nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. potential murder/suicide?

    nerdtonurse? replied to nerdtonurse?'s topic in Psychiatric

    Thanks for your suggestions and help. An update. Now he's suddenly "chipper" and feeling all better. Everyone else is like "oh, he's gotten his head around it" and all I can think of is, no, he's...

  2. What do you appreciate about another nurse's charting?

    nerdtonurse? replied to soffy's topic in General Nursing

    First, good question! Be accurate, clinical, factual -- rather than "patient is combative" put "patient attempted to strike nurse in face with telephone, overturned IV pole, ripped out IV and threw...

  3. Dying Pts who are still full codes.

    nerdtonurse? replied to NurseyPoo7's topic in General Nursing

    We've got a guy on our unit right now, 10 % ejection fraction, uses cocaine like I use soap, bouncing between afib and a flutter, and will bring cocaine into the hospital and use it. Full code....

  4. Wanna quit because of patients attitude?

    nerdtonurse? replied to verper's topic in General Nursing

    Maybe I'm not a good person to ask today, since I had a patient tried to break my nose with his telephone (this was after haldol IM, adivan IV). I got him in restraints so he couldn't hurt himself or...

  5. Dying Pts who are still full codes.

    nerdtonurse? replied to NurseyPoo7's topic in General Nursing

    I swear I think most of the time we're buying time for the family to realize there are worse things than their loved one dying, or for the dying person to come to grips with their own mortality. If...

  6. Race during report.

    nerdtonurse? replied to emnicams's topic in General Nursing

    Honestly, I'd rather have more emphasis put on the name -- like how do they pronouce it? We've got people who's last name is Jordan -- half the family pronounce it Jordan, like the country or river,...

  7. You know your pt is a jerk if........

    nerdtonurse? replied to traumamomtx's topic in General Nursing

    On a happier note, I have found that if I've got someone threatening to go AMA, it takes the wind out of their sails when I come in with the form, tell them I've already called their doctor, and would...

  8. You know your pt is a jerk if........

    nerdtonurse? replied to traumamomtx's topic in General Nursing

    ---ends every sentence with "...or I'll sue you." Calls for his nurse saying it's an emergency, you tear down the hall, and it's that he can't reach the button to change the tv channel...which is...

  9. Nursing school essay question....

    nerdtonurse? replied to peekaboo76's topic in General Nursing

    How to handle acute care patients (cardiac, pulmonary, oncology) who also have a major psych diagnosis -- we had a paranoid schizo try to bite a chunk out of an aide's forearm who was in for CHF/COPD...

  10. PTSD in ED Nursing/ Critical Care Nursing

    nerdtonurse? replied to likemike's topic in Emergency

    I haven't been a nurse that long, but my dad's a vet, so I've seen PTSD. I sometimes get a little twinge of a panic attack, especially if I've had a run of really bad nights, but no true PTSD yet....

  11. Nursing Supervisor escorted two druggie nurses off hospital grounds last month

    nerdtonurse? replied to FireStarterRN's topic in General Nursing

    I had an incident during my clinicals where I couldn't get a drawer open on the med cart. Well, knowing me, apply maximum force and giving the cart a good smack seemed like a great idea. The drawer...

  12. RN vs. LPN clinical rotations

    nerdtonurse? replied to fifi2323's topic in General Nursing

    I know from my instructors that in our state if they don't have 85% of their graduates pass the NCLEX, the program can get in trouble with the state BON, who can pull the authorization for the...

  13. yeahhh sure

    nerdtonurse? replied to ohmeowzer RN's topic in General Nursing

    "Don't look Ethelllllllllllllll....." We had a guy come in about 2 months ago, tested positive for opiates, and swore up and down it was a false positive from the protonix he was taking.... Of course,...

  14. Why it is better to be a Nurse than a Physician.

    nerdtonurse? replied to BaRNs's topic in General Nursing

    We don't have to work in groups to be able to afford our malpractice insurance We don't do "drive by diagnosis" as in "nice to see you're feeling better Mrs. Smith" from the doorway of the room w/o...

  15. faxing report to the floors

    nerdtonurse? replied to ernurse1993's topic in Emergency

    The charge nurse will often use the fax to determine which nurse gets which admit, especially if we're being slammed and everyone's got a high patient load. We've also got 4 brand new outta school...

  16. How to decide who gets the first admit

    nerdtonurse? replied to Bumashes's topic in General Nursing

    If I have walkie-talkies or people that are going to be morning discharges, I always make sure the charge knows, and will volunteer to take the first admit (I'd rather have an admit at 2000 than...

  17. Race during report.

    nerdtonurse? replied to emnicams's topic in General Nursing

    If I've got patients in a double, and one's black and one's asian for example, I differentiate -- "Mr. J in bed 32B is a 84 year old black male, pt of dr. K, admitted with...." -- if they walk in and...

  18. Interprete Lab/Tests resutls to patients

    nerdtonurse? replied to seriousnurse's topic in General Nursing

    If the patient has already discussed the lab with the doc, and just wants clarification, fine -- as in, "yes ma'am, when he said your cardiac enzymes were fine, that came from the blood test, not the...

  19. Bye, Bye, LPN's

    nerdtonurse? replied to gilf7243's topic in LPN to RN

    We just had a staff meeting and the handwriting's on the wall; they want the LPNs out of here (telemetry/ICU stepdown). I'm frantically trying to get into an RN program, but even with a 3.9 GPA and...

  20. faxing report to the floors

    nerdtonurse? replied to ernurse1993's topic in Emergency

    We fax at our facility, and a lot of our reaction depends on who's sending the patient, not how we get the data. If I see one nurses's name on a pt coming in from a NH, then I know "skin warm dry and...

  21. First mistake hanging blood

    nerdtonurse? replied to ambersnight's topic in First Year After Licensure

    First, I hang the infusion set, get it primed, and I contect up the line and run NS at 100 cc/hr for about 5 minutes, to make sure I've got good access before I go for the blood/FFP/PRBC/whatever...

  22. Would you agree with this statement?

    nerdtonurse? replied to MisterSimba's topic in General Nursing

    While I may organize my patients in my head as "Post MI room 12, Open chole room 13, trach with MRSA in 14, etc." I never, EVER forget they are people. I think one thing that can lead to burn out is...

  23. Witnessed my first death today.

    nerdtonurse? replied to loriangel14's topic in First Year After Licensure

    Don't feel weird. We (unfortunately) have a lot of deaths on our floor, and I've had about a patient a month die since I've been off orientation, and usually it's a) expected and b) I know it's a...

  24. In your experience.......when a seemingly "stable" patient tells you they are

    nerdtonurse? replied to JennRN65's topic in General Nursing

    On the original post, I had a patient, a guy dying from prostate CA that had mets'd all over. We bonded over his 3 week stay, and every morning when I went in to tell him I was going off shift, he...

  25. In your experience.......when a seemingly "stable" patient tells you they are

    nerdtonurse? replied to JennRN65's topic in General Nursing

    The runner up to that one, especially with a patient that's been circling the drain, is either the patient saying, "I feel better today than I have in a long time" or the family saying, "Gee, mom's...