al7139

al7139 ASN, RN

Emergency

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All Content by al7139

  1. Any other new nurses slapping their heads saying DUH!?

    I swear I say DUH! to myself several times each shift! It's really very normal ( I am told) for a new nurse. I am lucky I work in great unit with great staff, so I never feel dumb asking questions....
  2. First Time Nursing Diagnosis

    Hi, Heres my two cents: First: If your school requires Nursing Diagnoses, Please spend the extra money for a supplemental book on them. My fave through school was "Nursing Diagnosis Handbook, A...
  3. Enjoying being a nurse?

    Here is my take: I graduated in May 2007. Got my ATT in june. Started my new job soon after that (had already been hired pending graduation). I spent 12 weeks in orientation/preceptorship. Have...
  4. Had a rough shift...need some input please!

    Hey all, Thanks for your replies! As soon as I went into the pts room, I knew it was beyond my limited knowledge. Luckily we have phones that we carry with us and the ClinII number is always the...
  5. Stinky Nurse

    To add to my two cents: If it is culture, there may not be anything that can be done...How can you tell someone from another country to change their diet so they don't smell? Lots of times that is...
  6. Stinky Nurse

    Hey, My two cents are this: Agree with the person who said if the pts are complaining, to give the pt the resource to go to the unit mgr or the pt advocate. On our unit we are empowered to confront...
  7. Cardiac Gtt Titration

    As a tele nurse with >1 year experience I agree that you should not be titrating those meds on a unit outside of ICU or PCU. We do use weight based parameters (xmg/kg/min), but those are easy to...
  8. Good for you for standing up for yourself! I am an RN and work with lots of LPN's. I never ever get an attitude for an LPN asking me to push a med for them. To me it shows that they have the...
  9. Sliding Scale Insulin

    Hi, I work on a cardiac/medicine floor. We use sliding scale, but the docs do tweak them based on the pt. Lots of times we see orders that start coverage at 150 or 200. This is not very unusual,...
  10. Experience provided...

    Hi, I graduated in May of this year, and went to work on a tele floor. Whil I have some really crazy days at work, the experience will be an asset in the long run. From here with my experience (1-2...
  11. How to deal with coworker during report?

    Sounds sooo very familiar to me! I am a new grad working on a telemetry unit (hard enough!), but I work the 3-11pm shift and have to give report to the night shift who have a rep for eating the...
  12. Help! Will This Get Easier?

    It does get better. You have to get used to the fast paced all consuming life of a nursing student. Studying is way different for nursing than for other classes. You will probably hear stuff in...
  13. Cat had subcutaneous emphysema

    What procedure did your cat have? I had 17 years as a vet tech before getting my RN degree. It would help if you said what was done to her, then mabye I could help.
  14. Calcium imbalance due to immobility

    Hypocalcemia is a total serum Ca++ below 9.0mg/dl. Most calcium is stored in bone, and only a small amount of total body calcium present in extra-cellular fluid. The normal blood level of calcium is...
  15. To me this sounds like a potential lawsuit. The patient can sue the hospital for false imprisonment since it was not proven (via court order or POA) that she was mentally incompetent, regardless of...
  16. interview questions for new grad

    Funny that I did not get many heart related questions on my interview. I mainly got questions that related to dealing with communication issues such as "How would you handle a situation where a MD...
  17. Please help: new grad on tele floor

    Hi, I graduated this past May. I have been working on a tele floor since June. I have lots of advice, but will try to be brief: 1. Know your telemetry: especially what the abnormals are, and what...
  18. nurses who don't want students

    One other thing I can add to this discussion: I really learned alot about how I relate to people from having nurses who I didn't get along well with. I really toughened up in my first year of school,...
  19. nurses who don't want students

    Hi, Here is my two cents: As a new grad nurse, I can feel your frustration! In my clinicals at school, I experienced nurses who really hated having students. BUT, I also experienced nurses who...
  20. I'm a big cry-baby

    Hi, I work on a cardiac unit, and we have lots of pts who pass, or are newly diagnosed. I have found that the pts and families really just need a good listener most of the time. We care for these...
  21. Hello, I work on a tele unit with very ill pts. Here is my question: Our unit is trying to come up with a way to identify code status of pts without having to find the chart and look for it. This...
  22. Self sufficient???? When????

    Hello! I am a new grad that is off orientation for about a month now. I feel a lot like you sometimes. Luckily, I have a great experienced crew who I work with regularly! I do often have questions...
  23. Patients with interesting occupations (or not)

    Had a pt recently who in discussion said he had lived in a hole...Having just gotten report on this gentleman, and not yet having read his H&P, I assumed he meant he was homeless and really did...
  24. tktime

    Hi, I can tell you that if you move to Virginia Beach, you will have your pick of jobs. There are two major hospital organizations in the area: Sentara and Bon Secours. While Bon Secours pays more,...
  25. Quick little rant about the tele room here.

    Hello, I was reading this post because it caught my eye. I work on a telemetry unit and have had both frustrating days and good days. Our hospital has tele monitors that are responsible for the...