DallasRN

DallasRN

ICU/ER/Med-Surg/Case Management/Manageme

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All Content by DallasRN

  1. 12-Hour Shifts Led to Fatal Crash

    Every word you wrote was well said. Thank
  2. 12-Hour Shifts Led to Fatal Crash

    Being awake 17 hours isn't unusual. However, being awake for 13-14 of those hours with the added stress of nursing is a different ballgame, IMO. On your feet, go-go-go, praying you don't make med...
  3. How Much More Can Nurses Take?

    🤣😁 Oh, my, goodness! I've got a 40+ year hx, too, and can really appreciate your comments. Your experiences outdo most of mine, but I know exactly what you're talking about. Talk about a...
  4. Calling off. When is it too much?

    I agree with RubyVee. Everyone has "a lot" to deal with, but when you have a job, you have to set priorities. I assume your move wasn't an overnight/sudden happening. Did you discuss time off with...
  5. Made a huge mistake as a new grad

    I especially like the comment about keeping notes on things to pass on to the next shift. So easy to forget things in the hustle-bustle of shift
  6. Contraband found upon admission detox/ recovery

    Just a curiosity question...what should be done with illegal drugs/contraband found during the admission process in an ICU or med-surg
  7. I work very part-time in a dual role for a well-respected agency in my area. About every 60-90 days, I do brief RN assessments on a certain population of clients. This takes about 2-3 weeks on...
  8. Question about Boundary of RN License

    Excellent point. Sadly, many clients have uninvolved family members. Fortunately, this particular client is very intelligent and probably more "cognitive" than me. But your advice will be used for...
  9. Question about Boundary of RN License

    Thank you! That has been my assumption, but I wanted to be positive I was correct. For example, I recently had a client who obviously needed professional wound care for her lower extremities. While...
  10. Is Nursing worth it? (a rant)

    Excellent rant and on target in so many aspects. Also great comments from all the previous posters. I've aged out of acute care nursing, but to pay ever-increasing bills, I now work very...
  11. Accused of Racism!

    Fully agree with Nurse Beth and heron, ASN, RN. Living/coping/surviving in today's world can be difficult. I have a headache. I glance in your direction with a frowny face because my head...
  12. I give 2,640 meds to 35-40 residents by noon

    Was my math totally wrong? That wouldn't be surprising! 🤣 I'm familiar with some ASL's in my area and in those the med aide has to stay with the patient until they take the med. Leaving them on...
  13. I give 2,640 meds to 35-40 residents by noon

    I'm not in a position to argue since I don't work in an assisted living facility. However, as part of my PT job, I'm in and out of facilities on a fairly regular basis and I've never seen a situation...
  14. I give 2,640 meds to 35-40 residents by noon

    I usually agree with Nurse Beth but not on this comment. 😧 I would not stay around long enough to document concerns, communicate with management, or check state regs. The only thing I would...
  15. LPN

    If at all possible, I'd pass on the LPN program and work on the ADN. If like most students you will need to work while going to school, you might as well work while obtaining your ultimate goal...
  16. Terrible Charge Nurse, I have to do his job!!

    Mrsexylegs covered many points. But I have to ask, what exactly are you referring to as "painful breathing"? What made you think it was "painful"? Did the patient have pneumonia? Some sort of lung...
  17. Critical Care fellowship

    You may have explained why TxNurse287 hasn't responded to my private message as she doesn't have many posts. I wish she could as I have some info I'm sure would be beneficial as she develops her...
  18. Critical Care fellowship

    Am I confused? I sent the private message to TxNurse287. Thanks for any
  19. Sending resident to ER without a providers order.

    Also, if the OP's nursing judgment can't be trusted, why was he hired in the first place? I suspect many homeless people would willingly occupy space on a unit for a warm place to stay and something...
  20. Sending resident to ER without a providers order.

    If this is the full story, and I have no reason to believe it isn't, it makes one wonder where they find some of these DON's/Nurse Leaders. Given the facts presented, it seems to be a no-brainer that...
  21. Critical Care fellowship

    I just sent you a private
  22. Critical Care Nurse Fellowship

    Can you be more specific in terms of what is meant by a "nurse fellowship"? I Googled (of course!! 😀) and it seems there may be some overlap between a fellowship and a nurse residency/internship....
  23. Untrained staff taking Residents out to smoke

    That's interesting. It's been many years since I've heard of staff taking people out for smoke breaks. I think this has the potential of putting other staff at risk. For example, I have a...
  24. Medication Order

    You are correct and that is the reason I pointed out "back in the day". We did lots of things that were never questioned by anyone but certainly would not fly today. But I would add, according to a...