SpEdtacular

SpEdtacular MSN, RN, EMT-P

ED, Informatics, Clinical Analyst

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All Content by SpEdtacular

  1. Setting Priorities...need help

    I would definitely have someone address the fact that the patient is taking extra pain medication brought in by the family because that could turn out very
  2. Blood transfusions??? just say no...

    Also, management could agree but there's no guarantee that some type of emergency wouldn't come up where you'd have to give blood and then what? Then again there are providers that absolutely refuse...
  3. Need words of encouragment

    Float pool is probably the wrong place to be if you've never worked in a hospital. You could try to work something out with HR. Maybe they have a position elsewhere or can at least let you orient with...
  4. Orienting woes!

    Do you think maybe it's because she's working on night shift? I know when I had to do more than one night shift in a row I did not have the capacity to learn anything new or retain information because...
  5. My heart goes out to you! I have type II bipolar disorder and can't do nights. When I moved to NC and started a new job (as a medic) I was given a 3p-3a shift and within 2 weeks I was out of my mind....
  6. im selfish? hmmm

    People ask me if I'm going to have kids a lot since I moved to The South. My husband already has two sons and doesn't really want more. There was a point when I thought I really wanted kids and I used...
  7. As a patient, is it okay to suggest a vein for IV?

    Sometimes I actually ask patients where the best place is. I just hate the people who say you HAVE TO start it HERE when there are better places to stick. I had a lady actually pull her IV out because...
  8. When is patient education TOO much?!?

    Unfortunately there are people in this world who will find something wrong with everything and never be happy. Sometimes an apology (even if you really don't have any reason to apologize) will placate...
  9. The kiss of death: when you know you are about to get fired

    The advice to head them off is excellent and a job description is a must. It was said in a previous post that they might get you with the "other assigned duties" part of the description but you can...
  10. Selecting syringes

    I think you're asking about needle size and not syringe size am I right? Syringe size depends on what volume of medication you're giving 1cc, 3cc, 5cc, 10cc, etc., As for needle size you can always...
  11. How do rotating shifts work exactly?

    It depends on the facility. Sometimes it's the same days of the week but you'll do evenings for a while and then days for a while. Sometimes you rotate the days of the week and the times of day....
  12. Sexist Comment by Unit Director

    I think if anything the teasing was directed at men. It sounds like he was implying that women aren't afraid of "poopy diapers" and neither are HIS men, but other men fuhgetabout it! OP from what...
  13. Bipolar and calling in sick.

    A mental illness is an illness so calling in sick is fine. You need to see your psychiatrist and might need to adjust your medications. Sometimes it's as simple as upping your meds for a few days...
  14. WOW! The public really doesn't like us, huh?

    Sounds like our staff meetings. Patient satisfaction isn't where it should be. You need to talk up your teammates and tell patients we have the best equipments and tell them they are getting the best...
  15. WOW! The public really doesn't like us, huh?

    The hospital system by me does phone surveys which I think are even worse than the mailed ones because most people don't have time to talk on the phone or won't answer calls from some unknown company....
  16. experienced nurse with anxiety on the job

    This is a great thread! I have foley anxiety big time and it's good to know I'm not alone. I've been a medic for 7 years so IVs are no biggie. A few things I've learned: most people with bad veins...
  17. Nuvigil

    My husband has tried both for shift work and they seemed to help. I tried Provigil and the only difference I noticed was that if I took it one day and then didn't the next I was about 1,000 x more...
  18. "Nurses Are So Mean"

    Great article! I wish more people could step back, accept that we're human and we make mistakes, and let things roll off their shoulders. People have freaked out on me before: patients, family...
  19. What kind of allergy symptoms did you have? Saying I have allergies is very vague and could mean you're sneezing or you're in anaphylactic shock. I'm allergic to shrimp and I get angioedema in my eyes...
  20. An ER "First" for Me...

    I've heard that a million times. I've also seen a lot of allergies to blood pressure meds and/or nitro because "it drops my pressure" and aspirin because "upsets my stomach" (then you see they take...
  21. Position difference between RN vs. BSN

    Interesting information. I haven't had the opportunity to read all the studies at this point but it seems they show a definite correlation. I'm curious about whether or not they found causation and...
  22. Position difference between RN vs. BSN

    I've never heard that BSNs have better patient outcomes. Where did you hear this? (I'm not being sarcastic. I know my post might come off that way). I know many hospitals prefer BSN over ADN because...
  23. Nurses with nose piercings?

    I agree with most people that it depends where you work whether piercing are ok and many facilities that allow them restrict you having a small stud. I have two large tattoos on my back. One of the...
  24. Where did you hear that?

    What are some strange/illogical/bizarre/false things you've heard while working in healthcare? For example: I had a patient with sciatica who was having a flare up. She was prescribed a muscle...
  25. burned out

    You'd probably be great at case management or utilization review with your background. Then you can fight to make sure your patients get the best care out