nrsang97 BSN, RN

Neuro ICU and Med Surg

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All Content by nrsang97

  1. nrsang97

    Subject that never seems to end.

    My needlestick was from a insulin needle. I went to the ER, and the pt tested clean from everything. I didn't have to worry. I was reassured that if the pt did have Hep B/C, that transmission rate...
  2. I still would give her a copy of the lab manual order of
  3. nrsang97

    panel interview for job

    That is exactly what happened when I had my RRT interview with the Director of Professional Practice, ICU and CCU managers, RRT RN, and Med/Surg
  4. nrsang97

    RRT and/or Code Equipment/Supplies

    As RRT we don't carry anything specific. All units have their own crash cart with portable monitor. We just get IV start supplies from the unit. We also are supposed to have boxes in the pyxis that...
  5. I never felt like I was a good teacher even though I was told I was by many orinetees that I have precepted. I do have to be reminded to let them do the skills that just come so automatic to me. I...
  6. I was referred to see a pt by the unit clerk the other day. The nurse didn't call. We were rounding on the units and the clerk stopped us and said that the pt in room x had a bed in the stepdown...
  7. nrsang97

    I have the most amazing secretary

    A nice gift card would
  8. Wow.... I can't believe someone would say that. How terrible. I am new to RRT, and don't want anyone to feel like I think they are stupid. We are there to coach and
  9. Our RRT triggers are as follows: HR 130 RR 30 SPO2 Hypertensive SBP >180 Hypotensive SBP Stroke symptoms/mental status changes Chest pain Respitory distress Hard IV starts/ Blood draws (if...
  10. nrsang97

    Internal transfers- your thoughts?

    I would go for it. I did that to get into the ICU where I was. I never told my manager that I was applying. I did the same thing with my new position too. I didn't tell them till after the offer...
  11. nrsang97

    Liability of teaching an outside nurse

    Eventhough I was a licensed nurse when my brother started his injections I still had to do the first one on the office at the doctor's request. So the doctor may want the first one
  12. nrsang97

    Liability of teaching an outside nurse

    I totally agree. I had to give my brother injections and I taught my mom too in case I couldn't I was doing infertility treatment and had to teach my husband to give me my im injections because I...
  13. I never really gave a "back rub" per se, but I would rub on some lotion after a bath on the pts back and legs. Sometimes we would rub into their back or feet the protective ointment that smells like...
  14. nrsang97

    Extreme Lab Values

    Had a pt who was getting K boluses his K during a bolus was 1.8, and elevated ST segment. 3 boluses were hung and ran wide open at the same time on his central line, and the next day he was >7 and...
  15. nrsang97

    Extreme Lab Values

    Lactate of 18, pt died. INR of wait for it.......30 YES 30. That was my brother in law, 4 units PRBC's, multiple units of FFP, not sure what caused his INR to go that high. He was never treated...
  16. nrsang97

    Disgusted - wipes for bathing

    Using the wet wipes or comfort bath for a quickie clean up is fine. I will not do a bath without soap and water. I bathe with soap and water and our patients expect the
  17. I hate those wet wipes being called a bath. I use soap and water. If its a quick clean up wet wipes are
  18. I had to learn a bed bath and how to make an occupied and unoccupied bed. It is still
  19. Love this. Totally my day
  20. nrsang97

    What are you really good at?

    I am a "go to " person for IV's and NG's and Foleys. I am told I am a good teacher. (I don't feel that way, but I am told I am) I get told I am a good charge nurse, but I absolutely loathe being in...
  21. I don't have the patience for Psych pateints. I really dislike violent DT pts. I like the ones who are confused, but pleasent, or hallucinating, but aren't hitting or kicking. I really cannot...
  22. nrsang97

    Combating burnout in new nurses

    That is so true. Right now I am changing specialties to combat some burnout. I did Neuro ICU for 6 years. I am now going to try my hand at Rapid Response. I did try changing shifts and did 2 years...
  23. nrsang97

    Have you ever lost it with a patient?

    I only lost it on a visitor twice, the first time the pt husband kept following me around and almost into patient rooms to tell me his wife was in pain. I knew and had medicated and called MD. I...
  24. nrsang97

    why?

    What exactly is being complained about that you didn't do? I don't exactly know where your post was going either. Can you
  25. nrsang97

    Have you ever lost it with a patient?

    So very true. You took the words from my keyboard