General E. Speaking, RN RN

floor to ICU

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All Content by General E. Speaking, RN

  1. General E. Speaking, RN

    Highest temp you've seen?

    General E. Speaking, RN posted a topic in MICU, SICU

    Transfer from M/S floor to our ICU today- emergent transfer. They gave report at the bedside. Septic, I'm sure. He was circling the drain when he came in and proceeded to go downhill. Constant...
  2. General E. Speaking, RN

    Why Even go for your MA? Don't Understand...

    General E. Speaking, RN replied to skittlebear's topic in General Nursing

    Sorry, having a hard time responding because your GREAT BIG BOLD LETTERS are freaking me
  3. General E. Speaking, RN

    I keep getting hugged

    General E. Speaking, RN replied to noyesno's topic in General Nursing

    My charge nurse said I looked like I "needed a hug" this morning. Off for quite a few days and this was my first day back. hard to get into the groove again. He's not usually a big hugger from what...
  4. General E. Speaking, RN

    Is it okay/appropriate to make a home-cooked gift to instructors?

    General E. Speaking, RN replied to RevolutioN2013's topic in General Nursing

    I saw this book bag that I just had to get for one of our instructors. She was a favorite of everyone. The bag said, "What happens at clinicals, stays at clinicals!" Too cute! Everyone signed the...
  5. General E. Speaking, RN

    Seriously?????

    General E. Speaking, RN replied to CNABESS's topic in General Nursing

    I took my Mom to the ER a couple of weeks ago and was a but unnerved that an ER tech was "triaging" her at the front desk and trying to convince us that it wasn't necessary for her to be there. But...
  6. General E. Speaking, RN

    *Vent* RN's make toast?!?!?!

    General E. Speaking, RN replied to WickedRedRN's topic in General Nursing

    Careful. We will be getting the Bluetooth so we can be hands free to make the
  7. General E. Speaking, RN

    Noting physician orders

    General E. Speaking, RN replied to chiuli's topic in General Nursing

    :hug: Just wanted to say it's those nasty older nurses that give the rest of us *seasoned* nurses a bad name. We're not all like that. It is a toxic enviroment and they seem intent on spewing their...
  8. General E. Speaking, RN

    *Vent* RN's make toast?!?!?!

    General E. Speaking, RN replied to WickedRedRN's topic in General Nursing

    I can imagine the interrogation now: Lawyer: "Weren't you the primary care nurse that was responsible for this patient's life?" Me: (gulp) "yes" Lawyer: "And just WHAT is your defense as to why this...
  9. General E. Speaking, RN

    *Vent* RN's make toast?!?!?!

    General E. Speaking, RN replied to WickedRedRN's topic in General Nursing

    I would be very interested in seeing your response after you have a few years experience in acute
  10. General E. Speaking, RN

    *Vent* RN's make toast?!?!?!

    General E. Speaking, RN replied to WickedRedRN's topic in General Nursing

    I see you are pre nursing. You will soon find out that with nursing it's always "just one more thing".... Pretty soon all those "just one more thing"s add up and affect patient care, which leads to...
  11. General E. Speaking, RN

    *Vent* RN's make toast?!?!?!

    General E. Speaking, RN replied to WickedRedRN's topic in General Nursing

    I see your vision: The tall tower pyxis containing IVFs has numerous shelves and a glass door... it could easily double as a Subway-type oven for making fresh
  12. General E. Speaking, RN

    *Vent* RN's make toast?!?!?!

    General E. Speaking, RN replied to WickedRedRN's topic in General Nursing

    Oh boy, Cannot wait!!! Another line to stand in. We will go from the toast line to the pyxis line to get meds. I vote for putting the toaster in the med
  13. General E. Speaking, RN

    Those in Med Surg

    General E. Speaking, RN replied to BettyBoop01's topic in General Nursing

    Really annoying when this happens. You have been running all day long trying in vain to do all that needs to be done and some nasty little nurse walks into the shift with a "why didn't you do this or...
  14. General E. Speaking, RN

    Questions about a recent offer (med/surg)

    General E. Speaking, RN replied to TheCommuter's topic in General Nursing

    This is so true, Commuter! We can tell from your posts that you are an astute nurse who would be totally capable of handling sticky situations with your great spidey
  15. General E. Speaking, RN

    How to calculate continuous bladder irrigation?

    General E. Speaking, RN replied to ERsn's topic in General Nursing

    I finally had a big enough fit and mgmt ordered the BIG foley bags (4,000 I think?) One time, I had to run the irrigation really fast- guy kept clotting up. I was super busy w/ other patients and...
  16. General E. Speaking, RN

    Low mag level

    General E. Speaking, RN posted a topic in CCU, Coronary, Cardiac

    At our hospital a low mag level isn't considered critical until it is I suppose (to answer my own question) it is the same with K+ levels. It isn't considered critical until it is 3.0...yet it is...
  17. General E. Speaking, RN

    How to calculate continuous bladder irrigation?

    General E. Speaking, RN replied to ERsn's topic in General Nursing

    Figure out what went in. Figure out how much you emptied out. The positive difference is true urine. We use a flow
  18. General E. Speaking, RN

    Those in Med Surg

    General E. Speaking, RN replied to BettyBoop01's topic in General Nursing

    God Bless Y'all, Med Surg nurses! :heartbeat This is the primary reason I moved to critical care. Practically impossible to do proper care at a 7:1
  19. General E. Speaking, RN

    Medication Error..total sadface : (

    General E. Speaking, RN replied to NightNurse876's topic in General Nursing

    Our hospital only carries 2mg vials. Of course, you have to waste with someone before the med is dispensed so this is your first indicator (besides what the MAR and order says). In tiny, tiny print in...
  20. General E. Speaking, RN

    Magnet - Turnoff For Anyone Else?

    General E. Speaking, RN replied to PMFB-RN's topic in General Nursing

    hahaha,
  21. General E. Speaking, RN

    Questions about a recent offer (med/surg)

    General E. Speaking, RN replied to TheCommuter's topic in General Nursing

    I agree. IV sticks come with practice so don't sweat it! It is a skill you can easily pick up. I wouldn't go either. Too much of a pay cut. Too little orientation. If you want to branch into...
  22. General E. Speaking, RN

    Looooong narrative notes

    General E. Speaking, RN posted a topic in General Nursing

    I have been nursing for a while now. I work with a few newer nurses in the ICU. By "newer" I mean 1-2 years. They are great nurses, however, their narrative nurses notes are so long. We do paper...
  23. General E. Speaking, RN

    Nurses really aren't the smartest people

    General E. Speaking, RN replied to Simply Complicated's topic in General Nursing

    *snort* lol I used to work for WIC as an immunization nurse. I loathed dealing with the pro-family bed/ home school, no immunization's for my kid, never shave my armpits or wear deodorant because it...
  24. General E. Speaking, RN

    Rode up on first accident outside of hospital....

    General E. Speaking, RN replied to shoegalRN's topic in General Nursing

    In some rural areas you are required by law to stop (if I have my facts straight). This doesn't seem like the case. I'm on the fence. I guess it will depend on the situation. I am not one to hang...
  25. General E. Speaking, RN

    Need help with what a nurse-initiated intervention can do. Can someone please help me

    General E. Speaking, RN replied to ptrico's topic in General Nursing

    I'm confused too. What is it that you are looking