Up2nogood RN

Up2nogood RN RN

pulm/cardiology pcu, surgical onc

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All Content by Up2nogood RN

  1. does anyone out there copy charts to save time?

    I'm really stumped on how you can conceivably think this was okay? Even with electronic charting I don't copy and paste the same nursing note. I've worked in facilities with both types of...
  2. What is the Oncology floor like?

    Working with medical and surgical oncology patients can be very rewarding but also very depressing. You will need to learn healthy coping skills or you'll burn out quick. You will see the sickest of...
  3. Is this professional?

    If she wanted to hold her hair back she could use regular eyeglasses. Might even make her appear brighter? I've been thinking of getting some even though I have 20/20 vision. Do you think I'll look...
  4. experienced RN moving to Vancouver/Portland area

    I know hiring has been cut back severely at Providence and may be at Legacy also. There is def a glut of new and experienced nurses in the metro area. I think that there is just so many applicants...
  5. Drug seeking patients

    So true about the manipulative behaviors! Just ask for pain meds and skip the whiny far-fetched story
  6. Drug seeking patients

    This is not the case 99% of the time. I'd love to see the research on this. Many people with addictions start out with valid health issues. "Drug-seeking" pts most likely don't feel as they have a...
  7. Do hospital patients get better care if they're nice

    I try and figure out why the pt is being difficult before they get that label as *mean patient*. Could be other life circumstances that are upsetting the pt and the nurse is just getting the brunt....
  8. Drug seeking patients

    If they're regular IV users and/or have chronic pain the amount of drug in a suppository won't even touch them. They hopefully will most likely move on to another hospital so the ED can devote their...
  9. Drug seeking patients

    These types of pts rarely have health insurance. It's a misuse of the health system, a drain on staff, it raises insurance premiums for you and me just to name a few. I'm not trying to generalize as a...
  10. Drug seeking patients

    You should have informed your pt of the new protocol for all pts who present with CP- an enema. He most likely would not have CP
  11. why double chart?

    Every facility has different standards. I personally think it's dumb to double chart unless it's significant enough to warrant extra monitoring or a change in pt LOC, etc. Usually I will chart in my...
  12. Is that my med error?

    If you were involved in finding the error you would need to sign the report as either the witness to the event or as the one filling out the report. How could you be responsible though? Relax and...
  13. Wow. What a condescending attitude to have. Just because a nurse does not practice an organized religion does it mean he/she is not educated in cultures/religions. A nurse does not have to be...
  14. A Nurse CAN be both sexy & smart

    I'm surprised it took someone this long to respond to this. An honest response to a stupid played out topic. I apologize for not including 'in my practice' in my statement. I wouldn't say anybody is...
  15. What does DNR mean for the caregiver?

    They can be DNR but still want interventions such as antibiotics, ivf's, O2, medical tx such as setting a broken bone. DNR usually is no chest compressions or artificial airway but this can vary per...
  16. A Nurse CAN be both sexy & smart

    Yes, I agree most patients do not care how sexy their nurse is. If they do they're well enough to go
  17. A Nurse CAN be both sexy & smart

    It's ironic though that most are fat and ugly (but
  18. When in doubt wash your hands. Of course this wouldn't apply to an emergent situation but this strategy has helped me more than once get my head wrapped around a predicament without looking like an...
  19. How do you address your patients?

    It's simple. I introduce myself by first name and ask what I may call them. One of my pet peeves is people who mispronounce another's name so I make sure to ask for proper pronunciation. My other pet...
  20. Feeling bad, like I "ratted out" a nurse

    So this nurse worked all day in this condition and nobody noticed until it was time for her to leave? I find that odd, she should have been sent home or asked to go home if she wasn't feeling 'right'....
  21. Need some encouragement:Stretched thin

    Days is a horribly busy shift compared to swing and noc shift. Discharges and admits are time consuming. Time management is a great concept but you will always have those family members who will suck...
  22. How long did it take to get use to working nights?

    I loved working swing shift! Now since that choice has long been gone I am switching to 12 hr days after 2+ yrs of working 12 hr nocs. It took me about a year to get used to nocs and I almost...
  23. Scheduling...

    ...with their eyes closed. Ours is self-schedule. What a joke and lame attempt at my manager's ploy into thinking we have some resemblance of an opinion on our work schedule. Pick up an extra shift? I...
  24. vent/trach help!!

    It's great that you come on and ask peers but don't be afraid to ask your clients RT with specific questions and keep them in the loop
  25. What is your personal nursing mission statement?

    "Life is not measured by the number of breaths we take but by the moments that take our breath away". I'm here to save your a** not kiss it. My motto on my darker