msjellybean

msjellybean

Emergency

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All Content by msjellybean

  1. Narcotics administration

    This. We have a couple of frequent fliers that always have vague & non-descript complaints of pain, that once they're worked up don't show anything. One of them will wake up, ask whoever responds...
  2. Hospital Beep Syndrome

    This happened to me frequently with tele alarms, when I was a tech and worked nights. I used to come straight home & go to bed, with no real decompression time in between. I lived 5 minutes away...
  3. About a year and & half into nocs as a nurse (did a year of nights when I was in school & had no issues), I started having the same problems. My only solution was to leave nights & the...
  4. When the hospital cancels you for a shift...

    My hospital has either a stand-by or cancel option for when census is low. Being cancelled means you're totally off. Stand-by means they can call you at any time up until 3 am/pm (depending on your...
  5. Best piece of advice I ever got: if you're struggling with whether or not to call a rapid response code, do it. 2nd best piece: Your gut tends to be right more than it tends to be wrong... if it...
  6. Stopping patient care for another patient

    The only time I'll leave a patient to tend to something/someone else is for a code being called on my floor or when a bed alarm goes off nearby and it's one of those patients that you have to be quick...
  7. JCAHO, how you annoy me.

    Sounds like the last survey JCAHO did at my facility. They pulled the primary nurse out of a rapid response code that had just started. Manager didn't stop it from happening, in fact, she encouraged...
  8. When will people learn NOT to say the "Q" word...

    In addition to believing the "quiet" phenomena, I have a bad luck combination of underwear & scrub pants. I can wear them separately from one another & nothing ever happens, but together is a...
  9. beckster's post made me think of this one. When a family member catches me in the hall or comes up to the desk & demands to know what's going on with their loved ones care/what certain test...
  10. Ugh. We have one hospitalist that consistently does this. He also wanders in at 0745 and is like, "who's on call for "x" service?" I don't know, dude! Call the comm center if you want to know
  11. Anyone ever use Florida Licensing service?

    I applied for licensure in Florida by endorsement (originally issued in Illinois) and actually found the process to be quite easy. The most difficult part of the process has been waiting on Illinois...
  12. I work with a noc shift RN that does this. She has even gone so far as to call the doc during report & then have to duck out of another report when they call back. What gets me is, she has no...
  13. When I accidentally stuck myself with an insulin syringe, I sure as heck felt it. It was after I drew up the insulin & was re-capping to go dose the patient... I was being uber careful, as I was...
  14. Illinois license timeframe?

    I think the state is going through a slow period right now. I passed my NCLEX on February 1st or 2nd, several years ago and my license was posted on the website as being issued on the 18th. They were...
  15. "Multi-State"

    Add getting IL to endorse your license to another state to the list of things that take forever. I sent my $ and request to them over a month ago, for endorsement to Florida & they've yet to make...
  16. Drug
  17. Holiday rotations...

    Wow, that's awful. At my facility, we recognize Memorial Day, the 4th, Labor Day, Thanksgiving, Christmas, & New Year's Day. Everyone has a pattern of working every other holiday & then you...
  18. Rate to run blood?

    As always, check your facilities P&P, they will likely have a max that you can run it at. At my hospital, on the floors, blood can be run as fast as 300cc/hr, once you're past the initial 15...
  19. Mistakes we have made

    Mistakes I have made: pt takes different dosages of synthroid on different days. Gave the dosage that was due the next day, which happened to be twice what it should have been. Different pt had...
  20. Why did/are you getting your BSN?

    I'm starting the research process to complete a BSN. Do I want to? Not really. But my prior bachelor's isn't recognized by anyone (not that I expect it to be recognized in a professional capacity, but...
  21. Delegation

    Yes to both, at my facility. The only type of isolation I can think of at my hospital that techs/CNAs aren't allowed to work with are the radioactive implant/iodine swallow
  22. I hate night shift

    Understand your pain & wish I had some helpful advice, but I don't. I worked nights for a year and a half in my first nursing job & even though it was where I had always wanted to be &...
  23. Tips for Dealing with Difficult Patients...

    Oh, if only I could have said this to a couple patients from last week. Too bad I'd get dinged for my lack of customer
  24. My boyfriend is a paramedic & I stole his Master Cardiology one day & took it to work. Oh my goodness, it was amazing! I usually use a Littman Classic and thought it was pretty decent, but the...
  25. When calling in are you asked "what's wrong with you"

    My facility does ask and quite honestly, I don't really if they ask. It's how the illness is recorded. We use an online shift management system & depending on who takes your call-in, it's listed,...