nursbee04

Nurse Manager - in charge of running the unit, administrative duties, committee meetings, staffing, budget, evaluations, payroll, policies, day to day issues that come up. Basically managing the unit, hence nurse "manager." Usually not involved in ...

I have worked night shift for over five years and our dayshift staff would never EVER dare to make such remarks. They know when we leave at 0730, sweaty and tired from a busy shift that we work just as hard as they did, with less resources and in mo...

O2 sat alone is not enough to decide if the pt is okay. What were his ABGs? If the pt was groggy its very possible it could have been from elevated CO2 or hypoxia or both. If CO2 is a problem, the NRB only makes it worse, and the worsening decline...

Lots of good advice in this thread! You could just be going through a dry spell. It happens to everyone. You'll pick back up Try to feel for veins instead of relying on veins you can see. Good veins have a nice spongy feel. Try to notice where t...

I apologize, for this is long. But this post struck a chord in me. *note: the quoted sentences in my post are not taken directly from anyone's post. You know, no one would ever look at me where I work (ICU) and question my nursing skills or judgme...

A lot of it depends on the individual, but I think mostly on the environment you will be in. Is it a supportive environment with established preceptors/mentors? Will you be with the same preceptor every shift or will it change from shift to shift? ...

Regardless of the "or," I assumed you were presenting both these situations with the idea of government involvement. My mistake :wink2:

Psychological effects of steroid use from the Encyclopedia of Sports Medicine and Science http://www.sportsci.org/encyc/anabstereff/anabstereff.html#5 Anything that could potentially affect your logic, temper, ability to critically think and also hap...

Um, this has happened at a hospital I worked at already. No ward clerk, they frequently have to clean rooms and the only person who gets a raise is the CEO. No government involvement there.

Wow. I have had family members burst into tears and tell me they feel so guilty because they are praying for their loved one to move on so they don't have to suffer anymore... I've had family members who were terrified that their loved one would hav...

But what do you check the armband against?

For those of you who don't take the MAR in - how do you do you verify that it is the correct patient @ the bedside? I take the MAR and the meds/unopened pills into the room - verify the name and account number, then verify the meds against the MAR as...

ditto on Echo Heron's books. I loved the documentary Vietnam Nurses. It's narrated by Dana Delaney and simultaneously fascinating/heartrending. I would also recommend a book called A Piece of My Heart by Keith Walker, also about Vietnam nurses.

1. Never take someone's word for it. ALWAYS look it up. Plus, if you look it up, you will be more likely to remember it next time. 2. Never assume its okay to dilute/that it won't hurt anything. For example, if you were to dilute IV valium with ...

"Nobody made a greater mistake than he who did nothing because he could only do a little." -- Edmund Burke

Ditto what calla said - Not everything has to be diluted - always check an IV drug reference if you are unfamiliar with ANY medication. Any good reference source should tell you how much to dilute in or "may be given undiluted." It should also tell...

I'd quit without notice. You have to protect your license. It is up to you to practice safe nursing - a job is a job, you can always find another one. Places like this set people up for failure. If I can't practice safely, its not a place I'm will...

my thoughts exactly, luvschoolnursing. Can you imagine recruiting physicians with this kindergarten crap? How about wearing professional clothing, giving a solid presentation on why your hospital is the best choice to work at and not insulting the...

I am by no means an expert, but I'll tell you what I know... Breathing treatments - this depends on the trach and whether or not the patient is vent dependent - for example, my sister doesn't require 02, so she gets blow by treatments or a trach mask...

Tips for living with someone preparing to take/waiting for results of their NCLEX: 1. Never ever say: It's not REALLY that hard, is it? Gee, hope you didn't bomb it, that would suck. So what happens if you failed? How much does it cost to repeat...

I think we could definitely take an example from the nurses in California. We are having almost the exact same thing happen in our hospital, but instead of being professional and bringing concerns forward, most of our staff has taken the stress and ...

I love propofol. Works well with most patients. It is a huge pet peeve of mine to come in and get report on a vent patient who is practically coming off the bed and when I ask what they are getting for sedation the dayshift nurse replies "Ativan 2m...

I think the point is that you cannot obtain an ASN in two years, not that an ASN should be considered a four year degree. It took me three. To say it is a two year degree is misleading to some, especially laypersons. Just as it is equally misleadi...

I am curious as to other hospitals' policies concerning cleaning a room after an isolation patient has been discharged. For example: a pt with VRE or MRSA. Does housekeeping take any special measures at your facility? (lets just say I am not happy...

I was in composition II and we were discussing possible topics for our next research paper. Terrorism was actually one of the topics to choose from. Next I went to A&P class and our prof told us "there is no more world trade center." We didn't...