amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

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All Content by amzyRN

  1. Warm packs and having a good grasp on the vein will help. Also know that diabetics usually have fragile veins that blow easily (more easily than a non diabetic), so with those be careful to not tear...
  2. Try to be comfortable in the learning process. Ask lots of questions and research info too. Know where to find the answers, know the policies and procedures. Keep a notebook and write things down so...
  3. I have to be out the door as fast as I can because employees will get in trouble for being late too much. I think anything more than one hour every pay period is really frowned upon. While I am not...
  4. I have done this and do state everything everyone else is reporting in their report. My reports contain the essential facts that are required in any hand off. For example, I have stated that certain...
  5. Butchered graduate nurse interview

    Interviews take practice to be comfortable. With more of them, you will get better. I would suggest getting as many interviews as possible, even for things you know you won't take, just for the...
  6. Do you go to work with vomiting/diarrhea?

    I might go in with a cold and wear a mask if I were getting over the cold, but never if I were really sick. They make us stay home if we have GI symptoms too. It's really not a good idea to work while...
  7. It depends on the facility one works in. My last job was all about positive reinforcement and it worked to increase morale and improve patient care. Our HCAPHS scores improved and it decreased...
  8. Rude physicians

    I started another job at a new facility and have noticed that two of their docs are very rude in interactions that I have had. I don't appreciate being grilled when I make a phone call or ask for...
  9. Rude physicians

    Yeah I do ask for clarification. This new job is really old school, still paper charting, no vocera to let nurses know that I am paging a doctor to see if calls can be combined. I had to call for...
  10. Question on reacting to tachycardic afib

    I'm surprised the cardiologist wasn't consulted on day 1. I would have called the cardiologist on the case about the sustaining A-fib with RVR. It's a dangerous rhythm due to blood clots, plus it is...
  11. IS MICU/SICU too much for New Grad?

    It is my personal opinion that new grads should go to a lower acuity specialty first like MS or tele. Or, they have a long orientation program, like 6 months. The reason being is usually a good...
  12. Would you like your job more if you were paid more?

    I thought that I might; until I got a new job that paid more and realize that I like it just the same. Sometimes money isn't everything and I think it's good to do things one
  13. I still do a complete head to toe assessment and double check vitals if I feel that is necessary. I let the student chart their assessment and I double check it to make sure it is makes sense. If I...
  14. What about talking to your colleagues about the matter? Since they had no qualms about getting cozy in the break room, maybe if you mentioned it, they may be more inclined to keep it on the down low....
  15. Cheating is hurtful and I tend to feel disappointed when people do things that seem to be out of character for them. I like to think that if someone is a good at their job, that their behavior outside...
  16. I think it is generally wrong to accept a job that one does not have any intention on keeping for at least a year, but there are exceptions to this. Sometimes a person needs the money and takes a job...
  17. Malpractice insurance

    I was recently told that it was advisable to not have private malpractice insurance and that it is better to be covered by the facility at my current job. This goes against everything I have been told...
  18. How will I know when I am ready?

    I had an opportunity to interview for a job in the ED, but already accepted a job on a tele unit, so I turned down the interview. I've been working on a tele/step down unit for the past 18months and...
  19. I stuck myself with a new needle (an insulin syringe) when I was taking it out of the package and it split my finger, like a paper cut kind of. It bled and hurt and I definitely felt it. From that...
  20. Malpractice insurance

    It was the documentation specialist at my new job. I was very surprised, because I have always been advised just the opposite. In nursing school, many nurses stressed having our own. But this...
  21. Where to start when you don't have experience.

    I agree with the idea of starting where you can get hired. I think some people can start in a specialty depending on the length of the training program and support offered, others chose to do a year...
  22. Pain assessments - gabapentin?????

    Yeah, kind of weird to have to reassess for gabapentin. As far as I understand, it's the kind of drug that requires a certain plasma concentration over time to have an effect. It's not like an...
  23. Bringin' home more than the bacon....

    I keep my work shoes either at work or in the garage in a plastic bag. I never wear them inside my house. Good hand hygiene throghout the day and a good shower before going to bed. Old scrubs off in...
  24. advice ..I'm freaking out

    I've given less insulin before if I knew the blood sugar would drop. I've given the dose the patient usually takes at home, then I talk to the doc to get the order changed if the dose is not...
  25. Verbal abuse

    Sorry this happened to you. It sounds like you did all the right things. I think calling CPS might be a good idea. This guy sounds like a possible abuser. I have never had someone attack me verbally...