RNperdiem

RNperdiem RN

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All Content by RNperdiem

  1. Back to the Hospital?

    Is a per diem job an option for you in you old department in the hospital? If someone else carries the family health insurance and you can survive financially with job hours not guaranteed, look into...
  2. Multiple Drip Management tips/tricks

    Sometimes I follow nurses with a real skill for neatness. A manifold with neatly labeled lines all untangled and easy to use is a thing of joy. For teaching, include a picture of the ideal setup....
  3. Struggling

    This is how and why a lot of us leave our first job. Despite missing lunch, leaving late and running all day, I didn't have the satisfaction of at least knowing my patients were well looked after. The...
  4. 1. Resilience is the mental and emotional strength it takes to get through the day and to get through life. This resilience is a fluid state. A draining day can deplete your supply and good self-care...
  5. Patient Death - Caregiver Grief

    You assessed, medicated and called the doctor. You did what a good nurse should do. You did not ignore his distress even though you were being pulled in a million directions, and it could have been...
  6. I am lucky in that the manager is a nurse who is skilled at the tasks of management. She hires well, oversees orientation, communicates effectively and is fair in her policies. She also has power to...
  7. Feng Shui of Nursing

    I recently floated to a newer-built part of the hospital, and it was wonderful to have proper windows with natural light, rooms with a good layout and well-designed nurses stations. Breakrooms are...
  8. Nursing Then and Now

    I haven't been nursing as long as some of you, but over 25 years, I have noticed changes. Computer charting and being compliant for Joint Commision in that charting (which is frequently audited)...
  9. Is it just me?

    It is hard to switch off after some shifts and just go to sleep. This is where I take a long therapeutic walk and think about whatever comes into my mind. This is a set-aside time to work though...
  10. Feel like I did something wrong

    I think you did all the right things. Unless that magnesium was dangerously low, I don't think this was what caused things to go wrong. Any combination of pain, agitation, atrial fib,...
  11. I have remained with my job long-term because the conditions are good, management is reasonable, the commute is near and my per diem schedule is completely flexible, plus I got a very good a raise...
  12. Why is there a shortage of pediatric nurses?

    From what I read, many people who were on the verge of retirement retired early during COVID, so more people left the labor market than usual in only a couple of
  13. Level 3 vs level 1 Trauma Center

    When you say somewhere is an hour away, does this include the actual traffic you will be driving in? Do you work somewhere where snow is slow to be cleared off the roads, but you still need to come to...
  14. OR Nurse Preparation

    I have a slightly different take on preparation for a first job. I assume that this will be your first nursing job. I would use the time you have before your new grad program starts to...
  15. How to deal with lazy techs/CNAs?

    There is no changing the techs since this sounds like a deep-rooted problem. Transferring this fall is a great idea, but start doing your prep work now. Take a closer look at the units that interest...
  16. Need Your Advice: OR or ICU Ltac

    My personal opinion is that LTAC is more likely to be a burnout job. I worked a year of med-surg and dreamed of OR - a place with no call bells or constant stream of demanding visitors. That...
  17. Putting Your Health First

    This sounds like a situation of ask/guess culture. If someone is an asker, they figured asking anything, however outrageous it might seem to you is okay, since you can always say no right? A...
  18. Plotting your escape is a good start. Float to those other units. See if they triple patients. Is tripling a common thing now? I have only seen it done when stepdown or floor patients are still...
  19. Trouble is, if you live in the USA and you are sick, your job probably provides your health insurance. Having poor health is expensive. My husband worked worked all through his cancer treatment,...
  20. Oh yes, penmanship. My early nursing years involved reading those orders. Don't miss that part. I remember the first time I saw an order for a milk and molasses enema. Never heard of such a...
  21. How often is Vecuronium given in the ICU setting?

    It is hard to answer this one. Before COVID, I last gave this maybe 19-20 years ago. When COVID ECMO patients came to our unit, I found myself using vecuronium now and then. It also depends on...
  22. I would make an attempt to meet TheCommuter. Her posts had a lot of thought and a great writing style. I miss her contributions. I say I would make and attempt, but she says she is an...
  23. Also in nursing, you are looked down on depending on the patient population you work with. If you are working with the poor, marginalized, disabled, elderly or mentally ill people, sometimes people...
  24. In my academic medical center, some of the new grads I met there told me that the clinical instructors in their program looked down on hospital bedside nurses. Their attitude seemed to be that bedside...
  25. Are You Working Past Retirement Age?

    I am open to the possibility of working later in life. Women in my family can live a very long time. The idea of a retirement at an arbitrary age with a pension and money saved up is a recent...