midazoalm1953

midazoalm1953

critical care/ Hospice

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All Content by midazoalm1953

  1. The First Time I Had to Tell a Family That Their Loved One Passed Away

    midazoalm1953 replied to november17's topic in General Nursing

    Ahhh. When I was an ICU nurse up until 18 months ago I never had a problem with "i'm sorry (mom, dad, grandma, your brother, wife, etc) has died. It became sort of "routine. But what was not routine...

  2. Going to ER from ICU. Help!

    midazoalm1953 replied to OnlybyHisgraceRN's topic in Emergency

    as a former ICU nurse I understand the need to do a head to toe assessment. I am now working for hospice and still do a head to toe assessment. Where my job now requires mostly documentation vs...

  3. Sense of Dread....When Will It End?

    midazoalm1953 replied to AICU RN's topic in First Year After Licensure

    above was placed in you comment, sorry..those last opinions are

  4. Sense of Dread....When Will It End?

    midazoalm1953 replied to AICU RN's topic in First Year After Licensure

  5. Any hiring bias towards new male nurse 50 years old?

    midazoalm1953 replied to djdietz's topic in General Nursing

    welcome and come on in and join the party...we love male nurses and if you think you can put up with all the crap and nasty families...go for it...good luck...you will re-examine your choice in 5 yrs...

  6. Things you'd LOVE to be able to tell patients, and get away with it.

    midazoalm1953 replied to AngelfireRN's topic in Patient, Colleague Relations

    WOW...and I thought I had things to

  7. Trach/PEG special

    midazoalm1953 replied to KittyLovinRN's topic in General Nursing

    In our ICU pretty much the same protocol. After 10-12 days with multiple failed weaning the Trach is approached as wekk as the PEG. We used to do both at once, but now wait a few days as some people...

  8. Planetree affiliated hospital = MORE BURNOUT (LONG)

    midazoalm1953 replied to abbaking's topic in General Nursing

    Planetree in it's conception might be grand but in reality is a bunch of crap. We have "visitors" at all times in the ICU and the families are obnoxious. They follow you into the med room and scream...

  9. what can I say to a family member?

    midazoalm1953 replied to rnto?'s topic in Geriatric, LTC

    again...will they honor your wishes??? TOO often seen person's wishes completely ignored...assault if you ask me.....just be sure your HCP has the balls to standup against family that are out of...

  10. what can I say to a family member?

    midazoalm1953 replied to rnto?'s topic in Geriatric, LTC

    It's just that I have too often seen pt's wishes not carried out, and extreme measures instituted against pt wishes...disgusting...and the flip side; a pt clearly circling the drain and he/she "wants...

  11. what can I say to a family member?

    midazoalm1953 replied to rnto?'s topic in Geriatric, LTC

    I think you are wrong. Very wrong......there is a need for "limits" on invasive care with re: end of stage diseases...and for persons in their 90's with multiple comorbidities....selfcare deficit,...

  12. what can I say to a family member?

    midazoalm1953 replied to rnto?'s topic in Geriatric, LTC

    Thank you for such an elegant way of expressing how I feel, but could not quite express it as well as you. I would like to print your reply and post at work if you'll grant me permission. Thanks...

  13. Things you'd LOVE to be able to tell patients, and get away with it.

    midazoalm1953 replied to AngelfireRN's topic in Patient, Colleague Relations

    gift basket has "goodies" cookies, pastries, lotion, tea, coffee, juice, soda...no strychnine

  14. Things you'd LOVE to be able to tell patients, and get away with it.

    midazoalm1953 replied to AngelfireRN's topic in Patient, Colleague Relations

    aso where I work, in a "Planetree" hospital, obnoxious visitors actually receive a "gift basket" from senior administration...talk about BS. I watched a family member jack a nurse up against the wall....

  15. Things you'd LOVE to be able to tell patients, and get away with it.

    midazoalm1953 replied to AngelfireRN's topic in Patient, Colleague Relations

    oh boy.....where to start???hmmm. first I am not waitress so making a pot of coffee for your whole family is out. Go down to the cafeteria. To the pt whose finger is glued to the call bell...if you...

  16. How do you manage to get to work in snow storms ?

    midazoalm1953 replied to NurseLoveJoy88's topic in General Nursing

    I have a 55 mile commute and I do have an SUV as well as a car. I always try to get to work, leave early if I have to. But I will say there have been times that it is just to dangerous and I have...

  17. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    midazoalm1953 replied to yazisizit's topic in Nursing Humor

    disgusting...and I would have made him clean it up....total

  18. ICU nurse to pt ratio "norm" on your unit?

    midazoalm1953 replied to Natef26's topic in MICU, SICU

    Just to let you all know...I don't know whether the tides are changing...but the past 2 weeks has found myself and another RN each with 2 unstable vented pt's...I'm talking levophed and vasopressin...

  19. ICU nurse to pt ratio "norm" on your unit?

    midazoalm1953 replied to Natef26's topic in MICU, SICU

    Hmmm....no to little sedation and rare restraints! Well most of our patients are sedated, usually diprivan 75-85%, and restriants @ 90%....unless a family member is at bedside, then we release...

  20. ICU nurse to pt ratio "norm" on your unit?

    midazoalm1953 replied to Natef26's topic in MICU, SICU

    WOW....reading all these stories...it is reallly getting out of hand in the ICU....my latest story....I was scheduled for my "week" in stepdown, came in last Sunday eve, ( my 5th nite that week in...

  21. ICU nurse to pt ratio "norm" on your unit?

    midazoalm1953 replied to Natef26's topic in General Nursing

    Good for you....and document in your nurse notes the same. When I have been stretched, i.e. 3 ICU neuro pt's believe me my notes document- no AM care due to high pt load and acuity, or labs not drawn...

  22. ICU nurse to pt ratio "norm" on your unit?

    midazoalm1953 replied to Natef26's topic in MICU, SICU

    Good for you....and document in your nurse notes the same. When I have been stretched, i.e. 3 ICU neuro pt's believe me my notes document- no AM care due to high pt load and acuity, or labs not drawn...

  23. ICU nurse to pt ratio "norm" on your unit?

    midazoalm1953 replied to Natef26's topic in MICU, SICU

    Floating USED to be a real issue with us too. They did the same to us, icu nurses, float us to cover call-ins and leave us short....but when people started leaving and in their exit interviews, all...

  24. ICU nurse to pt ratio "norm" on your unit?

    midazoalm1953 replied to Natef26's topic in General Nursing

    Floating USED to be a real issue with us too. They did the same to us, icu nurses, float us to cover call-ins and leave us short....but when people started leaving and in their exit interviews, all...

  25. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    midazoalm1953 replied to yazisizit's topic in Nursing Humor

    This happened just last week. We had a very confused pt in ICU, who had transfer orders, but no beds available. She really did not require much care. She often called out or yelled at times. Mostly we...