Caffeine_IV

Caffeine_IV

LTC, med/surg, hospice

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All Content by Caffeine_IV

  1. Have you ever done something against the law to protect your patient?

    Caffeine_IV replied to Alnitak7's topic in General Nursing

    4 side rails is a restraint and I see a lot of people that do

  2. The way we ask for someone's pain level?

    Caffeine_IV replied to cmav8's topic in General Nursing

    I'm not stingy with pain meds at all. I prefer direct questions. "Are you having pain?" What is your pain level? Would you like something for pain? I have too much to do besides worry if someone is...

  3. Would inpatient hospice be a good fit for me?

    Caffeine_IV replied to PeacockMaiden's topic in Hospice, Palliative

    Depends on the place. I work in a hospice house that is having a lot of turnover and unreliable staff. The night nurses have had between 7-9 patients frequently. The patients can be high acuity or...

  4. Poop Free Nursing Jobs in the Hospital?

    Caffeine_IV replied to IcySageNurse's topic in General Nursing

    Just go to NP school and forget looking for a poop free job. Crap is just about everywhere for those with minimal experience. Sometimes you have to spend time in the trenches to get the ideal job and...

  5. D50 for blood glucose protocol vs juice/snacks, your thoughts

    Caffeine_IV replied to Billy_Ruben's topic in General Nursing

    D50 is usually last resort in the protocol I'm used to. We would use some form of carbs, glucagon or glucose gel and then d50 if they were unresponsive or unable to take PO. D50 is a quick

  6. Irritating things about being a nurse VENT

    Caffeine_IV replied to CrazierThanYou's topic in Patient, Colleague Relations

    Having most responsibility and accountability without the respect is irritating. Everything gets deferred to nursing..the room is cold, the floor is sticky, the food is gross, my visitors want

  7. What exactly do physicians do again?

    Caffeine_IV replied to wanderlustgirl's topic in Patient, Colleague Relations

    The doctors do not come to RR unless by chance they are on the floor. I did think an MD had to be at the code to pronounce the patient if

  8. Nurses who go on breaks during report

    Caffeine_IV replied to cleback's topic in General Nursing

    The patient is their patient until they have given report and handed them off. This I why I like walking rounds. I've never heard of a nurse that was slow to give report as most can't wait on their...

  9. Single moms, daycare and day shift

    Caffeine_IV replied to HelenaHandbasket's topic in General Nursing

    I would hire a private sitter (of course do background check and all) and have them come to your home at 530 and get kids ready for school or at least oversee them. Are they of age to ride the

  10. Blue about Code Blue

    Caffeine_IV replied to barbaralynn's topic in First Year After Licensure

  11. Got fired for changing fluid rate

    Caffeine_IV replied to lolakbolak's topic in General Nursing

    I do not follow this story one bit. I have never heard of,anyone being fired over such a thing especially during orientation. How would anyone even know you had changed the fluid rate? You should not...

  12. Question about hospice patients

    Caffeine_IV replied to neuron's topic in Hospice, Palliative

    If they have family I will ask. Beyond that I use my judgement. If they had pain or distress that was difficult to control and we had them settled, I would ask that they not be moved. I work...

  13. How do you talk to patients with weight issues?

    Caffeine_IV replied to CrystalSSA's topic in Patient, Colleague Relations

    I don't say anything unless they bring it up. I find it is best to meet people where they are with whatever issue they have. Scare tactics don't work if they aren't receptive atall Obese people know...

  14. Burned out and hate nursing

    Caffeine_IV replied to RN1023's topic in Health, Stress Management

    I hope you can find something that fits you better OP. I was burned out from medical floor nursing, policies constantly changing, demanding patients and visitors. Understaffed 90% of the time....

  15. Is it really necessary to learn to read an ekg? anyone really use it?

    Caffeine_IV replied to northmississippi's topic in General Nursing

    Everyone is saying yes however on my former floor, I worked general medical and we did not read strips. The nurses that wanted to do a tele class had to BEG to do that. I have taken EKG class for...

  16. RN total patient care...

    Caffeine_IV replied to julz68's topic in Patient, Colleague Relations

    I don't like that idea especially on med surg with 5+ patients per nurse. I prefer having a nursing assistant to fall back on if I put someone on the bedpan and they ring to get off, if someone is a 2...

  17. "I'm not floating."

    Caffeine_IV replied to Morainey's topic in General Nursing

    We kept a float book where I used to work. I didn't float very often since I was charge. The easiest floats were psych to do a 1:1. You just sat and watched the patient and documented. Luckily they...

  18. Nurses: How often do you...

    Caffeine_IV replied to doxielover304's topic in Diploma, ADN, BSN

    1. I work inpt hospice so I see people die daily. Sometimes 2 or more. Too many experiences to tell but most are peaceful. When I was a hospital nurse. I would have maybe 1 death a month. 2. Common...

  19. What if the Boston bomber was your pt

    Caffeine_IV replied to imintrouble's topic in Patient, Colleague Relations

    I wouldn't want to take care of him if I knew someone he hurt personally. I suppose I could do my job at the most basic level but for compassion, sympathy, a kind ear to listen...I'm not the

  20. Vent: Downgrading patient from ICU status

    Caffeine_IV replied to ukjenn231's topic in General Nursing

    If they want to send critical care patients to the floor, they should send an ICU nurse along with them. What does happen to patients needing an icu bed when none ate open? Do they just stay in the...

  21. very confused about my hospice job- need advice

    Caffeine_IV replied to maybug's topic in Hospice, Palliative

    I agree. While it isn't as demanding as med surg..for me, it can be quite busy especially with a patient in crisis. Then throw a death in the mix and it is hard to catch up. Admissions are very time...

  22. Top 3 admitting terminal dx

    Caffeine_IV replied to NC29mom's topic in Hospice, Palliative

    Lots of cancer and respiratory

  23. Inpatient center patient load

    Caffeine_IV replied to hospicernva's topic in Hospice, Palliative

    We have a 30 bed hospice house. 2 nurses minimum regardless of load (someone has to witness waste). The goal is 6 pt per nurse for nights and 4 on days. 1 aide for 12 patients and 2 aides for above...

  24. Tricks of the trade: Diversion- stories of the stupid and sly?

    Caffeine_IV replied to SuzieVN's topic in General Nursing

    No personal stories but I have seen how easy it is to divert meds in hospitals and nursing homes. People usually get caught because as it becomes a full fledged addiction..they get greedy and sloppy....

  25. getting the life drained out of you

    Caffeine_IV replied to proud nurse's topic in General Nursing

    Your time management skills get better as you progress. 7 is a lot even on nights though. You just have to learn how to cut out the fluff when possible and make every hour count. Hopefully the wild...