dream'n BSN, RN

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

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All Content by dream'n

  1. dream'n

    Your Specialty & Why

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

    Thought I'd love Peds prior to school. But during clinicals found out Peds was my least favorite area. Never want to work NICU either, those little itty-bitty, fragile babies scare the crap out of...
  2. dream'n

    Administer insulin when glucose is 53?

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

    From the OP, this was Regular insulin three times a day; I'm assuming prior to meals. When in doubt, think it out...which would be worse; patient BS bottoming out or patient BS rising to 200 or so?...
  3. dream'n

    Does Everyone Actually Hate Nurses?

    dream'n replied to Casha9's topic in General Nursing

    Your question is timely. Just two days ago I was talking with my mom about certain relatives and she said, "I'm so glad that my daughters have grown up to be educated, hard working, professional...
  4. dream'n

    Nursing and the Ebola Virus

    dream'n replied to 0.adamantite's topic in Disaster Preparation

    Of course to you my children are just other human beings, but to ME they are not. Every parent is ultimately responsible for their own. When I brought my children into the world I made a promise to...
  5. dream'n

    Nursing and the Ebola Virus

    dream'n replied to 0.adamantite's topic in Disaster Preparation

    I'm curious, how will the used linen be handled? How will lab specimens be transported and tests run? What special precautions will be taken for trash disposal? The patient may be in a protected,...
  6. dream'n

    Clinical Social Worker vs Psych Nurse?

    dream'n replied to RNtobe23's topic in General Nursing

    After the Master's level of education, the social worker can test and become certified as a counselor. They can then work 1 on 1 with patient's and provide counseling services. Many Social Workers...
  7. dream'n

    Post-Fall Neuro Exam

    dream'n replied to ckd4035's topic in Geriatric, LTC

    Just a couple of additions; be extra cautious assessing your patient's that are on anticoagulation therapy, especially if a fall is unwitnessed, the patient hit their head, or the patient has...
  8. dream'n

    Looking for a nursing position...

    dream'n replied to mirid1390's topic in Job Search, Interview, Resume

    What I would honestly do? I would inform my interviewer of my pregnancy status (not HR.) And yes, I realize this very well might cost me the job offer, BUT (and this is just me) I would not want to...
  9. dream'n

    HELP!

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

    San Diego is not cheap. And you would be hard-pressed to get a New Grad internship there. California is pretty rough for new grads, especially highly desirable areas like SF, SD, etc. San Diego does...
  10. dream'n

    Women's Surgical Unit

    dream'n replied to jead1's topic in Medical-Surgical

    Probably alot of gynecological surgeries. Hysterectomies and the
  11. dream'n

    Multiple infusions, having trouble

    dream'n replied to shopARC's topic in Medical-Surgical

    Check Micromedix or ask your pharmacist about incompatibilities if you are unsure. If two meds are incompatible together but time sensitive, you can start another PIV for the other medication. If...
  12. dream'n

    Misconceptions with bilat mastectomies?

    dream'n replied to fltopp1's topic in General Nursing

    Worked closely for some years with a couple Nationally renowned breast surgeons. They stated that any risk with taking BPs or performing venipuncture in the affected arm, were theoretical at
  13. dream'n

    Tell Me Your Best/Worst? - Nursing School, First Year, Career

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

    Nursing school was difficult for me and all of my classmates. There is a massive amount of information to learn, not just memorize. You need to understand complex patient illnesses; the whys, hows,...
  14. dream'n

    How did you change?

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

    At the start of nursing school, I wanted to work in Pediatrics or OB. After doing clinicals in both areas, I quickly changed my mind. They definitely were not for me. Next I thought I'd love Psych,...
  15. dream'n

    Nursing Student Issues

    dream'n replied to WanderLust07's topic in Patient, Colleague Relations

    I would kindly, but firmly let her know that it is unacceptable for her to nap. She is in a pre-grad placement that has rules in place she must follow. Let her know that even though some staff...
  16. dream'n

    Question about IM vs IV injection, when to aspirate, what to look for

    dream'n replied to jeshicuhx3's topic in Nursing Student Assistance

    I was taught way back when to aspirate with IM injections. In the years since I've given multitudes of them, though not for the last 7-8 years. I have had blood return on aspiration twice. And by...
  17. dream'n

    Does how much money we make and benefits really matter

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

    I don't believe that pay wage is directly related to job performance, but I do feel that the job market plays a role. When jobs are plentiful (generally low wage labor has a larger pool of available...
  18. dream'n

    Looking for a state to call home

    dream'n replied to mcroyce1123's topic in General Nursing

    Deleted
  19. dream'n

    Is Med Surg Pre-cursor for Critical Care Success?

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

    Huh?? You want to go to ICU so you'll have the energy to "look cute" again?? Med/Surg destroyed your dating and flirting life because of FT 12 hour shifts?? You think ICU will be less stressful and...
  20. dream'n

    HR vs Manager

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

    No, don't tell the manager. Why would you want to include her in a problem that sounds like it could be easily solved, before you even begin? Unless your offer is in writing it can easily be...
  21. dream'n

    Question for nurses from a student

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

    Maybe I'm not understanding correctly, but if you only want to work 4 hours a week I don't think you would even be able to find PRN work. I can't foresee any CNA position that wouldn't want someone...
  22. dream'n

    Bruise or ecchymosis?

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

    Bruising and ecchymosis are the same, but petechia and bruising are not. Petechia is seen often in my chemotherapy patients due to low platelets, it appears kind of rashy most of the time. They look...
  23. dream'n

    accu checks in ltc

    dream'n replied to cincin1222's topic in Geriatric, LTC

    Never hold long acting insulin? What if a BS is 60? With even long acting insulin working within 1 to 2 hours...I would not give and speak with the doctor for
  24. dream'n

    accu checks in ltc

    dream'n replied to cincin1222's topic in Geriatric, LTC

    I would never give insulin without an accu-check. Even if a patient is considered 'stable' on long acting insulin such as Lantus, many variables could be affecting their blood sugar. Some such...
  25. dream'n

    Rehab needs to get a clue

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

    Tell that gleeful rehab manager that NURSES AND CNAs are THE backbone of the facility. Of course everyone is important and every job makes a contribution, but the nurses along with nursing management...