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ICU of all kinds, CVICU, Cath Lab, ER.
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walk6miles specializes in ICU of all kinds, CVICU, Cath Lab, ER..

walk6miles's Latest Activity

  1. walk6miles

    Help. Is my outrage justified?

    I feel very sorry for the student who is caught up in this problem - but more than her problem, I am astonished at the judgement of members without the input of this student. What gives??
  2. walk6miles

    Job changing opinion needed,please help!!

    I think you have a good handle on what you need to do. Do you have another job to go to ? In our facility, the LPN's just "transitioned" into the job as an RN; however, in the mind-set of a lot of staff, this wasn't a good idea since they continued to see the nurse as an LPN. That can be problematic too - one of the LPN's did not work with me and I was told by way of reference that she is an LPN (she didn't have her id tag where I could see it). She very quickly straightened my old butt out with: "I am an RN" and she was so sarcastic that I steered clear of her!! Good luck and keep us posted. God bless!
  3. walk6miles

    ED safety... Bit of a rant

    Find another job. Why wait for the inevitable?? There is no comfort to your family/loved ones when AFTER the fact, changes are made. Our level 2 Trauma Center waited for two incidents: first one was a gang-banger who walked through the ER, flipping curtains aside to find the other gang member and finish the job. The man had a gun in his hand!! The final straw was the crazy woman who sat in the waiting room for hours. She finally opened her handbag and began to load ammo into the gun she held in her lap. After her arrest, they searched her car and found enough ammo to last two weeks. The hospital finally put a glass door with a security officer sitting in front of it; he buzzes you in. My issue with that is that the gentleman is a lovely older officer (78 "this birthday"). OMG By the way, have you heard the latest trick: place a jacket with the word SECURITY across the back on a chair near the door - the illusion of an officer nearby made me feel safer.
  4. walk6miles

    Charge nurse with less than a year RN experience???!!

    I have tried to keep out of this (neutral) with all my efforts. Sorry, I have to say this: In my unit, there are more than 12 older/more experienced nurses. The unit manager caved in and hired a group of new grads. One in particular is especially "mouthy" - it is apparent when speaking with this nurse that she has grand visions of taking the coordinator's job but she doesn't want to put the time in for the most important ingredient: experience. Several months ago she insinuated herself into receiving a IABP patient. None of the experienced nurses were offered the balloon patient -she wanted it (she went to the IABP class). The charge told her that she is surrounded by experienced nurses and she should use them as resource. Patient came from cath lab on the pump. Patient is clearly grossly disoriented - and: NO LIE: sitting up on stretcher with wife holding hand and screaming at nurses and husband. Several nurses ran around the corner when our new expert on balloon pumps finally screamed for help. "I don't know how to turn this machine on --it's off". Our mouths fell open. We quickly showed her what she needed to do (and helped prioritize the patient's needs). My suggestion to call the physician for something to mellow the patient was immediately shot down. I went running one more time into the room when she yelled for assistance because the patient was almost out of bed. Scout's honor: wife is at head of bed trying to rub his brow (not kidding) - patient is nearly out of bed but family has given him his cell phone (more confused) so he literally throws it at me as hard as he could and he misses my eye by an inch! Sorry -I tried explaining to a hysterical wife and patient who is more and more confused what the IABP does (fill in the blanks, the patient was out of his mind, and the wife is getting more and more upset). The nurse who has placed her career on the line with her actions, as well as the other group of nurses finally reach an agreement. Physician is called and patient safety implemented. Unit policy is explained to family and new nurse. She makes it clear to me later on that she has no respect for the experienced nurses - we are old, fat, and slow...... we make it clear that we are there for the patient and if she cannot work with us perhaps a meeting with upper management might be good. The next time I see her, she is in charge........................................................
  5. walk6miles

    Going to Nursing School at an Older Age

    I am now 21 years a nurse. Was it worth interrupting lives and various other aspects of my former life to go to nursing school??? You bet!! It's been everything and more than I ever expected. This is an answer to your outlining how difficult your trip to nursing nirvana.....I admire and respect you. The reason for this post is to tell you that I support you (I can only assume your family does as well). In my smalll class of nursing students, there was a nursing student and you bring her to mine for me. Graduation ceremony: raised 2 small babies; delivered another child two days after graduation; maintained an "A" average entire time in school - oh, worked part-time and kept house while husband worked to help cash flow. In other words: she blew us away!! You are in my prayers.....dddance2tonight
  6. walk6miles

    Pinched Sciatic Nerve

    I think you would benefit from visiting www.microspine.com. I hope this fits into the "no medical advice" rule.
  7. walk6miles

    Frustrated over a code

    To say "congratulations" seems bizarre and yet, you are to be praised for becoming involved. Codes are frightening for new nurses but, as you know, inevitable. I always recommend to new nurses that whenever any code is called they can become involved in the code (write events) and they will become confident - they will learn the ropes. As far as seeing that a code is coming, sometimes you get a little hint, sometimes you don't. Sometimes you are sitting with them waiting for their wife to bring the car to the door and they simply die. Most often, you develop that little "voice" over time. Always, always, always listen to that voice. I would prefer to look the fool but save the patient. If you have issues with a tech (remember they are techs) please do the professional thing (chain of command) BUT you should take the time to get to know them and their habits/assessment skills. They are there for assistance with the patient - NOT to do your job (not that you implied that) - I'm just covering all the bases. If you blame others or yourself, that's silly. If you did your best, hold your head up high - try to learn something from every code. Please remember we are here to help - anytime.
  8. walk6miles

    Anyone else studying for CCRN exam?

    You are sooooooooooo lucky!! I spent tons of money on all types of "test" material for CCRN. I especially enjoyed Dr. Gasparis-Vonfrillo's tapes. I used them on my morning run for six months prior to testing. I passed the first time; but know this: the best description I can give on the test is "if you know when you do this - why you do this- and when you do this- the patient can be expected to react in this manner". Hope that makes sense. For example: when I give the renal patient Lopressor 5 mg IV, the effect I expect to see is ...... I say your facility is okay - if they are willing to absorb the cost then lucky, lucky you. Study diligently...good luck. I know you can do it!!
  9. Congratulations on achieving your nursing degree. Nursing was my lifelong dream; achieved late (graduated in 91 -oldest in class - full of eagerness and conflicted by what we were taught in class and the frank reality of nursing in the '90's and subsequently the turn to 2000 plus). I had the highest of ideals; nothing would sway my judgement. Boy, was I screwy! I have 21 years in now (I am 61 and wishing I could continue the critical care at bedside that I have loved). Unfortunately, ill health, completely unexpected, has caught up with me. Now, for your dilemma.... first you should acknowledge your accomplishment. Next, you will have to come to terms with the fact that try as hard as you might, you can NOT change/fix/help/satisfy all the people all the time. And, by the way, don't beat yourself up - just try to do your utmost best; keep current with your ever changing nursing practice; be the pleasant one - "the nurse was professional and pleasant" will always make your life better. Try to be flexible and knowledgeable and kind to all the patients. See, those ideals you have carried for years count for something!! All of the members of our special club (nursing makes us special) need to rely and trust each other. Oh, by the way, I was happy to see you are doing mental health - bless you, bless you.
  10. walk6miles

    job offer with no written pay documentation

    First: remember this - they (the boys/agency owner) make their money off your back...you work - they get paid too! Secondly: always, always, always get it in writing - even if it is an email for a particular job - get it in writing...saves you from a lot of grief. I learned my lesson the hard way - you can learn it from my experience. God bless, good luck!
  11. walk6miles

    James Woods, Actor Sues Hospital, Warwick, RI

    I did some of my clinicals at this hospital (21 years ago) - typical small town hospital. The blame should be shared - if you cannot be honest about your symptoms, how can the ER treat you? If you aren't savy enough (and how does one become savy except through medical training?).... a no-win situation. Let me share an experience with the readers: my older sister and her husband and I were touring the Kennedy Space Center. Sister started complaining of shortness of breath (I am a CVICU nurse) - I didn't like her color either - after sitting her down and almost physically forcing her to admit it, she finally admits to crushing chest pain. I called 911 however, the space center employees were leaving work and the roads out of the center were wall-to-wall traffic...we were told the ambulance couldn't get to her and to try to get her to the guard station on the opposite side of the bridge leading to the center ( I know, I know, it gets worse)....she was placed in the car and we did our best....at one point I left the car and ran to the guard's building - the police stopped traffic at the bridge; the ambulance arrived and she was off to the nearest small town hospital (I had done an assignment in the cath lab about 3 years prior - one of those cath labs without the ability to do much since they had no backup CV surgeons). My brother-in-law and I followed in the car. We gave them 45 minutes to apply standard treatment: when we asked to see her imagine my surprise to find her hooked up to tele - no blood drawn, no EKG, AND the physician in this tiny ER comes in while we are there and begins his initial assessment. I held my tongue - I swear. Then, I notice the alarms on the tele are OFF! I keep my mouth shut until we finally get to see her in ICU...she is on nitro and integrillin and the travel nurse arrives in the room at the request of the phlebotomist. The travel RN agrees to stop the integrillin and draw her first set of enzymes (honest) from her iv. When I objected, I was invited to leave. Long story short: my sister was transported that night to another hospital (where I had worked in CVICU for more than 4 years) and in the morning while on the cath table was placed on a balloon pump and rushed to surgery for quintuple bypass. I showed my butt at the little old small town hospital but, if not, my sister might be dead today. Can it happen? Happens every day!
  12. walk6miles

    I Am Feeling Like the Biggest Loser...

    What makes you think you are a loser? You spent the bulk of your time raising your family - sounds like you are a winner to me. Have you applied at physician's offices, school nurse, walk-in clinic, etc. to get some "experience". Don't you dare give up..... you are only a loser if you give up your dream (and nursing has sooooo many opportunities). God bless, dddance2tonight!!
  13. walk6miles

    Caught in the web of a workplace romance.

    Let those of us who are sin-free.... so, I have been there and let me warn you....the only person who will pay for this "fun time" (and that is what it is - fun) is you. Having said that, I can only say that I regret my affair....it nearly cost me my nursing job..... Take a giant step backwards and open youir eyes! Do what is right! You won't regret it. God blrss
  14. walk6miles

    I'm 39 and want to become a nurse.

    Here goes. I spent some time yesterday on the phone with a representative of social security. I could hardly speak because I was so upset. You see, I love, love, love my job as a critical care nurse. I am slowly being "forced" out of it because of my health. I have a neurological disease that is slowly taking away my ability to walk; my inner resolve is still there and strong; however, I have to admit that my ability to remain bedside is being eroded albeit slowly but surely. I wanted to be a nurse all my life (I just wasn't aware of the strength of my desire). I was an executive secretary (in the days of shorthand) to the president of a large company and I always had wonderful jobs no matter where I lived or moved with my husband. I wound up the personnel manager for a large multi-office law firm in Massachusetts. My employer thought I was crazy to go back to school at age 38; graduating and working in a telemetry unit at age 40. There was always a piece missing. I had clues, but I finally saw the light and went for it....now, I am 60 years old and thinking of going to law school. So,I say to you: do it. Take the 2 year course, graduate, start working so you have income and then finish up your Bachelors....that route will give you financial peace of mind and your family financial needs will not suffer so much. Good luck; all my best.
  15. walk6miles

    Mature Nurses over 50

    You sound like my clone. I wholeheartedly agree with everything you have done and/or planned. Until, that is, all my vegetarian lifestyle/run 6 miles a day - marathon/bike/skate, etc. fell away when I was diagnosed with Parkinson's. I went into a free fall but have now started back up the hill (albeit slowly and with a definite shift to the right side of my body - eeks!). I am now looking into finishing my degree and going on to law school. I could use any helpful suggestions with regard to financing for school and/or different approaches to a long-term degree. I love my job and cannot imagine sitting home and going to rust and ruin. God bless!!
  16. walk6miles

    Nasty Doctor

    Okay, kids....this thread has gone crazy, off-the-wall, and seriously silly. We are not going to camcord without permission (no matter how bad he looks, you will pay a very dear price for using a camcorder or tape recorder without explicit permission). By the way, has he uttered anything that can be perceived as a threat? I've seen a scenario that worked out the camcorder thing. Years ago, working in a unit with a night nurse who was using Demerol and everyone knew it, I complained to the DON. I was told to shut up - the hospital would get it straightened out. This thing went on and on and worsened. Someone wrote the county sheriff and informed him that the hospital wasn't doing anything....they came in, put in a video cam, told the hospital it was out of the hospital's hands. The second night they arrested her - the idiot was caught red handed on the video pulling Demerol from the glass container and substituting saline. The newspaper and television station reported it was her THIRD offense and the hospital knew all along about her drug history - and they told us to shut up!! The next thing: no, we are consumate professionals who do NOT give the bird behind people's backs! Instead, we get even.....let's spend some quality time and use this thread for some concrete, subtle, and satisfying "even". As always, if you choose to accept this assignment, we will be right behind you (supporting you). I had a problem in Texas with an administrator nurse - she hired me for the CVICU unit; I moved there bag, baggage, and dogs. Then she started playing games with my schedule (reeked havoc on my higher educations classes) because I refused to buy products she sold (yes, sold) out of her office - counterfit designer bags, scrubs, etc. I wound up hiring a lawyer (cost me around $1,000 total) and would up leaving the hospital for a better job and I really got nothing satisfying (except she was fired for something else three weeks after the hospital released a letter answering my complaints) and you know they "found nothing to substantiate my charges". I know God takes care of us and does a better job at payback than we ever could; sometimes it's hard to hand it to Him. O

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