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nrsang97 BSN, RN

Neuro ICU and Med Surg

Content by nrsang97

  1. nrsang97

    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.
  2. nrsang97

    Funniest, Weirdest, Most Unusual Baby Names

    I recently saw a kid named Lyrica.
  3. nrsang97

    The one thing in nursing/medical that makes you shudder?

    Eyeballs and eye injuries
  4. nrsang97

    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.
  5. nrsang97

    Appropriate use of AED?

    You guys did great. You saved that patient. Sorry the medic was a jerk.
  6. nrsang97

    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.
  7. nrsang97

    "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.
  8. nrsang97

    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.
  9. nrsang97

    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!
  10. nrsang97

    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.
  11. nrsang97

    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.
  12. nrsang97

    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.
  13. I taught my 9 year old to swallow pills with a tic tac. He takes concerta for ADD and it is about the same size as a tic tac, so it worked perfectly. He now swallows them without water. I was his age and couldn't swallow a pill at all. My grandma would smash them and put them in chocolate sauce. I was at least 12 or 13 when I learned to finally swallow pills. I still have trouble with especailly large ones.
  14. nrsang97

    I am not good at nursing

    You are being way too hard on yourself. You made a minor mistake. Yes the ativan was at the wrong time, but you owned up to it. If any nurse ever tells you that they never made a medication error they're lying. You have only been a nurse for 6 months. No one is perfect. You sound like you are doing just fine to me. Try not to be so hard on yourself. I have been a nurse for 18 years. I have definitely made mistakes. It doesn't mean you stink as a nurse, it means you're human. You do not suck as a nurse.
  15. nrsang97

    Wise One Liners

    Common sense isn't a flower that grows in everyone's garden. Of course we didn't to it that way, because that way would have made sense.
  16. nrsang97

    And The Reason Nurses Don't Get Fired

    Nurse not fired for infusing a whole bag of insulin as a piggy back instead of patient's dilantin. Nurse not fired for giving unordered blood transfusion.
  17. I just saw that they changed their mind and gave her the award. The Guardian just posted this on Facebook.
  18. nrsang97

    NOT an ICU nurse but assigned by SUP

    If you haven't had ICU training then you shouldn't have accepted a patient that was on ICU status. I would have declined the assignment.
  19. There is no reason not to call report for a patient going to any unit. If the nurse getting the patient can't get report, then ask if the charge can take report. Honestly you shouldn't have left until the other nurse was on the phone giving report. Even with a rapid response patient going from the floor to ICU, I at least make sure the nurse caring for the patient is giving report to someone before I leave the unit. As long as report is in progress, then I will take the patient down to ICU.
  20. nrsang97

    Stupid hurts.

    What the what? How is that even possible? And heck yes that would hurt like hell.
  21. nrsang97

    Stupid hurts.

    If you are riding in your friend's jeep with no doors it is advisable to wear a seatbelt. Thankfully only a bit of road rash.
  22. nrsang97

    Antibiotics administration.

    You need to notify the physician and pharmacy.
  23. nrsang97

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

    Agreed Klone. I was speechless at the amount of facts this nurse attorney got wrong. She clearly did not read the CMS report.
  24. nrsang97

    Nurse Charged With Homicide

    She has been charged not tried in court. She may not even go to jail. Innocent until proven guilty in a court of law. I do not feel criminal charges are the way to go. I do feel she should never work as a nurse again though. She bypassed way too many safeguards.
  25. nrsang97

    Is this insubordination? How do I deal with this PSW?

    A PSW is a personal support worker. It is equivilant to a CNA. I have mostly heard Canadian nurses use this term.
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