Do-over ASN, RN

CICU

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All Content by Do-over

  1. That is a door that swings both ways. From my POV, I have attempted to explain and support my opinions because this is a discussion board. I am not name calling or accusing anyone of bullying just...
  2. Do-over

    Things that make ya go, Hmmmmmmmmmm

    Sometimes I feel like I am the only one that considers siderails up x4 as a restraint. If the patient requests all up, then I document that. Otherwise, the patient needs a
  3. It is not about giving credit. Aides have a role and I have mine. Those roles are very different. I can state positively that during my shift, no one spends more time in my rooms than I do, unless...
  4. I am not "extra-cautious", I don't even know how I could be...and I am not kidding myself. Considering I don't believe double-gloving serves any purpose other than wasting gloves. What other steps...
  5. Funny, I am thinking the same thing. As for relationships with CNAs - I have good working relationships with all on my shift. I guess I'll have to make it more clear that I am "getting my jollies" by...
  6. Do-over

    So what exactly is a bed alarm?

    Our beds have three settings for the bed alarms - position, exiting, and out-of-bed. For smaller patients, only the OOB setting seems to work. And, yes, you have to be quick when the alarm goes...
  7. I get that many of you want to know, or feel that you have a right to know. If you were HIV + - would you tell your patients? I maintain that it is not your business, and that it is my duty to protect...
  8. gloves are not needed for vitals, unless blood or OPIM if
  9. Bolding mine - In my opinion, it means precisely that - you do not automatically have the right to know whatever you want about a patient. And, neither do I. For example, if another nurse asks me...
  10. Do-over

    Transfusion Reaction

    I am thinking of the IV line, not the angiocath - I agree that a new IV site is not required (at least according to the policy where I
  11. Well, you wouldn't like me much then. Do you care about any other piece of the patient's history that doesn't impact your job? What are you going to do with that info other than discriminate, or...
  12. Do-over

    Unsafe Staffing

    We do 4:1 days, 5:1 nights. sounds like a similar floor. It was REALLY overwhelming for me too, at the start. It did get better as I got more experience and confidence. I had a lot of support,...
  13. Do-over

    Transfusion Reaction

    I think the main reason you don't use the existing line is that it is full of blood. You either need to prime a new line, or you'd have to bleed the current line out until it runs clear, which I...
  14. Do-over

    Unsafe Staffing

    just curious what ratios you are working with on the current unit. Just want to add, although I say go for your dream, remember that the grass isn't always greener at the other hospital - sometimes...
  15. In my opinion, a patient's HIV status will not affect the care you (CNA,PCT, etc) provide in any way. You don't need to know, therefore it shouldn't be discussed with you. As a nurse, a patient's...
  16. Do-over

    how do you night nurses do your assessments?

  17. Do-over

    Another vent.

    I just need to vent, but I feel silly for even being p!$$ed about the actual situation. Because I know me, and I know my worth. So I will just say this: I am a hard-worker, I like to be busy because...
  18. Do-over

    Clinical etiquette: card for nurse on the floor??

    A thank-you note is always welcome and classy, in my opinion. I also agree that a note to his or her manager (or the person that is the contact for your school of nursing) would be nice too. Glad...
  19. Do-over

    how do you night nurses do your assessments?

    I work 1900-0700, and try to start my midnight assessments by 2245. If they are sleeping good and I am not terribly worried about them at that time I will wait a bit or save them for last. I do a...
  20. Do-over

    night shift question

    I don't have any trouble. As a matter of fact, I am sleepier on days. I think some of us are simply night-owls, and others are not. Hope you can get a shift that works for
  21. Do-over

    Another vent.

    Well, the alternative was choking the life out of someone, and giving them a good shake while I was at it. I thought that might negatively impact my
  22. Do-over

    The happy policy

    we aren't color-coded (yet), but i do it anyway. 90% of my scrubs are navy pants/white top. at least it makes my life easier - one less decision to make. in other news, if i got sent home to...
  23. Do-over

    ICD9 codes is a nursing duty?

    I did not even know what an ICD9 code was before reading this
  24. Do-over

    do you wear those clogs?

    I don't run anywhere, even for a code. I do walk really fast. Shoes stay on fine. Last thing I need is to completely blow-out my knee. I wear Sanita Clogs. Awesome. No more knee and hip pain...
  25. I do tele / ICU step-down - first, because that is where I landed a job, and now, because I really like it and feel like this environment will make me into a great nurse someday. The ratio isn't...