All Content by nrsang97
- Resident Thinks I’m A Fake Nurse
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ICU nurses question - holding BP meds on pressors
I have seen this done, to regulate heart rate. However is is counterintuitive to me.
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Floated to ICU with no experience
When covid was hitting us hard here in MI in March,April,and May we floated med surg nurses to ICU but they functioned as helpers and would do stuff like help by running to pharmacy for controlled meds like versed drips or other drips that needed to be picked up. They helped as the function as an aide. We never made them take assignments. That is not safe to make you take ICU patients. I would have refused if I were you.
- What's the funniest most unusual baby name?
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New grad overwhelmed
It took me a little over a year to feel comfortable as a nurse. You need to give yourself time.
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Nasal cannulas behind the head
Craniotomy patients. Sometimes the ears are covered and we do that.
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Where do I go from here?
Nurse navigator, certified diabetic educator, school nurse, case manager, informatics. There are many things you can do besides bedside nursing. If you enjoy a teaching role, then looking into an area where you can educate patients is a good idea. If you have performance anxiety looking at staff education is probably not the best idea.
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Is NPO really NPO??
Our orders usually say NPO except ice chips, or NPO with sips of water for medications. Other than that just NPO. We can give mouth swabs, but not any water to drink.
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Age vs Years Nursing
I'm 40 and have been a nurse for 19 years
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Trying to get more experience. Help
I also suggest finding a med surg floor for your next position before going to the ER. Find that person on the unit that is good at starting IV's (not all places have an IV team), and go with then and watcht them start IV's and even have them watch you the first few times you try. Always try, this is the only way you will get good at IV starts. If your new facility doesn't have an IV team ask to spend the day in pre op and do all the IV starts. It will give you a lot of practice.
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Are Big City Hospitals Really Getting Hit With COVID-19 Pts?
I'm in the SE MI area. Our hospitals are getting hit. Our ICU is overflowing into the ER. We have for now canceled elective procedures. We have intubated up to 3 pateints a shift. Codes thrown in there too. Our inpateint rehab unit is closed and we have those staff redeployed to other areas. We have our ICU pretty much all covid pateints, our 3rd floor, 1/2 of 4th floor, 1/2 5th floor, and all of our 6th floor. Many rapids during a shift. This is real. It may not have hit your area yet.
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Detroit ED Nurses refuse to work without more help, ordered to leave by Administration
DMC is run by Tenet which is for profit. Siani Grace has been a mess for a long time. I have never heard any good about working there or any other DMC facility except for Children's Hospital. Those nurses were not really wanting to leave, but wanted to get extra help. Where were the nurse managers and assistant managers? Why weren't they working the ER with them? I work for a different health system in the area. Our managers get out there and help. How management has treated their staff at DMC and especially Siani Grace is awful.
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Seriously? I'm concussed!
Wow. I hope you get better soon. You're boss is a jerk for asking you to work, knowing you are having post concussion syndrome.
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Sitter to escort patient during smoke breaks.
That is a waste of resources for sure. This is ridiculous. If they are alert and oriented, you can't stop them from leaving to smoke. Either it is AMA, or document and educate them and let them leave.
- What's the funniest most unusual baby name?
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The one thing in nursing/medical that makes you shudder?
Eyeballs and eye injuries
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Central Line Maintenance
https://www.jointcommission.org/assets/1/6/CLABSI_Toolkit_Tool_3-22_CVC_Maintenance_Bundles.pdf This is directly from Joint Commission.
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Appropriate use of AED?
You guys did great. You saved that patient. Sorry the medic was a jerk.
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Classism in the Hospital-MD vs. RN
I have had an attending in the neuro ICU request that I call him by his first name. If I called him Dr.Smith, he would say no, call me John. Most residents we also called by first name too. I don't have any issue with being called by my first name.
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"I've never done this before"
I have taken an ultrasound guided IV course. I have never had to opprotunity to use this skill on a patient. So when a patient asks me to go get the ultrasound, I respectfully decline. I explain that I have no experience outside of the lab doing so. I work nights so I let the patient know that we can have anesthesia try for an IV, but if they have nothing due overnight that we will call PICC team in the morning for an ultrasound guided IV. Saying that you do not have the skill or do not know how to do something is not completely wrong. Not following up and getting someone that knows how is the problem.
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You know what grinds my gears?
Women especially use baby talk like that. It makes me mad LOL. I happened to pick up a different shift once and I went to a floor for a rapid response or IV call (can't remember which), and one of the nurses asked if I was the "new rapid response nursey?" WOW!? I am not a nursey. I just looked at this other nurse like she was crazy and told her no that I was the rapid response nurse from nights picking up another shift. O2 Stat makes me cringe.
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You know what grinds my gears?
Definitely the patient who has a sudden personality change when someone else shows up. People who do NOT ever try to start their own IV. They just call the rapid team or IV team (if your facility has one). Then claim to "suck at IV starts", but will never try themselves. You will not improve if you don't try!
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Questionable actions that make you go hmm?
The resident who told me that my grandmother couldn't get dehydrated from diarrhea. Yeah, totally reminded him that it was infact possible that you can get dehydrated from diarrhea.
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Nurse as a Patient?
Jeeze when I was induced having my son, I helped the nurse program my IV. She was new to the unit, but not a new nurse. I usually don't tell people that I am a nurse, but I inadvertently give it away. She sounds like a nightmare to deal with.
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Your most bonehead moment in nursing. Or 2. Or 3.
I have banged my head on the shelf by the bed in our neuro ICU that we put our tube feed pumps on. I have hit my head on those tv that are on swing arms. I have tripped over IV tubing and foley tubing, thankfully not pulling either of them out. I have sprayed myself with tylenol giving meds down an NGT.