nrsang97 BSN, RN

Neuro ICU and Med Surg

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All Content by nrsang97

  1. nrsang97

    I'm tired of screwing up at work

    ^^^^^Exactly! This system will cause more
  2. nrsang97

    What Is The Shift You Will Never Forget?

    Another shift I will never forget. I was right off orientation and I mean less than one month. On the night of 9/11 we had 3 RN's scheduled. I was the only one that was there so by default I became...
  3. nrsang97

    Smarten me up please! I come to you humble.

    Congrats to you. I don't know about any resources for psych as I am a critical care nurse. I just wanted to wish you the
  4. nrsang97

    Schizophrenia

    I am so happy to hear that those of you affected with schizophrenia are able to be stable on meds and work. I couldn't imagine living with visual and/or auditory hallucinations. Thank you for...
  5. nrsang97

    Got fired for changing fluid rate

    Most tele floors I have been worked on do not allow titration of Neo, Dopamine, or to run vasopressin. This was a truly inappropriate admission. The pt should have been stabilized further or sent to...
  6. nrsang97

    Got fired for changing fluid rate

    This was a totally inappropriate admission to a med surg floor from the ER. Where was your preceptor? Why on earth weren't they concerned regarding the BP? Something just isn't right about this...
  7. Know your meds for seizures and vasospasam. Know meds like vimpat, dilantin, keppra, zonegran, depakote, and their theraputic levels. Know nimotop. You will give it a lot for SAH patients. Know the...
  8. nrsang97

    What Is The Shift You Will Never Forget?

    I have a few memorable shifts: The time I got the dead pt from the ER. She was not a DNR wither. We coded her got a hold of her family and they had us extubate her immediately. She passed away...
  9. nrsang97

    Blue about Code Blue

    So have I but the poster previous to you was stating more along the lines of being trached and pegged after prolonged CPR and being left with no quality of life. Most of us wouldn't want something...
  10. nrsang97

    I ignored my instincts...

    Sounds like your co workers are a bunch of three year old kids. I would have just shook my head and walked away. Kickball really? Did you not play good enough or something? Jeez no reason to yell...
  11. nrsang97

    Fairly Unique Situation

    I completely agree. I am now on my journey to completing my BSN. I have been a RN for 12 years. I may someday want my masters. Just not
  12. Do you use the Alaris pumps? I have seen this happen multiple times with these. We actually have gotten emails about proper blood spiking due to this
  13. nrsang97

    Dobhoff Tube Insertion

    Only MD's in our system. I have never inserted one as a
  14. nrsang97

    Do you tell people where you work?

    I usually tell others where I work. It isn't a secret or anything. His reaction was way over the top. I usually hear good things from people. I usually get how they could never be a
  15. nrsang97

    Stress, students and stomach aches - a minor rant

    We had a kid kill himself in a local school bathroom. Another student found him. I believe they were in like 8th grade. Who knows why he did it. Rumors were bullying then it was found he was a...
  16. nrsang97

    Charting...what to say?

    I have charted "RN spoke with pt about ...." Or "Writer observed pt get up oob w/o assist and reminded pt to use call light for assist." I have never used "I" in
  17. nrsang97

    Theme song to your Nursing career?

    For those in Psych "Unwell" by Matchbox
  18. ^^^ Exactly! It can take me a long time to get an IV in someone depending on their vascular status. Some people are much easier to get an IV in than
  19. nrsang97

    Thoughts on new grad being made charge?

    I was put in charge on my first nursing unit because I was the only staff RN working that night. We had 3 scheduled but 2 called out. One was pregnant and lived in Canada (this was right after 9/11...
  20. nrsang97

    Which is more stressful: med-surg or SCU?

    1:8 on stepdown? That sounds awfully
  21. nrsang97

    Which is more stressful: med-surg or SCU?

    The previous poster is right. Teamwork makes or breaks the unit. There was more teamwork in the ICU than in the med surg units. Not all med surg units are bad for teamwork. I have seen some great...
  22. nrsang97

    "I'm not floating."

    Usually it is the staff member being difficult. Some staff just will whine about anything. Especially floating. I understand being in an unfamiliar environment is tough, but we all have to
  23. nrsang97

    "I'm not floating."

    I didn't mind floating. Sometimes there were floors I hated to go to. Most of the time when I floated in the ICU the floor I was floated to was kind to us not giving us a super sick assignment or...
  24. This needs to be reported to IT and HR like the other posters already said. She shouldn't have any access to your
  25. nrsang97

    Refusing Orders.

    We had a pt go into SVT gave adenosine one time. Rate slowed and then sped back up into A-Fib with RVR. Resident orders give adenosine 6mg IVP now. We collectively refused. We said give cardizem...