Zookeeper3

Zookeeper3

ICU, ER, EP,

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All Content by Zookeeper3

  1. No soap?

    Zookeeper3 replied to autumn_october's topic in General Nursing

    We use no soap and no bath basins. The bath basins are a major source of re-contamination. We use something like glad bags with disposable wipes and hibicleanse on everyone. It is not used for the...

  2. Any legal issue there?

    Zookeeper3 replied to akasu's topic in General Nursing

    As you can see we are a cautious bunch because many of us have been at the wrong end of trying to do good. This is not to scare and dissuade you from helping your church folks, but unfortunately many...

  3. First week with new patient. Family is driving me looney!

    Zookeeper3 replied to MsBlissful's topic in General Nursing

    One family spokes person and refer all calls to that person, until they can decide on that person you appoint the next of kin. You must dilegently never say anything to anyone from that moment forward...

  4. The last thing you want to hear when you get to work

    Zookeeper3 replied to Tait's topic in General Nursing

    You've got the active GI bleed admit, they're scoping him at the bedside and you other assignment is the screaming detox patient in leathers. Nothing good comes from

  5. Narcotic Descrepency!!!

    Zookeeper3 replied to APatriganiRN's topic in General Nursing

    Usually a pharmacy refill error, or someone put meds back in another bin if there was a drawer failure. Happens often enough. The worst, the worst that can happen is you pee in a cup for several...

  6. Screwed or not?

    Zookeeper3 replied to OnlyByHisGrace's topic in General Nursing

    My only experience if from a peer that suffered nerve damage from catching a falling patient. having to get a lawyer to seek the qualified surgeon, not on our approved list was difficult. She won,...

  7. A/O patients throwing things

    Zookeeper3 replied to vashtee's topic in General Nursing

    In a very firm, non yelling voice "That behavior is beyond unacceptable, I'm walking out now to give you time to get it together, when I come back in, in 15 minutes, we can discuss what is upsetting...

  8. Switching from Night Shift to Day Shift

    Zookeeper3 replied to sameyjaney's topic in General Nursing

    I worked the majority of my 16 years of nursing on nights. Not less work, but less stimuli (I worked ICU). I never had problems sleeping, but looking back I stayed up until 11am each day, preparing...

  9. Having trouble with a difficult situation

    Zookeeper3 replied to canesdukegirl's topic in General Nursing

    You are absolutely right, as an ICU nurse, we were required to go to PACU, when extubation occurred and just wait. As you've experienced, not all died in the allotted time frame and were sent back to...

  10. anyone have a not-at-work injury, what was your experience with time off?

    Zookeeper3 replied to beeble's topic in General Nursing

    I blew out my right ACL and medial meniscus jogging... yeah well ortho doc says never jog, go figure. Internist told me with my high blood pressure to get active.. well anyway. Non work related, HAD...

  11. BSN vs. ADN really does it matter these days?

    Zookeeper3 replied to SoCalRN1970's topic in General Nursing

    hmn, after 16 years, I'm finally working toward advanced degrees. It's not because of market ability, it's because I'm old (lol), can't physically work the ICU anymore and need those degrees to do...

  12. Flu shot/Pneumonia shot in same arm?

    Zookeeper3 replied to sMoLsNurse's topic in General Nursing

    my hospital policy does Not recognize localized irritation as a "reaction". Depending upon the manufacturer you research, localized redness, swelling bruising, pain are common to administration sites....

  13. PTO accrual

    Zookeeper3 replied to L&DRNJenn's topic in General Nursing

    we gain 9 hours of PTO every two weeks, no separate sick time. Holidays pay double time. You gain PTO's through orientation, but can't use them until after the 90 day probationary

  14. "Knock, Knock!"

    Zookeeper3 replied to sophiee's topic in General Nursing

    I personally don't care which way is done, as long as it is to protect privacy. MY issue is those that do either and just enter before waiting for permission to enter. There are bigger fish to fry...

  15. Post Op Ileus prevention

    Zookeeper3 replied to tcgriffin's topic in General Nursing

    Reglan, but only with specific types of bowel surgeries. With a stunned gut, reglan causes more harm, simply put (it's more extensive, you'll need to speak with surgeons as to why they prescribe it...

  16. New RN worried about confrontations

    Zookeeper3 replied to xtian's topic in First Year After Licensure

    There is a time to act and a time to REACT. NEVER react to an antagonistic person. I speak softer, quieter and wait for them to finish blowing... then the long pregnant pause... Then in a respectful...

  17. Would being a PA be more realistic w/ my physical limitations?

    Zookeeper3 replied to dclamb3's topic in General Nursing

    Hey, have you considered following several different PA's, like a hospitalist PA, a cardiology PA, a NICU PA an so on? If you know you are capable of the didactic portion, the physical portion...

  18. A vent thread for patients- what can we do better?

    Zookeeper3 replied to canoehead's topic in Patient, Colleague Relations

    Great Canoe, not only do we have to deal with patient invading us, now we have nurses griping about nursing care.... from nurses! Not going to share horror stories, this is a puke on the shoes...

  19. Are nurses really high in demand?

    Zookeeper3 replied to guevarrar's topic in General Nursing

    IN NC, my home town anyway, there is a huge nursing shortage. Be warned though, the specialty areas are only taking BSN's... like ICU and tele. The A.A.S nurses are hired onto the floor positions....

  20. How'd you know when you were ready to get your MSN?

    Zookeeper3 replied to cbcle's topic in Post Graduate Students

    Well as someone whom has been an A.A.S for 16 years, fighting through a bachelors, I'm in the same boat. My issue was stopping school to work to provide for my family. Now that my three children have...

  21. MRSA in the nares

    Zookeeper3 replied to ilovemicrobiology's topic in General Nursing

    umn, what most nurses do NOT do is wash their hands BEFORE going to use the bathroom, I mean after opening the door, and contaminating their hands with locking a stall. Many MRSA UTI's are very...

  22. Would being a PA be more realistic w/ my physical limitations?

    Zookeeper3 replied to dclamb3's topic in General Nursing

    Honesty, I'd suggest just one single semester with A&P, microbiology and some other junk. If you can hang with the crowd and pass those, then and only then should you even talk about a PA degree....

  23. LPN chest tube delegation

    Zookeeper3 replied to dlovelylisa's topic in General Nursing

    I'm not accustomed to LPN's, however, you did not mention the state you will practice in, and many states vary on the laws governing skills. Will you be required to provide conscious sedation? Is...

  24. Having a hard time with death

    Zookeeper3 replied to bamagt's topic in General Nursing

    After 16 years in the ICU, you all can assume I 've seen much death. I have failed some when way too tasked to save the viable while the patient died alone. I regret it, remember too many of them to...

  25. How do you cope with work and co-workers:(

    Zookeeper3 replied to lifein08's topic in Patient, Colleague Relations

    I may be rare, but I'm a culture changer. Working in the ICU is different then the floor and I mean no disrespect, but floor nurses do tend to blame the previous shift, the aide, the family. In the...