Thedreamer

Thedreamer

PCU/Hospice/Oncology

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All Content by Thedreamer

  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...

  16. Criteria for Giving IV BP Meds?

    Thedreamer replied to ChristineN's topic in General Nursing

    Um.. Really? Why on EARTH wouldnt that be treated? Its on them if they stroke out. Bring that sucker down nice and slow, Clonidine/Labetelol/Vasotec... I work on a PCU, Persistent High BP is something...

  17. New RN job... NO orientation!!!

    Thedreamer replied to Epona's topic in First Year After Licensure

    Run. Its your license on the line, not

  18. What's the issue with med surg?

    Thedreamer replied to BABYJADE06's topic in General Nursing

    Anything over 4 patients increases your risk for a medication error by 7% PER patient. Just

  19. Job Offer Rescinded .... Now What???

    Thedreamer replied to WorriedAbout2Morrow's topic in General Nursing

    I would definitely show up with the ad in interview attire and see what is going on. At the same time I would probably try to find out what the turnover rate is at that facility. It might be a...

  20. New grad taking ACLS course??

    Thedreamer replied to nurseypoo87's topic in First Year After Licensure

    I took it WHILE i was in my cardio class. When I got my RN and then sent out applications I was the only one who got interviewed of my classmates by a hospital quickly. The interview was also on a...

  21. Fictional vital sign charting

    Thedreamer replied to Rabid Response's topic in General Nursing

    I had a whole post I wrote but it ended up being a rant. I thought it best not to post it and instead say that I have seen a lot of unethical nursing so far in my few years of working. All I can...

  22. Fictional vital sign charting

    Thedreamer replied to Rabid Response's topic in General Nursing

    Ive had this happen to me a few times. Once on a patient who was charted as 120/80 at @0900 when I was in the room at 0910 taking a vital of 190/100. This happened a FEW times with this particular...

  23. WHAT were they thinking at that Nursing Home???

    Thedreamer replied to JDougRN's topic in Geriatric, LTC

    That is totally unacceptable nursing care. That poor

  24. Do hospitals incur a net gain or a net loss from the training of a new graduate RN?

    Thedreamer replied to WDM08002's topic in First Year After Licensure

    Dudette10 I agree 100% I have seen it done countless times that hard working nurses are kicked to the curb after years of experience and dedication to the company just to fill in with faster, younger...

  25. Leaving for another job

    Thedreamer replied to SWiseRN's topic in General Nursing

    Just let them know that you really appreciate the time and energy they have put into you. Stay professional and youll be fine! :) I hope you get the new