All Content by frann
-
How to support a friend with cancer?
I've got this!! I am a nurse with stage 4 BC Dont ask how I feel-unless you really want to know. Talk about tings other than C help her fel normal-movies? Most people dont know what to say-so they say nothing. that hurts Texting Hi I'm thinking of you is easy to do I hate get well cards
-
I really need help with this case study?
she just had mastectomy on right. avoid that arm for sticks and bp's. place arm band with warning on rt arm A mastectomy puts pt at risk for lymphedema in that arm. she is more at risk the more lymph nodes she had removed
-
pain control after port placement
I am just wondering what other docs do for pain control after port placement. I have worked in IR over ten years, have given conscience sedation for a lotta ports. then I had one placed for chemo/BC. When that lidocaine wore off it was painful. had to get script for pain meds! pain lasted good 1-2 days. granted it was a left port, and he had to do a lotta tugging to get it in. But has got me wondering if other docs are ordering pain meds for port placement. I realize the order should come from the oncologist. many women in my support group experienced same as me btw tx all done
-
A vent thread for patients- what can we do better?
I've been a nurse 20 years now, three weeks ago I had major surgery. MostHorrible experience of my life. If your patient is in pain. Treat it! The longer you let someone agonize in pain, the harder the pain will be to control. 0.2 of dilaudid for agonizing post op pain-don't waste your time. And don't tel me pca s are only protocol for double mastectomy. Everyone s pain is diferent . Turn off the GD light Be your patients advocate-if there roomate has tv and light on-tell them to turn them off after reasonable hour. Don'tExpect your post op pt to empty there own urine or throw up. If your going to put urine hat on toilet, please label with patient name . And don't forget you may treat me bad as a patient, I may be too tired in am to complain to your NM, but know that I will complain to hospital administrators.
-
"We don't clean patients, we are a procedural area"
I'd talk to there manager. I'm in procedural area. Can't imagine letting a patient leave my area soiled. We are a team. that is basic care.
-
Help with JP drain set up please!
I've never heard of putting a JP to wall suction. and I work in IR where we place JP's. Is there that much pus that it needs wall suction? If IR is still open I would call them. just seems odd
-
policy on throwing up
I'm not a school nurse but work in IR. I'm wondering what everyone elses school policies are on throwing up. Almost monthly our recovery room nurse is called by her 1stgraders school nurse. Child has thrown up. Its always after lunch. she throws up once and is better. seems this child just throws up easily. I've picked her up twice. she's not sick. comes to my house plays/has a great time. i'm trying not to make it such a fun time for her. It really puts us in a bind since we're down a nurse then. The nurse and principal said it was policy that if they throw up they have to go home. asked for the written policy and they couldn't find it. was just wondering what everyone elses policies are. This little girl is very smart, I think she has figured out how to work the system to get herself out of school. I don't mind picking her up when I'm off, but she's starting to miss a lot of school
-
PEG Help Please
I wouldn't really call a peg replacement surgery. its more of minor procedure. very quick, very easy. down in Interventional radiology the Doc/NP/PA puts a small/thin wire down the peg tube they deflate the balloon and pull the old yucky tube off and then they slip the new tube on over the wire this is not a emergency procedure, don't call us after 3pm thinking its going to be done today
-
ACLS for soon to be GN? Advice please.
and whats the worst that can happen? if you don't quite pass you will do remediation where you come back and the instructor runs through scenerios with you
-
What is so bad about STATS?
would you'll recommend taking it online? i'm looking for a online stats course. Everything in my home state of Va reguires a math class prerequisite, so I'm looking outside of Va. Any recommendations? I need it to complete my MSN-I'm just starting and figured I'd get it out of the way
-
online statistics class/no prerequisites
Can anyone recommend a online statistics class with no prerequisites I'm not really a math person. I'm just going back to school to get my MSN and thought I would get my stats class out of the way. also going to takes ethics online too. I found one offered online. I'd like to find something in my home state of VA but all nothing is offered online without prereqs someone did mention a online course through colorado comm colleges That would be a little cheaper than taking the course at a nearby university and having to sit through a class guess I better get used to it
-
FMLA
Cecilsgirl-I initially thought you were one of my coworkers, but I think you work in longterm care. we have someone that when one FMLA runs out he gets another one for something else. around here all you need is a signed note by doctor. Our FMLA'er is transfering at end of month, but sadly they aren't replacing the position. budget cuts very frustrating I can't work any harder or any faster
-
Moving out of hospital bedside nursing
I'm at a cross roads in my career too. Been doing this hosp thing for 18 yrs now. and its back to horrible again. i've decided to go back to school advance my degree and figure it out there. maybe I could teach/ maybe I could do NP-but deep down not sure If I want the stress of that. but maybe its less stress than I got right now. I'm giving myself a long term goal of 5 yrs and then they can kiss my....
-
It's all about the budget
its awfull where I'm at too. I'm down in Interventional radiology. Our upper management seems to like to fire the little people-transporters, assistants. lost like 5 transporters in last few months. management just posted the job opening like a few weeks ago. I just get so frustrated with upper management. I really have no idea what they do. guess they don't know what I do either. our dept has gotten so busy its not even funny. guy had to wait 5 hrs to get back the other day for a G tube replacement-it takes like 15 min to replace one. we are short nurses-we had horrible rash of pregnancies, and FMLA. we constantly work short. so in short my little dept is saving money by not rehiring people when they leave. If you are alittle transporter that makes 9/hr or a assistant that helps with stocking/ordering/etc and make very little -nope not going to replace. so don't freaken talk to me about the scores. I don't really care about your damn scores.
-
tricks played on new JR doctors!
I wasn't there for this one, but I heard about it. I work in IR doing. and one day with our head doc they played a trick on him Had a Mr Bear in the room for some sort of procedure. the doc comes in room and its a great big bear under the drape wish we could bring mr bear back to dept
-
has anyone ever expirenced burn out on a job?
I'm in your same boat now. i work down in IR-interventional radiology-its horrible, so overworked, we have callouts daily, so we're always working short. I've just had it. I've decided to go back to school. finishing my BSN/or working on masters, not really totally sure what I'm going to do, but i'll figure it out at school. I'm giving myself 5 yrs and I'm not going to be where I am now. I've been a nurse 18 yrs now-all in hospital
-
Am I too old?
thanks for your replies, sadly its my DH who thinks I'm too old! I'm going to be working on my prerequisites first-think I need stats and a couple of other things. should be fun:yeah:
-
FMLA
that does seem kind of lame to me. they are moving you to a completely different floor. nurses have babies all the time and come back to there same jobs. *** We've had someout out on FMLA seems like forever and there is no end in site for us. our management isn't transferring this nurse.
-
Am I too old?
am I too old to start thinking of being a NP? I'm 43 and have my assoc degree RN. It would take me 1yr to finish my BSN thereabouts then 2 more years to get my NP? would anyone still hire me at 46? I know your only as old as you feel, but wouldn't the younger applicant more than likely get the job? I don't know. I guess I maybe having a nursing midlife crisis. I work hospital setting for 18 years now and frankly its exhausting. I find my job extremely stressful and demanding. I love my patients, coworkers. but just don't know how much longer I can keep pushing these stretchers. I mean I certainly don't see myself doing this when I'm 60. When I go to our doc office we always see the NP-just went to one now and we talked about birth control for my dd. I feel I could do that. when we go see the ped endocrinolgist-I can see myself doing that. please tell me you guys aren't exhausted after work as NP. I just don't know what I want to do with the rest of my life. kids are older. guess the first step is to enroll back in school
-
areas of need; geographic AND specialty
I know my hospital isn't doing a lot of hiring right now. At my hospital our recruitment office really bites. I really don't know what they do. when I was hired many years ago, nurses where having hard time getting jobs, I went past recruitment and just cold called the nurse manager of the floor I thought I wanted to work on. I got the job. As far as diabetes education-I personally think it would be too much D for me (also have child with type 1) I really get so frustrated with the type 2's that can't take there disease seriously and suffer complications but if you wanted to go on and get your nurse practioner- and focus on ped endocrinology-then I'm pretty sure there are tons of openings
-
I feel like a janitor
Do you'll feel like janitors sometimes? Don't get me wrong, cleaning rooms, transporting patients isn't beyond me. But sometimes it just feels like you have to hurry and get them on the table, get them off, clean the room and then do it all over again. We typically do about 40some cases/day. we just went down to 1 assistant. there duties now mainly include ordering supplies, stocking rooms, assisting techs. don't really assist us nurses. we do have housekeeping emptying trash. every year it seems to get worse and worse, with our caseload etc and I'm sick of management - and sick of the press ganey scores. but I love my coworkers-all except for 1!!! and I love my patients Does anyone else feel like they are being worked to death?
-
What's your fav school nurse day gift
School nurses day is the 12? right? I'm not a school nurse-sometimes I think I want to be(I work in radiology) But my school nurse. I mean my dd's school nurse is leaving us very very soon. I will miss her. she's been my fav. Since my dd has type 1-we really get to know our nurses. But I'd like to know what your fav presents are. I'm thinking some flowers/gift card somewhere thanks guys and know that you'll do make a difference:redpinkhe
-
what is the shortest amount of time you've lasted at a nursing job?
6 weeks. nursing home. 40 plus patients/2? CNA'S all i did was pass meds/thisplace was horrible was going to quite and work at Walmart, but luckily got job at local hospital
-
Got the scare of my life today
so I guess she didn't disconnect when she was priming? 70units would sure hurt going in. pumps have a safety features-max bolus and max daily our max bolus is around 20 units and max units per day is around 70 units
-
Hugs to you floor nurses
funny thing is that I'll talk to my nurse manager tomorrow about it. tell her I spoke a little too harshly to patient, etc etc no one ever pushes my buttons like this lady. I'm usually the nurse that does the "difficult" patient in our dept. I love taking on the "difficult" patient. lord just don't give them to me for 8 or 12 hrs.