General E. Speaking, RN RN

floor to ICU

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All Content by General E. Speaking, RN

  1. General E. Speaking, RN

    Communication between nursing/pharmacy Crushing Meds

    lol! I swear the MAR said applesauce! Now, I will have to go back and look
  2. General E. Speaking, RN

    Needle Stick Injury on HIV+ pt

    I am so sorry, I know this is difficult. Had the same thing happen to me. I had a "low risk stick" too (seems like an oxymoron tho when HIV is involved). Mine happened a long time ago (about 17...
  3. General E. Speaking, RN

    Communication between nursing/pharmacy Crushing Meds

    Our computerized MARs say things too (like take on empty stomach, do not crush, etc...) but sometimes they dont make sense. I had a pt on Protonix. They were the granules and the directions on the...
  4. General E. Speaking, RN

    Advice for "seasoned" nurse moving to ICU

    Thats one thing I hear from everyone in my unit, that you are never alone. There is great teamwork there and I am
  5. General E. Speaking, RN

    Advice for "seasoned" nurse moving to ICU

    Thank you so much for the responses! My 3rd day was today and I was baptized by fire! Overdose 30 yo pt on a vent w/ Levophed, Propofol, Bicarb, NS boluses, con't Protonix, K runs, multiple...
  6. General E. Speaking, RN

    Patient to Nurse Ratio

    4 to 5 on tele unit. nights has same exact
  7. General E. Speaking, RN

    IF you WEREN'Ta nurse, what would you be???

    A marine biologist! I have a sick fascination with Great White
  8. General E. Speaking, RN

    notice of trial - witness

    I have been involved in a video-taped deposition before. Didn't have to go to the courtroom though. it was done in our hospital. Nerve racking! Got the summons at home late on a Friday with a guy...
  9. General E. Speaking, RN

    Vibram 5 fingers shoes

    I saw a guy with these on but we were on the river toobin' Not sure about working in them tho.
  10. General E. Speaking, RN

    Advice for "seasoned" nurse moving to ICU

    Yes, staying humble will be important. I hope I can transition smoothly. I am bored with the chaos surrounding charge nurse and ready to deal with a different kind of
  11. General E. Speaking, RN

    What have other nurses done that have freaked you out?

    Found out a fellow nurse hung a 25,000 unit heparin/250 ml NS in 30 minutes. She thought is was an
  12. General E. Speaking, RN

    Best place in US to be an RN?

    OMG, yes...don't come!! You CANNOT survive here in Texas w/o a/c in car or house!!! West Houston is experiencing a boom. Lots of new large hospitals coming. I am happy. Competiton is always
  13. General E. Speaking, RN

    Concerned for new grad in ICU supervisor role

    Wow. I have been nursing for a while and have lots of acute care experience on Med/Surg. I am leaving a full time Tele charge nurse position to go to ICU tomorrow as a staff nurse. Even with my...
  14. General E. Speaking, RN

    I have a mix of problems

    Sorry to hijack the thread but SWS RN, how long did it take for your knee replacements to stop hurting? I am going on 7 months (one knee!) and still feel stiffness and some
  15. General E. Speaking, RN

    when to give and hold PRN morphine

    Non-pharmacological remedies can always be tried! They may help the patient relax bit. But they are not a substitute for pain meds. If they do not work or are not helping, it is your DUTY as a...
  16. General E. Speaking, RN

    HR in 40s. Doc insisting on dig IV

    One of the nurses on my unit had a pt (due to be discharged) but had a short run of SVT. We called the cardiologist to update. At the time the HR was in the 70s. He ordered dig 0.25mg IV X 3 doses...
  17. General E. Speaking, RN

    HR in 40s. Doc insisting on dig IV

    Thanks for the responses. BTW, the nurse did ask him if he would like to give parameters. He flatly refused. I still feel like we did the right
  18. General E. Speaking, RN

    Happy Flippin' Nurse's Day

    Flavored coffee bar. 10 minute massages. Free lunch. The rest of the week is Happy Hospital
  19. General E. Speaking, RN

    Peer Interview

    I have been on a few peer interview panels. Mainly for the nurse managers they were hiring for our unit. They (upper mgmt) gave us some questions they wanted answered (Like: tell me about a time when...
  20. General E. Speaking, RN

    The retro nurse's outfit has returned

    When I started work at my hospital (10yrs ago) the nurses where required to wear all white. I had to go buy new tighty-whitey undies and bras (I came from a pedi background- no white!) Thankfully,...
  21. No, we don't have freakin' conditioner and blow dryers. This is a HOSPITAL not HOTEL. Seriously? You need a new pair of skid socks every single day???? Why? Are you blowing your nose in them? How...
  22. General E. Speaking, RN

    Something to start your day with a smile

    awesome! made me cry (in a good
  23. General E. Speaking, RN

    LVN or RN???

    If I had to do it over again, I would do the RN route first. However, I was a LVN for many years before I transitioned and I value my experience that I achieved during my LVN years. I think it...
  24. General E. Speaking, RN

    Changing one's spots

    All of the previous posts were right on the money. I would like to add: going into nursing purely for the money. Money is nice but, I believe, it shows in the type of care you give to your patients...
  25. General E. Speaking, RN

    Overuse of telemetry...anyone relate?????

    hope this