General E. Speaking, RN RN

floor to ICU

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All Content by General E. Speaking, RN

  1. General E. Speaking, RN

    Looooong narrative notes

    I do too, but think that's a majority of what the flowsheets are
  2. Those patients have Tyrannosaurus Rex Syndrome. Their little wavy arms in the front are useless and just for
  3. "No, unfortunately you won't get much sleep in the hospital. Everyone has a job to do and you came here to be treated for your illness. You can catch up on sleep when you are discharged." Oh wait......
  4. General E. Speaking, RN

    AV fistula for IV access for sickle cell pt

    This is true! Very good point. I have been with my facility for 10 yrs (total 20 yrs experience) and this is the
  5. General E. Speaking, RN

    Looooong narrative notes

    hehe:D
  6. General E. Speaking, RN

    Looooong narrative notes

    I have no idea. Eventually, I will get up the nerve to mention it. Right now I am still learning the ropes and have no desire to start calling other nurses out on their idiosyncrasies or charting...
  7. General E. Speaking, RN

    home remedies you would NEVER try

    Red thread on the forehead will get rid of hiccups. Egg under the crib will draw out the fever and cook the egg. Crisco on the butt for diaper rash. Rubbing alcohol on
  8. General E. Speaking, RN

    Looooong narrative notes

    Personally, I was just curious what others do. I am comfortable with my charting by exception and see no reason to double chart anything. Just wondering, that's all.
  9. General E. Speaking, RN

    New to ICU? What have you learn so far?

    In our unit, we have an older section and newer section (remodeled). The code buttons are in different places. I make it a point to locate them when I walk in the room. The light switches are in...
  10. General E. Speaking, RN

    Looooong narrative notes

    I realize the check marks on my flow sheet serve the purpose of me taking care of the patient. Habit, I guess for me. Beginning, middle,
  11. General E. Speaking, RN

    Looooong narrative notes

    They seem to get their work done. Maybe they took a course in speed writing! I guess the point of my thread was to find out what others do or have witnessed. I am fairly new to the ICU and don't yet...
  12. General E. Speaking, RN

    It seems probie's can't take a joke or laugh

    You have to laugh. We were just lauging at the nurses station because the respiratory therapist was talking about the doctor that was complaining that his patient sounded terrible and needed to be...
  13. General E. Speaking, RN

    Need Help! Nursing Float Pool or Telemetry???

    Did float pool when I was an LVN and I loved it. You never knew where you where going to work and to me that was exciting. You didn't have to put up with the same crabby people all the time! If...
  14. General E. Speaking, RN

    Compatibilities of IV piggybacks

    Big pet peeve of mine! Irritates me to see the "balloon" of secondary piggyback tubing hanging on the pole. Most times it is NOT necessary!!! Back flushing with a primary NS line or maintenance IVFs...
  15. General E. Speaking, RN

    Random Nursing Thoughts

    ...or they brag about how good the phlebotomist was. "She got it in only ONE stick". Really? She has a hard metal needle that goes in and out and it doesn't wiggle like the plastic cannula I have to...
  16. General E. Speaking, RN

    Nurses' personal medical records

    Yup, me too. No anxiety or
  17. General E. Speaking, RN

    public health or acute care nursing

    I have done both. I do miss Public Health Nursing. Having 12 or 13 paid holidays per year was great. Having every Thanksgiving and Christmas off was superb. (Actually you get Thanksgiving and the...
  18. General E. Speaking, RN

    Did you ever see a patient taking two laxative at the same time

    Dating myself here but I recall the dreaded HHH enema order. HHH= High, hot, and helluva
  19. General E. Speaking, RN

    How did you get into the ICU?

    I was a Tele charge nurse and the unit educator. I was told I could move to ICU then the rug was yanked out from under me after a management change and I was told I had to stay another year on Tele....
  20. General E. Speaking, RN

    Random Nursing Thoughts

    lol. Funny how members actually run panic-stricken to the nurses station screaming, "HE'S THROWING UP!!!" Thinking in my head: "Good grief, woman. Calm down." or "I'll alert the media." or...
  21. General E. Speaking, RN

    Critical Pt and More stable Pt

    I haven't been in ICU very long but have noticed that when they get well enough to hit the call light all day long for non-essentials, they are usually not ICU status anymore and it's time to move 'em...
  22. General E. Speaking, RN

    Emotional disaster

    Keep being a caring nurse. Time will
  23. General E. Speaking, RN

    Can a nurse just be a nurse anymore???

    I like to be involved. I don't particularly like coming in on my days off but when I do, I clock in. Sometimes the meetings (Pharmacy committee) are on the days I work and they serve lunch. If the...
  24. General E. Speaking, RN

    Unit Patient Satisfaction Scores

    Everyone in our hospital got a "1" out of 5 for individual annual preformance reviews on controlling pain because the entire hospital failed to meet its goals. I make it a priority to make sure my...
  25. General E. Speaking, RN

    Paying for priority

    I hope my hopsital doesn't get wind of this. We had a "VIP" room at a hopsital where I worked. Like the other nurses, it would irk me to be reminded of their VIP status. I prioritze by patient...