Perpetual Student

Perpetual Student

PACU

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All Content by Perpetual Student

  1. Social inadequacy and nursing.

    Don't sweat it. I've been at this a while and I started off much the same, though I suppose I was/am a little more prone to social anxiety than you described. I just developed a special "nurse"...
  2. My Student is draining me.....

    I'd have the student look at the contracture & wounds. I'd then pull him outside and say something to the effect of "dude, how could those NOT
  3. Boy I'm awful as a nurse

    Take it easy on yourself. You made a minor medication error that in reality had no effect to the patient other than perhaps providing slightly less pain relief. Take it as what it is: a reminder to...
  4. Have you ever infused phenylephrine peripherally?

    The vast majority of the time when I give pressors (and I give phenylephrine more than anything else) it is through a peripheral line. The patients are typically having temporary hypotension due to...
  5. ACLS Certified. So now what?

    You at least have some idea of what to do, I'm sure. Study your hospital's P&P regarding codes, review your algorithms, and familiarize yourself with your unit's defibrillator. One nice...
  6. Need help choosing the right unit to work!!!

    PACU is an awesome place to work. It can be quite stressful and challenging at times, just like most nursing jobs. It is fast paced, with you typically having 1-2 patients at a time. The pace can...
  7. Bookish, low common sense... will I fit in?

    What do you mean by "low common sense"? The clumsiness isn't that big of a deal, but if you're unable to reason and figure things out, well, that will be a
  8. Nursing Shortage: New Grad or Experienced

    3 + a ploy by many health care organizations to make some more $$$ and and have some more power by making nurses lucky to just have jobs. There's a lack of experienced nurses who're willing to put up...
  9. How common is it at your facility to do an overtime shift?

    I'm not sure how it is in other departments in our hospital, but in my department it's next to impossible to get an entire shift of overtime unless you count weekend/night call. That's more due to a...
  10. Explaining post op pain to patients

    Don't you just love it when someone is shocked to be in pain after surgery? At my hospital the admitting nurse is supposed to explain that pain is normal and how to rate it. A lot of patients...
  11. what is the difference between the PACU and the post operative care unit?

    Honestly, there's no way to tell other than to ask someone who works at that facility. All of the different names hospitals use for departments can be incredibly confusing. My guess would be that...
  12. PBDS rules

    Your way makes more sense to me. Before calling the doc of course you will figure out what's going and intervene in ways that don't require orders or for which orders are already
  13. How long does it take to give report?

    It depends on the patient. I can tell the floor RN everything he needs to know (and then a good bit more) about the post-op patient I'm bringing him in 90 seconds or less 90% of the time. That's...
  14. In my state facilities are required to provide lift-equipment. I cannot imagine working somewhere without a lift. Heck, even in home care I always had a lift available! Well, I guess that's a lie. I...
  15. PBDS rules

    Wow, you get to type it out? I am soooooo jealous! IIRC we had some pre-printed answer forms that were formatted similar to yours. Something like columns for assessment, intervention, and rationale....
  16. I like learning about diseases but hate nursing

    I agree with some of the posters who suggest you may want to consider whether you're depressed or perhaps stressed out to the max. That's not to say there's anything wrong with you nor how you're...
  17. PBDS rules

    This. I stuck to the common abbreviations that are basically universal (e.g. SpO2, and ABG) I just barely passed though. I kept running out of time because if I want someone to be able to read my...
  18. queston on zofran

    I wouldn't hesitate to give a second 4mg shortly after a prior dose (assuming it's ordered), but if that's not really working it's time to switch to something else. It's not too uncommon for periop...
  19. burned out

    PACU would be an area in which your critical care background would be helpful. It's still in the hospital usually, but the periop areas seem to have a different culture in my (admittedly limited)...
  20. An angry hobo stabbed him in his right
  21. I agree that the SICU job will likely give you more and better experience early in your career than the ASC job. That said, I want to point out that PACU RNs are far from "retired" on the job. While...
  22. Ever feel that the gov works against us?

    A government's purpose is to get in a man's
  23. Things Patients Have Taught Me NOT To Do

    Drinking and recreational activities such as skateboarding are not compatible. You just might fall and get hurt. Do not stab yourself in the gut to get out of doing housework. Don't jump off of the...
  24. What was your first nursing job?

    My advice would be to take the tele job and give 100%. Holding out can be risky in the current environment. It will be easier to get into the ICU or whatever once you have some
  25. What was your first nursing job?

    I started with private duty home care as an LPN, then stayed with it for a while as an RN while looking for a hospital job. I enjoyed it, even if it was indeed boring most of the time. I loved that I...