RNperdiem

RNperdiem RN

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All Content by RNperdiem

  1. Can I be an OR nurse as a new grad?

    Absolutely. Several of the large hospitals in my area have OR programs that give months of preceptorship. I once considered applying for one of those programs, but there was a two year commitment...
  2. Nurses Didn't Call Doctor

    Was this in a LTC setting? In an acute care setting, vitals are checked frequently and doctors round at least daily, and the heart rate would be
  3. How can a nurse sustain a healthy and happy relationship?

    You have a lower stress job with a fantastic schedule- the kind of outpatient job a lot of us dream about. Too bad you aren't getting the support at home. Do you support his working schedule? Are you...
  4. Freezing At A Critical Time

    Next time one of your coworkers is in a code/emergent situation, help out and observe what the other nurses do. Somehow, I found it easier to learn when it isn't your patient. When it is...
  5. Let's share some nursing tips

    Hydrogen peroxide poured onto fresh blood stains removes blood from fabric very well. First time I primed a rapid infuser, I hosed down some of my coworkers with blood, and I applied peroxide while...
  6. Sleeping On Unit

    Do you even want to be working here anymore? Are there other jobs you can look into for a fresh start? Did the manager even speak to you privately before springing this form to sign? I wonder at the...
  7. NaCl 23.4% for hyponatremia?

    In my experience, that kind of infusion is seen in neuro patients. As an above poster mentioned, a central line and very frequent labs are included. Wouldn't some sodium chloride tablets be...
  8. Going from 3 12s to M-F 5 8s

    At least with outpatient, you have a different group of patients every day. When I worked 7-3 five days a week with inpatients, the repetitive nature, especially with the "difficult" patients day...
  9. Bedside Report

    This is totally dependent on patient population. Like many nurses, I prefer a report at the nursing station and then a show and tell in the patient room where we sign off PCAs and vasoactive drips....
  10. Staying late after change of shift, what am I doing wrong?

    I force myself to chart at least something on each patient before I move on to the next one. For example, I will make sure I do my vitals page in EPIC, the I&Os, and do the first few sections of...
  11. Patient Assessment

    Over the past 25 or so years I have been working in hospitals, I have noticed a trend away from doctors listening to heart and lung sounds to looking at a combination of patient appearance, x-rays,...
  12. Frequent Bathing is Harmful to Health: 17th Century Pilgrims

    Interesting article. My mother was raised on a farm without running water. In her day, once a week full baths was a practical decision because it is incredibly labor-intensive to haul gallons and...
  13. NICU Nurses Are Not Nannies

    Try seeing it in another way. For a parent, they probably don't know what is expected of them. For you NICU is everyday reality, but the parents are walking into a new situation and don't know their...
  14. Degree over Experience?

    I wouldn't describe it is "choosing to stay stagnant". Education costs money. In a country where the majority of people don't have the money to cover even a $400 emergency expense, a community...
  15. Degree over Experience?

    My hospital was very much into BSN, being a magnet hospital and all. These days staffing is so short that I hope they relax the requirements a
  16. No CNAs

    CNAs especially night shift are hard to find these days. The labor shortage is widespread. If CNAs have an opportunity to move into a job with better conditions and pay, many will. The shortage of...
  17. Mid-Life Blues

    Be kind to yourself. For a new nurse, it is normal for your morale to take a dip after the newness of nursing wears off. Over time, you adjust and feel more comfortable. If you are not sleeping well...
  18. Is a long commute worth it?

    Is your daughter in a position to work at a local hospital for a period of time, and save up money to be able to move to a bigger city when she gets a job there? As others have said, getting...
  19. IV Push Ativan

    In ICU, we push all kinds of meds like Ativan, midazolam, hydromorphone, morphine and fentanyl. We are giving these drugs for a specific purpose. In 25 years of doing this, I have rarely had a...
  20. Is this a Violation?

    Your common sense alerted you when you started crossing some boundaries. Then you were self-aware enough to stop looking up where this person lives and get back to work. I wouldn't call nosiness...
  21. Judgmental rant about time off

    JBMmom, I can only imagine the disappointment at losing a good job that you enjoyed through no fault of your own. I would be peeved and upset too. As some of the others have pointed out, the...
  22. Why are Nurses Leaving the Bedside?

    My unit has several people leaving. NP, CRNA and travel jobs are the most popular escape
  23. Why are Nurses Leaving the Bedside?

    Interesting article. One part that really rings true for me is the lack of ancillary staff. I think there is an even bigger shortage of nursing assistants, transporters, unit secretaries and...
  24. Understanding Delirium in the Hospitalized Older Adult

    What are the treatments available for delirium except leaving the hospital for a more familiar routine and activity? I know prevention is the key, but in my windowless (small windows look out...
  25. Career over family?

    Can't find a job in your state? Does he work in a very niche field? There is a worker shortage in almost all fields, so that excuse sounds suspect. If you find a well- paying nursing job where...