries are low and are prescriptions costs are so high. I cannot be bought with tickets to a game.
  9. Ann RN

    transferring pts. from ED to floor

    Sorry, but - if you drop the pt. off in the hall of their new unit and a nurse does not accept the pt., that is patient abandonment. OR am I missing something?
  10. Ann RN

    Frustation with the charge nurse

    Properly go up the chain of command with written communication. Keep it factual; no opinions. The fact that she is using a hospital computer for "personal" business may be cause for termination - review your hospital policy. Keep a copy of all written communication.
  11. Ann RN

    Stupid questions/comments made by doctors!

    I had a patient in the week that our new interns started. A septic patient had a temp of 105.1. The intern asked if we had IV tylenol so it would work faster! I had a pt. s/p OHS with a balloon pump. He lost his pulse in the balloon leg. When notified, the resident replied, "Don't worry - he has a pulse in his other leg"!
  12. Ann RN

    Stupid questions/comments made by doctors!

    Actually, I would. We all need a place to vent. As other posters have said, there are stupid people in every profession. And if the stories about "stupid nurses" were true (I'd laugh either way); they should be heard and learned from.
  13. Ann RN

    a little help..

    First, let me say that these two issues should be covered in your initial hospital orientation. I cannot believe they were not better covered when you were in school. Anyway - Observe IV insertion site at least once/hour. Look for signs of infection - reddness, swelling and drainage. Look for signs of phlebitis - edema, red streak along vessel, warm to touch, pain. Look for signs of infiltration - swelling, leakage at site, no blood return, pain. If any of the above signs are present - D/C IV catheter, elevate extremity, apply warm soaks. Follow your hospital's policy on infiiltrated IV's. Reinsert IV in a different site, preferably in the opposite extremity. As for body mechanics - Find your center of gravity and maintain it. Do not bend over from the waist; bend from the knees (squat). Hold a heavy object close to you - not at arm's length. Never lift a patient by yourself, no matter how small the pt. Never be afraid to ask for help. Hope this helps. Good luck with your career!
  14. Ann RN

    to give or not to give, that is the question??8)

    Need other labs - Bun/Cr? Lytes? Serum osmo? If you cannot rule out a head bleed, DO NOT give dextrose!
  15. Some may argue with me, but this is not a compensated blood gas. It is only compensated if the pH is "normal".
  16. Ann RN

    Another math question

    You are asking how many MG the pt. would receive per day. 0.125mg/dose Bid = 2 doses/day 0.125 x 2 = 0.25 mg/day