General E. Speaking, RN RN

floor to ICU

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All Content by General E. Speaking, RN

  1. General E. Speaking, RN

    Direct Admissions without doctor orders

  2. General E. Speaking, RN

    Low Press "Gag"ney Scores- help!!

  3. General E. Speaking, RN

    Houston Community College ADN

    I see the orignial post was a bit ago, however, wanted to chime in. Did the orignial OP ever get intoa program? I did prereqs at HCC. it was a horrible experience. I did a transitional LVN to RN...
  4. General E. Speaking, RN

    Group One

    When are you moving? Did LVN-RN some clinicals at Katy Memorial Hermann. I am just getting back in the swing of Allnurses. Was computerless for a long while. You can PM if you have any questions....
  5. General E. Speaking, RN

    Low Press "Gag"ney Scores- help!!

    We do get to read comments from the patients on the surveys. You are right, it is a good learning tool. Sometimes a patient that no matter what will not be happy. Lately, it seems that these are...
  6. General E. Speaking, RN

    You know you're Old School when...

    Tubex syringes with the metal contraption flushing saline locks with heparin every 8 hrs HHH enemas (already mentioned but worth saying again) theophylline drips- the patients would resemble that...
  7. General E. Speaking, RN

    Floor to Mgmt? Smooth transition?

    I am applying for a clinical coordinator position on the Telemetry Unit where I work. It is a new position and even if I do not get the job, it will be a great thing for our unit. I have been...
  8. General E. Speaking, RN

    Do you push Fentanyl on the floor?

    Saw a thread on this from 2004 but nothing recent. One of our docs ordered Fentanyl push PRN for a patient on our Tele unit. We don't usually administer it push (PCA or patch usually). Anyway, we...
  9. General E. Speaking, RN

    Learn To Say It Correctly!!

    I received report from a nurse who said the patient was in "sinus rhythmus" and was wearing a "nasal canoola". What?? Heard a tech say she had "SCRAWberries" for lunch that made her...
  10. General E. Speaking, RN

    Do you push Fentanyl on the floor?

    Thanks for the responses. I am going to bring this up at Nurse Practice Counsel next month and the Pharmacy Committee meeting. I certainly understand the doctor's point, however, (because it is not...
  11. General E. Speaking, RN

    Do you push Fentanyl on the floor?

    Not really helpful to my
  12. General E. Speaking, RN

    Drug seekers: where's the compassion?

    Having knee issues for > 1 year and being 3 mos post TKR, I can tell that I have a tolerence to the pain meds I have been on for so long. Just a gentle reminder that tolerence is not the same as...
  13. General E. Speaking, RN

    ACLS in telemetry or intermediate care units

    Med Surg, Tele, OR, ER, CCU and ICU are all required to have ACLS. I believe that the OB nurses even have to have
  14. General E. Speaking, RN

    what do nurses hate about doctors?

    I totally loved the comment that someone made: "Patients are nursed back to health not doctored back to health" So
  15. General E. Speaking, RN

    Floor nursing to Management?

    I posted this in the Nursing Management section but didn't get much of a response so I thought I'd try here: I am applying for a clinical coordinator position on the Telemetry Unit where I work. It is...
  16. General E. Speaking, RN

    nursing home to hospital

    Not to mention you have no hospital experience. Nursing home to hospital will be a big change. You will have to get an employer who will offer you more than a 2 week orientation. Sounds like you...
  17. General E. Speaking, RN

    Call in sick, or risk getting patients sick?

    I totally understand that it isn't considered a "write -up" if you get sent home. I have run into absense trouble myself (even having a doctor's note doesn't matter). One point I have, however, is...
  18. General E. Speaking, RN

    Bedside shift report.

    They mentioned us starting this but it hasn't happened yet. Sometimes it is difficult enough trying to track down 3 or 4 nurses for a report at the nurses station. I do see the benefit but wonder...
  19. General E. Speaking, RN

    Floor to Mgmt? Smooth transition?

    Thanks for the comment. I feel I will have upper mgmt support if I get the job. Any other nurses out there who went from floor to mgmt? I would love to here your
  20. General E. Speaking, RN

    Have YOU had a Total Knee Replacement?

    Wanting to talk to other nurses that had to have a TKR? I am a 43 yo that is 8 weeks post op and on medical leave until January. I am still having stiffness, swelling and some pain. Not as much pain...
  21. General E. Speaking, RN

    NO LUNCH? NO BREAKS? Is that common in nursing?

  22. General E. Speaking, RN

    What would you change about Nursing to make it better?

    Get a nurse friendly computer system for charting. We are not computerized so until then I would like ONE fold out sheet that follows the patient from the ER or OR to the floor so I do not have to...
  23. General E. Speaking, RN

    Does anyone know of any online ICU prep courses

    "I'm not sure of particular prep courses but http://www.icufaqs.org has good info for ICU nurses. " Tweety; I love, love, love this site. I actually ordered the book. It is awesome and explains...
  24. General E. Speaking, RN

    NO LUNCH? NO BREAKS? Is that common in nursing?

    I just found out that come January we are going to be required to actually clock out and in for lunch. Before the hospital would automatically take out the 30 minutes everyday. I, too, am in a Right...
  25. General E. Speaking, RN

    Most embarrassing mistake you've ever made

    I decided to be nice (since the patient had a huge room full of visitors) and shut the bathroom door behind me while I was flushing the urine down the toilet. I have a habit of knocking on any closed...