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Content by KeechieSan

  1. KeechieSan

    From a student, to, hospital floor nurses...

    Your attitude is the problem, not the nurses.
  2. KeechieSan

    Night shift -- can you just take it easy, please?

    Yessss, come to the dark side.. we have cookies!
  3. KeechieSan

    Night shift -- can you just take it easy, please?

    hmm.. let me break this down.. 1. provide a daily report to case managers and/or attend rounds. i have to give daily report to the charge nurse and then to the nurse supervisor, two things that aren't done during the day.. soo... 2. walk patients off the unit at discharge and/or when needing to be accompanied to test and rn to leave the floor to go with them. ? are there suddenly no discharges/tests at night? i rarely have a shift that there isn't at least one or two discharges waiting for me, and my hospital does mri's, echo's, ect at night too. 3. arrange for diets, re-enter diet orders, take away trays, fulfill diet requests, fill pitchers, grab coffee, grab condiments ...generally play waitress for three meals on your shift. yes, and i play waitress at a time when the kitchen isn't even open... so, thats fun. 4. receive calls from family members wanting updates, or just wanting to talk to a nurse -- sometimes as often as every 2 hours. call them if requested. connect them to doctors for updates. generally fulfull every request they make concerning your patient. daytime is when they do this ...nights they go home to sleep. usually. (i realize some do spend the night and then they can be a pain to you -- but it's not as often). i think you must be joking here... i get at least 5-6 calls a night from family members.. "i just want to see how their day went". like i have any clue how their day was, hello i wasn't there! 5. tests, tests, tests. patients who return from tests ...needing frequent vitals, needing tele on, tele off, needing boots, transfers, etc, etc. again, all these things are done at night...i'm confused by your post! 6. orders non-stop. most orders are put in on days ...docs don't like being called at night and we all know it. they do their orders early and you have to get most of not all of them done on your shift. most docs at my hospital round at 5pm or later because they have office hours. so i do most the orders...with no secretary. 7. admissons (yes, you do them on nights), but most discharges on are done on days. discharges come with: med reconciliation/education, getting signatures, more education, taking out iv's, helping pts get dressed and ready to leave. 80% of admits come at night...and ironically the admission/discharge girl leaves at 7pm. she is scheduled from 7a-7p so she does all their admits and discharges. i hate the "this shift is harder" stuff. nights and days are equally hard, in different ways. i have worked both, i like nights better because i am a night person. i dislike all the docs during days, and i dislike the lack of staff at night. who cares? it is a 24/7 job, there should be no complaining about "well this shift dropped the ball". just do it and shush about it!
  4. KeechieSan

    Do you worry about your patients after leaving work?

    I'm sure that is normal for a lot of people, but I don't think about patients once I leave. The separation of work and personal life is very important to me.
  5. KeechieSan

    Nurses eating and drinking at the nurses station

    I eat and drink at the nurses station, even though it isn't allowed. We all do at night on my unit. I'm sorry, but I'm hungry and I don't have time to take a 30 minute break while making someone else watch my patients. I chart while eating too, its multitasking for me.
  6. KeechieSan

    Do you shower right after your shift?

    Nope, I don't shower until I wake up the next day (or later in the day, depending on the shift). I also wear my scrubs/shoes inside my house. I'm sorry, but what does everyone think they are coming into contact with at the hospital that they aren't in the general public? MRSA and Cdiff? They are everywhere!! Body fluid? Thats everywhere too!
  7. KeechieSan

    Ok, this one hasn't been done in a while....

    Mine is my last name in Japanese...at least thats what my friend told me 10 years ago.
  8. KeechieSan

    Orienting woes!

    Five weeks ago I started orienting a new girl to my unit (IMC step-down). I have oriented 5-6 times before without many problems, but this girl takes the cake. I was already upset because I wasn't asked to orient her, she was just handed to me one day and they said "oh this is Megan, she'll be with you for EIGHT WEEKS". I like to be notified ahead of time so that I can get eduation stuff together and prepare myself for a few weeks of difficult shifts. But fine, whatever I've done it before, I'm sure I'll do it again. Since she is a brand new grad who has never worked in a hospital I let her just shadow me for a few shifts, just to get the lay of the land. I started her off slow with one patient and me being with her every step of the way, and here we are five weeks into it and she's getting worse! She cannot handle one patient even with my help. I literally have to watch her every second of the shift, I'm terrified she is going to do something without asking me. She's a very nice girl who clearly wants to be a nurse, but I'm beginning to think she has a real inability to learn. I have always stressed the "ask questions! ask questions!" mentality but she's taking it to the extreme! Five weeks in and I'm getting questions like "Do I give this Tylenol pill IV or by mouth".. YES, she asked that last week. She turned off a Heparin gtt yesterday because "the patient said it was done". She makes the same mistakes over and over again! I must have told her at least 20 times that Lovenox sub-q does not go in the arm and that you need to check a BP when giving SL nitro, yet she cannot seem to remember those simple things. She and I have had numerous conversations about her performance and she always says she will improve but so far no luck. The nurse manager and I have had a few talks about her, but so far nothing has changed. I'm actually afraid for patients safety at this point. I've tried to be nice, I've tried to be stern....heck, I have tried every technique I know of! She is supposed to go to day shift this week for two weeks and then come back to nights on her own after that. I am actually sick to my stomach over the thought of this. My manager doesn't seem concerned, but all the floor nurses are terrified. Would it be inappropriate of me to go to Human Resources? Who else should I talk to about this??
  9. KeechieSan

    Orienting woes!

    Update: I read most of the replies here, and most were helpful. I probably should have mentioned that I have already had numerous personal conversations with this girl about her performance to no avail. I actually really like her as a person and we have a friendly relationship. I would never put her down or yell at her, but it was just so frustrating. Oh, and I know that there is IV Tylenol out there, the situation I was referencing was she had two actual Tylenol pills in her hand and asked if she should give them IV. So here is what I did. I had another sit down with our manager, this time I included my orientee. I laid out all my concerns to her and my manager and it went well. Megan (don't worry, fake name!) admitted that she was having a really hard time dealing with the "reality" of nursing vs. what she was taught in school. She feels like our floor is too much for her and doesn't wish to continue with orientation. She was offered another preceptor and an additional 4 weeks of night orientation, which she turned down. She is going to pursue Hospice, which has always been what she wanted. She thanked me for being kind to her, and she said point blank "I just can't learn here. It's too much". I feel bad that she had to quit, but I also feel a huge relief that its all over. She's a very nice girl and I'm sure I'll see her soon on a hospice consult.
  10. KeechieSan

    Fired from my med/surg job after almost 3 years

    oops, wrong thread
  11. KeechieSan

    Is this professional?

    Perhaps she is trying to keep her hair out of her face in a stylish way? Haha. It isn't a big deal, let it go. I'm sure you do things that people find irritating and think "is that professional"? Would you want them posting it on here for the world to see?
  12. And would you want to do clinical time in a facility that has a new grad as a director? No, you wouldn't. Policies won't be enforced because the person who is tasked with enforcing them doesn't understand them. I'm sorry..it is exciting that you got this job since I realize that it is harder out there now, but reconsider. Its like the old saying "if it sounds too good to be true, then it probably is". A new grad has no business being a director! You don't even know how to be a nurse yet! Do you really think that the nurses under you are going to respect you or be able to take direction from you? Heck no! They might like you as a person, but really they know that you have no clue what is going on! If they need to come to you about problems that are clinical related, how are you going to give them answers? Sure, you can be trained in the administrative aspect of the position no problem, but you cannot be trained in the clinical part of your job (and believe me, no matter what they tell you there is a clinical part!) without hands-on experience. Oh, and this post is not written out of "jealousy" as a previous poster stated. I am truly concerned that they are not preparing you for what is going to be a very difficult and frustrating job if you don't have experience. Hell, its difficult even if you do! Please, reconsider!!
  13. KeechieSan

    Who is a professional nurse?

    I have a huge tag on my badge that says "NURSE" and I introduce myself to every patient at the start of the shift, plus my name and title are on a white board in front of their face. I'm sorry if that isn't enough, but I *REFUSE* to wear color coded scrubs. I'll wear what I want, thanks.
  14. KeechieSan

    Help nurses!!

    1. 3.3 2. 5 years 3. 88,500 last year (overtime!)
  15. KeechieSan

    Average # of admissions and discharges per shift

    I work 7p-7a with a max ratio of 6:1. I usually don't have many discharges, maybe one or two a month. Normally when I come into work I'll have 1-3 empty beds in my section, and they are always filled by the AM. We do a lot of pt. transfers at night too, so I can sometimes end up with 4-5 admits. It takes me about 45 minutes to admit stuff (computerized! woohoo) so it isn't too bad, usually.
  16. KeechieSan

    looking up a patients arrest records?

    I look up my patients all the time, especially the ones that give me creepy feelings. I don't do it at work, and they are free to look me up too. It's public record.
  17. I had no prior experience. Zero. Zilch. I don't even think I'd been in a hospital before. You'll be fine.
  18. KeechieSan

    concierge ? Really?

    Haha, this post sure gives me a giggle. I know exactly which hospital you are talking about, as there is only one in Dover, and let me tell you I know why they have this "customer service" push. That particular hospital has such a terrible reputation that I bet they'd do anything to improve it, short of actually improving patient care. Their nurse-to-patient ratio is horrible and they have one of the worst turn over rates I've ever heard of.
  19. KeechieSan

    Are YOU terrified to be a patient (and your loved ones, too!)

    I'd be a patient at my own hospital any day...I'd rather be on my floor, but any floor is fine. And for gosh sakes, do they have to write your allergies on EVERY order sheet?? That seems silly.
  20. KeechieSan

    Do Nurses Still Make *Real* Beds?

    We change our patients beds q shift. Mostly the CNA's do it, but if I see a patient up the bathroom I'll run in and change the bed. We have fitted sheets though, and I don't tuck in the bottom of the sheet/blanket because it creates a fall risk with SCDs.
  21. KeechieSan

    Holy Abscess! Not for the faint of heart

    Man, how come I never see this stuff in person? That is so awesome!
  22. KeechieSan

    Housekeeping wish list

    Just a little pet peeve...we have very long phone cords in our patient rooms and I keep finding them wrapped around the end of the bed. Everytime there is an emergency and we're trying to move the bed out of the room, I have to stop for 3 minutes to untangle a phone cord. It has happened at least 5 times! Other than that, I have no complaints.
  23. KeechieSan

    What is the silliest thing you've heard a nurse say?

    I swear this is true..I had a senior level charge nurse ask me what MI stood for.. lol she obviously knew what an MI was, but for some reason wasn't familiar with that terminology. She was from Canada I think, perhaps they don't call it that up there?
  24. KeechieSan

    Panicked!!! HIV/AIDS, HepB, HepC risk?

    Lol, are you serious? This is a joke post, right?
  25. KeechieSan

    *Easy* things I just hate doing

    My list: 1) Accuchecks 2) Neuro checks at 4 am 3) Bathing patients 4) Spoon feeding patients anything 5) Walking patients to the bathroom Lol, by the look of my list you'd think I hated patient care. I really don't, I just hate tedious tasks that I have to repeat constantly.