martymoose BSN, RN

PCCN

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All Content by martymoose

  1. martymoose

    Ready to leave bedside after only 1 year?

    martymoose replied to Corpsman2OncRN's topic in General Nursing

    Union is very frowned upon where I am (it will never happen) and they get away with the staffing thing cause they know theres some slobs like e who have everything at stake if they lose this job ....
  2. martymoose

    Another one wanting to bite the dust.

    martymoose replied to martymoose's topic in General Nursing

    Thank you JBMmom MSN . Thats was very
  3. martymoose

    Another one wanting to bite the dust.

    martymoose replied to martymoose's topic in General Nursing

    Aldis and costco are starting at around 16 bucks an hour. At least in retail no ones life is at stake, or license on the line.
  4. martymoose

    Another one wanting to bite the dust.

    martymoose replied to martymoose's topic in General Nursing

    No not really . One post stemi, nstemi, hypernatremia in the 160 range, IV mag supplements, new chf'ers, covid, rapid a fib, etc. One doesnt make this stuff up. and 3 of them were ED admits at the...
  5. martymoose

    Another one wanting to bite the dust.

    martymoose replied to martymoose's topic in General Nursing

    A freakin
  6. martymoose

    Scrub tops for short, fluffy, chesty nurse

    martymoose replied to applesaucesm's topic in Scrubs, Uniforms, Gear

    Cherokee work wear, either unisex or men's size. Plenty of room in the upper area. I find I cant wear women's tops at all, and I can wear men's t-shirts ( we have them for our floor) a size
  7. martymoose

    Another one wanting to bite the dust.

    martymoose replied to martymoose's topic in General Nursing

    At least you are all telling me this is NOT normal. I just don't understand . It's been like this for about 2 months now. It's not like an occasional thing. We cant replace people fast enough, and...
  8. martymoose

    Another one wanting to bite the dust.

    martymoose replied to martymoose's topic in General Nursing

    Many of the patients were ICU patients that got kicked out early cause they have no beds. Many of them end right back there. I basically have to prioritize who can get away with not being seen much. I...
  9. martymoose

    Patient ratios progressive care units

    martymoose replied to kaylasmommy's topic in Cardiac

    IMC floor, no vents, but stable bipaps( or chronic ones). used to be 1:3-4 on days, 1:4-5 on eves, 1:5-6 on nights. Now add one to all those, and sometimes 2 more. Just the other day nites had 1:10,...
  10. martymoose

    Another one wanting to bite the dust.

    martymoose replied to martymoose's topic in General Nursing

    I was going to refuse that 10 pt assignment and walk out, but of course that means risk getting fired on the spot , and leaving my coworkers to split an assignment of 27 between the two of them .I...
  11. martymoose

    What if I'm not meant to be a bedside nurse?

    martymoose replied to jms01's topic in General Nursing

    I'll tell you this. Acute care is for the birds right now. Keep this other job as long as you can. I'm sure there will be plenty of openings for acute care nurses since so many are jumping ship. Most...
  12. martymoose

    Ready to leave bedside after only 1 year?

    martymoose replied to Corpsman2OncRN's topic in General Nursing

    not sure I have any advise, but I sure do sympathize with you. You sound like you work where I work. ? I am in your exact spot. And I think, yes , if one is prone to anxiety/depression, this...
  13. martymoose

    4 Reasons Nurses Need Mentors

    martymoose replied to Melissa Mills's topic in General Nursing

    I like being the "on call spur of the moment " mentor. I am happy to guide others , especially new people . It's nice when my co workers know they can come to me with any question, and know it's not a...
  14. martymoose

    Need help with a question

    martymoose replied to pnwRN88's topic in CCU, Coronary, Cardiac

    Your process seems right to me. I don't think you're missing anything. Blood sugar check is part of our stroke protocol. Could be the TIA or a stroke- could be very likely with afib, esp if new...
  15. martymoose

    Newbie Cardiac Nurse

    martymoose replied to PeeWeeQ's topic in CCU, Coronary, Cardiac

    Learn your rhythms and what meds are usually used for what ones. Also Stemis, NStemis, afib, chf, all your blocks. etc. Those you will see the
  16. martymoose

    Considering Cardiac

    martymoose replied to OneOnOnes's topic in CCU, Coronary, Cardiac

    Cecibean, that sounds like it was a WONDERFUL unit to work on. Sorry it had to go. And probably be like mine with ratio of 7-10 , 1-2 techs, and one Omnicell for 27 pts, and two hallways beds with...
  17. martymoose

    Path to Cath Lab RN

    martymoose replied to VRS82's topic in CCU, Coronary, Cardiac

    My friend went straight there after spending time on a heart transplant unit. I know speaking to Cath lab staff, I've been told 1 year of ICU or CCU is very helpful in the crash
  18. martymoose

    Milrinone

    martymoose replied to Victoria19's topic in CCU, Coronary, Cardiac

    We have initiated milrinone on my step down unit . Some tolerate it , some not. If we have the right ratio of patients (4-5, we've had 7-10 lately ? ) ) we can keep a better eye on them , like vs Q...
  19. martymoose

    PCCN Tips?

    martymoose replied to KeepingItSterile's topic in CCU, Coronary, Cardiac

    I got a 75 on it. we luckily had a review class for PCCN offered by my employer ( they were on a certification kick for a while) , and I googled lots of internet resources, especially for ICU...
  20. martymoose

    Intervention for pt with a-fib/a-flutter who’s bradying down.

    martymoose replied to Anonymous666's topic in CCU, Coronary, Cardiac

    Our Pa's told us afib can tolerate pauses of 6 seconds ! only a fib tho. Not sure how much I want to believe that one. I had a gal have a pause of 7 seconds ; I went in to wake her up and ask her if...
  21. martymoose

    Which Nurse are You?

    martymoose replied to Guest856929's topic in General Nursing

    Stressed, Angry , Bees , and Meh. LOL( well not really . more like wahhh?
  22. martymoose

    What if I'm not meant to be a bedside nurse?

    martymoose replied to jms01's topic in General Nursing

    I would give a million bucks (if I had it LOL) to have this opportunity handed to me. It doesnt make you less of a nurse. Your knowledge is valuable. I don't have any opportunities where I...
  23. martymoose

    When One Patient Affects the Care Other Patients Receive

    martymoose replied to SilverBells's topic in General Nursing

    Patients like this are the reason why I hope to quit nursing all together someday
  24. martymoose

    Working short

    martymoose posted a topic in General Nursing

    So I'm noticing now we work short more often than we don't, esp on the pff shifts. The last 2 days I've had 7 pts - on a cardiac stepdown- and nights have had 10 pts apiece. It's just not an...
  25. martymoose

    Has anybody else switched from an RN job to a CNA job?

    martymoose replied to hazyblue's topic in General Nursing

    Do any of you worry about the loss of money and not being able to pay the bills if you make a change