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Med Surg - yes, it's a specialty
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kellyskitties has 3 years experience and specializes in Med Surg - yes, it's a specialty.

RN working on BSN

kellyskitties's Latest Activity

  1. kellyskitties

    Unusual Names for Medical Diagnoses

    the rheumatism - rheumatoid arthritis reflex - acid reflux I've heard prostrate so many times I'm pretty sure I say it wrong half the time. Or I take "dilaudinum" - so is that dilaudid or laudinum? or demerdol... although those are not diagnosis they are kinda hard to interpret sometimes!
  2. kellyskitties

    Older Nursing students

    The nursing class that graduated before mine had a social security age great grandmother (I'm not sure of her age but they said she was probably the oldest nurse that had graduated ever). She said she did it as a goal. She was a great lady. Now, I too was a nontraditional nursing student. I thought it was a good thing. I don't think we lost as many older students as younger students. We seemed more serious overall, more there to learn and less there for socializing. I took learning a lot more seriously than I did when I was younger. I enjoyed going to class, and actually learning - not just showing up and memorizing. That was a significant difference for me. I actually enjoyed the process for the first time. When I was younger I didn't know what I wanted to be. I amassed a lot of college hours and dropped out sans degree. Then I had an AHA moment and went back for nursing - it was one of the best decisions I made. Advice to an older student: Set aside times just for u to work on homework - and set up those rules with only exceptions allowed if u are bleeding or can't breath. Then set aside times for just your family with only exceptions for u if u are bleeding or can't breath. Then streamline and relax everything else. Eggs for supper - fine. Cake for breakfast for the kids- OK if it's your test day. 4 year olds outfit doesn't match - cute, he picked his own clothes today. Dishes in the sink will be there tomorrow. Paperplates, papertowels, plasticware - the environment will survive if u use them short term. clothing can always be freshened in the dryer. It's ok to eat in the car, study in the car, carpool for study groups, etc. Now things u shouldn't do. Lose your sense of humor. When u can't do anything else - laugh. Lose your friends - keep in touch when u have a spare minute - use the cell, email or facebook to keep them up on your life. Lose too much sleep - don't study all at once - study some every day at your sacred study time in your sacred study spot. Lose yourself - set up a little me time too.
  3. kellyskitties

    A Question to Nurses and Nursing Students.. HELP ME!

    I have a CNA working with me that even I thought wouldn't make it this far, and I'm usually the super supporter for giving everyone a chance. She screamed and ran from a deceased pt's room when she realized they were dead - ran down the hall screaming. Not kidding. She cringes at poop. She gasps when u tell her "yes, u have to do that" when things get gross. But I'll tell u what she is doing right. She keeps going back in. She keeps showing up. I can admire that in her. She's not giving up. The last expired person she had to help with, she asked if she could remove their IV. She's come a long way, even though every once in awhile she still cringes, she keeps coming back. She no longer gets nauseated from blood. I'm telling u if this girl can acclimate - so can u. Afterall, it only seems kinky the first time - (haha)
  4. kellyskitties

    Why should I be a nurse if it's so awful?

    If u like a challenge, including sometimes the challenge of satisfying difficult people (yep, not just dealing with them, but satisfying them), then nursing is for u. I love nursing and I love med/surg. Take that u naysayers. I work a busy med/surg floor - have since I graduated - won't even consider leaving it. I don't live to work, but I don't hate my job. I've bonded with those so called "annoying" frequent flyers - they hug me, tell me they're glad I'm their nurse, confide in me when other staff act put out with them. I enjoy the fast pace - my night flies by. I've become the preferred preceptor for new nurses. I enjoy that challenge too. I'll admit most of my time is spent medicating and charting. Assessments are pretty fast. But all the rest of my time is teaching - teaching patients and new nurses. I share what I know and try to lift others up. And I enjoy my job. Yep, I ENJOY my job. Don't let them get u down. I heard it all too. There's a niche for u somewhere in nursing. It may or may not be your first choice. I initially wanted to be a wound nurse, but decided that didn't sound so good after my umteenth wound on M/S. You may need to job hop a little to find your niche. Lots of nursing jobs may look great until u try them. There's a lot of variety. If u aren't happy in one area, look for another. You'll be fine. It's like chinese food - there's a lot of different things, so everybody can find something they like.
  5. kellyskitties

    Factory worker one day ... nurse the next?

    OK, first off, all you folks with extra unemployed nurses send 'em to southeast Missouri. We sure need them. Now, as for factory workers. Let's not turn folks away from nursing because of where they come from. I've oriented some previous factory workers at work as new LPN's. One tried my patience like u wouldn't believe because she was so insecure about every little thing. But I didn't eat my young. I kept trying. She's one of the best psych nurses now. Her down to earth personality has really paid off in psych. My BFF's DH just finished LPN school. He's an ex military ex factory worker - now think about that. He's obese, he's loud, and he's proud. Oh yes, he is. And he just found his calling in a nursing home. The residents can HEAR him - yep, and his military organization has paid off with so many residents to keep up with. His factory days created a nurse who doesn't show up late or ***** about hard work. Hmmmm, I think there's a place for lots of kinds of nurses, they just have to find it. There's lots of areas in nursing outside the hospital. Nursing homes, home health, dr's offices, health depts, schools, prisons, factories (yep, get out of the factory and go back as a nurse). I understand that nurses should look professional, and act professional, but that's like beauty - in the eye of the beholder. Give them a chance, and set a good example. They will learn and learn to be professional if they really want it.
  6. kellyskitties

    Nurse shortage gains attention of White House

    I believe one of the bottom lines to the nursing shortage is that nursing is considered an expense to the facilities. Facilities don't want to increase their expense. Doctors are a revenue generator - so they are more happy to increase the number of doctors. The cost of nursing staff is included in the charge for the stay (like housekeeping, meals etc). I think our value is higher than this. There is more than one answer to this. One I am fond of is billable nursing hours. Based on the patient acuity there should be a by the hour nursing fee of some sort. This should be reflected in the nurses income. If the hospital could BILL for our services they would want more of our services. If nurses see the benefit of caring for higher acuity levels vs lower more will come to the hospitals to work. I think this could be win win. I just don't know if it would ever be accepted, as we are not seen with as much respect as doctors to most of the public.
  7. kellyskitties

    Incompetent nurses

    I have a confession to make. I am an RN. I care for patients on telemetry. I am terrible at cardiac and telemetry. HOWEVER, when the phone rings and they tell me about a rhythm change and I do not know what they are talking about - I just say, "OK, what does that mean." I'm not afraid to look stupid. I just ask. Heck, everyday there's some new surprise on the job when one of us says "What's that mean." Isn't that how it works? I certainly wouldn't ignore it. I can say if one of our nurses did ignore it and it was bad enough an ICU nurse (our telemetries are montiored in ICU) would be standing on our floor or at the patient's bedside shortly. I have seen them try to call us, get no answer and out of concern come to the bedside - to find us at the bedside where utilizing our med-surg skills we had already realized there was a problem. At which time we welcome the extra brain to the problem solving. Don't be too insulting. I orient new nurses. On occassion I find one who knows a lot. One who knows more than I do about something. I don't get insulted. However, if the new nurse thinks they know more than I do about everything they will quickly hang themselves. There's a lot of variety in my med-surg world and you're going to need this RN eventually. Of course, I'll be sure the patient is cared for, but I won't necessarily care about your ego in the process. Be careful. We can't all know it all and neither do you. I do agree the nurses shouldn't ignore the calls, but that is for managemant to deal with. You can't fix them, just report it up the chain of command. If your concience isn't satisfied, find another job.
  8. kellyskitties

    Crash Course?! Thoughts on RN education

    OK, first I got to get this off my chest. Most of the fields of nursing you listed are bedside nurses. Unless you are in community health, home health, legal nurse consultant, doctor's office etc you ARE a bedside nurse. I believe in med surg and I don't think we are "stereotypical." Now, that being said, on my med surg floor when things are bad nurses float. We get psych nurses, OB nurses, ICU nurses etc. They come to us to help out and we go to their departments to help them out. We usually baby them when they come our way so they will want to come back. But they need a little knowledge about the other floors even if it's just to recognize what's going on around them so they can be more helpful. Second, on med-surg I have had overflow from every other floor. I have taken care of a miscarrying OB patient that was passing a fetal demise. I have had psych patients on suicide watch that are waiting on a bed in psych. I have had a patient waiting to transfer to ICU who we started ICU meds on to save their life even though they were not in ICU. Diabetics may also be pregnant or schizophrenic. Pregnant women may have gall bladder disease or could fracture their leg. No floor is exclusive. We see it all everywhere eventually. Thirdly, I have come to believe the broad spectrum of education given to nursing students gets them into uncomfortable zones and makes them reason. Even if you never again have to locate a fundus (and I can say I have had to since we have had a fetal demise patient a few times to care for) you had to learn the process. Get out of your comfort zone. Stick to it. It's worth it. In the end you'll see you needed more knowledge. Unless you manage to land a private duty job with a kid with one oddly uncomplicated disease and that job holds you until retirement - the broader spectrum will serve you best.
  9. kellyskitties

    What would you change about your scrubs?

    Maybe offer the option of elastic waist with drawstring front (little lower on the waist) or just elastic waist (sitting higher on the more traditional woman) - both with mega pockets and same trendy trims so a person can pick what works for them and still get something fashionable. More stuff for guys. I hear them grouch a lot about not getting many choices without looking - um, er, well, since it was said by a gay man I will just say it "too gay." Not PC, but came from the "horse's mouth." I hear them complain about the lack of cool scrubs - just tan, navy, black... Also, pockets everywhere. As somebody else mentioned - vneck that won't pull down from the ID tag being clipped onto it. I don't wear a lanyard - always falling into stuff, and on med-surg that's saying something extra gross. Tops that are a little less square. I'm a plus sized girl - but I don't necessarily want to look like a box. Also, make the cute stuff in a big size range so we can all be cute. Plus sized doesn't mean I want to dress like an old loving granny nurse (in cutesy gingham patch with teddy bear tops). Fat doesn't mean old or cutesy. Somebody mentioned ink resistant - AMEN. I clean ink off scrubs every week. Pocket organizers aren't practical - can't get in and out of them fast enough. I carry a lot of stuff in my pockets. I have said "I have a supply closet in my pants." With long halls and never knowing what I need I just load up before going to see patients. I get made fun of by new nurses for carrying so much stuff but then they'll say "Hey, you got a flush." and BAM I give 'em one. Or tubing. Or IV caps. Or IV drop hooks. I think stain and wrinkle resistent is a must. I don't iron. period. Hate it. Lousy at it. No time for it. Stains - just a fact of life at my job. Mystery stains are worse. If I know it's poop or vomit I can accept it and go on but if I don't know - it's grosser! Matching jackets. My floor is alternately a sauna or a new polar cap. Little cell phone pocket? That would be handy. I like the trendy solid colors with neat trims because they still look professional, not like nursery wall paper, and modern. Good luck, it's a great idea. Hey, while you're at it, make me look 20 lbs thinner and 10 years younger!!! and smarter too!! teeth whiter?? haha.
  10. kellyskitties

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

    To clarify my "walking in you" - obese with acute generalized edema. She was both. Weeping all over - arms, legs, face, abdomen - everywhere. And since my last post I nearly had a urinal poured over my head by a mentally ill patient that was mad at me. That could have been a top 10 except I was quicker than he was.
  11. kellyskitties

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

    Walked into extremely obese (like u see on tv folks) pts room and realized I was standing in something that went "splat splat splat" when I walked. Looked down - lots of clear liquid? Water? Oh no, she was seeping all over - it had ran off bed into floor. Splat splat - oops - sorry, was I standing in you? And the runner up - necrotizing fasciatis wound about 12 inches across open with loose skin I could have put my hold hand under - on a back. I dressed up like hazmat to do dressing changes so I missed a lot of the smell.