dream'n BSN, RN

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

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All Content by dream'n

  1. dream'n

    Vancomycin rate question

    dream'n replied to Birdy2's topic in Patient Safety Issues

    When the patient has a peripheral IV, my coworkers and I always run the Vancomycin slower than 250 mL/hour. That rate is too fast and could blow the vein too easily. And Vancomycin being such a...
  2. dream'n

    Given a do over, which (feasible) career would you pursue?

    dream'n replied to Libby1987's topic in General Nursing

    Psychologist/Psychiatrist; possibly specializing in
  3. dream'n

    IV pushes

    dream'n replied to #NurseB's topic in Patient Medications

    Wow, I'm an Oncology nurse and have never seen more than 2 or 3mg/hour of IV Dilaudid given, and that is for opiate non-naive patients, and even palliative care only cancers. We might be...
  4. dream'n

    Extravasation protocols

    dream'n replied to LPNfurever's topic in Patient Medications

    This is what I do: 1. Stop the infusion and inspect the site. 2. Call the pharmacist, some medications have antidotes such as Vancomycin (5 SQ injections of the site of a certain medication I can't...
  5. dream'n

    Too good for poo

    dream'n replied to Nursesmurf14's topic in Patient, Colleague Relations

    I've reported it to the Charge Nurse, with specific instances. When I walk into work I can tell somewhat how my shift will be, just by seeing who the CNAs working are. And you are right, the CNAs...
  6. dream'n

    Too good for poo

    dream'n replied to Nursesmurf14's topic in Patient, Colleague Relations

    My opinion is to give this new nurse a break! She's brand new to the unit and like other posters stated is still learning her job. She probably is overwhelmed. The dayshift nurses need to chill out...
  7. dream'n

    How do I keep integrity

    dream'n replied to Iwander's topic in Patient Safety Issues

    I'm reading this differently than some of the other posters. The OP KNEW she was doing wrong, but made the decision to not follow the policies and made unsafe decisions. These weren't mistakes, she...
  8. dream'n

    New graduate looking for work...

    dream'n replied to tony51783's topic in Job Search, Interview, Resume

    BTW, the applications you're filling out are going mostly to HR, not to the actual nurse managers. What they check for 1st is to see if you have nursing experience. If you don't, alot of the time...
  9. dream'n

    Need opinion from non-Corrections nurses

    dream'n replied to livinnew's topic in General Nursing

    My perception of correction nurses is that they have to be as tough as nails, no bull**** kind of people. I certainly don't look down on them at all. I would love to know one and hear their
  10. dream'n

    Key lanyards around neck

    dream'n replied to rickbren.lds's topic in General Nursing

    I think it's a safety issue unless the nurse has a break-away lanyard. Combative, agitated, or demented patients can injure the nurse or themselves by pulling on a lanyard if it isn't
  11. dream'n

    Faking seizures?

    dream'n replied to Grodo's topic in Patient, Colleague Relations

    I have no idea whether this person is or is not having seizures. I will say that it is not extremely uncommon for people to fake seizures. In those people that do fake, it is very common for them to...
  12. dream'n

    PICC line issues, blood draw tips.

    dream'n replied to Nurse.NoFilter's topic in General Nursing

    Agree with KelRN, Picc lines and ports can be very positional. Try raising the arm above the head and other possible maneuvers. Most of the time I'm able to get great blood return after readjustment...
  13. dream'n

    CDC rec to counsel all males about benefits of circumcision

    dream'n replied to sistrmoon's topic in General Nursing

    I asked my two resident "experts", my husband and adult son about this thread and the controversy (both circumcised). After looking at me like I had two heads, they waved me off with "I don't care,...
  14. dream'n

    moving to Phoenix az

    dream'n replied to ms.lovely's topic in Arizona Nursing

    All hospitals that I know of in the Phoenix area will only hire BSNs. Might luck into a hospital job IF you really know someone and are already enrolled in a BSN program. I've actually seen...
  15. dream'n

    Relocating to Phoenix

    dream'n replied to PennStudent's topic in Arizona Nursing

    The job market here is still pretty dismal. Also, most hospitals will hire new grads only if they have a BSN and the competition is fierce. Skip the ASN as you may not get a job easily and go...
  16. dream'n

    recaps/changeover

    dream'n replied to aortas's topic in Geriatric, LTC

    I remember monthly recaps from when I worked LTC long ago. They are a serious pain in the butt. I'm not surprised they aren't being done properly by your new 11-7 nurses. They take FOREVER and you...
  17. dream'n

    How to start.

    dream'n replied to donwklein's topic in Government, Military

    Classroom time can be done online, but clinicals
  18. dream'n

    Patients want to bring port and IV supplies home...???

    dream'n replied to skydancer7's topic in Patient Safety Issues

    I wouldn't participate in this. The treatment is not evidence-based and who is going to verify that the RN "friend" has a clean/clear license. I'm like sorry Charlie, no can do. And who is going...
  19. dream'n

    Has anyone mistaken you for a punching bag at work?

    dream'n replied to mariebailey's topic in Patient, Colleague Relations

    I am terrified of spiders, so I doubt this wife would have gotten the reaction she wanted from
  20. dream'n

    IV starts in nursing schools

    dream'n replied to DaynaPierceMorgan's topic in General Nursing

    I was never taught in LPN school, but that was a long time ago. In LPN school was actually told, "do not touch or even breathe on anything IV." In my BSN program, we practiced on fake arms which I...
  21. dream'n

    Is it legal for my supervisor to ask me to alter my charting?

    dream'n replied to LilRNonthePrairie's topic in Patient, Colleague Relations

    I typed up a long response and my computer turned off before I could post it So I'll make this short and sweet. Do not alter your charting. I was once involved in a State investigation (not about...
  22. dream'n

    How do I stop being looked over?

    dream'n replied to bug2621's topic in Patient, Colleague Relations

    Please correct me if I'm wrong, but doesn't it seem like something is wrong if the most senior staff member has only been there for a year and nine
  23. dream'n

    Chewing Gum

    dream'n replied to Otessa's topic in Nursing Professionalism

    Selective Sound Sensitivity Disorder Those who suffer from this condition often have a very strong dislike or even hatred of particular sounds. These sounds are often normal everyday noises that...
  24. dream'n

    Patient's rights dilemma

    dream'n replied to newgraduategal's topic in Patient, Colleague Relations

    If this is a smoke-free facility and grounds, he does not by law have the right to smoke on property. People can be told to not smoke or they will be made an AMA. BUT if staff has an area on...
  25. dream'n

    Patient's rights dilemma

    dream'n replied to newgraduategal's topic in Patient, Colleague Relations

    If the entire facility including the outside surrounding areas are "Smoke-Free", he cannot smoke without leaving the property. Leaving the facility grounds opens a HUGE can of worms, including...