Zookeeper3

Zookeeper3

ICU, ER, EP,

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  1. Baby RN's running ICU?!!

    I''m finding this as well in my Florida hospital. My unit has... get ready... a 68% of staff with 2 years exp. or less in our ICU. I'm exhausted from precepting, exhausted from my name being called thirty times an hour in every direction, and I left...
  2. Alternatives for 12 step ?

    Hey all, I am working in an inner city ER with frequent flyers. THere is this middle aged man always found passed out on the road. We admit him, he goes through detox and starts to drink right after discharge. I've really started to bond with him....
  3. Looking into Walden U obviously, anyone out there enrolled or have graduated from here? Would love to know your thoughts and tid bits of info you'd like to share. thanks in advance
  4. Job Market in NH?

    Dartmouth is hiring....
  5. Alternatives for 12 step ?

    Thank you so much. I'm an ICU and ER nurse. I had no idea about AA, great information, thank you! Normally social work sets these things up, but we are doing more and more without resources lately. I really appreciate your time!
  6. kardex vs sbar

    Depends upon the type of nursing. In the ICU, we do a full body system SBAR, with labs, the almighty wish list from the doc, family issues and general patient needs... like social work. A small ICU I've just worked at prints a kardex for the patient...
  7. heartbroken needed to vent

    One more suggestion.. when a preceptee and I are having a difficult relationship, I make a contract to meet with them after report and allow them to give feedback as to how the shift went and what I was expected to do different. If it was reasonable,...
  8. heartbroken needed to vent

    THe hard truth is that you will come across people like this your ENTIRE career and you just can't keep quitting!!!! I have told my kids and all those I have precepted for 17 years, that you DON'T have to like the person educating them, as long as t...
  9. If you do a search here, you will find some strong opinions and some excellent advice that mirrors your thoughts, though not everyone is that social network savy. Once it's posted, it's there forever! I never ever post any specifics, but I do have...
  10. First patient conflict

    You did great! Now management may speak to you and that is their role to investigate conflicts/complaints. Just remember though, there is a time to act instead of react. It's hard when someone is so RUDE! It took tons of practice, but I get quiete...
  11. That'll teach me to be honest....

    no good deed goes unpunished :uhoh21:
  12. Is this legal?

    My facility has it in the policy that lockers are hospital property and are subject to search without notice. Two staff members must be present, one must be security, one the manager or assistant manager of the unit. Everything found, is written do...
  13. Your embarrassing questions

    Its a medical floor that may or may not take surgical patients. The primary doctors are in a residency program. They have a MD license, but need their training as intern, resident and specialty. They have supervising docs whom I assure you, you wi...
  14. Will my background keep me from my new grad job offer??

    Hmn, this is a wild card. I too had a DWAI, driving while under the influence, not intoxicated... three beers in three hours and was underage. This didn't prevent any employment, although I still have to disclose I have a conviction dating back to ...
  15. unfortunately, in an inner city ER, I see this frequently. We admit these folks for several days until placement in a facility or home health can be set up. You are right on the spot, a busy ER, is constantly challenged trying to meet this populat...
  16. Having to tell people there is no nursing shortage

    Well the shortage is real. I spent most of my career as a lowly AAS nurse. Two classes from graduating from my BSN I can tell the difference. 17 years of precepting ADN nurses and BSN nurses I can tell the difference. This is the real deal. My BS...
  17. Frustrated Registered Nurse with very little experience

    Back in 1995 in a huge nursing shortage, yeah right... in Buffalo, I had to take a geriatric psyc position at $10/hr. I was dang pleased to get it, sick I know. That launched my career. I litterally applied to every single facility in an hours dri...
  18. i love doing the amonia salt and watching and counting how long they can hold thier breath. pt. takes a breath and we all say "there ya go".. getting your discharge papers now. i really feel for our ems peeps that have to bring them in, over and o...
  19. Having health insurance does not make you less likely to die.

    One more point, thanks for putting up with me on my rant. I'm abit hot on this topic, as I've just changed my own BP meds, to more affordable ones with more side effects that drive me nuts, to save money so I can afford to pay for my daughters co-pa...
  20. Having health insurance does not make you less likely to die.

    There are many caveots that this article, altough well meaning, meant to look at another side of the insured vrs. uninsured. I work in an inner city ER in VA, where the poorest of public housing is a mile away. I wish the authors spent a weekend in...
  21. Travel Nursing Per Diem Pay

    Forgot to add... many states require you to obtain an instate drivers license after 30 days residency. If you get pulled over by the cops, you need a copy of your travel contract with you in the car to prove that you haven't broken any local laws. ...
  22. Travel Nursing Per Diem Pay

    You need an accountant that is IRS CERTIFIED in travel allowances, and there are not plentifull. Be careful because one of the suggested places is someone who looks VERY qualified but is not even a CPA and the site looks VERY nurse traveler friendly...
  23. Atrial Flutter vs Atrial Tachycardia with AV block

  24. Atrial Flutter vs Atrial Tachycardia with AV block

    it does matter as with reentry loops, especially the aflutters, they can be easily fixed with an electophysiology intervention. a flutters are an "easy" one line burn. so heck yeah, i try to identify the specific rhythm because treatment is differe...
  25. Experienced Nurse Having Difficulty finding a Job

    What about UNC ? Have a few OCD peers look at your resume, you may have something basic out of place or omitted. These above facilities are looking for traveler nurses in several of their ICU areas. Charlotte university, the hospital in fayettevil...