ponytailman

ponytailman

acute rehab, psych, home health, agencey

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All Content by ponytailman

  1. ~Likes & Dislikes~

    I loved how nursing made me a better person through personal growth and development in my constant struggles to provide safe, competent and compassionate care. I despise the slow and insidious effect...
  2. Lacking Skills After a Year

    For me the best way to obtain floor nursing skills was to work the floor and ask as many questions as u can. Staff development, videos and p n p r helpful, but nothing teaches organization, critical...
  3. Sleeping with HMEs (Trach noses) safe?

    If patient a straight trach, no ventilator, the hme is generally used during wake periods as the replacement for a moist, humidification system. Remember no two patients r the same, thus what may work...
  4. IM injection

    merlee is correct- to give the proper dosage under the MD orders requires 2 separate im shots. Also if the total volume to be injected is 4mls, then u can give 2 two mls im
  5. I did a stupid, stupid thing...Need Advise!!

    dont take this wrong but u r worried about a bad decision about smoking an illegal substance. shouldnt ur concern be r u ready to take the intense and potential life altering responsibility of people...
  6. the question i have is are u able to reasonably provide professionnel,safe and good nursing care in your position. Is your license or patients at risk? the grass isnt always greener when u change,can...
  7. Night Shift Nursing

    i have worked all three shifts at fulltime status, each have there pros and cons. For me i like the overnites, the trick is adjusting your day schedule to overnite. I believe ur days off should be...
  8. Is nursing "worth it"? HELP!

    The profession needs more canidates who at least show a geniuine interest in becoming a modern day nurse. As much as i personally have "issues" with a lot of the modern day changes with our job I...
  9. First that nurse to patient ratio for a snf unit seems a tad bit high and would be an area to address outside of the patient and her behaviors. In relation to the patient besides altering your...
  10. Do men in healthcare suffer from burnout?

    Been in the field almost twenty years, as a male i have watched both sides crash hard and even come close myself several times. I am not sure it is gender specific but more related to as a nurse...
  11. I am doing a paper for school.... please post your opinion

    Most of my biggest dissatisfaction with my field is the invasion of corporate america into every nook. People with minimal or no human skills influencing or dictating almost all aspects of bedside...
  12. The field always needs more nurses but allow me to play devils advocate. obviously your family is very important to you, are you prepared to sacrifice quality time with them to pass your nursing...
  13. I hate what's happening to nursing...

    As CEO's pursue their job of improving the bottom line it has become quite apparent that to accomplish this goal nursing in general has been the target. When people whose minds have been trained to...
  14. overworked and exhausted

    Do not understand why u think that these issues are your fault, if the job or worklevel requires paperwork to get done after shiftreport then so be it. It appears that by following the accepted norm...
  15. should I withdraw??

    no one can predict how u will test or move through the rotation thus i would look at what resources can u access to help with your studies. School is brutal when u r trying to work,study and be a mom...
  16. I notice a trend...

    Difficult to be the new kid on the block. All eyes on you, assessing and gossipping about everything they can about you, are u nice or mean, are you good at your job or bad, are you a threat or a...
  17. What does high acuity mean to *you*?

    I think most of the more seasoned nurses have similar ideas to what "high acuity" on there floor is whether mental,labor or crisis driven. To me often high acuity workload can become dangerous or...
  18. Maybe I'm just old and cynical, but....

    for some of us nursing was an end to a means [KEEPING A ROOF OVER MY HEAD}. Over time the benefits of the field compared to other fields can and are quite unique- pay,shifts,variety of jobs,etc. But i...
  19. Rant and steam

    As we all know, to our bean counter bosses who either have 0 background in nursing or too little or too long ago experience, floor or cart nurses bring o reimbursement via medicaire or health...
  20. This forum is scaring me!

    The question u need to ask yourself is why do you want to be a nurse? Find that answer and you can determine whether you want to be a nurse or a nine to fiver and gripe or moan or vent about your job...
  21. What info should be "tattooed" on a nurse's brain?

    In a crisis who can u depend on! Never let the patient and or family know that u are unsure, fundamentals become skills with time and no matter what common courtesy n respect with everyone u interact...
  22. D5W with diabetics

    We have a extremely brittle diabetic that the md had a portacath placed so we could bolus d5w into the patient for the frequent and severe hypoglycemic episodes, also on hand for the tpn crisises and...
  23. D/C central lines in SNFs?

    As a iv certified lpn working a snf or rehab or transitional unit (name of the week)i am allowed to remove all non surgically placed iv lines, this means piccs,midlines and peripherals. At our...
  24. want to just quit, maybe its not right for me!

    To err is to be human, to be human is the biggest asset floor nurses need, when u stop caring or learning from your interactions u can lose ur ability to advocate for those entrusted to you. Untill...
  25. Do nurses support physician assisted suicide?

    IN our field, is there really any difference between a patient who receives a"hospice" death or a doctor who tells the family there is no hope an they should pull the plug or the md who orders a...