General E. Speaking, RN RN

floor to ICU

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All Content by General E. Speaking, RN

  1. General E. Speaking, RN

    Nurses really aren't the smartest people

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

    yea, the public really has no idea what we actually do. Everyone knows it is the doctors that are at the bedside for crazy busy 12 hr shifts titrating pressors, drawing labs, intervening in order to...
  2. General E. Speaking, RN

    Thinking about leaving 1st nursing job after 5 months- any suggestions

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

    Curious to hear what the OP thinks about the comments. I am leaning towards sticking it out too and making the year. I agree with GM2RN. The OP didn't mention a toxic or dangerous work enviroment....
  3. General E. Speaking, RN

    Highest temp you've seen?

    General E. Speaking, RN replied to General E. Speaking, RN's topic in MICU, SICU

    Heard that my guy pulled thru his ordeal and was eventually able to go back to his group home. Like I said, he had a history of mental retardation so his baseline will be difficult to
  4. General E. Speaking, RN

    Any ICUs or critical care settings where the standard ratio is 1:1?

    General E. Speaking, RN replied to edogs334's topic in MICU, SICU

    The only time our ratios allow for a 1:1 is for fresh open hearts. Meaning this is standard. All fresh open hearts get 1:1. Sometimes, they (mgmt) allows for a 1:1 on POD #2 if the patient is really...
  5. General E. Speaking, RN

    Is everyone having to go through "annual" fit testing?

    General E. Speaking, RN replied to 2bTraumaRN2008's topic in General Nursing

    Yup, every year we do it along with our other competencies. Reminds me of being an astronaut with the big helmet
  6. General E. Speaking, RN

    Team nursing...thoughts?

    General E. Speaking, RN replied to RaeRN30's topic in First Year After Licensure

    Haven't done team nursing for years. When I did, I was a LVN. Our team consisted of a RN and LVN and we had to share one tech with the entire unit (about 40 beds). I think we had about 10-12...
  7. General E. Speaking, RN

    Fluid restriction question

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

    Let's say the doc orders a 1500ml/24hrs fluid restriction. How do you interpret that? In my experience, I think this means to restrict oral intake. I had a new nurse criticize me for giving too...
  8. General E. Speaking, RN

    Fluid restriction question

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

    This is what I am used to. Maybe because these patients (usually renal or CHFers) are rarely on IVFs to begin with. Perhaps this is why I was stumped by the subject. As always, thanks to my fellow...
  9. General E. Speaking, RN

    Acls

    General E. Speaking, RN replied to WahooRN08's topic in CCU, Coronary, Cardiac

    I have been searching for this site! Thanks. i couldnt remember the
  10. General E. Speaking, RN

    someone tell me it gets better after RN school???

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

    I hope you find the job you are seaking. In the meantime, for the gagging with vomit. Shut off your sniffers and breath very shallowly thru your mouth with lips barely open. Hopefully this will...
  11. General E. Speaking, RN

    Working on a large nursing unit

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

    It's hard making assignments. When I was charge nurse I tried to take all things into consideration: acuity, isolation, skill level of the nurse, pending discharges, surgery schedule, number of techs...
  12. General E. Speaking, RN

    Today is my pinning!

    General E. Speaking, RN replied to NM nurse to be's topic in General Nursing

    Awesome! Congrats! I was a LVN for years before getting my RN. The pinning ceromony is very exciting. I still have fond memories of mine (oh so long ago).
  13. General E. Speaking, RN

    How did you know nursing was right for you?

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

    BTW, I love your screen
  14. General E. Speaking, RN

    How did you know nursing was right for you?

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

    i think men in nursing contribute tons to the field. i work with many male nurses and totally enjoy my shifts when they are
  15. General E. Speaking, RN

    Fluid restriction question

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

    Thanks for the replies. I see the need for clarification but this generic order is written all the time. Am I the only nurse who assumes the doc means oral intake? More responses would be...
  16. General E. Speaking, RN

    someone tell me it gets better after RN school???

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

    Personally, I love rectal tubes! Well, "love" may be too strong of a word. I would much rather mark a line on the outside of a self contained bag the amount of smelly green C Diff poop than have to...
  17. General E. Speaking, RN

    Reference book for new grad in the ICU

    General E. Speaking, RN replied to crissirn's topic in CCU, Coronary, Cardiac

    I wish I could quadruple kudos this post. Icufaqs.org is the BEST resource
  18. General E. Speaking, RN

    Experienced nurses: What do student nurses do that drives you nuts?

    General E. Speaking, RN replied to aem31's topic in General Nursing

    This is a very valid
  19. General E. Speaking, RN

    Ever write up an attending for yelling?

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

    We have a cardiologist that is notorious for acting up when called. If the patient has a 18 beat run of V tach during the night and you call, he goes balistic. "Why are you calling me about...
  20. General E. Speaking, RN

    Is my supervisor trying to get me to quit?

    General E. Speaking, RN replied to LNDRN19's topic in General Nursing

    Is your schedule crazy because your manager is trying not to schedule you with
  21. General E. Speaking, RN

    Students requesting help with HW and interviewing a nurse for HW purposes

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

    Actually, quoting Nana! (a friend's grandma) Hear that term thrown around every now and then in the
  22. General E. Speaking, RN

    Opinions/Advice on how to handle short staffing

    General E. Speaking, RN replied to NYnurseatheart's topic in Patient Safety Issues

    Wow, it has been many many years since I worked in small rural hospital but sounds like nothing has changed! I recall in one night covering the ER- had numerous patients but thankfully they were...
  23. General E. Speaking, RN

    Need to interview an RN...Please????

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

    *snort* almost spewed tea all over the computer screen. Just got finished reading that thread.
  24. General E. Speaking, RN

    Students requesting help with HW and interviewing a nurse for HW purposes

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

    I had a very very nervous high school boy approach me one day wanting to interview a nurse. I was so impressed that even though I could tell he was scared to death and nervous as a long-tailed cat in...
  25. General E. Speaking, RN

    Levo and pH

    General E. Speaking, RN replied to Maevish's topic in CCU, Coronary, Cardiac

    (((hugs))) sorry you had a rough shift. I had the same problem. I have been nursing for a while but moved to ICU recently so I am still learning. My pt was on Neo, Levo, Epi AND Vasopressin. SBP...