Caffeine_IV

Caffeine_IV

LTC, med/surg, hospice

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All Content by Caffeine_IV

  1. Manager interrupting

    I wouldn't appreciate that I wouldn't make a big deal of one occurrence.
  2. How to get into outpatient oncology

    I would say keep applying to any opening. Join ONC and meet with the local chapter for networking opportunities. I am starting an outpatient oncology/infusion position with a background in med/surg and hospice (about 8 years). I applied for an openi...
  3. Med/ surg nurse to patient ratio

    1:6 on nights.
  4. New job, IV issues

    Keep doing them. Practice, practice, practice. When one of the good stickers does an IV, watch them and note their technique.
  5. Would you suggest a different drug brand to a patient?

    Our case managers ( RNs and social workers) often ask the MD about substitutions/alternatives for meds that a patient cannot afford. As they say, discharge planning starts the day of admission. It is not out of my scope to advocate for my patient. I ...
  6. How many job applications are too many?

    I applied for 20 transfer position in my facility before I got one. I would apply to any position that interested me.
  7. If you could redo it....would you choose nursing?

    I would do it again but I would plan more in regards to my job selections. There have definitely been up and downs and some shifts where I'd say F-this I'm never coming back. I always came back though.
  8. I've met great and lazy techs same with nurses. I can easily remember the worst ones that take multiple smoke breaks, ignore call lights, take 3 hours to bath a patient or even sleep! Most do the job they are meant to do. No more no less. Some can ...
  9. I miss floor nursing...I think?

    I am also that left bedside for a Mon-Fri job with no patient interaction - not even on the phone! I miss patient care but it doesn't have to be bedside/acute care. I wish you well whatever you decide.
  10. Nope not with my current role. It's a desk nursing job with absolutely no patient interaction not even by phone. For many nurses that is a dream but I dread going to work. It's not a good fit for me. I don't miss the bedside rush but I would like to ...
  11. Medicine vs Surgery Unit

    Surgery is fast paced because you will have frequent admits/addons/discharges throughout the day. I found surgery to be predictable in that the patient with no complications has an expected course and routine. Unexpected things do occur and you will...
  12. You know the shift is gonna be a hot mess when ...

    The census is low and there are at least 8 surgeries scheduled and you aren't staffed appropriately When you do bedside rounds and 3 out of 5 patients are confused/fall risks with no family When "person who shall not be named" is the charge nurse for...
  13. I stole a bottle of ibuprofen

    I wouldn't call it diverting but it is stealing. First I would have simply asked another coworker if they had anything OTC I could take Not sure what to say but I would have kept this info to myself.
  14. Considering a Change - Not Sure of Career Path

    I can relate to this very well! I am working a desk job as a clinical documentation specialist and it is NOT for me. The only thing I like is the flexibility. I have done med surg, hospice, LTC and outpatient radiology. I didn't realize how much I e...
  15. Subtle deterioration on the floor

    I like the MEWS and that is what we have at our hospital. Of course nothing is error proof but it does help give insight to a.patient that may need closer monitoring Some of the other subtle assessment changes are things that many nurses only learn t...
  16. What is considered "job hopping?"

    In general I think moving on before a year would be hopping BUT whether it has a negative impact lies with your future employers. If you have the right set of skills and experience, it tends not to matter.
  17. Leaving current job after only 5 months

    I agree with everyone else. Everything besides the sign-on bonus make it an easy choice to me. I don't even want to calculate what my commute cost me in gas and tolls.
  18. What do you call it? (Piggyback)

    I call a piggyback when I hang the antibiotic or whatever medicine and the primary infusion is stopped. Are you describing low porting? For example, I might low port a continuous low rate infusion like nexium (on it's on pump) with the normal fluids ...
  19. Shift work and dating

    All of those websites can be hit or miss depending on timing and your location. For most success I would join 2 free ones and 1 paid site. Shift work is not your problem, you said you aren't super social but you will have to leave your house if you p...
  20. How to address a patient

    What's the reason for not using that? There are some things I was taught in nursing school that I have chosen to let go if they weren't relevant. My shift change note usually says Bedside report given to Caffeine IV by offgoing nurse, Supertired RN. ...
  21. Let's have some fun!

    You're the miralax for constipation, the haldol for my hallucinations You're the bed pad for Q2 turns and aloe vera for minor burns. Where's the electrode for my 12 lead? Yuck, is that the aroma of GI bleed?! Oh why must I suffer this verbal abuse fr...
  22. Transplant Coordinator

    6 months before a transfer is pretty good as many places require a year. And you have a good background with your ER and critical care experience. Would you be able to work PRN once a month? That is what I am doing since I took a non bedside role.
  23. PRN and working FT

    The FT job is supposed to take precedence so I generally would not let them know. It may be unavoidable depending on how your schedule is done.
  24. Work and pets?

    I'm sorry. My sweet curious cat got out and has been gone for 3 weeks. We really miss him. He would never even put a paw on the grass before. I hope you get a happy ending.
  25. The worst job you had before becoming a Nurse?

    Working at a department store in the mall. I'm sure it helped me with the customer service aspect of nursing but at $6.25/hr....it was draining. I was young (20) and pregnant working there and people would frown and look down on me. Even make rude co...