Up2nogood RN

Up2nogood RN RN

pulm/cardiology pcu, surgical onc

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All Content by Up2nogood RN

  1. Things you'd really like to say to patients but can't.

    I have said this before to a patient...... Post op complaining about everything, staff splitting, c/o poor care, yada yada. Patient 'threatens' to leave AMA, I say umm sure go ahead but you can't take...
  2. Pediatric Sentinel Event

    Such a sad story. She died from dehydration And misused narcotics. Kudos to her parents for sharing their story to help educate others. Josie's mother wrote a book too, which I bought but haven't had...
  3. No matter what the hours or means for meetings and/or information to be conducted you will never be able to please everyone. Our meetings are once a month 8 am and 1 pm, and offered 2 days in case...
  4. 5 hour energy drinks? Other alternatives?

    I work 60 hours a week between 2 noc shift jobs. I'll drink a cup of coffee on my way to work and one sometimes during my shift. What I've found though to help the most besides sleep, is just plain...
  5. What is the difference between working mornings,evening and nights?

    I would prefer evenings but we don't work 8 hour shifts. You couldn't pay me enough to work days, been there, done that, yek. Usually the bulk of your orientation is on days. And usually the other...
  6. Best Lotion for cracked hands?

    Where I work we have Cavilon made by 3M, non greasy, quick absorbing, latex compatible, and fragrance free. While I love the different smells of lotions/body wash (I am a reforming bath & body...
  7. Relatively new LPN going for RN

    I agree with Jules. I went straight to a bridge program after I received my LPN. It will be easier when the material is still fairly fresh in your mind. Good luck, you'll be happy you did it believe...
  8. A year of Med/Surg... Seriously?

    Honestly you'll never get away from the elderly or the drug seekers they are in every specialty. The only place where they wouldn't bother you would be the OR. Each specialty is going to have it's...
  9. How easy is it to lose your nursing license?

    A week ago I was taking report on a post op day 2 hepatectomy and the off going nurse just had called the doc for an order for Tylenol d/t fever. She was pretty embarrassed when I told her the reason...
  10. Dilaudid and bp

    Usually when I see my patients bp drop it's usually because they're dry not the dilaudid. If after a liter bolus or two it doesn't start rising then I'll suggest slowing down (or play hide the button)...
  11. Do you push Fentanyl on the floor?

    Yes, we push it on our floor, it's not as common as dilaudid though. I just gave it the other night as a matter of
  12. Forced to Quit My Job To Follow My Dreams

    Im not trying to rain on your parade but if I was in this situation I would wait until May to make sure your children have what they need (food, clothes, shelter). If you have money saved up then go...
  13. Coping skills needed for floating too

    I know how you feel. I floated last week to a unit with a totally different layout and was lost all night long, like it was my first day all over again. It didn't help that I was given the only...
  14. When Previewing Pre Nursing Students For Admission Into Nursing School

    I feel sorry for this student who can't read and I'm sure she works twice as hard as everyone else but realistically I don't know how she will get a job in nursing. In the real world no one will have...
  15. Nursing setting you up for failure?

    I am fortunate enough to work where I don't feel that way but I do know that there are many places, from what I've heard on here, that I wouldn't feel safe working. I also know with the economy the...
  16. Questions about shift differentials

    Working 7p-7a is considered as night shift differential which is $5.25/hr on top of our base rate. If I worked 3p-11p that is evening shift differential which is just $2.50/hr. And per union contract...
  17. What do your benefits cost?

    I pay nothing for family of four, medical and dental included. I could get vision/chiropractic visits for an additional $30/month. It's crazy what some companies charge. I almost wonder if it would be...
  18. Please put on your big boy/big girl pants, you just had a lap chole, just take your pain meds and GO HOME, we're not doing anything for you here but provide room
  19. Bedside shift report.

    We've been doing BSR for well over a year. I do believe some info is best given out of the room out of earshot of the pt. Once in awhile our NM cruises around in the noc-day shift change to make sure...
  20. To the OP, I would kindly ask your NM to come with you to the room and show her expertise when you need to do something you know the pt is going to refuse. What would be better yet is if the family...
  21. Let's play I Remember When.....

    We STILL have an IV therapy department. We just love those RN's here! If they got rid of IV therapy I'd quit for sure. Back to I remember when... Working as a cna without gloves, posey vests, hoppers...
  22. I actually like charting my full assessment at the bedside so I have all the info and body in the same place. We have LOTS of tubes and drains to chart so it's helpful to be able to see it than chart...
  23. No nursing station with COWS?

    So I had to float the other night to the 'old' part of the hospital. What a cluster #%*^ that was! I realize why so many bad things happen at night. All my patients were in the back hall, no...
  24. excelsior college

    Yes check your state BON. I went through them, while it's not any easier than a traditional college it was great not having to sit in a boring classroom. Check out distance learning in the students...
  25. Unfortunately I will also be looking for a new job pretty soon. My 2nd job is private duty and the gig will be up the end of June. So I've started looking to scope out the prospects and things look...