Ruby Vee BSN

CCU, SICU, CVSICU, Precepting & Teaching

Original Member of the Crusty Old Bat Society

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All Content by Ruby Vee

  1. Ruby Vee

    Help with understanding a pain management situation

    Ruby Vee replied to Runnergirl84's topic in Pain Management

    When you work with cancer patients, you have to know that the morphine dose you're giving could be the one that pushes them over the edge. But not to give the pain medication -- allowing the patient...
  2. Ruby Vee

    IABP waveform clarification

    Ruby Vee replied to Catticus11's topic in CCU, Coronary, Cardiac

    When the patient is hypertensive, your augmented pressures will be the same as (or lower than) your unassisted systolic pressure. If his pressures were already 150-170, you're not going to get much...
  3. Ruby Vee

    How To Recover From Near Rock Bottom...

    Ruby Vee replied to Snowana's topic in General Nursing

    I'm sorry all of this is happening to you, but I'm glad to see you taking accountability and looking to do the work on your communication style and personal growth. Kudos. I spent two years on a...
  4. Ruby Vee

    Not getting hired because no BSN?

    Ruby Vee replied to butters9812's topic in General Nursing

    How long was your orientation? Have you been a year as an independent nurse or only about eight months? That may make a difference. It takes about two years for a new nurse to become competent as a...
  5. Ruby Vee

    Med-Surg Floor Nursing

    Ruby Vee replied to The_Muffintime's topic in Nursing Career

    The people you meet in real life -- are they mostly people you're meeting in the context of school? It matters. Try to talk to some of the nurses you meet outside of school -- your great aunt...
  6. Ruby Vee

    Got a nurse aide fired... did I do the right thing?

    Ruby Vee replied to Live.Love.Nurse.♡'s topic in General Nursing

    Two good points -- using the camera may get you in trouble at some workplaces, so I'd check the policy. But I have worked in places where you have to have MORE than two people on MORE than two...
  7. Ruby Vee

    Got a nurse aide fired... did I do the right thing?

    Ruby Vee replied to Live.Love.Nurse.♡'s topic in General Nursing

    Even if the problem is that she's too tired from her other jobs, that does not give her the right to collect a paycheck from THIS job for sleeping and watching
  8. Ruby Vee

    Got a nurse aide fired... did I do the right thing?

    Ruby Vee replied to Live.Love.Nurse.♡'s topic in General Nursing

    That tool seems as though it would be more useful for managers than for co-workers. Obviously sleeping on the job despite being counseled against it is a willful and egregious "error". But there is...
  9. Ruby Vee

    Got a nurse aide fired... did I do the right thing?

    Ruby Vee replied to Live.Love.Nurse.♡'s topic in General Nursing

    If you've addressed the issues directly with the aide, then you've done your part. As for what the supervisor did or didn't do -- you have no idea. A good supervisor keeps disciplinary matters...
  10. Ruby Vee

    Switch and bait on open shifts?

    Ruby Vee replied to Emergent's topic in General Nursing

    I'd be upset about "switch and bait" (I think the cliche you were looking for was "bait and switch"). But I'm more upset at your inference that "an older gal" would "obviously" be not real...
  11. Ruby Vee

    Violence in Nursing

    Ruby Vee replied to Nurse Beth's topic in General Nursing

    You don't get to hit back. Try to de-escalate and if that doesn't work, dodge and run. NEVER let a patient trap you inside the room. If you know him to be capable of movement, keep an eye on the...
  12. Ruby Vee

    Violence in Nursing

    Ruby Vee replied to Nurse Beth's topic in General Nursing

    You must be a joy to work with if you're wanting to punch hospital staff for what you perceive as "arrogant, superior, condescending attitudes." The same attitudes that you exhibit when you preach to...
  13. Ruby Vee

    Violence in Nursing

    Ruby Vee replied to Nurse Beth's topic in General Nursing

    That's a wonderful suggestion. I remember being called into the office to talk about a abjectly negative survey I'd been tied to. As we were talking about why I had been rated so badly, my manager...
  14. Ruby Vee

    I just need some advice - or a hug. One or the other.

    Ruby Vee replied to Doxie_loverRN's topic in General Nursing

    You've been a nurse for 15 months now? On your own for about a year? We always say that the first year after nursing licensure is miserable -- in my day we called it "reality shock" -- but that's...
  15. Ruby Vee

    doea nursing cause health problems?

    Ruby Vee replied to Jay1900's topic in General Nursing

    I'm sure it has a lot to do with how people handle their sleeping schedule and their meal schedule. Although, after working nights off and on for 40 years, I'm now older and heavier. Of course, I...
  16. Ruby Vee

    How Long Would You Wait for the Best Offer?

    Ruby Vee replied to purplegal's topic in General Nursing

    I don't understand how your classmates wound up with ADNs while you have a BSN. Be that as it may, this statement exhibits an ugly attitude that I would hope you are keeping under wraps during your...
  17. Ruby Vee

    100/p

    Ruby Vee replied to AngelKissed857's topic in General Nursing

    How many keystrokes did you save by typing "Dr" instead of "doctor"? "100/P" or "100/Palp" are accurate ways to record a palpable blood pressure when you were unable to auscultate it for whatever...
  18. Ruby Vee

    Docs should get more respect?!

    Ruby Vee replied to YoYosama's topic in Patient, Colleague Relations

    Where I work, everyone with an employee badge has the privilege of cutting into the cafeteria line if they have a good reason. Cutting in line, however, tends to upset the visitors, etc. so it...
  19. Ruby Vee

    Docs should get more respect?!

    Ruby Vee replied to YoYosama's topic in Patient, Colleague Relations

    I agree completely, and I'm from the
  20. Ruby Vee

    doea nursing cause health problems?

    Ruby Vee replied to Jay1900's topic in General Nursing

    I've had the back issues, too, and the surgery to prove it. But other jobs cause back issues as well -- sedentary jobs cause back injuries, working construction, plumbing, farming, driving a truck --...
  21. Ruby Vee

    Pain Scale

    Ruby Vee replied to 5228shamrock's topic in General Nursing

    I always use the behavior pain scale in addition to the numeric one. They tell me their pain is 10/10 and they need dilaudid, but the behavioral scale rates them about a 3 . . . or the opposite...
  22. Ruby Vee

    Pain Scale

    Ruby Vee replied to 5228shamrock's topic in General Nursing

    They used the faces scale in the perioperative area each time I've had surgery. It's an adult OR -- the children's OR is in a different building, so it's not as if they picked up the laminated piece...
  23. Ruby Vee

    Needing help with a decision

    Ruby Vee replied to Shocktherapy's topic in Men in Nursing

    Summer is when most people take their vacations, and that includes people in the HR office. So you may find your calls being returned in a couple of weeks when the person who hires CNAs (or their...
  24. Ruby Vee

    Needing help with a decision

    Ruby Vee replied to Shocktherapy's topic in Men in Nursing

    OOOOH! Shouting. Tone it down, dude. You're not helping your case
  25. Ruby Vee

    Needing help with a decision

    Ruby Vee replied to Shocktherapy's topic in Men in Nursing

    You cannot get a CNA job without a CNA certification. Nursing is different; and you cannot get a nursing job without a LICENSE. Plenty of nurses never went the CNA route. I didn't. If you're...