Zookeeper3

Zookeeper3

ICU, ER, EP,

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All Content by Zookeeper3

  1. No soap?

    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?

    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. 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. 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!!!

    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?

    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

    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

    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

    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. 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?

    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?

    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

    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!"

    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

    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

    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. 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. 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?

    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. 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

    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. 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

    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

    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. 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...