pebbles BSN, RN

Trauma acute surgery, surgical ICU, PACU

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All Content by pebbles

  1. pebbles

    dishonesty in diagnosis

    Seems very paternalistic to me. I don't like it. There are ways to communicate the truth to people, even if it's awful, in a caring, sensitive manner. And you always support them along the way. If...
  2. NO, not even remotely. We get p-o'ed when the manager treats the new staff better than they treat their experienced, proven staff. But mostly that resentment is saved for the manager, and I would not...
  3. I agree with this. It might also provide more insight into WHY they aren't jumping all over their work and get seen as "lazy" - if they are invited to give their own perspective. Truly asked for...
  4. pebbles

    Homeless shelter staff administering medication

    If you're making up baggies or packaging up the meds for them to take, I think that might count legally as "dispensing" medication - which even RN's cannot do, a pharmacy should be doing it. I think...
  5. pebbles

    "New Nurses's Don't Know Anything."

    I remember someone asking to talk to "the REAL nurse" when I was new. I also looked very young (I was young, I was 22 but I've always looked younger than my age), and patients families were constantly...
  6. pebbles

    Surgical vs General Medical Unit

    Medical patients can be a lot more chronic in terms of their personalities, and that's one reason I chose to work on surgical floors. Medical pt puts on her call light and asks for help to go to the...
  7. pebbles

    ever bring your dog to work?

    Our infection control department has strict policies about pet visitation, and how it must be done. (Having a secluded room where it happens, housekeeping to clean the room afterward, that type of...
  8. pebbles

    Tattle Tail Traits in Nursing??

    I agree with that. Managers that think it's good and fine to have staff pitted against each other. Managers that don't like to supervise or manage their own staff, so they let a tattle-tale do it for...
  9. pebbles

    Can't stop thinking about cadaver

    Seems kinda strange to me that you wouldn't have been given the history of what the person had wrong with them, what past surgeries,
  10. pebbles

    backstabbed at work

    I agree with what a lot of the others have said. But I want to make sure you know that not all managers are like this. Weak managers who don't have very good people skills are the ones who rely on...
  11. pebbles

    Nurses...Miserable?

    i really get annoyed when people talk about how nursing is a "calling" etc. for some people who are religious, they may feel that way. but lets be careful not to denigrate those who are not...
  12. we had a manager like that. she was asked to resign and escourted out of the
  13. pebbles

    are they supposed to know this by now?

    I remember the HUMILATION of simply asking a question about the drug being used to sedate during a procedure and getting the "THIRD YEAR AND YOU DON"T KNOW THAT???" response from the nurses. I have...
  14. pebbles

    Nursing Uniform Policy

    I completely agree with this. Every conscious pt I have ever had knew I was their nurse. I don't care if they remembered my NAME, most didn't. But they knew I was the nurse and not the...
  15. pebbles

    Hospitals SUCK at orientation!!

    I consider this to be a MAJOR problem. We're just learning now that more than 60% of our new grads quit nursing within the first two to five years, and at two years they are identifying in surveys...
  16. pebbles

    Nurses...Miserable?

    I find nurses get slammed with a lot of generalizations that really don't apply to many of us. Maybe the person that said that to you just has a limited experience with nurses. Many of us are happy...
  17. They are talking about the ET-tube (ie the "beathing tube"). When people are put under general anaesthetic, they have a breathing tube put in and a ventillator breathes for the patient while they are...
  18. pebbles

    Family calls to the unit.

    Ask the nurses how often to call. How often is appropriate will depend on how stable his condition is, and how the work day of the nurses is scheduled. I hate it when family call ten times a day only...
  19. pebbles

    "New Nurses's Don't Know Anything."

    Where I work we have a computer in the BREAK room, and that's what nurses can use to post, do emails, whatever - while they are on their actual break time. It allows us to have our fun and do it out...
  20. pebbles

    Trauma ICU vs Med-surg

    Where I work, the trauma pt's go to the SICU, so I guess I get the best of both worlds. I did work in a step-down that was "just" trauma though. Honestly, you can be running and busy with all types...
  21. pebbles

    The same question everybody keeps asking...

    No, you are very right there! I'm just really sick of everybody slagging off "med-surg" like it's some kind of purgatory. And maybe the old former med-surg nurse in me is still feeling the sting of...
  22. pebbles

    Negotiating visiting hours

    lol.... We;ve had visitors set up air mattresses and stuff in our waiting room too. *cringe*. I think visiting should be allowed to be restricted at the discretion of the nurses in ALL areas of the...
  23. pebbles

    Rn

    I don't know any offhand. But from my own experience, I'd suggest you contact your manager and/or education department about this beforehand. In my hospital, you can find GREAT stuff online, but you...
  24. pebbles

    The same question everybody keeps asking...

    The only way I would advocate a new grad going straight to ICU is if they have an *excellent* preceptorship program as well as actual classroom and clinical teaching. Because otherwise you'd be kind...
  25. pebbles

    Rapid Response Team and Families

    if an RRT is being used to appease families OR compensate for nurses on floors that missed noticeable cues the pt was deteriorating - I think that's a waste of resources and the hospital should focus...