al7139

al7139 ASN, RN

Emergency

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All Content by al7139

  1. As a new RN you will be in great demand. In most cases, you can pick and choose your area of specialty, including L&D, or ICU. There are some hospitals that require more experience for certain...
  2. Help!!!

    Hi there, I feel your pain. I have been a nurse since May of this year, and have had real problems with one nurse who takes forever to get report. I was really getting frustrated with this because...
  3. Hey all, I haven't started a new thread in a while, but had a tough one last shift. Got in at 3pm, got report. Great, only 5 pts to start, 4 who were doing fine, and one new admit who had just...
  4. Was I overreacting?(long)

    Hi, I am not a peds nurse, but I am a new grad. One thing my preceptors have taught me is to trust your gut. If it don't feel right to you, it aint. Any pt on my unit (cardiac/telemetry) that is...
  5. Hospital declines

    Last night I got a pt who had explosive diarrhea r/t PEG tube feedings. When he was passed off to me, the bathroom was covered in poop! The reporting RN had made the call to ESD to come clean his...
  6. What would you change about your scrubs?

    I want them to be useful. Here are my answers: 1.I look for fit, especially in the pants. I am a petite person, so lots of brands require alteration, since they do not have petite sizes. I also want...
  7. pt enjoys pericare too much...

    Tee Hee, I had a 100yo female once ask me to scratch her lady parts because it was itching (she had a foley). I told her that I could not do that but that I would assess for irritation and get meds...
  8. Looking To Relocate To Virginia

    Hi, I don't know about schools, etc. for your child, but I can tell you about the hospitals in the area. I work for Sentara, which has seven hospitals in the area. Some would be a commute from...
  9. orientation: I feel stupid and incompetant

    You are not stupid, but it does sound like you are not getting a good orientation. I just graduated this past May, and when I started on my unit (telly/cardiac/medicine), I was totally panicked. I...
  10. Had a rough shift...need some input please!

    Thank you to Baptized by Fire for that link. Although it was mostly pediatric info, it was still helpful. I also looked up thyroid storm in my textbooks from school. After this patient, I will...
  11. Any feedback is welcome. Please chime in!

    If I had to work with a charge like that I would definitely report her. Also, as a new nurse myself, I often have to run things by other nurses to make sure I am doing the right thing, or get a...
  12. low class

    Dear Metalhead, Anyone who looks down on what you do has absolutely no idea just how important your job is. Without CNAs, the healthcare system would probably fall apart. I started as a nursing...
  13. Had a rough shift...need some input please!

    Thank you all for your support and feedback. I am so new at this that sometimes I feel like I never went to school! Good to know that I did the right thing. We did call our Medical Response Team to...
  14. I made an "Oopsie", need some pointers

    Perhaps you could ask your preceptor if there is a way to find out if the pt will be seen on admission to the floor, or if you need to get orders written in the ed, or if there is a protocol to...
  15. I made an "Oopsie", need some pointers

    In my hospital, we often recieve pts from the ed with no orders or minimum (O2, fluids, bloodwork, diet, vital signs). We usually have an order to call the MD on arrival to the floor. If it's a...
  16. OK, Let me submit my opinion: As a new grad who has been working as an RN since June, I think I can see both sides. I had several clinical experiences in school where as a student I was treated as...
  17. Nurse story

    OK, I have had lots of patients who were either just making inappropriate comments, or actually groping us nurses. Either way, you have to set limits with your patients. Lots of people who have...
  18. Ethical question

    Hi, I have had several patients who were HIV positive or had AIDS. In some cases they found out while in the hospital, and some had an existing history. Some were drug users (or in recovery), some...
  19. Mean nurses

    Hi, As a new grad nurse, I remember my clinicals like they were yesterday. Some units we went to welcomed us and the nurses were eager to have us since it meant less work for the. Other units the...
  20. Again....lazy workers

    If another nurse is giving inferior care to their patients, it is your responsibility to report it. It is not (I am sorry to say), your responsibility to take on her patients. I know it sucks, but...
  21. New nurse cracking under pressure

    Hi, Funny how we always think the grass is greener on the other side. I work on a busy cardiac unit (fresh out of school). Our pt ratio is usually 6:1 except on nights where we might get 7:1. Lots...
  22. grrr! gossiping, I cant stand it!!!

    Hi, I am a new grad, and can relate to alot of this thread. I work the 3-11pm shift, and when I first started on th efloor, I heard rumors about certain nurses on nights who would eat the new people...
  23. Hi, I hope my advice helps you. I am also a new grad on a telemetry unit. We use tape recorders for report as well as do walking rounds with the outgoing nurses. My routine is this: I get my...
  24. Had a rough shift...need some input please!

    Hey all, Thanks again for your replies. We DID call a MRT on her, and we did start her on O2 immediately, but it was a very frustrating situation to deal with. FYI, She came back to our unit two...
  25. Tired of picking up her patients!!

    Hi, I feel your pain. For the most part, we have a good staff, but there are a few who I hate to follow because of these same issues. We follow a chain of command that seems to work in these cases....