Thedreamer

Thedreamer has 4 years experience and specializes in PCU/Hospice/Oncology.

Latest Activity

1. how do you night nurses do your assessments?

   Thedreamer replied to redredrose's topic in General Nursing

   Just make sure you do your assessments after youve gotten

2. Patient and family priorities

   Thedreamer replied to hiddencatRN's topic in Emergency

   I had a lady being admitted for low H/H and Afib new onset, 88 y/o to my PCU. CRX/CT = r/o CHF + she had pleural effusions. All her sitter cared about? When is she getting a dinner tray? I was just...

3. Enough is enough- taking back our profession

   Thedreamer replied to forrester's topic in Activism, Healthcare

   I think the gist of this was, "I like

4. New Grad RN- Drowning in overloaded LTC setting- LOW STAFFING!

   Thedreamer replied to Jaimie.RN's topic in Geriatric, LTC

   Run. Its just a SNF. Its not worth your

5. Please take our burnout survey

   Thedreamer replied to SurroDoula's topic in General Nursing

   I got lucky in that regard... 5-7 patients on PCU though is NOT

6. Please take our burnout survey

   Thedreamer replied to SurroDoula's topic in General Nursing

   I wrote that new nurses should try to find a unit that they sense an openness and teamwork atmosphere. Feeling alone on the floor and stressed is the fastest way to burnout

7. Please take our burnout survey

   Thedreamer replied to SurroDoula's topic in General Nursing

   Done and

8. Do I have to train for a new job on day shift?

   Thedreamer replied to RN_jobhunting's topic in General Nursing

   To be honest, on our unit we have a saying, Day shifters can do nights but night shifters cant do days. Day shift is a fast pace, procedures happen, Drs need to be called, family is there.. Theres...

9. Your thoughts/reasons patient is in pain or addicted or what...?

   Thedreamer replied to NocturneNrse's topic in General Nursing

   Considering her age.. who cares? Its ONE freaking vicodin every 4 hours. I have patients with the Fent patch, Dilaudid q3 and Benadryl q3 that are young. Shes probably not even getting a "buzz" from...

10. Anyone ever ask for more orientation?

    Thedreamer replied to beatrice1's topic in Geriatric, LTC

    Orientation should be you following the same nurse for a few weeks. Thats my solid opinion on the case. Being tossed around from nurse to nurse only confuses you since you arent seeing a consistent...

11. Is it more difficult to complete an RN to BSN bridge program online than in person?

    Thedreamer replied to AllNursesisCool's topic in Online Distance Learning

    From what the nurses on the floor are telling me, online is a LOT more writting, but I think all in all it equals out to the same

12. Patients' "home remedies"? What have you seen

    Thedreamer replied to flyingchange's topic in General Nursing

    Patients family "prayed" for the evil spirits to leave thier son (26 years old) so he wouldnt be diabetic. Guess who came in

13. Criteria for Giving IV BP Meds?

    Thedreamer replied to ChristineN's topic in General Nursing

    We had a lady come in with persistent N+V, throwing Irregular rythyms, BP, the whole 9 yards. Once we got her to stop vomiting and got the stat labs back.. potassium was 2.5! Eek! Gave her some NS...

14. Criteria for Giving IV BP Meds?

    Thedreamer replied to ChristineN's topic in General Nursing

    Yea, treating that underlying should paint a better picture to work with. Maybe some Zofran IV to help with the N+V, see if the BP comes down, check out what the CBC looks like, maybe get a BMP or...

15. Criteria for Giving IV BP Meds?

    Thedreamer replied to ChristineN's topic in General Nursing

    So call and get the order changed. Nurses are problem solvers as one of our many hats. True we dont know the entire situation but I see lazy nursing every day on my unit. As a patient advocate...