General E. Speaking, RN RN

floor to ICU

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All Content by General E. Speaking, RN

  1. General E. Speaking, RN

    What Next for an "old" nurse

    What about Public Health Nursing? I loved it when I worked for the state... umpteen years ago. Good luck and keep us
  2. General E. Speaking, RN

    stopcocks

    I am feeling more comfortable with the stopcocks! Thanks for all the stories/advice.
  3. General E. Speaking, RN

    stopcocks

    Just how long does it take to remember which way to turn the stopcocks? :) I know there is a logical way to look at them and my preceptor turns them without much effort and had been great about...
  4. General E. Speaking, RN

    Working as lpn while doing adn program?

    This what I did. I started working every weekend while finishing pre-reqs and continued while I was in the actual bridge program (11months). It is doable. You have no life but the good thing is...
  5. General E. Speaking, RN

    Volunteering in NICU

    I think this is a great way to get exposure to the NICU. I am not a baby nurse but love our volunteers at the hospital. It will look good on your resume
  6. General E. Speaking, RN

    Advice for "seasoned" nurse moving to ICU

    Oh my. ICU is so exciting. I am learning so much. Had a patient on 7 IVs yesterday. Rocuronium, ativan, fentanyl, NS x 2, Vasopressin, Levophed. She also had an art line, was vented (of course) and...
  7. General E. Speaking, RN

    New to ICU? What have you learn so far?

    This thread is great. Keep
  8. General E. Speaking, RN

    And if we catch you smoking you'll be charge $25

    Where does the $25 fine money go? Into a fund? Who gets to spend it? And on what?
  9. General E. Speaking, RN

    Share your ICU 'brain' report sheet

    Thanks for the responses. It has been an adjustment going from writing things down for 5-6 pts on the the floor to 2 pts in the unit. I am actually trying to wean myself from jotting things down...
  10. General E. Speaking, RN

    tricks played on new JR doctors!

    We have had some of our docs play tricks on the nurses. I mean, we are all human. I, for one, enjoy my sense of humor. It gets me through the day. I regularly make my patients (and coworkers-...
  11. General E. Speaking, RN

    Anyone worked with a clinical ladder? Problems?

    I have done the clinical ladder for the past two yrs. To get to level III at my facility you need an additional certification. Frustrating because I have enough points but no other cert (yet). The...
  12. General E. Speaking, RN

    Advice for "seasoned" nurse moving to ICU

    Thanks for asking! I am still enjoying it. Getting more comfortable with the 8 page trifold (no computer charting) and not having flip it over 20 times to find my spot-lol. I have been with a few...
  13. General E. Speaking, RN

    so i cried at work

    Eight is way too many to even begin to give proper care IMO! I guess that statement doesn't help you any. If you are expected to care for that many everyday somethings gotta give. How many techs do...
  14. General E. Speaking, RN

    Please be honest!

    ... because of the
  15. General E. Speaking, RN

    so i cried at work

    ((hugs)). Everyone has a hard time at first. 8 patients? Hospital setting? Seems like a lot to me. Organization is key. You must learn to prioritize! You must learn to delegate to UAPs and...
  16. General E. Speaking, RN

    Texas: Methodist Hospital Moves To Hire Only RNS' with BS degree

    New nurses at Methodist will need bachelor's degrees: “At the patient's bedside, the risk is high with very sick patients. The margin for error is very small. You have to have people who think and...
  17. General E. Speaking, RN

    Who's right: the RN or the LPN?

    I think they were being funny! I used to work for state run Immunization Program. This was many years ago and I realize that things change. However, in general, I believe that vaccines never have...
  18. General E. Speaking, RN

    Do you have a system for making fair pt assignments?

    Making assignments is difficult. I challenge anyone to try it. It is a thankless job and no matter who much time you spend on making it fair, there will be those that complain. Just remember that...
  19. General E. Speaking, RN

    Burnout?

    I hear ya! Think how much better we could take care of patients without all the other junk that goes with it? I have been at my facility for 10 yrs. Med-surg staff nurse, then Tele staff nurse, to...
  20. General E. Speaking, RN

    Retention perks?

    I am wondering what your hospital (or place of business) does for retention of nurses? Also, does seniority count? I realize that some of you are in an area where nurses are having a rough time...
  21. General E. Speaking, RN

    Things you wish you knew when you were young?

    sooo true! I wasted 5 years being a hairdresser... Plus, if I had gone back then he probably would have paid for it.
  22. General E. Speaking, RN

    Orienting to Open Heart Surgery Patients Today

    How exciting! I hope to do this one day. Good
  23. General E. Speaking, RN

    stopcocks

    Wow, seems I annoyed you with my trivial "student" question. I am new to ICU not to nursing. It is such a different world and I just wanted a little insight from the experienced. I am sure in time...
  24. General E. Speaking, RN

    The best nursing advice you've ever received

    "Work smart, not
  25. General E. Speaking, RN

    I really do not get it!

    Wow. Sorry you are having difficulties. Personally, I despise those who are petty. The ultimate goal is to care for patients. Unfortunately, nursing is dominated by females and females can be...