dream'n BSN, RN

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

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All Content by dream'n

  1. dream'n

    Staying late, not getting paid.

    The bare bones of it all is that every facility I've worked in has fussed about overtime. Some managers were crude and screaming, some declared that they would write the nurse up, some hovered over...
  2. dream'n

    Sepsis Screening?

    And????
  3. dream'n

    Wow this is more than I can handle

    Been a nurse a long time. I worked at a SNF right out of school and it taught me so much about medications. Give it a year or two and they become 2nd nature. You will be able to carry and improve...
  4. As I've heard said before; bedside nursing is inherently stressful due to the individual nurse's huge responsibility, yet his/her lack of any real authority to make changes for the
  5. Started therapy and began being more "selfish" at home with kids/spouse. Between stress at home and stress at work, I was as burned out as a crispy critter. I was the breadwinner, but I had to go...
  6. dream'n

    Is this acceptable?

    Medical Assistants can be certified or not. Some are on the job trained and there after call themselves a Medical Assistant. Medical Assistants do NOT have a scope of practice to follow and they are...
  7. dream'n

    Odd situation

    I would be totally creeped out. Weird, weird, weird in my opinion. There could be a reasonable explanation I suppose, but with the information you presented, this sounds strange in lots of
  8. dream'n

    HCAHP Scores

    Yes, but it doesn't create an incentive to staff properly or provide staff support. When the scores are not to administrations liking, they pile more and more documentation on the staff they have,...
  9. I'm with Brandon LPN on this. CNA experience and Pharmacology do not a LPN make. No Way! I was a LPN prior to becoming a RN and I can honestly say that LPN school was much more difficult. That's...
  10. dream'n

    HCAHP Scores

    I strongly dislike them. Unhappy people are much more likely to respond to the surveys and if you have a run of drug seekers that won't be satisfied until they get enough Dilaudid to go into...
  11. dream'n

    LPN/RN question

    I'm glad for you that you've set yourself a goal and are motivated. I bet you will fly through the program since you have a familiarity of the material and perhaps much will come back quickly. Just...
  12. dream'n

    Manging stress in workplace

    Give your best at work, but realize you are only human. Be honest, yet forgiving of yourself in times of stress. Realize that this shift will END and this stressful moment will pass. Know that you...
  13. dream'n

    Esme Needs Your Prayers

    Esme, you have touched so many lives. From the patient's you have given your all too, to all of us here on AN. I just know that the good you have sent out into this world and given to so many...
  14. dream'n

    Nurses as Costs for Hospitals

    I'm going to take just a quick moment to counter your argument Lindarn. Can you, as an ICU nurse, read fetal monitoring strips? Do you know when a fetus is in distress or how to deliver a...
  15. dream'n

    Nurses as Costs for Hospitals

    Seriously? I work Oncology and my skill set is not as large as a critical care nurse? Every area has a special skill set. Why am I consistently called away from my floor and patients to ICU to run...
  16. dream'n

    Tips to supervise Cna's?

    Ah, the CNA issue. Honestly it is most important to have a management that backs you up. Watch during your orientation and see where management is on the issue. I've seen management that is so...
  17. dream'n

    Pick my "poison"

    I personally would Not want to do Neuro. But that is just me, many people feel otherwise. Medical would expose you to many different types of patients and procedures, but if you think Cardiac...
  18. dream'n

    Peer review evaluations

    The only way that I feel coworker reviews work well, is if the manager uses them only as a general guide during the evaluation process. The manager should look for common themes in the coworker...
  19. dream'n

    Coworker tried converting me on my break

    I love myself a good political debate, but you're right, not appropriate at work. My group of friends range from Tea-Party Republicans to the most liberal of Democrats; throwing in a smattering of...
  20. Review the basics of things (not making beds :) If a patient gets a certain drug, what should you watch for? Such as a medication that dilates blood vessels; what s/s should you see. Would would the...
  21. Seriously, going to have alot of confused, sleepy, irritable, delirious, combative patients very soon if she doesn't let them sleep more than an hour at a
  22. dream'n

    Accepting aging and disability

    Well this thread has made me determined to have a talk with my kids very soon. I want to die at home and I DON'T want them dedicating themselves to taking care of me. If I get demented, just let me...
  23. dream'n

    Accepting aging and disability

    I live in an area where we have a warm climate in the winter and that has a large influx of the elderly during those months. I have seen very sad stories of couples that can't care for themselves,...
  24. dream'n

    Regarding chronic tardiness

    I took a class in Myers-Briggs awhile ago. The Ps (such as xxxP) tend to have the worst time concept and have a tendency to be more tardy. It is part of their makeup, BUT they can learn to be on...
  25. dream'n

    hospital compulsory vaccine

    At my hospital it's get the flu vaccine, get an exemption, or get a new job