Up2nogood RN

Up2nogood RN RN

pulm/cardiology pcu, surgical onc

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All Content by Up2nogood RN

  1. Aides who go over your head

    Everyone has her # because she put it in the staffing book at the nurses stations! Another instance a cna wanted to call her at 2am because we didn't have any washcloths. I said no but you can go...
  2. what am I missing?

    Here in Portland metro area a new grad does make close to $32 an hour plus shift diff in the hospital. My first year I made $76k with a bit of
  3. Aides who go over your head

    I did a brief stint ( 2 months) in a LTC as a new LPN charge and one aide was unhappy with a staffing assignment I made. She proceeded to call the DNS at midnight down the hallway on her cell without...
  4. Nursing Student-Getting discouraged and overwhelmed

    My 1st 9 months on the floor seemed pretty easy, typical post ops... Than it all hit the fan with super complicated patients, calling RRT's, and bad codes. I have learned so much more the past 3...
  5. nitroglycerin clarification

    I wasn't meaning to come off as rude to the OP. I've learned the hard way to look it up in my facilities p & p, online drug ref, or call pharmacy. If I asked 3 different nurses the same question...
  6. Charting by exception

    Since I'm not in cc we only chart by exception Q shift unless there's a change so it doesn't take long. We do have the ability to copy the previous assessment and then can make changes which also cuts...
  7. Assisted Suicide

    I took care of a wonderful lady a few weeks ago who ultimately ended up with ESRF and said no to any further tx. Her family respected her wishes and she passed within a few days. I felt quite touched...
  8. nitroglycerin clarification

    A transdermal patch is topical. I believe a drug reference guide will give you that answer. It really is best practice to rely on your facilities p & p and/or drug reference instead of random info...
  9. Things I have learned in Nursing

    Calmly asking a patient who is anxious, painful, etc to 'breathe in through your nose and out through your mouth' will often work (except if theyre HOH lol) as I learned in labor prep classes 17 years...
  10. A dedicated charge nurse?

    Out of our 12 noc RN's, 5 are charges so there isn't a 'dedicated' charge, it's whomever is scheduled. We did have a regular charge but when new ones were oriented recently she was given floor shifts...
  11. So who do nurses marry or have as civil partners???

    Garbage man, my co-worker introduced us. Funny thing is that when I told my grandmother I was dating a garbage man she said, "you should see mine, he's very handsome". Turns out she was talking about...
  12. It's a big no-no to bring anything besides stethoscope, penlight, scissors, hemostat. I believe a manual sphygmo would need to be cleared by biomed engineering also at my hospital. Why would you spend...
  13. Assisted Suicide

    My neighbor chose death with dignity and administered himself. His family was not even aware until after the fact as they weren't close and he didn't want them to intervene. I don't think that I as a...
  14. Assisted Suicide

    In my state assisted suicide is legal but good luck finding an MD who will prescribe. If I was chronically ill and in pain or terminally ill I would want the
  15. Wear and Tear,your thoughts......

    My combined bedside time is around 20 years since I started when I was 18 and the cna work left me with chronic back pain. I really don't have too many other problems so I consider myself lucky but I...
  16. If you are looking to go into this field it would be a good idea to shadow a shift or two like a previous poster suggested unless you had a clinical rotation in this area. I did have a rotation and...
  17. I actually like being a CNA - should I become an RN?

    I too did enjoy being a CNA very much and I so miss those carefree days! Don't get me wrong I like being a nurse too but it would be nice to work a shift where all I have to worry about is vital...
  18. Cafe Press

    I've thought about buying some items from that site, I like a lot of their tees and such but it's seems overpriced to
  19. Even nurses do stupid things ....

    Um yeah I took 2 Tylenol pm instead of regular tylenol. At 2 pm. Right before my evening shift. Yeah it was a lonnng and extremely slow
  20. QUICK HELP!!

    Hmmm let me see I haven't done one of these in awhile.... Risk for knowledge deficit r/t inability to make attempt at homework a/e/b asking others for homework
  21. New to teaching/vent

    I'm sorry this is happening to you and your students but what a great way to learn what their future work environments may be like! I would take advantage of these learning oppurtunities and share...
  22. Hardest/easiest part of your job?

    Clocking in/clocking
  23. I promise to never forget.....

    I worked my tail off for 15 yrs as a cna/med aide and I generally don't ask my aides to do anything for me that I can't do for myself. Typically all I ask them to do for me is vs, cs, help with call...
  24. We use CIWA too but I did see a pt on our unit that could get 2 oz of vodka (drink of choice) Q 4? hrs. Pharmacy sent it up in small amber bottles and kept it in the Pyxis like any other med and it...
  25. Feeling guilty, lazy, and incompetent...

    Wow that's pretty drastic, yes the aide was asked to do it and she didn't. But to Tell her to go do it isn't going to help a working relationship and could cause a whole lotta trouble. I would talk...