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wayunderpaid specializes in CCRN, ATCN, ABLS.

wayunderpaid's Latest Activity

  1. wayunderpaid

    University at Buffalo-beginning Fall 2010 class!!!

    This class follows the other one credit class mid-semester in. Basically we take a 1 cr class from in sept-oct and a 1 cr class nov-dec. They can't post both classes for the same schedule, hence the "ARR", I hope this helps.
  2. wayunderpaid

    What do schools think of a critical care float pool?

    Old thread, but I have been float for almost 2 years and I just got accepted to a very competitive program. Float is awesome. You always have to be ready for anything, your ICU cross-training provides you with top critical thinking skills, and IMO, assignments were not at all easier. In fact, we often got "dumped" with the really heavy assignments because unit nurses wanted an easier assignment (though this was NOT true in the trauma ICU where those nurses always wanted the open beds to get fresh admissions from the field). All in all, any float ICU can play the "always ready for anything" factor in a positive way. I wonder how the OP did...
  3. wayunderpaid

    random question.. how do you deal with the cold?

    "Also, I know that you were just kidding, but you can't catch a cold from being subjected to cold temperatures...colds are caused by bacteria or viruses. :specs:" Thanks for that reply. This is not the meat of the thread, but there are so many zombies out there who still think that you can get sick from being cold (of course you can get hypothermia...lol), I had a professor who had a PhD in Epidemiology and she saw me dressed in a short sleeve t-shirt with temps in the '50's and told me that I should dress better or else I would get sick. When I laughed and told her what I thought she agreed with me but said she could not get away from her mothers' ingrained philosophy
  4. wayunderpaid

    University at Buffalo-beginning Fall 2010 class!!!

    I am in too! Now I am freaked out.... lol
  5. wayunderpaid

    Morphine doses while dying?

    Dosage is not too high, but every ten minutes??? It should have been a prn order, so that nurses can use their clinical judgment. Until patient dies?? This doctor is a little disturbed. I think that a continuous dose through the pump with a prn bolus for either agonal breaths or pain control would have been more appropriate. In the ICU we have bottles of morphine in the pixis that can be taken out as fast as any other pain medication. Setting a line up should take less than 5 minutes... Wayunderpaid
  6. wayunderpaid

    A Nursing Dilemma!!!

    Although I physician order may not be needed, if you are unfamiliar with a particular policy, it is best to err on the side of caution. Where I practice, we have lots of protocols that allow nurses to make independent decisions (e.g. electrolyte replacement) based on lab values, etc. These are delineated prescribed pre-written orders to make day to day decisions easier. I suspect that there may have been something similar written somewhere. If these is the case in your facility, there should be a copy in the chart or patient's folder for you to review. I would also be suspect about giving a medication that I did not draw up, especially if it was not labeled. I have hanged medications drawn up by other rn's when I was present in the room and we were working together on a critically ill patient. Also on codes, pharmacy usually draws up the medications in the code cart (or another nurse if they are not available), and another nurse pushes it. The point is that it is ALWAYS labeled. One must not be so terminant with policies, but always use good judgment. Can you imagine having to draw all your meds during a code?? This isn't practical. There has to be an element of trust in the collaborative practice of nursing. wayunderpaid
  7. wayunderpaid

    Rn retention and my ignorance

    I have to agree with Groovy Jeff. The big problem with dissatisfaction seems to be immediate superiors, like nurse leaders, unit managers, etc. These people should be trained in HR, employee retention, job satisfaction, conflict management, schedule management, etc. Instead, in the hospital where I work, nurse managers often come in to work because the unit is short, and management is mostly relegated to treating the urgent, not the important. The cost of retaining a nurse is much smaller than the cost of training a new one. But hospital policymakers and administrators lack that simple understanding. The hospital where I work is constantly hiring new nurses, because nurses leave for greener pastures, even within the organization (i.e. better pay). I think that bedside nurses should be offered a quarterly bonus for staying at the bedside, and given special perks, like heavily discounted meals, etc. I have a friend who graduated with me. Within A YEAR she had applied and obtained a better paying job in the same hospital in research. She is doing patient interviews for a study (not even high level research), while I struggle with a pt's assignment because we are ever so short. I feel happy for her, but I think it is not right. Nurses at the bedside should be the highest paid in the field, and given the most perks.
  8. wayunderpaid

    Do you accept tips?

    A grateful family left me a card with two 2.50 coupons for the coffee cart. I thank them. I told them that I was going to use it to buy coffee for the nursing/ancilliary staff that morning. It cost me $ 12, so I paid $ 7 out of pocket. I would do that again. Collective gifts are definitely less awkward than personal gifts. Personal gifts which include money are the most delicate of all. It is reassuring to know that under most circumstances nurses won't take money. I agree with the case in which the father thought that it would bring luck to the newborn. Every situation is different. I would skip on the money about 99.9 % of the times, leaving room for the .01 that might be the exception. waynderpaid
  9. wayunderpaid

    I hate it when the male nurses on my unit...

    This problem seems to be related to the unique culture of your unit. Management should address it, and the male nurse should be put in his place. I have never heard that assignments should be made according to employee gender?? Totally crazy. wayunderpaid
  10. wayunderpaid

    Floating or closed unit?

    A couple of questions for you, 1- when you float, are you required to take a pt assignment (let's say for a specialty floor like ICU), this would be quite unsafe, especially if you are not trained or have certain competencies completed such as ACLS, etc. 2- What is the vacancy rate in your unit? If you are close to being fully staffed in your unit, then I'd say take the closed unit policy over floating. Our facility does not float nurses to other floor, though I am a flex nurse, meaning that I rotate between badly staffed units. I work mostly in the 4 ICU's but once in a while I get an assignment to another floor (sorry but I never have to do peds or maternity, and glad for it. I am not made for it) wayunderpaid
  11. wayunderpaid

    Ativan...ETOH History...7mg IV last night? Too much?

    Definitely not too much. However, Valium IV (Diazepam) is a better benzo against DT because it appears to work just as well and it is easier to get people off of it once they are done with ETOH. IMHO wayunderpaid
  12. wayunderpaid

    questioning md orders

    The last time I question a provider, she had order a patient with terminal CA to be NPO (patient was on calorie counts x 3 days, d/t emaciation-poor intake). She ordered 40 mg. lasix as well. I often question orders in a way that is not threatening, such as: Could you tell me the kind of test this patient is having tomorrow that she is NPO? She is on calorie counts... Provider looked at her orders, then her notes, then asked me: Have you given her the lasix yet? -No -Great. Let me D/C all these orders. I entered them on the wrong pt. (Computerized order entry here) Sigh.... When in doubt, ask for clarification. I always ask, even if it makes me look stupid. I have caught many an error and I have also learn a lot about why providers order different things. Good luck. Providers can make a lot of errors. Seen it much to often not to question.... wayunderpaid
  13. wayunderpaid

    Advice please!

    How is the float pool managed at your hospital. We have what is called "flex nurse". They do take new grads, you get a full orientation in one unit, then you stay there for one 6 wk schedule. After that, you get assigned to another unit for 6-12 weeks and so on and so forth, until you are ready to take a full time position within the hospital. This program is rather safe and I love it!
  14. wayunderpaid

    Advice on relocating

    Most places require a 30 day notice. I would not mention the relocation grant at all. You can figure the repayment out in your head. If they mention that, then you sort it out. Wayunderpaid
  15. wayunderpaid

    New Grad RN and Military Wife Frustration

    Regarding the comment that hospitals are spending so much money to orient people, and they are asking them to pay back if they leave?? That is ridiculous and outrageous. The reason hospitals are revolving doors is because they are not interested in retaining the nurses they have. Can you imagine what would happen if a unit spent a little more money on nurses who already worked there, instead of having to train so many. My unit has 4 people on orientation now and 4 coming on in march. 10 nurses have left since november. If I was a NM I would be questioning why people are leaving, some to take different jobs in the same system. To the OP, did you sign an agreement about getting education money in exchange for a service commitment? That is what is sounds like from your post. If that is the case, I feel that your employer may be right, regardless of your husband's transfer. Just think about the Coast Guard. Your husband got an education in exchange for time commitment (or else, a sign on bonus). Just because your company is not part of the armed forces, it does not mean that the expectation of service shouldn't be similar. A bit of advice for next time. Find out how far in advance notice is required for your place of employment, and fulfill such obligation. If you are supposed to give a 30 day notice, keep your mouth shut until 4:59 pm exactly one month before you leave. That is what I did on my previous job and it paid off!! (I told my employer I was leaving after an all expenses paid educational trip to Europe. I worked for them for 5 years and I deserved it just as much as anyone else, but I KNOW they would have not let me go if they had known) wayunderpaid
  16. wayunderpaid

    risks to loose my license

    Ditto to many of the above posts. Just an observation, agency nurses are often very competent. I rely on travel and agency nurses all the time. They will often be more experienced and resourceful than new grads on your floor. Some of them are better than the long-timers on the unit. Good luck on your decision. I am not envious of our position. Wayunderpaid