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swirlygirl has 7 years experience.

swirlygirl's Latest Activity

  1. swirlygirl

    Why is nursing such a horrible job?

    Because everything has become "customer service oriented." Nevermind that we don't have enough staff, or working medical equipment (such as BP cuffs or bladder scanner) but have you seen our brand new cafe with WIFI, marble floors in the newly renovated lobby and flat screen plasma TV's in the patient rooms?? Our manager recently put up a suggestion board on our floor for staff to suggest ways to improve care. There are about 30 very good suggestions hanging there that haven't been addressed and what do we get in return? An e-mail telling us that the male nurses and male CNA's on our floor are wearing too much aftershave. Complete lack of priorities from management.
  2. swirlygirl

    "I'll Tell The Nurse" (vent)

    One of the charge nurses on my floor had a surgeon call our floor (the post-surgical floor) from the OR telling her that his pager battery had died. The nurse told him that we don't have batteries for his pager on our floor. He started yelling at her on the phone and slammed the phone down. Ten minutes later there was some yelling coming from down the hall and she looked up to see the surgeon trotting down the hall having a temper tantrum and yelling that she needs to get him a new battery. Bear in mind that the OR is on the second floor and we are on the opposite end of the hospital on the 6th floor. She just sat there watching him yell and when he finally saw that he wasn't getting anywhere with her (or even a response) he just turned around and left.
  3. swirlygirl

    did your job give you a holiday gift??

    We got nothing. Same as every other year. One of the surgeons asked one of the nurses on my floor if she was expecting a nice bonus this year and she just about died laughing. He felt bad and bought lunch for the nurses on our floor. Actually, I've never had a job where management gave anything to the employees. When I was in nursing school, I worked in a large pediatrician's office. 8 docs, 2 CRNP's. The office manager collected $10 from each of the employees to buy Christmas gifts for the docs. The 8 doctors repaid us by all pitching in to buy the office staff a poinsettia plant. Not 1 for each of us - 1 for the office. Our poor office manager was so humiliated by their gift (or lack thereof) that she never asked us to pitch in again for Christmas gifts.
  4. swirlygirl

    How long did you work for while your were pregnant?

    With my first pregnancy, I worked until I was about 18 weeks along. My OB found on my ultrasound that I had placenta previa and did not want me lifting. When I gave my employer my lifting restriction, I was told I wasn't allowed to work unless I could do 100% of my job. Was also told that it wasn't their responsibility to find a light-duty position for me since it wasn't an injury that happened at work. So I basically had 9 months off with my first son. I just had my second son this past July and I worked stand-by (night shift) until 37 weeks and he was born at 38 weeks. My co-workers were super supportive and did not let me do any lifting during my pregnancy. Congratulations on your pregnancy and take care of yourself!
  5. swirlygirl

    Did I handle this incorrectly?

    thanks for the quick response!! i did page him again, but he didn't answer his page. that's why i called the second rapid response.
  6. swirlygirl

    Did I handle this incorrectly?

    I recently had a situation at work that I feel was handled correctly, but was told that the House MD and the critical care intensivist thought I handled badly. What would you guys have done differently? Little background - I work nights on a post-op/telemetry floor with an average of 6-7 patients. Recently we've been having patients that are admitted to our floor from the ICU that are unstable and are transferred back to the ICU within hours. I had a 64 year old male patient 4 days post-op from a lap hemicolectomy. He had a normal recovery and was to be discharged the next day. Vitals were stable all night. Heartrate in the 80's. At around 3:30am his heartrate jumped to 165. He was asymptomatic except for c/o lightheadedness and dizziness. I called a rapid response and had the patient assessed by the house MD. EKG showed a new onset of atrial flutter. Patient was given one dose of adenosine, then given Cardizem 10mg IV push and started on a Cardizem drip at 10mg/hr. Patient remained on our floor. After 1 hour pt's heartrate hadn't changed so I called the House MD again and got an order to give another Cardizem 10mg IV push and increase patient's drip to 15mg/hr. After about another 45 minutes the patient's heartrate was still 160. Paged house MD, got no answer, so I called another rapid response. (House MD has to respond to this call). When House MD arrives, he orders a third Cardizem 10mg and increases patients drip to 20mg/hr. In the meantime, I also called the patient's attending physician. Attending physician wants patient transferred down to ICU immediately and also orders cardiology consult. House MD then makes a comment to me that "If you're going to call a rapid response on the patient every 5 minutes I guess we'll have to take him downstairs." Critical care intensivist is in the room telling the House MD that I overreacted and didn't want to wait for the Cardizem to work. (This was overheard by our CNA.) I did give the Cardizem time to work, it just didn't! We are not a cardiac unit, and the patient was symptomatic. I feel like the only thing I could have done differently was call the attending physician sooner to get the patient transferred. When I went back to work a few days later, I found out that the patient had spent 3 days in the ICU on a Cardizem drip prior to being transferred back to our floor, then discharged. Sorry this is so long, I'm just frustrated by the whole situation.
  7. swirlygirl

    Middle aged men are such babies!!

    I also love the docs that keep the patient on a dilaudid PCA for 3 days after a lap appy. Yep, we've had that. I still can't figure out why that patient developed an ileus. I recently had a guy that had a lap chole and he was rating his pain 2 out of 10 and was ****** because his surgeon told him he would be "totally pain free" after surgery!! WTH??? The same patient asked me how long patients are usually hospitalized after a lap chole and I told him that they're often done on an outpatient basis and he would probably go home the next day. I think he almost had a stroke when I told him that..... And this is a little off the subject, but what's up with middle aged men showing off their junk?? When I need to listen to your bowel sounds, you really don't need to pull your gown up to your neck and throw your covers to the floor! I"m really not impressed!!!
  8. swirlygirl

    A jaded nurse who cried last night and was renewed as a nurse

    Thank you so much for sharing. That family was so lucky to have you and I'm sure they will never forget you.
  9. swirlygirl

    how do you give morphine on a pump bedside?

    When we have patients on morphine drips we put the bag of morphine in a locked plastic box and hang the box on the IV pump. And our IV pumps have a lockout code that needs punched in before the pump is able to be used. Only the nurses have the code and the keys so the family is unable to change the rate. We also have the ability to use continuous PCA pumps, but i've rarely seen that.
  10. swirlygirl

    help!! very frustrated

    You'd be amazed at what patient's can't do on their own. I think about 75% of patients lose the ability to use their arms and legs just by entering the hospital doors. I work on a post-surgical floor so we have to encourage patients to get up and do things on their own. We recently had a man in his mid-30's come in for a lap appy and he managed to get the surgeon to keep him for 2 days for pain control. He pressed his call light and asked someone to come back and close his door for him and his surgeon overheard it. She marched back to his room and told him that there are 70 year old ladies on that floor that were running circles around him and he was to get OOB and close his own door. He was discharged later that afternoon.
  11. swirlygirl

    Question for Philadelphia nurses

    My husband is possibly being transferred to Philadelphia in the near future and I was just looking for some information on hospitals out that way. I currently work at a small community hospital in the suburbs of Pittsburgh and I would like to stay in that sort of environment. I don't think I would like to work at a huge metropolitan medical center. I'm also going to do some internet research about the area, but I was hoping for some insider information about hospitals or medical centers and job availability out that way. Any help would be greatly appreciated!!
  12. swirlygirl

    How to stay organized?

    I use a sheet that I made up using Excel. It is pretty specific to post-op patients, but you could add or remove sections according to your specialty. I also use highlighters to flag stuff that I want to stand out on the page, such as what time a foley needs removed, or a patient's next PTT for a heparin protocol. And when I used to work daylight and there were new orders coming in all day, I would write the new orders down in red ink keep the printout in my order slot until the end of my shift. I couldn't stand to carry 50 extra pieces of paper like some nurses I get report from. Just getting report from them makes me frazzled. When I was a new grad, I had a preceptor who was extremely organized and I still use alot of the tips she gave me.
  13. swirlygirl

    How long before you were a charge nurse?

    This is how our floor does it too. It's a pain in the butt. But our manager doesn't wait a certain amount of time before orienting to charge. Some nurses have been on the floor for 5-6 years and have never been in charge and some are new grads that are in charge after 6 months. I think a lot of it has to do with how you handle other situations. There are a few nurses who are constantly frazzled and are always there 1-2 hours after their shift "catching up" and they're not allowed to be in charge.
  14. swirlygirl

    threatened at work

    I used to work on a drug and alcohol detox floor. We also had quite a few psych patients. We asked multiple times if our unit (as well as psych and ER) could have special privileges about making our names visible to the patients due to the types of patients we got. We were told by management that it was "state required" to have our first and last names visible to the patients. I couldn't find anything about this on our state nursing website. About 90% of us wore our name badges backwards and had a sticker over our last names. We are constantly told by management that (regarding patient confidentiality) we have to ask ourselves "Is it necessary for me to know that information about the patient to do my job?" and act accordingly to protect the patient. Well, what about our confidentiality? Is it necessary for the patient to know my last name in order to recover from drug and alcohol addiction?
  15. swirlygirl

    Placed on medical leave...so why do I feel guilty?

    I felt guilty when I was placed on early leave during my pregnancy as well. I went in for my 18 week ultrasound and found out that I had placentia previa and was given heavy lifting restrictions. And according to my employer (not my OB) if you can't do 100% of your job, you can't work. By the time my placenta had moved up higher, my BP started rising and I ended up delivering him at about 35 1/2 weeks. My boss and coworkers were also wonderful and supportive but I couldn't help but feel like I really let them down. Especially so early in my pregnancy. The best thing I can tell you is just to try not to stress out about it. Try to take it easy and focus on yourself for the next few weeks because very soon there's going to be someone else that you're going to have to focus on!! Good luck!
  16. swirlygirl

    What part of "isolation" don't you understand?

    Wow! It's no wonder the entire family is infected. I used to work in a peds office while I was in nursing school and we kept seeing the same family over and over for scabies. All 3 kids had it, all the time. Kind of makes you wonder....