nimbex

nimbex RN

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All Content by nimbex

  1. Concious Sedation...on your unit??

    we must be certified, test and 3 check off's prior to being able to do. The units allowed to are; all ICU's, PACU, special proceedures, ER, L&D we have a form, we must do vs every 5 minutes...
  2. How often do nurses get sued???

    I know this is a few days old but from personal experience, as soon as you are deposed.... legally swear in, with lawyers from BOTH sides, the first question asked is "do you have personal malpractice...
  3. Hospital Acuities.........or NOT!!!

    we are required to enter into the computer our patient acuity's each 12 hr. shift. I haven't done it in 6 months, I charge 3 of 7 days a week.... no one has asked. think they amount for anything in...
  4. Fun THings to Do at Work

    well we play pranks on each other when the other is in charge.... not a qualifier for your committee. But our hospital has an activities committee that has a sign up board and does every sport from...
  5. Family members at the bedside during a code blue?

    I can't direct you to literature, but inspite and despite any literature, EVERY situation is different, every family reacts different. I do what I feel in my head and heart to be right at that time....
  6. ???Dog Lovers???

    have you seen an allergist and had your daughter worked up? possibly with allergy treatment you would be able to choose any pet that is right. The flip side is what will you do, if your daughter...
  7. No Call/No Show

    Our write ups has a "I disagree" slot to check, then you write why, it is automatically then forwarded to the next chain of command. I would call HR, their purpose is to help mediate through...
  8. Studying for CCRN. Argh!

    Dead people have down regulated receptors!!! :-) your's are going a mile a minute, relax and enjoy the challenge... worst case senerio is a retest. not so bad. you'll do
  9. clinic nurses-late patients?? What to do?

    Devil's advocate here.... Could the patients be comming late... due to constantly WAITING?? I have seen MANY doctors due to various problems and have NEVER been seen on time, mind you I arrive ON...
  10. documenting short staffing question

    Sorry, forgot to add that you should spend the time as well as the other staff (no matter how exhausted you are), to fill out incident reports on any and all meds missed so management can get a TRUE...
  11. documenting short staffing question

    Some facilities have specified forms others do not. Having been forced to go this route a few times I could tell you what was included. I no longer have a copy of the pre-printed form, this is from...
  12. incident reporting

    Just FYI, the incident report can be admissable in a court of law. PRN gave some great
  13. Feeling threatened by your patients

    yes, been there too! How scary and frustrating for you. Worked psyc. where 70 yr. old little ladies would kick my butt, needing 4-5 of us to "take them down" and medicate them. Have been in charge...
  14. Being Charge

    Does you facility offer any charge classes, anything like conflict resolution classes? Because you have the clinical skills to supervise, doesn't mean that supervisory skills are automatic.... it's...
  15. ER or ICU nurse...Which one is more marketable?

    we have an agency nurse that works labor and delivery, and cardiac surgery, now cross training to our CCU. How's that for a
  16. poor spelling -- it matters

    sorry in advance.... no couldn't and can't spell (apologizing) think it's right now, remain unsure. Yes it's not a skill I have, dont' plan on adding it..... just not a priority to me. but whoa,...
  17. Chi Eta Phi?

    Lilmamita, in my humble opinion, any organization that suits an individuals goals and gives an opportunity for growth, networking and personal contact is worth while. No organization can change the...
  18. Chi Eta Phi?

    I was a member of Phi Theta Kappa, I was vice president and went to regional meetings. this group supported networking, professionalism and personal integrity. Our local chapter did volunteer work...
  19. New Grad sign-on bonus negotiation

    I couldn't negotiate bonuses, but I hagled until I received a better hourly pay.... try that
  20. Full-Time Employee taking Per Diem Rate/No Benes

    goto human resource, find out what their take is. If this really comes about, file a grievance..... you don't need a union to do so, do not sign your eval, and go up the chain of command. geeze, I...
  21. Heparin and Nitro Compatability

    RNCENCCRNNREMTP, thank you for the info. Sometimes I think that pharmacy is just being difficult. We don't run NTG greater then 200mcg/min... then add either natrector, nipride, dobutamine or...
  22. Heparin and Nitro Compatability

    Okay, in our cardiac surgery, EVERYthing runs into the swan . In our CCU, there is a rule against running them together, unless access is a problem... here's the kicker though... so sorry, I can't...
  23. Getting Dumped on

    hey, while I'm getting the admission settled, you please do the admit pack..... you, please check on room 3 and write their vitals down...... keep it up as long as they're just sitting. In return be a...
  24. well still up from working last night, it's 1130. Have to work tonight. been on nights for 6 of 8 yrs. nsg. so, have a hubbie on day shift schedule, with 3 kids. I wake up, shower and eat dinner...
  25. ICU vs PICU Novice Question

    Having worked in a Cardiothoracic ICU, open heart surgery, I can tell you all the staff that went on to their CRNA chose this unit because of the accute post op, which is very similar to intra op and...