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Sodie

Sodie BSN, RN

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Current cath lab nurse with experience in PCCU and med-surg-urology. 12 years of experience in all.

Sodie's Latest Activity

  1. Sodie

    7000 fatal med errors last year-where are theses nurses?

    I have made mistakes too. Fortunately, I have not made one that resulted in a sentinal event. I did have a patient respond to a med (the wrong one) that I administered one time. Fortunately, the MD was present and ordered a reversal drug to help minimize the problem. The patient suffered no ill effects. Even though things turned out well for the patient and myself, I will never forget it. You learn from the mistakes. You are right, things will not be the same again. You will check your meds and recheck your meds when you hang them.
  2. I had this same question regarding the heart cath lab because my cath lab is a high risk one. We do many high risk procedures. Many of our patients fly to us very unstable. We stabalize them, do the procedure, place a balloon pump, and do all of the crititcal care procedures that an ER nurse or MCCU, ICU, nurse etc would perform. However, we are not considered critical care nurses. The reason that I understand is that all cath labs are different. This sounds funny when you think about it, but there are cath labs that are only diagnostic. They only do heart caths. Therefore, if someone says they have experience in the cath lab, which one was it? A high risk cath lab or a diagnostic? It could be the same for an ED. I say that becasue we own two hospitals with different types of ED's. One is in an area that has a younger population, so the patients coming in are more likely to be young adults, children and infants. If they get a heart attack victim, they stablize and send them to the cath lab at the other campus. The campus with the cath lab caters to the older generation (location is partly the reason, the other is due to our specialty). We recieve many geriatric and older adults along with middle age adults with possible heart attacks, chest pain, etc. It makes alot of sense if you look at the broad picture. Yes, we do critical care procedures in the ED and cath lab areas, but not all hospitals ED or cath lab are the same, so there is a difference in the rating of the critical care nurse. Like I said, this is the way it was explained to me. It is great experience and I think that if you want to transfer or switch jobs, you could list the skills that you have from working in your current ER position.
  3. Sodie

    Pt Threats and Name Badges (again)

    We have a law requiring that our name and title are displayed on our name badges. I actually thought it was naiton wide; maybe it is just a state thing. it is called the Lewis Blackman law. It's fairly new.
  4. Sodie

    Does this bother you?

    In SC, the Associate program that I went to required that you were 18 to go into clinical. Not only was the young age a problem, but I think that some insurances may not want to cover people under 18 in the profession. Some institutions require you to be 18 in order to have a paid job working with patients. I know that there are Volunteers that are teenagers, but they have limited roles in interacting with patients.
  5. Sodie

    I have really messed up.

    This is great news Heather! I am proud of you that you approached the doctor. Things did turn out well. A preacher friend of mine once preached on being righteous. The difference between doing things right and being righteous? Doing things right is what we should do. Being righteous is doing the right thing no matter what the cost. I think you learned a valuable lesson here. If you had brought the MD back in the moment you realized the problem, you would have saved yourself some grief, however I think God helped work things out and you have learned to not be afraid and and do what you know is right in the beginning. I believe that things happen sometimes for a reason. Many of them are caused by our stubborness and/ or fear. I know that when I keep my faith in God, it helps me through. Keep up the good work! I am sure God will continue to guide you in your daily walk.
  6. Sodie

    New Grad Thrown to the Wolves!

    You need to run to the recruiter and nurse manager. This sounds unsafe. You do not want to loose your license before you even get it! It's no wonder so many new gradutes leave their first job within the first year! One of my focus groups with my job is New Graduate Development. I love working with the new graduates and making sure that they get the training and support that they need to succeed aithout burning out. In my state, you can no longer work as a temp nurse. You either have your license or you work as a Nurse tech until you get proof of passing the NCLEX.
  7. Sodie

    I have really messed up.

    We all make mistakes. You have to learn to forgive yourself. At least you did own up to it. At least you took that worry away from yourself that the patient had the clamp inside and made sure the patient was okay before she went home. I am almost certain your manager has made a mistake somehwere in her career. Talk to her. As another poster said, tell her you learned from the mistake. I gave the wrong drug to a patient during a cath procedure one time. I owned up to it. The patient was okay after we gave a med to reverse it, but I was terrified. I wondered what others would say. I was not a new nurse. I had been a nurse for 14 years when I did that. I spoke with the MD later. I feel as though Physicians respect me more because they know that I will own up to mistakes. Many people told me that they would have never said a word about giving the wrong med; they would have treated the patient per MD orders, but would not have told. My conscious won't let me do that . I would rather turn in my nursing license than to put the patient's safety at risk. Always remember-- You learned from the mistake. You knew it was wrong not to say anything at first. You are paying for that, but you will never let it happen again. You are still going to make mistakes, but if this same or similar situation happens again--- you will speak up.
  8. Sodie

    Drug Testing At Hospitals

    We have to do one when we are hired and it may be required at any random time. I believe that there is going to be a day that the testing will be more regular. We also have the right to test students if there is a question or suspicion or if there are drugs missing. Students sign a release before beginning clinicals that they will submit if requested for whatever reason. Now, we haven't tested any, it's a just in case clause. However, I have heard of some hospitals in my state starting to require testing prior to clinicals. Criminal Background checks are being required on all students as well becasue our accredidation standards states that whatever is required of the employees, the same requiremnets have to apply to students that function in some of the same role as employees.
  9. I think that she must have been upset about not being able to go the RN route to begin with. She might have been projecting or something. Why else would she tell you that she plans to go to school to get her RN? Why get a RN degree when you make as much money? She maybe really doesn't know what a RN makes. Around here, MA's only make $10 an hour if they get a job at the hospital working as a Nurse tech, but they do not do more skills that NT's.
  10. Sodie

    Male Nurses/female Patients

    Most of the male nurses I work with seek assistance from a female nurse to protect themselves. Male MD's have female chaperones for the same reasons. Alot could happen behind a closed door as could alot of untre accusatins. It protects these nurses and the patients. I do not mind helping them with these procedures. I have many male nurse friends that ask the patient how they feel about it as well. Many times the female patient is not comfortable with specific procedures being perfomred by a male nurse. Me-- I really don't care. When I am not well and need help, I frankly don't have a preference other than a nurse who is compassionate and meets my needs. I have had a few experiences as a patient and for the most part, I wouldn't trade any of my nurses (male or female). Some people wouldn't feel the same way.
  11. Sodie

    Sleeping on the job..acceptable or not?

    My hospital has a policy that states Sleeping on the job or appearing to sleep on the job is cause for termination. I once had a friend who tilted her head back and closed her eyes for 2 seconds. I swear!! At that moment, the nursing superviser walked down the hall. The nurse immediately pulled her head forward and and spoke to the nursing superviser. I promise the girl had just closed her eyes. The next morning, when our shift ended, she was called to the nurse superviser's office and written up. The appearing like you are asleep gave her no chance to argue that she had not been sleeping.Her eyes were closed, her head was wilted back, end of story. I have worked both day and nights. When I was in nursing school, I worked 40 hours a week and went to school full time. I have never fallen asleep, although I wanted to. When I get tired, I get up and start cleaning. It works every time. The nurses station was always spotless after I worked a night shift. All the cabinents were cleaned out and everything restocked. But most importantly, I knew my patients were doing well because I did check on them. I didn't wake them, but I looked in the room to check on them. It is amazing how many of them are actually awake and invite you to come in for a minute. Sometimes they need to talk. Have I ever worked with staff who took naps? I think so. Never did catch them though. I have caught alot of other department staff members sleeping in strange areas though when I would get called into the cath lab in the middle of the night. Have I reported them for this? Yes! Were they terminated? Yes- Immediately.
  12. Sodie

    Sleeping on the job..acceptable or not?

    I think for a nurse, it would be abandoning the patient.
  13. Sodie

    Is ER nursing Floor nursing???

    My ER is considered Critical Care because we get a major amount of MI's coming in. I haven't exactly worked in the ER at my hospital, but I have many friends who have. They love it. They thrive on the busy moments. As with any nursing, there are the occassional need to deliver food or those little "accidents". I think it depends on what type of patient you want to work with. I know that I am not cut out to be a nurse that works in OB, pediatrics or cancer. Why? Because I had an experience in nursing school with a fetal demise and I decided I didn't want to deal with that if I could avoid it. With cancer, I found it depressing and I didn't handle that very well. I started in med-surg-urology and ended up in cardiac 2 years later. After 10 years of telemetry, I went to the cath lab. The difference between cath lab and the telemetry unit? The patients that are in for diagnostic purposes like heart caths are generally "walkie talkies" that are scared of what the results are going to be. They do not come to us with infections or the flu. They have to be well to have a catheter stuck in the heart (no fevers, no active infection, etc). The emeregency MI's, are fast and furious as we work to save their lives. The patients are sedated, but awake. They communicate. I love working with one patient at a time and being able to hold their hand and get them through the procedure. We do occassionally have to hold patients so long due to high census, so we do have the occassional trays and other things to deal with. It's not that I don't like working with patients on a nursing unit, I really did enjoy that, but after working on a unit for many years, I needed a change. The stress got to me. The cath lab is stressful at times, but I do only have to worry about one patient at a time. I really like giving one person all the attention. One person suggested shadowing other areas. That is an excellent idea. I think this could work for you. I always encourage shadowing somewhere if you are not sure where you want to be. This can heko clear up any questions about different units.
  14. Sodie

    Date MD's??

    This does happen a lot. I have never had a relationship or an affair with a doc, but I know many that have. It is very obvious. I know that I have been suspicious of some of them. If you wait long enough, it usually comes out. You never have to talk about it or get involved in gossip, you basically figure it out.
  15. Sodie

    The War with the Floors

    I have seen both sides as well. I have also worked in the cath lab. One day I was called in at 2 AM to do an emergency heart cath. I called the unit to give report at 6:30 (we had just finished the procedure) and was told that we need to wait to shift change. Fisrt of all, we can't just sit around with a patient we are on call becasue we never know when the next one is coming. We have offered to bring the patient up and stay in the room with them a little longer to help the nurse get situated. At least this way, we can give report and move on if we get paged. I have been around in the ER alot as well and many times the patient really isn't ready to go up ntil closer to shift change. I have seen doctors hold the patient in the ER until a MD comes in to see them as a consult or the patients GP comes in and decides to admit the patient. If the MD waits until the office closes to come and see the patient in the ER (during the week), the admission time is going to fall closer to shift change in my hospital because most nursing units do 12 hour shifts. I have seen games played on both sides though. I worked on a nursing unit for 9 years before the ER and cath lab. There is a policy that the ER uses now. If they call two times and the nurse will not take report, they take the patient to the room and give report when they get there. I have called the ER as a staff nurse before and asked them to give report on a patient that had been assigned to the room 2 hours before. They thought I was crazy. The ER nurse could not believe that I was asking for another patient. I told the ER nurse that it was a great time for me to do an admission becasue the other patients were eating and I had caught up on the paperwork. They gave me report and brought the patient up right then.
  16. Sodie

    rules of injections

    One time a nurse in my unit gave something that another nurse drew up. It was neosenephrine. It was 10 times the dose that it should have been. Fortunately the patient didn't have any residual effects. I never give anything that someone else drew up or mixed other than a pharmacist that has labeled the syringe. It has been my practice for 16 years; I have shared this with all nurses that I have precepted and I discourage it today as I teach IV therapy classes. Most of the nurses that I have spoken with about administering meds that they did not draw up state that they don't do that either and never will.
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