RNcDreams

RNcDreams

Tele, ED/Pediatrics, CCU/MICU

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All Content by RNcDreams

  1. PANICKING! How bad is this?

    RNcDreams replied to RNcDreams's topic in General Nursing

    I did see each and every med that was given, so I do know for a fact! Should I still not write

  2. When nurses visit loved ones who are hospitalized...

    RNcDreams posted a topic in General Nursing

    How do you feel when a patient's family member/friend/etc is a nurse, and comes to visit at the hospital? Do you feel territorial? Are you glad? Do you feel a sense of camaraderie, or do you think...

  3. Archetypes in Nursing

    RNcDreams replied to FireStarterRN's topic in General Nursing

    The Martyr She feels that she is always a victim of injustice. Constantly sighing, moaning, and whining. Her patients are too sick/heavy/obnoxious, no one else is working as hard as her, and her face...

  4. Butt kissing management

    RNcDreams replied to jessiern's topic in General Nursing

    Our department's Director handed out goody bags to patients one day, when we were holding admissions for up to 24 hours.... Perhaps we could instead use money to acquire more nursing staff. It appears...

  5. Are there "well staffed" ERs?

    RNcDreams replied to Anagray's topic in Emergency

    We have 30 beds, plus 4 wall beds. Charge nurse doesn't take an assignment- 1 traige nurse- 7 nurses take assignments on days, then one more nurse for the psych rooms & floating = Total of 8...

  6. Most silly reason for being called in the office?

    RNcDreams replied to nursebrandie28's topic in Emergency

    I was once told that someone complained that I was being too "aggressive" when speaking to one of the doctors... And she could not tell me what the situation was, who complained, or what it was that I...

  7. Attention all ER Travelers!!

    RNcDreams posted a topic in Emergency

    I am in need of your opinions, regarding my next career move!:) Here's my situation: -I am currently 8 months in at my first RN position, in the ED at a community hospital. This particular hospital...

  8. CVC's and PICC's- to use, or to x-ray, then use?

    RNcDreams posted a topic in Emergency

    I was wondering.. What's the policy at your facility regarding the use of preexisting central lines in patients that arrive at your facility? Are you required to get a portable cxr to verify placement...

  9. Attention all ER Travelers!!

    RNcDreams replied to RNcDreams's topic in Emergency

    My apologies if I'm beating a dead horse here... I'm sure there are threads somewhere on the topic... but what differs between agency and travel nursing? Can I do that across the

  10. Emergency Nursing -- What's it like?

    RNcDreams replied to RedhairedNurse's topic in General Nursing

    Okydoky... point taken!

  11. Emergency Nursing -- What's it like?

    RNcDreams replied to RedhairedNurse's topic in General Nursing

    It is a shame that these patients did not receive proper care. Recently, a COPD patient in my ED crashed on arrival on the floor.... and the nurses who sent the patient up had been there for 25...

  12. Emergency Nursing -- What's it like?

    RNcDreams replied to RedhairedNurse's topic in General Nursing

    I went straight into ER, but it's a community ER that gets an abundance of SICK medical patients-- it's a non trauma facility. I had this in mind when I took the job. I didn't want to get thrown to...

  13. dispensing medications

    RNcDreams replied to 9309's topic in Emergency

    My thinking is that the original package is speaking to the whole issue of not being able to take meds from a bigger container and then putting them in a smaller container-- they are two pills, in the...

  14. tips on being an effective charge nurse?

    RNcDreams replied to minnib's topic in Nurse Management

    Keep an eye on your newbies :) We look to you to reassure us that we are doing ok, and we need to you notice when we're drowning. You are like our parent-- let us flourish, keep us in check, and pick...

  15. How does one become assertive in the nursing field?

    RNcDreams replied to nicnix's topic in General Nursing

    Being in the ER from the get-go has been a blessing for me. The MD's are either at the computer next to me or at the station behind me. They never get angry if I ask them to explain something, and...

  16. dispensing medications

    RNcDreams replied to 9309's topic in Emergency

    Hmm..... I think there is a difference between giving 2 percocets go to (in original blister packs, and Dr.'s instructions with appropriate patient teaching) AND Mixing a bottle of Amox and then...

  17. Compassion....Why is it lacking?

    RNcDreams replied to RedhairedNurse's topic in General Nursing

    It is very, very hard to remain fully "compassionate" when your patient is pressing their call light every 10 minutes... and each time you respond, you hear their slurred speech, see their unsteady...

  18. When it's the visitor who needs the ER....

    RNcDreams replied to nerdtonurse?'s topic in General Nursing

    I work in the ED and had a patient recently that was a spouse of a dying patient up on the floor... the visitor had a near syncopal at the bedside of their dying spouse, and you bet the staff got him...

  19. Evaluate me and tell me what you think.

    RNcDreams posted a topic in Emergency

    Hello! I just made a post on the First Year in Nursing board about some anxieties I'm having lately. I have a question specifically for you seasoned Emergency folks. In July, I will have hit the 1...

  20. Tell me how to stop worrying about....

    RNcDreams posted a topic in First Year After Licensure

    how much I don't know. I'm 8 months in at a community ED (my first RN position) and it's beginning to click. I'm getting better at predicting what needs to be done, working on my focused assessments,...

  21. Where was your first nursing job?

    RNcDreams replied to katie1285's topic in First Year After Licensure

    If you know what you like, go for it with gusto

  22. Floor Nurses: When medicating your new admission....

    RNcDreams posted a topic in General Nursing

    what sorts of routines/practices do you utilize to ensure that the patient isn't double dosed? I feel like my current facility has us set up to make errors. 1. Do you get a typed or phone report from...

  23. cause of diaphoresis

    RNcDreams replied to Ms.RN's topic in General Nursing

    Was the patient having chest pain? Shortness of breath? Shakiness? Belly or back pains? Did they have too many blankets on? Was the room hot? (Those last two might sound silly, but there are a few...

  24. Today I was "That" Aide

    RNcDreams replied to VenaKavaRN's topic in General Nursing

    To the best of my knowledge--It is NOT your responsibility as an aide to be starting or stopping infusions or feeds of any kind! That being said, good for you for owning up to the whole mess. P.S. Is...

  25. Need advice from "seasoned" nurses!

    RNcDreams replied to kimcrops's topic in General Nursing

    I am not "seasoned" by any means, but I can tell you that there is a big difference between struggling and learning on the job in a medsurg unit you hate, and struggling and learning on the job in a...