General E. Speaking, RN RN

floor to ICU

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All Content by General E. Speaking, RN

  1. General E. Speaking, RN

    Time for some introspective criticism perhaps?

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

    It is easy for me to pick up OT- my only child is 18yrs old. I see both sides. One side: it is usually the same people over and over that are able to pick up OT. I guess some could view these...
  2. General E. Speaking, RN

    Conflict of Interest?

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

    I think the friendly conversations would eventually lead to discussing the health issues of her father...which could cause
  3. General E. Speaking, RN

    To get the flu shot, or not to get the flu shot...

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

    Had a visitor in ICU yesterday in a wheelchair. After speaking with her for a while, I found out she had polio as an 8 month old. Just a little reminder about how far we have come with...
  4. General E. Speaking, RN

    Pushing Dilaudid?

    General E. Speaking, RN replied to chacmool's topic in Patient Medications

    We push. We have recently developed a pretty aggressive Pain Management policy with standing orders to medicate, change the meds, and dosages. I haven't had a patient on this protocol but it is a...
  5. General E. Speaking, RN

    Continuous arterial ABG monitoring

    General E. Speaking, RN replied to General E. Speaking, RN's topic in CCU, Coronary, Cardiac

    It's only one of our CV surgeons that uses it and I heard today that it has to set up by the company representative every time it is used. So, someone from that company comes in for each set up. Cha...
  6. General E. Speaking, RN

    How to set limits?

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

    Ug. The dreaded TRS!!! (Tyrannosaurus Rex Syndrome) Meaning those wavy little arms up front are just for
  7. General E. Speaking, RN

    Continuous arterial ABG monitoring

    General E. Speaking, RN replied to General E. Speaking, RN's topic in CCU, Coronary, Cardiac

    No, it doesn't seem practical to me but this is what he likes to
  8. General E. Speaking, RN

    What's the scariest thing you've ever seen as a nurse?

    General E. Speaking, RN replied to Nurse0621's topic in General Nursing

    Not really scary...had a pt that decided to melt and inject his methodone. All of the flesh around both anticubitals had rotted off requiring an I&D in the OR. The dressing changes were quite...
  9. General E. Speaking, RN

    heartless DON or reality check?

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

    Horrible DON. I wonder what would have happened had the situation been turned around and SHE got the phone call? My grandmother died while I was working. The supervisor tracked me down (pre-cell...
  10. General E. Speaking, RN

    Never driving to work in snow again

    General E. Speaking, RN replied to NurseLoveJoy88's topic in General Nursing

    One year during an expected hurricane to our area, we were required to come the shift before and sleep at the hospital. BYOE meaning Bring Your Own Everything. We brought our own food, air...
  11. General E. Speaking, RN

    Never driving to work in snow again

    General E. Speaking, RN replied to NurseLoveJoy88's topic in General Nursing

    Don't have snow here in South Texas but have flooded out my Dh truck that cost $500 to fix. Have had my manger pick me up during a horrible rainstorm that flooded my neighborhood (big truck with...
  12. General E. Speaking, RN

    What do you fear most on the job?

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

    Missing some crucial detail that I should have known about my patient. Something in their history, some weird side effect about the umpteen meds I am giving, the result of a lab test that is late...
  13. General E. Speaking, RN

    Favoritism in assignments

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

    The OP said she has been there for 2
  14. General E. Speaking, RN

    CVICU Nursing

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

    You might try searching/posting in the critical care specialty section (CCU/MICU). You may get a better response or even find what you are looking for there. Good luck! Forgot to mention my favorite...
  15. General E. Speaking, RN

    What's your most creative solution to a problem at work, clinical and otherwise?

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

    We had a patient that had surgery resulting in a urostomy. Not a surgery we do frequently. We had no urostomy bags in house. It was after hours when the patient returned from surgery. We (the...
  16. General E. Speaking, RN

    How do you handle the smells and control your gag reflex?

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

    Shut off your sniffers and breath very shallowly through your barely (and I mean barely) opened mouth. That's the only way I can handle it- NOT to smell it at
  17. General E. Speaking, RN

    New job in Trauma ICU, in need of advice

    General E. Speaking, RN replied to xjessx's topic in MICU, SICU

    The old standby icufaqs.org. Amazing
  18. General E. Speaking, RN

    Learn To Say It Correctly!!

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

    I haven't read all the posts but hearing PhenerGRAN drives me
  19. General E. Speaking, RN

    Interviews & job offers....Murphy's law?

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

    Is it possible to gently let the second job opportunity know that you have already been offered a position? Tough position to be in. Especially since you feel you have already been in this position...
  20. General E. Speaking, RN

    If you could do it all over.....

    General E. Speaking, RN replied to GeminiRN2007's topic in Patient, Colleague Relations

    Zookeeper, I totally understand. I have done MS, Tele, charge nurse and now am in ICU. I have been a nurse for a while but until recently, no critical care experience. I pride myself on being a...
  21. General E. Speaking, RN

    What's your nursing kryptonite?

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

    stringy sticky trach secrections...
  22. General E. Speaking, RN

    Pros and Cons

    General E. Speaking, RN replied to FutureRN618's topic in Pre-Nursing Students

    'FYI: I know of someone that has her Masters Degree in Criminology. She does background investigations for private companies and the government. She travels frequently and gets a company car with a...
  23. General E. Speaking, RN

    Favoritism in assignments

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

    The assignments should be rotated. Perhaps you could approach it that way. Ask the manager if the assignments can be rotated so the newer nurses can get the "full" ER experience? As far as getting...
  24. General E. Speaking, RN

    Is Tele exp. helpful while trying to apply for ICU positions?

    General E. Speaking, RN replied to jspar007's topic in Texas Nursing

    Yes, Methodist just opened in
  25. General E. Speaking, RN

    Increasing staff compliance with hand hygiene

    General E. Speaking, RN replied to LMJRN's topic in Patient Safety Issues

    Our hospital has the foam on the outside of the rooms. The catchy phrase we use is: Foam in/foam