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I'm a Pediatric ER nurse.

Sami*RN's Latest Activity

  1. Sami*RN

    Days off after midnights

    I don't work "nights" but I work evenings, which to me is 3p-3:30a. I get home around 4, mess around on the computer, watch some TV and get in bed around 6a. I just can't go to sleep after a 12. I usually work 3-4 days in a row, and that first day off is a complete waste. One time, I slept 15 hours straight. Okay, it's a little excessive, but I consider sleeping one of my hobbies! lol It's hard working weird hours, then when you have 3 days off, everyone expects you to jump on their schedule. My husband gets annoyed if I sleep past noon on my days off. Anyway, you're not alone.., I gotta get some sleep!!:zzzzz
  2. Sami*RN

    ICU visiting hours

    You sound very bitter. That's a shame. I see it way too often in high acuity settings. You're not telling me anything new. I'm an ER nurse. Fortunately, I am a nurse, so my family was well aware of hospital etiquette during our brief stay with my grandmother. What you're not taking into account is that the majority of the population doesn't know what our lives are like. They don't know any better. I know you must think they are complete idiots that were raised without common sense, but why should they know any better? Imagine your mother was the one in the bed and you had no medical knowledge. To the patients family, we are their lifeline to what's going on with their loved one. They don't understand when the monitors alarm, they don't know enough not to wake them. How would you feel being asked to clean stool off your own mother, who was always so private?? You sound inconsiderate and uncaring and I certainly hope that my assumptions are way off the mark. For most people, walking into a hospital is like walking on Mars. They have absolutely no idea what is going on there. Think about that next time.., or for your own benefit, take some time off.
  3. Sami*RN

    shoe recommendations?

    You're welcome DebsZoo!
  4. Sami*RN

    Question about nursing care my sister received

    First, I hope your sister has completely recovered and is doing well. I'm sorry her call light wasn't answered immediately. In a perfect world, we would answer call lights the minute they came on.., but unfortuntately we can't. I agree with the previous post that these people standing at the nurses station may not have been nurses. It's hard to say. They could have been waiting on important drugs to arrive for a patient. I hate to say it, but sometimes we're so used to hearing bells dinging, sometimes it's too easy "not to hear it." There's no good excuse. The nurse that was actually caring for your sister may have been caring for someone else. Sometimes nurses are hesitant to answer call lights when it's not their pt. Sometimes because they're lazy or because they have no idea what is going on with that patient. Maybe these all sound like excuses, and I hope you don't take them as such, because they're just "maybe's". It's very frustrating to see someone you love have to wait, even a minute, to get something they need. All I can say is, it's a shame we can't be everywhere at once.., but genetics and staffing don't allow for that!
  5. Sami*RN

    Mark Green's passing on ER

    OMG!!! I cried even at the preview commercials. I was sobbing in the very first scene. I'm not usually a cry baby, but my husband thought I was losing it!!! That show has a very special place in my heart.., it's the reason I became an ER nurse. True, it's not incredibly realistic, but I love it. Hmm.., I might just go get the tape and watch it again!! lol
  6. Sami*RN

    Medication Errors

    I do believe that we are last person who can stop a potential med error. That's a huge responsibility, but one we can't take lightly. I think everyone has made a med error at one point or another, whether it was a med that was late, wrong, whatever. Sometimes I get rushed and it makes giving meds more difficult because I don't feel like I have the time to look up a dose, but I make myself. I don't know every med dosage by heart and there isn't a single soul out there that does. There are some I give so frequently, I do know without looking. Our drs. change units every month and they are often writing orders for meds they're not used to giving. All I can say is, check, check again, double check and triple check. Know your meds, look them up, know your patient, know the diagnosis, know if the med is appropriate or not. Look up the dose, check the frequency, route, etc.., If I don't know the answers to these questions, I get the Dr. and ask. It can come down to life and death. "I thought I had the right (insert patient, med, time, dose, whatever here)." doesn't hold up in court. After all, the road to he11 was paved with good intentions.
  7. Sami*RN

    ICU visiting hours

    From a nursing point of view, I can see why you don't want family around all the time. As an ER nurse, I don't have that option. Our facility encourages family at the bedside and we even allow family in the room during codes. Now, we do ask that only parents stay in very stressful situations and when we're doing procedures, but the rest of the time, family can come and go. I know that sometimes this even bothers me a little. I also have a personal issue with this. My grandmother died recently. She had a massive stroke and died two days later. Initially, she was in ICU before we signed the DNR. The staff was wonderful, they allowed us to stay with her the entire time. She was not conscious and she was on a vent, but I just couldn't leave her alone. We were very understanding when it came time for assessments and procedures, but I was always allowed to stay with her and for that I am eternally grateful. She was in ICU for 36 hours and I only left her bedside to go to the bathroom. I slept in a chair beside the bed. We were considerate and did not have the entire family at the bedside all the time. We also did not have anyone under 18 in the room ever. There were a couple of times we thought she was going to code and we were all in the room with her. I know for some of you this may really chap your a$$, but from a personal standpoint, the few hours I had left with her were precious. She was transferred out of ICU to hospice unit after we signed the DNR, where she died 12 hours later. I wrote letters to the staff of both units thanking them for all they did. I hope you keep this in mind next time you are herding family out of the room because "visiting hours" are over. These visiting hours mean nothing when your loved one is dying. You're not visiting, you're saying goodbye.
  8. Sami*RN

    Basic neccessities...

    I agree with fedupnurse!!! You get on the phone and call anyone you can think of. Not only is it a health concern not to have hot running water and an issue the local health department and JCAHO would be serious P*ssed about, you can't bathe babies in cold water!! They can't regulate their body temperature like we can and it could have serious consequences!! I can't believe no one in your hospital is doing anything about this! Are they all idiots?? At least you care! I really hope you do something about this.., It's hard to be the one to speak out, but for your own sake, your patients sake and you license, I hope you can get the ball rolling on this. Keep us updated. I'd like to know what's going to be done about this. Good luck!
  9. Sami*RN

    Basic neccessities...

    Hmm.., let me think a moment.., YES!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
  10. Sami*RN

    Anyone noticed this??

    Oh, my point was, I'm not your personal hand-maiden.
  11. Sami*RN

    Anyone noticed this??

    I'm all for being a caring and attentive nurse, but sometimes I feel like posting a sign that says, "This is not the Hilton, nor is it the Holiday Inn. In fact, you're not even close if you think you're at Motel 8. You are in an EMERGENCY ROOM, where EMERGENCIES come first. If your treatment requires food (diabetics) we'll bring it to you. Otherwise, stop at Dairy Queen on your way home."
  12. Sami*RN

    I'm Waiting

    You know, it's so stupid. They know as soon as they interview you whether or not they're interested. All they have to do is check your references. I applied to 2 different hospitals for a job. One hospital took 2 weeks to call and offer me a job. The other called me THE VERY NEXT DAY. Needless to say, I was more interested in the latter. Been there a year, I liked the way they got things done. It showed they wanted me.
  13. Sami*RN

    Scam or for real: Natural Medicine

    Okay, I don't have the time to find out about all this stuff, but I'm interested, so I'm going to spend some more time on it. First, chelation therapy is a legitimate treatment for heavy metal poisoning, i.e. lead and iron. EDTA is administered IV to bind with the metals and remove them from the body. This I've actually done this in children. Photoluminescence is otherwise termed photopheresis or UVBI (ultraviolet blood irradiation). A simplified description of the therapy is as follows. Pts. ingest the drug psoralen or UVADEX (FDA approved) which renders lymphocytes light sensitive. I found websites that state this step is optional. THen, Heparin is used to prevent the blood from clotting. Lymphocytes are then collected by pheresis and exposed to UV-A light, then reinfused into the patient. (Only 240-300cc of blood is done per treatment.) It is considered an INVESTIGATIONAL technique for pts. with autoimmune diseases, certain other cancers and HIV/AIDS also graft vs. host reactions. It is ONLY FDA approved to treat cutaneous t-cell lymphoma. I do have a problem with a lot of the "alternative therapy" websites and the one hoolahan listed that say, "the therapy is only mildly uncomfortable and in no way causes detrimental side effects" We all know that an IV in itself has side effects and potential complications, infiltration, infection, etc..., A website I found listed side effects as nausea, fever, drop in BP during treatment (loss of volume). The drug also causes light sensitivity, pts should avoid sunlight for approx. 24-48 hrs after treatment. And, we all know heparin has side effects. I found one holistic medicine site that states, "In summary UBI is: An FDA approved therapeutic piece of equipment -Safe -Effective -Relatively inexpensive -Covered by some insurance companies -Easy to do." What a load of crap!!! You're a sucker if you believe those statements. If you want to access this information it is from the emedicine journal at http://www.emedicine.com This site explains it rather well. So, that's what I know so far. God I'm tired now...,:imbar
  14. Sami*RN

    What is your most valuable piece of advice?

    -Double check EVERYTHING you do. -When in doubt, check again. -Keep assessing your pts., things change constantly. -When obnoxious pts. stop complaining, something is VERY, VERY wrong!! -Be a patient advocate. -If they look like they're going to go down the tubes, they probably will. -A second IV can save you butt!! -NEVER, EVER, say "gee, it's kinda slow tonight!" -Just for sh*ts and grins, double check again!
  15. Sami*RN

    What Freaks You Out?

    Rotten crotch smell is the worst!!
  16. Sami*RN

    doctor disregarding triage decisions

    i'm not being difficult, but this doesn"t happen everywhere. it was completely inappropriate to question a patient in the wr. just because lots of er's do things a certain way, doesn't make it right. the privacy issue would carry weight and does all the time. i'm not saying i work in a perfect er, but we don't use dry erase boards, pts. names are not visible to others and we don't question pts. in front of the entire wr. unlike many er's we have rooms with doors, a computer system only accessible with a password, and we don't sit people on guerneys in the hallway. we're not some backwoods er either, we're a level 1 trauma center. luckily, our drs. are educated enough not to break confidentiality by questioning in the wr. i don't know this dr. or the situation, so i'm not the judge and jury, but a more appropriate way of handling it would have been for him to take you aside and make his case as to why he felt this patient had an emergent condition that needed immediate attention. sounds like he has some communication issues.