dream'n BSN, RN

UR/PA, Hematology/Oncology, Med Surg, Psych

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All Content by dream'n

  1. dream'n

    LVN covering as caregiver for a shift

    Where I work they have on occasion had to use a RN for sitter duty. When they do, the RN is still paid her RN
  2. I totally agree with you about the physicians relying on the nursing assessment, I've actually seen them copy and paste it in their own notes Or they'll chart a completely negative assessment on a...
  3. I too found LPN school much more difficult than getting my BSN. But I thought the science classes were much easier than nursing school
  4. I'll be brutally honest. In my opinion you will need some real world bedside experience before moving up the ranks of administration. I'm honestly tired of students getting advanced nursing degrees...
  5. dream'n

    That's MY JOB!

    I agree, you can always get a new employer. But you have only one conscience and license. I like being able to look at myself in the mirror and being able to sleep at
  6. FYI-Medical Assistants are not part of the nursing staff. They are not
  7. Yes, Med-Surg nurses do a head to toe every shift. An example of my basic assessment on a patient would be alert/oriented, symmetric facial expressions, bowel sounds and bowel tenderness, last BM and...
  8. dream'n

    Port-a-cath's and Biopatch usage

    We always use a biopatch with ports, and all other central lines. Our unit hasn't had a CLABSI in
  9. dream'n

    Being micromanaged by a CMA?

    I so want one of those individualized guided imagery tapes. Where did you get it, if you don't mind
  10. dream'n

    Ethics making you quit?

    Kinda. I had a previous job where one of the other employees was running a side business that put the patients and other staff members in a very awkward position. It definitely wasn't ethical and...
  11. Yes, for patient safety sometimes the floor is NOT able to accommodate a new patient quickly enough. And our charge nurses are not always available or even on the floor. Sorry but I will not give...
  12. dream'n

    IV piggy back help

    One quick caveat; if you have to run a Secondary at a slower rate than the Primary, make sure that the Primary is not programmed to the original rate for about the first 30 mL. For example; say...
  13. Verbal report is important because sometimes things happen on the floor and the nurse is not equipped at that very moment to handle the new patient. At least if a call is made, the ER nurse can be...
  14. dream'n

    Administering Tylenol to a friend

    I had a professor tell me once that a nurse could lose her license if she took a pulse oximetry reading on a patient in respiratory distress without an order. I called her out on her BS. Professors...
  15. dream'n

    Scanning in the supply room

    Of course things cost money, but I will not be roped into doing another non-nursing task. I DO NOT have the time to worry about financial capture of supplies. As for staying after shift to scan all...
  16. dream'n

    Scanning in the supply room

    I have no idea how my hospital receives reimbursement for supplies. We don't scan supplies of any kind. On top of all I have to do as a nurse, if I had to scan every set of IV tubing, etc., I would...
  17. dream'n

    Describe Your Bedside Report

    The nurses should be ready for report at 6:45, not putting coats up and adding items to their brain sheets from the Kardex. The on coming shift needs to be on the floor ready for report at 6:45, not...
  18. dream'n

    Give me the spoon!

    Saline flushes?? Guess he was going to use the IV, therefore no needles at least to stick ya
  19. dream'n

    16 Ice creams

    Just wanted to add that I totally understand your frustration. These patients for some reason are mostly females and are of a particular type (although I've taken care of some males like this). Drives...
  20. dream'n

    Question about nursing and RRT

    You will have to deal with poop, there is no way around it. Even if you get an office type RN position immediately (unlikely), you'll have lots of poop to deal with in school. You'll also deal with...
  21. dream'n

    New Grad off Orientation

    I've been nursing for years and I still get stressed sometimes because of multiple emergencies/urgent needs or patient acuity/ratios. A total lack of juggling and stress in a new graduate nurse...
  22. No, I wouldn't choose nursing as my career path again. My dream job would be working on the cutting edge of forensic psychology although I'd probably have really also enjoyed teaching British...
  23. No. Work is work. If you are lucky to meet a special someone or even make some wonderful friends, that's just great. But I certainly wouldn't go out of my way for either while at
  24. dream'n

    Calling in sick, boss harassing me.

    Many employers require a release from Occupational Health if you have been off over a certain amount of days. It's not that their being nosy, they just need to make sure you're fit to return to work...
  25. dream'n

    I NEED DIRECTION

    We really can't know what's best for you. I guess alot matters on how important the move to Georgia is? Personally, I wouldn't base a large move on which nursing program I'll be attending. I'd do...