Up2nogood RN

Up2nogood RN RN

pulm/cardiology pcu, surgical onc

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All Content by Up2nogood RN

  1. Well.. I *was* a cardiac nurse

    Remember to fill out incident reports for unusual occurences due to unsafe staffing. That's definitely not a good combo. Please do what you can to keep your pts safe but you have to take care of you...
  2. Fed up with the "rules"

    Do you have a union? If you do, I would contact your representative, like yesterday. The culture of floor nursing is ludicrous. Why aren't you entitled to breaks? Management gets hour + long lunches,...
  3. I give in to drug seeking patients

    Just wanted to add, on my unit we don't use the term 'drug seeker'. If there is a tolerance obviously they have some sort of issue but it's really not fair to judge without walking in that patients...
  4. I give in to drug seeking patients

    I have heard a few of our surgeons use the term narcotic bowel in the progress notes but official dx would be bowel obstruction of course. It's a vicious cycle with our young 20 something crohn's,...
  5. Anyone ever heard of anything like this?

    What planet are these people from and are they on drugs? No seriously, this is some severe dysfunction with a capital D. You know I would play their game. Call the police and report every single time...
  6. I hate what's happening to nursing...

    You know it's not always nursing that disgruntles a pt but we get blamed and have to go through such bs, bedside report, rounding with intent, scripting to get press ganey scores up. What a difference...
  7. OMG! Why??!!

    I hope you own a pair of good running shoes. You'll have twice as many patients on evening shift with less staff. Family members will be in insisting grandma has a bath before bed every night. As soon...
  8. Sexy nurse image in Hooters ad

    I personally have better things to do with my time. I don't eat at Hooters nor do I know anyone that would. I could care less what they portray nurses as and I don't need to watch the video to know...
  9. What does high acuity mean to *you*?

    Our acuity tool is based on pt acuity but unfortunately not used for the staffing grid. It was explained to me though the other night it needs to be used effectively to justify the ratios we have now...
  10. RN/CNA dynamic where you work?

    If the nurse is able to help with her patient than she certainly should. The nurse is ultimately responsible. Remember you are there to assist, not do it all. I've been on both sides of the fence and...
  11. Terrible first clinical experience (CNA)

    Pp I hope you know that the above mentioned ratios are not the norm. There is no excuse in my opinion for the behaviors that you described. It's not a terrible thing to care and to report wrong-doing...
  12. Terrible first clinical experience (CNA)

    THIS...is the truth. It's not about turning a blind eye it's about you won't be able to keep track of your cnas because you will have a hard time keeping up with the workload. The ABC's: airway,...
  13. What are the top 5 medications YOU administer daily?

    Dilaudid, dilaudid, dilaudid, dilaudid, and
  14. Terrible first clinical experience (CNA)

    It is very sad that respect isn't given to our patients who are in need. I started cna training at the very green age of 18. I had an amazing instructor who taught us how to respect and provide...
  15. This forum is scaring me!

    I have not read all the prior responses so please forgive if this repeats advice. As a student I did not frequent the general nursing discussion forum. I was a student and concentrated on studies and...
  16. Our ADON says that ICU is boring... Is it true.

    Wow, just wow...maybe it was boring. To her. Maybe she really is from one of those reality shows and wants to be a nurse for a week. ....or maybe she is undercover with the FBI. Or she could have...
  17. Things you'd LOVE to tell coworkers...and get away with it!

    I've been wondering if there was ever a thread of this nature.....Thank you, thank you OP for starting this *lighthearted* thread. Really? How do you find time at 0530 or even think it's okay to sit...
  18. Management of Epidurals, Bolus dosing?

    We cannot bolus anything through an epidural. We can titrate the hourly rate per anesthiologist's written parameters but if the pt needs more than that we would be paging the anesthiologist to come...
  19. CPOE computer physician order entry

    There is only one group of docs in my hospital that WON'T enter their own orders, the orthopods. Which is beyond me what their excuse may be as they've been practicing physicians in this hospital for...
  20. CPOE computer physician order entry

    I really don't think an organization would allow a physician to hire a freelance nurse to enter his orders. I know mine wouldn't. That would be totally contrary to what CPOE is all about. Plus you'll...
  21. In your "perfect nursing world" what would you have?

    We do have a computer w scanner at each pt bed and a locked cabinet but we are only to use it for supplies, not meds. It would be nice to have a mini blanket warmer in each room and an ice machine...
  22. How much MONEY do you make? (questionaire)

    Associates degree in nursing in the Pacific NW. I've been an RN a little over 2 yrs and make $39/hr with shift diff and grossed 79k last year with minimal OT. What I like about my job is the patients...
  23. Home care is unique in the fact that that your clients probably gets limited supplies. Doesn't make it right but that's how home care rolls. I've never heard or would put a yaunker into a...
  24. iv dilaudid

    I have had numerous patients on dilaudid c/o hedaches. While I do find it unnerving when patients set alarms to be awake and ask for pain meds, those who can't stay awake but requests for pain meds...
  25. To get the flu shot, or not to get the flu shot...

    Thank you. I am continually disappointed in this profession that so many nurses still feel it's all about them. While I do have my limits, I look beyond myself and think of others and how my actions...