nurse2033 MSN, RN

ER, ICU

Member

All Content by nurse2033

  1. nurse2033

    Bored

    OK this is now your outer voice speaking... Move on! You know the answer, you just laid it out for us. I just went part time for the same reason and feel so much better! Can you work part time and do...
  2. nurse2033

    Ideas to streamline Hospital orientation

    As a victim of poor orientation I applaud your idea. I personally like an orientation that somewhat mirrors the nursing process. First you start with your outcomes. Then assess your learners (no one...
  3. nurse2033

    Old guy entering Air Force, please advise...

    Thanks so much! I appreciate your
  4. nurse2033

    Danger to self? help!

    Removing a canula that is keeping you alive sure is a danger. I would have said "yes" to the doc and made it clear the patient needs A) some form of mild sedation B) restraints or C) a sitter since...
  5. nurse2033

    New RN in LTC, feeling overwhelmed.

    I would say the biggest thing to watch for, in regard to contacting the doctor, is any sudden change in condition. Once you see something that concerns you, take any appropriate action, and reassess...
  6. nurse2033

    Scheduling on your unit

    Bring this to HR, it is blatantly unfair for others to be able to change your schedule. Since management doesn't care, move over their head. Good
  7. nurse2033

    Frequency of Vital signs

    Not very often. Every patient gets a temp with vitals at triage. We only repeat if there is a reason to do so. But for the majority of patients with a normal temp they don't get
  8. nurse2033

    VENT- vacation requests

    Yikes. I would at least start to take mental health days off. You might try to write a letter to management and calmly lay out your problem. Obvious, not being able to take vacation with your family...
  9. We use a code system. When the family is present we give them a code taken from the last four digits of the patient's hospital number, which is on all their charting and labels (assuming that's OK...
  10. As I understand retirement is 62 but waiverable to 64. If you are 44 or younger now you could make your twenty. You don't know if that will change in the future, it could well be raised, just as entry...
  11. nurse2033

    Returning to school, age and the reserves

    You are too old for anything but the Air Force. I'm 45 and soon to be signing for the AFR because they are the only branch I'm not too old for. They will take you up to 47, but you need a Bachelors....
  12. nurse2033

    How do you document telemetry in a paperless system?

    We still post a strip in the chart. Although our EPIC is getting upgraded, strips will be sometime in the
  13. nurse2033

    Resume: put down facility or agency??

    I put the agency as employer, then under that-list all the facilities I worked at. If you worked at one place full time, list the dates you were there. This shows you can integrate well. If they kept...
  14. nurse2033

    New grad volunteer in South Africa

    Sounds awesome! I think that would significantly boost your resume. Just follow all reasonable safety precautions. Do your homework. The US State department has information on safety. I've read the...
  15. nurse2033

    Followed MD Order--Now Do I Look Incompetent?

    Maybe you should have told the MD that you refuse to transfer the patient because- nurse to nurse there was a concern. Ha! How's that for a choice? This is not your fault, although I'm sure you know...
  16. nurse2033

    Medication Error..total sadface : (

    Yup, it sucks, I had one myself the other day, (making my total two in five years). It does make you feel like ****. You should feel glad that A) no harm came to the patient and B) you've gotten the...
  17. nurse2033

    ALWAYS called to work on days off?

    Don't feel guilty. You work to live, not live to work. Don't be the enabler! (Unless you want the OT). I never come in on my days off. Sometimes they put me on call for a shift due to low census, then...
  18. nurse2033

    New nurse needing advice

    Are you the highest ranking nurse? If so perhaps you should have a quick meeting with everyone and lay out your expectations and their roles and responsibilities. You need to set the tone ASAP or...
  19. nurse2033

    Military Flight Nursing?

    I am in the process of joining the Air National Guard as a flight nurse. Most AF medical transports are not critical care, patients are stabilized before transport. Your best bet is just to get some...
  20. nurse2033

    Do you think working for the same company for 20+ yrs..

    It shows you can keep a job, not an insignificant point. But today nobody expects that and current management ideals almost make it impossible. You should focus on the future and the skills, both that...
  21. nurse2033

    Fired: Practice/personality problems or politics?

    Holy cow! Did she lose license or go to
  22. nurse2033

    Nursing Diagnoses-RN

    Happy to help, please reciprocate by posting your results here.
  23. nurse2033

    need advice fellow nurses:(

    Mistakes happen, just congratulate yourself that you lucked out in a small mistakes versus a big one. This should make you more careful and safe in the future. No one is
  24. nurse2033

    CEN recertification by internet based testing

    I haven't recerted yet but will next year. As I understand if you don't have the CEs you just take the test again. How did you study the first time? I could be mistaken
  25. nurse2033

    new to the er and unsure

    I would say 3-6 months, hang in