RNperdiem

RNperdiem RN

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All Content by RNperdiem

  1. Cricothyrotomy kits on crash carts?

    Not standard here either. For emergent intubations, anesthesia brings a backpack with airway gear, so maybe something might be in
  2. Bullying - Will HR help or make matters worse?

    Unless you can prove something like sexual harassment, or a specific type of discrimination, it is unlikely HR can do anything. Even if they could, do you even want to be still working there?...
  3. The Failure of Modern Healthcare due to Administration

    Humanity is trying to find its way in a new situation. What do you do when large numbers of people grow older, lose their ability to live independently, and don't have family available to care for...
  4. Per diem often comes with more requirements than a lot of nurses realize. Different places have different levels of enforcement, but usually it comes down to working at least one shift a pay period....
  5. Career Change

    I am not sure about the scheduling situation, but have a look at nursing informatics. A few of my coworkers made switch to informatics and never returned to
  6. ICU Ethical dilemma

    As nurses we often see the patient through a lens of logic, and the family sees the same situation through the lens of emotion. Sometimes a brain dead patient will be kept going so the organs...
  7. Another reason I like caps is that when you do need to wear full PPE, the N95 and KN95 masks have elastic that go over your head. Without a cap, every time you remove that mask, the elastic strap will...
  8. COVID changed a lot of things. I bought my first scrub cap a couple of months ago. I wear it when I have a COVID isolation patient. First kind of cap I have worn since the white nursing cap in nursing...
  9. If this is your first "real" adult-level job, be kind to yourself; it is a culture shock, and it takes time to build stamina. The transition from student life to full-time working adult is not...
  10. No. I work one day a week per diem and feel generous if I pick up extra, so I am working from the opposite
  11. First Big Error - Advice Needed

    If your hypoglycemic patient was sent to the OR alert and talking, then he wasn't in serious trouble. If the procedure is any length, anesthesia draws labs and monitors results, same with the PACU....
  12. Was it easier to practice as a nurse back in the day?

    Like lots of things it is a mixed bag. There is a whole lot more charting. It seems like every move a nurse makes needs to be backed up by some sort of documentation. Some things that I...
  13. Ageism in Nursing?

    When I read the line downthread about patient loads getting heavier, I thought about the patients I have cared for for the last few months. Nobody has weighed less than 250lbs. My last patient was...
  14. I Am Absolutely Miserable Because I Hate Being A Nurse

    I am hoping the road trip brings some relief. Taking action to help with your problems like trying other types of nursing or a total career change are wonderful to see. If you need to change...
  15. Burn ICU vs Trauma ICU

    I work in the Trauma ICU, and have floated a lot to burns. Personally, I prefer the Trauma ICU. I like the variety of surgical patients (My ICU is both surgery and trauma). One day I might be...
  16. Health literacy question

    You don't see many totally illiterate people anymore, but early in my nursing career about 25 years ago, there were still some older people who were. The elderly lady was admitted to our unit,...
  17. Ageism in Nursing?

    Ageism can be a subtle thing to spot, and can be the result of bias and blind spots. The nurses working in the hospital at least got the job. Online applications often go through...
  18. Pregnant, when do you start light duty?

    I stay out of other people's private health issues. I assume some conversation and agreement was worked out with the manager. I also assume that I don't know all the details of another person's...
  19. having a hard time with difficult patient

    Sometimes in my unit, difficult patients get put on an unofficial "respite list" where nurses get limited number of shifts to keep nurses from burning out. You can talk to whoever makes your...
  20. I was working in the same ICU I work in still today. It was in the middle of morning assessments when the unit secretary came out of the breakroom and announced that a plane had crashed. No...
  21. The Art of Delegating | What Nurses Do

    2BS Nurse, I remember in my first job, some of the aides would do a disappearing act. The rest of the aides were easy to delegate to, but a few were on perpetual breakfast, lunch or smoke
  22. Which position would be better?

    How about option 3: Stay with your dull but low stress day job for now while applying for other nursing jobs. Those two choices don't sound appealing at all. Hold out for something
  23. I am curious about the data. Mid-career college graduates making six figures and close to around $200K? That seems high. Did the researcher include all those master's prepared teachers and...
  24. What would you do?

    Is there an assistant nurse manager in your department who you are on better terms with? Technically they are in management, and you can list that person
  25. Everybody Wants To Be The Hero

    Tragic complications happen even with the best of care. Be careful what you assume happened unless you were there. When the doctors read out the risks and benefits on the consent, it is because some...