RNcDreams

RNcDreams

Tele, ED/Pediatrics, CCU/MICU

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All Content by RNcDreams

  1. On flight to Europe... "we need a nurse"!

    RNcDreams posted a topic in General Nursing

    Happy New Year! I'm planning a trip to Europe this fall, and I've heard some horror stories from coworkers about medical emergencies that occurred on their flights on vacations. Since I will have...

  2. Insulin...When/ When not to give

    RNcDreams replied to yurnurse's topic in General Nursing

    I was taught to sort of be "in the middle" on this one.... I must say, those diabetics sure give me stress!! Recently I had a pt who had a morning BS of 56, and was ordered to get 3 po meds for type 2...

  3. How do I turn my brain off after work?

    RNcDreams posted a topic in General Nursing

    How do you all deal with this....? I make it through a 12 hour shift.... spend all day triple checking medications, looking over charts repeatedly for something I've missed, constantly worrying that I...

  4. Monitor and IV pump Alarms, I hear them im my sleep

    RNcDreams replied to Morettia2's topic in CCU, Coronary, Cardiac

    Sometimes, I will be in this weird half awake, half asleep state.. and I'll KNOW I'm at home in my bed, but the rest of my brain is convinced I'm at work, with tons of things to do, that I can't...

  5. Two steps forward.....

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

    I'm in the same boat as you guys..... Some days I feel like I'm great at my job, informed, being compassionate etc... and then the next day, I'm running around from the SECOND I take report to the...

  6. Contemplating becoming an RN. Tell me the GOOD, BAD & UGLY

    RNcDreams replied to contemplatingRN's topic in General Nursing

    Can anyone out there shed some light on what would make a good nurse? A good nurse must be willing to learn, open to constructive criticism, and be comfortable with advocating for their patient. Good...

  7. Combative Pt. Spat in my Face, Eyes, Mouth-Dealing with Policy/Procedure now :(

    RNcDreams replied to Gr8Dane's topic in General Nursing

    You should have been made a higher priority! Once I got trach secretions from a MRSA + patient coughed into my eyeball.... and my eyeball is just fine. I think we're all carriers, anyway. Sounds like...

  8. New Grads after 6 months: How do you feel?

    RNcDreams posted a topic in First Year After Licensure

    I've hit the 6 month mark.......and the warm-fuzzy feelings that I had toward the end of my preceptorship have evaporated. Before work, I now find myself feeling anxious, nauseated, and...

  9. We can't go on divert!

    RNcDreams replied to RNcDreams's topic in Emergency

    They are "discussing" this idea with the floors, but as you can imagine, it hasn't gone over

  10. Bad shift, need a pick me up.

    RNcDreams posted a topic in General Nursing

    I am in my 5th week off orientation, trying my hardest to stay positive. Today was by far one of the most challenging, frightening, and stressful days I have had yet. The dept was full to the brim...

  11. Horrible Dream!

    RNcDreams replied to Bugaloo's topic in General Nursing

    Someone else does this too?!?! I thought I was losing it!! I lay there and I'm halfway asleep, and I know I'm in my bed, but my brain thinks I'm at work, and I'm literally there with my eyes shut...

  12. Horrible Dream!

    RNcDreams replied to Bugaloo's topic in General Nursing

    OoOoh I had a dream like that once! and in the dream i decided to clock out for a minute to go get something I forgot at home, and I ended up coming back and realizing that I had patients?! And i...

  13. staff appreciation

    RNcDreams replied to traumamomtx30's topic in General Nursing

    We got T-shirts for EN week that had "emergency" on the back, the name of the hospital on the front, and RN on the sleeve... depending on your budget, you could see if there is a discount offered on...

  14. New Grads after 6 months: How do you feel?

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

    WOW That is WORD FOR WORD how I feel, what I do, and what happens when I go to sleep at night..... I totally agree, the right staff and the right attitude make you feel capable and good about your...

  15. The Order...

    RNcDreams replied to punkstar's topic in Emergency

    Ahh, I was just wondering about that whole D50-through-a-peripheral topic... Is it wrong to push an amp of that stuff in an emergency, if all you have is a peripheral? I had a pt the other day with...

  16. Share your ED assessment tips, tricks and routines!

    RNcDreams posted a topic in Emergency

    Hi all! I'm in my 4th week off orientation in the ED.. so far so good. One of my goals right now is to improve upon my assessments-- i.e., make them thorough and concise without being excessive, yet...

  17. Breakfast of champs

    RNcDreams replied to RN ColbyJack's topic in General Nursing

    I also experience gnawing hunger at 9:30 am on the dot, every single time I work a day shift. I eat a bow of cereal with a banana in it, sometimes an english muffin with a banana and Peanut butter......

  18. Lab and diagnostic test results?

    RNcDreams replied to ichbinmich7's topic in General Nursing

    I work in ER, and test results are often why the patient is still in the department... i generally say something like "There is nothing critical on your test results, but the doctor is the person who...

  19. Help with ER blood draw order and tube color!

    RNcDreams replied to pedsRN121's topic in First Year After Licensure

    My facility requires the blue top (PT/PTT/INR) to be drawn first because they cannot run the specimen unless the entire tube is full... so I guess their rationale is, if you're gonna get one tube and...

  20. .... I made another mistake :( Need encouragement.

    RNcDreams posted a topic in General Nursing

    Hi everyone I'm a new grad in ED, off orientation Dec 16th. I've already made my first med error (under-dosed a pt. with Fentanyl).. and I filled out my second OAR today.... I had a pt that I picked...

  21. Best approach to patients and relatives complaining about "long wait."

    RNcDreams replied to uniquenurse's topic in Emergency

    Beeee careful with the "directing" to other hospitals and facilities...... COBRA/EMTALA

  22. STEMI..EKG in less than 10 min..

    RNcDreams replied to CoolhandHutch's topic in Emergency

    Ours is similar.. there is one exam room adjacent to the waiting room for this exact purpose. Anyone who needs an EKG can go in there and get it, come out to the lab chair, be "lined and lab'ed" and...

  23. New Peds nurse and i keep getting sick!

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

    I work in ER as well, and people are simply icky-sticky-gross. -I try (but don't always remember) not to put my hands in my mouth/near my nose or eyes -Take a vitamin C supplement (I just eat these...

  24. Will there ever be a day that I won't forget something?

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

    It's comforting to know that I'm not the only one who goes home and dwells on work during days off... it's as if there is a tape playing in there and I can't shut it

  25. .... I made another mistake :( Need encouragement.

    RNcDreams replied to RNcDreams's topic in General Nursing

    These are all very good points.. I do try my best to think outside the ER "here and now" box and think of what the pt would routinely need after they leave my care,when I know I will be with them...