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 do you think about this job offering here in TX?

    Would there be opportunity for you to advance soon and use your RN license? I thought in situations like these, even though you have a LVN job, you are still held to your highest degree (RN).... Could...
  2. General E. Speaking, RN

    Medical shows...

    Side Rails down, green sheets on the beds, pt w/ a trach/ETT PLUS nasal
  3. General E. Speaking, RN

    Continuous arterial ABG monitoring

    Thanks for the replies. I agree it seems like a ridiculous expense. I wonder, too, if the doc has some sort of "interest" in the company supplying
  4. General E. Speaking, RN

    What is the importance of patient sitting up in chair?

    ...to assist w/ pulmonary toilet (amongst other things)
  5. General E. Speaking, RN

    Help - First Job as LPN is an agency job!

    wondering what happened to the OP on her first
  6. General E. Speaking, RN

    Administration okays family's mental abuse of staff

    No, it is not alright for staff to be abused. The 'suits' should've talked with the nursing staff as well to get both sides of the story. When we have had family members like this in ICU, it has...
  7. General E. Speaking, RN

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

    To the charge nurse: Please don't make me give report to that nurse. I already had a crappy day and now because of your assignment I am going to be here and extra 20 minutes combing through the...
  8. General E. Speaking, RN

    You shouldn't be visiting this ICU patient if . . .

    ...you just came from a bar/happy
  9. General E. Speaking, RN

    What is the best unit to work in and why?

    ICU
  10. General E. Speaking, RN

    What do TX RNs make?

    No, I was
  11. General E. Speaking, RN

    What do TX RNs make?

    Well, we usually don't let outsiders in BUT since you say you have lived here before... lol. In my area (Houston), new grads make $24-26/hr. I make around
  12. General E. Speaking, RN

    moving to texas

    I have often thought that this Texas Forum needs to be divided up into regions: Hill Country, Valley, Panhandle,
  13. General E. Speaking, RN

    Time Management

    Yes, it will get better. A brain sheet is a must. You will get better at anticipating what to bring to the room (avoiding the back and forth). Your skills will improve with some time. We have an...
  14. General E. Speaking, RN

    code blue question

    Make sure you survey each of your rooms when you go into assess your patients. Make sure you have an ambu bag, regulators for O2 and suction with a suction set up ready to go. Locate your code button...
  15. General E. Speaking, RN

    working as a CNA on a hospital's Med Surg floor

    Wanted to add that under the "Student Forum" there is a section for PCTs/CNAs. You may have better luck searching/posting there. Good
  16. General E. Speaking, RN

    working as a CNA on a hospital's Med Surg floor

    I am not a CNA so I cannot answer for them. I have never worked in a NH. But, in general, you will have less patients at a hospital vs NH. Some of the CNAs at our hospital are worth their weight in...
  17. General E. Speaking, RN

    Help - First Job as LPN is an agency job!

    I'm just trying to be realistic. It is risky, considering what is at stake if the "shot" fails. I hope she posts on how her day went and what her experiences were like. I am praying that...
  18. General E. Speaking, RN

    working as a CNA on a hospital's Med Surg floor

    Doing vital signs and charting them, assisting w/ meals, passing meal trays, filling water pitchers, bathing, toileting, repositioning, answering call lights, and cleaning bed bound pts that are...
  19. General E. Speaking, RN

    Help - First Job as LPN is an agency job!

    I am sorry that the posts seem negative. I think we are just afraid for her license and the safety of those she is caring for. When I got out of school, I didn't know squat. Looking back, I realize...
  20. General E. Speaking, RN

    Need advice re: new nurses not getting good orientation

    Are all the night nurses new grads? If there are one or two "seasoned" nurses, would it be possible for one of them to work a couple of nights without an assignment and just be there as a resource...
  21. General E. Speaking, RN

    H1N1 season and not taking the vaccine

    My 44 year old friend (that I have known since elementary school) just died yesterday. She had been having flu-like symptoms and had no other health problems. Highly suspicious for influenza but...
  22. General E. Speaking, RN

    Protocol for comfort care

    I am sorry about your mother. :hug: End of life care is often overlooked and very important. We have a Palliative Care team that can be consulted. Mainly, it is for spiritual-type support for the...
  23. General E. Speaking, RN

    Protocol for comfort care

    At my hospital it is up to each doc. Usually they write something like Ativan 1 or 2mg q 10-15 minutes PRN and Morphine IV PRN. (With a generous dose prior to extubation) I haven't seen a protocol....
  24. General E. Speaking, RN

    Experienced nurses: teach us your time management skills

    How so? Only one patients meds are pulled at a time. You log in, click the patients profile and return the unused meds, get into the other person's profile and pull their meds. How does this...
  25. General E. Speaking, RN

    RN needed for interview for assignment

    I had a young nervous man show up at our hospital one day needing to interview a nurse. He was sweating bullets and his voice was shaky. I admired his courage to come into a place where he didn't...