Rapheal

Rapheal

Member
  • Content

    814
  • Visitors

    5,393
  • Followers

    0
  • Likes

    7

All Content by Rapheal

  1. She is every thing I am not. She is tall, super intelligent, witty. She can wrap every doctor around her little finger. She talks doctors into giving orders that she feels are more appropriate then what is currently ordered. And she is always rig...
  2. cardiac/bp meds- giving against policies/non-tele unit

    I agree with the previous poster. The policy is there for a reason. One patient goes bad and you will be out of a job and risk your license. The hospital will not back you up because you went against policy. Don't worry about the negative feedba...
  3. How to help new mother who is very detached from baby

    During nursing school I remember a very similiar situation with a young mother. She was not expecting the c-section and was very sick from the general anestheisa and was experiencing a lot of pain. She was bewildered by the fact that she was in so m...
  4. CockyICU,CockyER

    There are only about 2 nasty ICU nurses where I work. They have that holier than thou attitude. The rest are great. Some even will start IV meds off the transfer order for you, or make sure the patient is bathed before transfer. :)
  5. What would you have done?

    Why would people want to make the nursing staff nervous, or on edge when taking care of their family members? Do they think they will get better care by intimidating the staff? :uhoh21: If my family member is in the hospital and receiving an NG tub...
  6. How Do You Accept Report on an Understaffed Unit???

    What you did would be a really huge big deal where I work as well. Seems your damned if you do and damned if you don't. Good luck. You did the right thing of course. Too bad we don't have our own board to fight for nurses like the BON protects co...
  7. Too good to aide?

    I don't think it would be a good idea for the RN to be the aide. You can never work under the level of your license so you could be held responsible for changes in vitals or conditions. For example if you do vitals on a patient and they have a reall...
  8. Beat up by a resident, what to do??

    Sorry this happened to you. I would be livid if it happened to me and I got no support from my employer. Maybe time to find an employer who cares about your safety.
  9. The BIG word - RETENTION!!!!!

    What inspires loyalty in me is a truly flexible schedule or agreed upon hours, not being nitpicked to death over whatever is the new charting policy of the week, and having enough NA's. Being expected to do almost all the NA work while being responsi...
  10. The Art of Nursing

    I think nursing teaches us to quickly assess not only a patients' physical needs, but also their mental and emotional needs. Nurses need to quickly make an assessment about how to handle a patient. I say handle for lack of a better word. But each ...
  11. It depends on what they are complaining about. It it is little nit-picky stuff I apologize and ask them what can I do for them now or what can I do to make them feel better. Usually that is all it takes to settle them down. If it is a serious issue...
  12. unprofessional behavior in RN community

    Some of the nurses use the f-word when describing their day or their assignment. I have never heard any use this language in front of a patient or family. I really don't care if they do- but I don't. Usually I think they are just blowing off some s...
  13. A sad and unexpected loss...

    I am very sorry about your loss. She sounds like she was a very special person.
  14. Scariest things you've seen

    Consulting doc walks up to me and says "your patient in 112 is not breathing." I rush in room thinking she is following me. Nope- she left. Patient assigned to me with a heart rate of 32.Full code. Has been brady all previous shift. Doctors aware....
  15. Procedural Question regarding Phys. orders

    If your patient has a complaint such as pain or a change in assesment then you will want to get the intern or resident. Usually they will communicate with the patient's primary physician or the doctor they were admitted under in determining what sho...
  16. JacelRN I am sorry this happened to you. Last time we had an abusive patient the supervisor lectured us on being compassionate because the abusive patient had unresolved grief issues. :angryfire The hospital I did clinicals at as a student had a r...
  17. Anybody else work with a "super nurse?"

    Not a crush- I just secretly want to be her. :rotfl:
  18. Thoughts on balance (home vs. school)?

    The best advice I got was to lower my standards. I had to accept the house not being super clean, and accept the fact that I could not be 100% accesible to the kids and relatives. There was a lot of guilt. It was helpful for me to make school list...
  19. Lost my internship!

    Good luck on your retest. Some people do not get to work as GN's. So if you look on the bright side you have had 45 days more training then some people who will retest. Can only help you for NCLEX.
  20. New grad dealing with angry/yelling patients

    I will try this next time- I have always stayed for the tirades and asked "What can I do to make you feel better about this?. Very exhausting mentally for me. This sounds like a better idea. Thanks. :)
  21. Question about animal cruelty

    Sorry to be the devil's advocate here, but if you have to question yourself if it is animal cruelty- then it probally is the type of thing that should be discouraged. There is a difference between play time with an animal, and "rough" play. There sh...
  22. Overuse of opiates?? Opinions?

    This is a legitimate issue to be discussed. I do not want to judge someone's pain but I too see patients admitted with intractable n/v who are ordered 50mg Demerol q4 with 25 Phenergan. Some of these patients are on the floor for 2 hours and start ...
  23. I know that the bottom line is money. But since some of the posters in management are able to pitch in and help out- why can't other managers do the same? Seems to me that some people get into management to avoid patient care.
  24. Our telemetry is always watched. We have very sick patients and I could not work on a floor where I was responsible to monitor telemetry and do patient care. I am constantly on the floor- in patient's rooms. It would be impossible for me to accura...
  25. kicked out nrsing school-would u fight?

    I have seen potentially good nurses get booted- and not all were justified. Sounds like you had a hellacious day on the floor. Somedays it is just like that. But if they booted you for one day's performance- then they were looking for a reason to...