nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. With Joint Commission's emphasis on disaster response, I was just wondering how your facilities handled 9/11? Did they turn off the television to the rooms? Did your phone systems lock up with the...
  2. Terms we will not admit to using

    DSA -- Drug Seeking (Argumentative, Abusive, Arrogant bodypart that fecal material usually comes out of), as in "the DSA in 9 had 14 mg of morphine in the ER, had 4 mg 45 minutes ago, and told me she...
  3. peripheral neuropathy

    Seems you may have found the issue, but any chance they have reynaud's syndrome? You can get neuropathy with that over time, in addition to the feeling cold and intermittent (or constant) cyanosis....
  4. Medicine vs. ER

    Note to self: do not post after a bad night at work. Sorry guys. We'd had a bad night with some new folks in the ER when I did my first post. We're not a very big hospital, and when folks do PRN...
  5. Advice re: nightshift

    What I've learned after 6 months on night shift: Prepare to have vague stomach upset when you first switch; my stomach didn't know if it was breakfast, lunch or dinner, and I felt nausea for about 2...
  6. Are Student Nurses Prepared for "Real Life?'

    I'm an LPN, and I will tell you what I told my preceptor on the first day: "I feel like an overqualified CNA" -- until I actually worked the floor, and realized I wasn't even that qualified. I...
  7. Looking for online Micro course

    Edukan has one, but you have to have a local preceptor certify your lab work, like the teacher at a local high school or college. My problem was getting the
  8. What do RNs do that LPNs can't?

    In my state and hospital, (rural), I've hung blood with a second nurse (LPN or RN) to verify pt identity, started IVs, pushed protamine sulfate (scary, pt was in DIC), accessed portacaths and started...
  9. Medicine vs. ER

    What I would LOVE to see (telemetry, ICU step down nurse) is : --Don't drop patients on us within 1 hour either side of shift change (7a or 7p). --Don't drop patients on us when the computers are...
  10. what do nurses hate about doctors?

    What I hate to get from a doctor, especially when I call them in the middle of the night -- pt desating, rhythm change, change in LOC, I mean, serious stuff -- is "well, what do you want me to do...
  11. Not allowed to say "I was busy w/ another pt"

    When you have management give you a BS order like that, look them dead in the eye and ask they what you should have told the patient. We've had frequent flyers who we draw straws for, loser get them,...
  12. Most Humorous Call-In Excuses

    We're a rural hospital, and a lot of our nurses have livestock -- goats, horses, cattle, etc., and one raises Austrailian shepherds that will herd sheep, goats, cows, etc. Chuck loves his dogs,...
  13. I've had that one, and always answer, "yes, and I chose not to be one." The one that made me so hot I practically glowed was, "Honey, you're so attentive, you'd make a good
  14. Can I refuse being in charge?????

    Unfortunately, there's always payback when an employee tells and employer what they won't do. One of the best nurses we had approached management about a raise, since she was not only charge pretty...
  15. Caught stealing drugs

    We had someone on another floor who put a saline lock in her own ankle to get the IV pain meds she'd pulled for a terminal cancer patient. I must be warped because while I grew up around addiction...
  16. Well, it finally happened after 2.5 years...

    What's bad is when you wrote how the patient's daughter "fired" you, I immediately thought of a pt's daughter that I had who did the same thing to a CNA who was taking mom's BP (mom hit the door...
  17. Trauma Naked?

    If you come in with a broken arm and you're A/O x3, I'm not going to strip you naked. You come in from a nursing home, you're going to be naked because I don't trust "skin warm, dry and intact" from...
  18. Prayer at work??

    I just wonder if the pt and doc had a long standing relationship, and the doc knew the pt wanted the prayer? We have a COPD'er that's a frequent flier, and she requests her doc/nurse pray with her...
  19. Our hospital is small, and the design is you walk by the ICU (code cart location) on the way to our telemetry unit. Somebody starts getting hinky, they just make a sharp right hand turn. RN...
  20. Freak accident

    Maybe it was just the angle? I've seen people take horrific hits and get back up with only bruises, and then a pt lean too far out of a wheelchair and end up with a subdural hematoma. I mean, you'd...
  21. Prayer at work??

    I'm a religious person, but I don't go around chanting latin and waving incense. I've had patients who were chrisitians ask me to pray with them, and I have (night shift, no chaplain). However, if...
  22. Huge IV med error!

    Take what happened, and turn it to good. Does the Bentyl have a very similar label to Benadryl? Does pharmacy need to repackage/relabel? Do they need to make the Bentyl harder to get at (we give so...
  23. Lpn's working ER

    In ours, a small rural hospital, we have a couple of RNs and a couple or 3 LPNs per shift. The RNs do the initial assessments, the LPNs do everything else possible within their scope. I don't look...
  24. Bad night with a heparin drip...

    I freely admit, I'm venting.... Had a pt last night that I'd had before, anuric, on dialysis 5+ years, admitted for chest pain and rule out PE; frequent flier, but nice. PE was ruled out yesterday...
  25. Bad night with a heparin drip...

    Lessons learned: Never, ever trust day shift's Nurse Scary to have done her *@#$% job. If I have a pt on a heparin drip, I'm stopping the heparin if there's not APTT until I get one, unless there's...