General E. Speaking, RN RN

floor to ICU

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All Content by General E. Speaking, RN

  1. General E. Speaking, RN

    I hate what's happening to nursing...

    General E. Speaking, RN replied to nyteshade's topic in Patient, Colleague Relations

    I do NOT understand at all. This is one of those stupid ideas that a pen pusher decided. Somebody please explain to me? They think more satisfied = better outcomes? How about this... lower...
  2. General E. Speaking, RN

    Genitourinary disorder -- HELP please!!!

    General E. Speaking, RN replied to sw122500's topic in Nursing Student Assistance

    Okay, take a deep breath. I will try and give you some hints in the right direction. Look up Cipro and see if there are any contraindications to giving it to the elderly, see whether the dose is...
  3. General E. Speaking, RN

    Never thought I'd have this problem: which job to choose?

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

    Job A. Get ER experience then transfer to NICU
  4. General E. Speaking, RN

    Genitourinary disorder -- HELP please!!!

    General E. Speaking, RN replied to sw122500's topic in Nursing Student Assistance

    Seems doable. Once you have some of your ideas/teaching plan in place, you might be able to get a little more feedback from us. You will not learn if we do your homework for you. Get your books out!...
  5. General E. Speaking, RN

    I hate what's happening to nursing...

    General E. Speaking, RN replied to nyteshade's topic in Patient, Colleague Relations

    (bumping this thread hoping to get more
  6. General E. Speaking, RN

    Wrinkled Ear Lobes means....

    General E. Speaking, RN replied to tiroka03's topic in General Nursing

    ...you're old? (sorry, I couldn't help
  7. General E. Speaking, RN

    Do acute care nurses look down on LTC nurses

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

    I think you don't know what you don't know. Before I did state audits of immunization records, I had NO IDEA what school nurses had to deal with. Chronically ill kids on lots of side-effect prone...
  8. General E. Speaking, RN

    I hate what's happening to nursing...

    General E. Speaking, RN replied to nyteshade's topic in Patient, Colleague Relations

    I was re-reading through this thread and I had to comment about this post. I do not see allnurses as full of "sad and negative comments". What I see is real life happening before your eyes. I do...
  9. General E. Speaking, RN

    Why do RNs fail to press TAKE in the PYXIS supply?

    General E. Speaking, RN replied to tahoe77's topic in General Nursing

    yup, Big Brother is always
  10. General E. Speaking, RN

    Do acute care nurses look down on LTC nurses

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

    Nope. LTC is a different world. If anything, I think you have to be even more creative with your critical thinking skills because of lack of resources (equipment, access to doctors,
  11. General E. Speaking, RN

    Things that patients say that make me smile!

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

    I had a lady with a hip fx that would need surgery. She had NO SHORT TERM memory at all. She kept asking the same questions over and over. Her family even put a note beside her bed that said "You are...
  12. General E. Speaking, RN

    I hate what's happening to nursing...

    General E. Speaking, RN replied to nyteshade's topic in Patient, Colleague Relations

    I agree. The max score for EXCELLENT care is 5 so why doesn't mgmt jump for joy when we get 4s? Because we are supposed to explain that we want all 5's because even though 5s are the max score, it...
  13. General E. Speaking, RN

    Things you'd LOVE to tell coworkers...and get away with it!

    General E. Speaking, RN replied to General E. Speaking, RN's topic in Patient, Colleague Relations

    Oh yea, and stop hiding your discharges from me. Everyone has had an admission, it's your turn! Let me do the assignment board, it my job. You are thinking about only how it will affect you. I am...
  14. General E. Speaking, RN

    Why do RNs fail to press TAKE in the PYXIS supply?

    General E. Speaking, RN replied to tahoe77's topic in General Nursing

    We have the talking supply pyxis too. "Thank you" "Did you forget to press a button" This is not new, I recall 20 yrs ago, the charge nurse running around because some didn't pull the orange charge...
  15. General E. Speaking, RN

    Any nursing heroes out there?

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

    I enjoy watching Animal Planet. I like seeing how these people dedicate their lives to saving animals. I was watching the show and felt a little sad that there are no real-life shows about nursing...
  16. General E. Speaking, RN

    Just a small vent...thanks for listening.

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

    I need to vent: Here's my day in a nutshell: heart rate up then way down, b/p down (started pressors), O2 sat's down (bagged, BiPap then intubated), dropped an NGT and got 1500ml out, kidneys failing,...
  17. General E. Speaking, RN

    Need some advise....PLEASE!!

    General E. Speaking, RN replied to scrublifenurse10's topic in General Nursing

    I think it would depend on how old my kids were and what kind of support I would have- family wise. You could view this 3-11 positions as a stepping stone to getting your RN (which would pay off...
  18. General E. Speaking, RN

    Just a small vent...thanks for listening.

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

    Thanks. I have worked outside of acute care (public health) and while it wasn't as fast-paced, bloody and adrenaline-filled, it still was important work that I found satisfying. Plus, I didn't go...
  19. General E. Speaking, RN

    what to do with reference letter with poor grammar?

    General E. Speaking, RN replied to birdie22's topic in Nursing Career

    Hmmm, this is tough. The content is what you want, but the delivery method is less than desirable. Would it be possible to approach Miss Speller (or Mr Speller :)) in a non-judgmental manner? Say...
  20. General E. Speaking, RN

    "The Code Blue Disturbed The Other Patients" - Shame on you bad nurses!

    General E. Speaking, RN replied to abbaking's topic in Patient, Colleague Relations

    ahhh, but this action does not support five star customer service . This entire thread revolves around
  21. General E. Speaking, RN

    Things you'd LOVE to be able to tell patients, and get away with it.

    General E. Speaking, RN replied to AngelfireRN's topic in Patient, Colleague Relations

    Geez, my dad is bowel-obsessed. My poor mom has to hide the
  22. General E. Speaking, RN

    How do You Treat PRN/Agency Nurses and Why?

    General E. Speaking, RN replied to tiroka03's topic in General Nursing

    When I was charge nurse, it could be a love/hate relationship. I loved the extra help but sometimes there were a few that just shouldn't have been there. Meaning, they weren't a strong nurse to...
  23. General E. Speaking, RN

    The 5 things you love & hate about being an RN

    General E. Speaking, RN replied to Aly529's topic in General Nursing

    ICU here. Love: using my critical thinking skills back up from my coworkers (mostly) getting to wk in 10 minutes (no traffic) learning new things/equipment being able to wk w/ some of the same docs...
  24. General E. Speaking, RN

    Have you ever worked as a state surveyor?

    General E. Speaking, RN replied to sasha2lady's topic in Nursing Career

    I don't think they target the weak. The best thing you can do it accept that they come and be as prepared as possible. Usually the facility will give you a laundry list of what they will be looking...
  25. General E. Speaking, RN

    Hurricanes! Yiikes

    General E. Speaking, RN replied to tiroka03's topic in General Nursing

    Have worked through several hurricanes. I usually volunteer to be on the A crew (actually there during) rather than B crew (aftermath/relief). All the above posts are excellent about what to bring....