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CritterLover BSN, RN

ER, ICU, Infusion
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CritterLover is a BSN, RN and specializes in ER, ICU, Infusion.

CritterLover's Latest Activity

  1. CritterLover

    Gustav Roll Call

    i'm well north of nola, but we are getting thousands of refugees. (we're along the evacuation path). so far, everything is going ok. my hospital has gotten a few patients, and so far has had the capacity to take care of them. all is going as planned, so far.
  2. pm sent, let me know if i can help!
  3. CritterLover

    Hurricane coming: evacuate or stay and work?

    hard to say, but i think i'd stay. i'm single/no kids, but i do have animals to worry about. if provisions were made for them, i'm pretty sure i'd stay. i work in one of the cities that they are evacuating people to, and live south of said city. on my way home from work this weekend, i drove south with several national guard caravans. i felt really drawn to what they are doing, and feel that if i could (financially), i would volunteer down there now. that level of "helping people" is what drew me to nursing in the first place -- as opposed to filling out "safety rounds" and "fall precautions" checklists. looking at the news right now, i'm hopeful that things are going to turn out ok and people will be able to return to their homes soon. (there are still people in my city that were displaced from katrina.) i really hope that when (because i don't htink its an "if") this happens again, i'll be in a place in my life where i can do more. we talked about this over the weekend at work (we admitted a handful of the refugees). my coworkers all think i'm nuts. maybe, but they all have kids. to me, it is different when you are single and childless. i know that other single/childless people feel differently, and that is fine for them; but i feel an intense urge to help. of course, it is easy for me to say that when i also say that i'm staying put because i don't have the financial resources to leave my job for a few weeks so i can help out.
  4. CritterLover

    Need advice BAD

    i worked as a cna/unit secretary while in nursing school, and i think that nursing students benefit greatly from doing the same. however, most (or at least many) nursing students don't work while in school. so i'm not sure why you think you won't be able to get a job if you don't work as a cna while in school. unless you live in an area that is highly competitive for new grads, i can't see a lack of a job causing you too many problems. if you really feel you need a health-related job, do consider working as a secretary/clerk. i swear i learned more working as a secretary/clerk than i did working as a cna. the cna experience was nice and helpful, but i learned so much more reading all of those orders and making all of those phone calls as a secretary.
  5. very true -- facilities can't pay foreign nurses less. however, not only do most us nurses not know this, many refuse to believe it. in addition, many believe that the availability of foreign nurses allow facilities to get away with overall lower wages and higher staffing ratios. does it? maybe. probably? i don't know. personally, i suspect that facilities would find other ways of cutting back on licensed staff, rather than improve conditions to the point where non-working nurses would come back to the bedside. uaps (unlicensed assistive personnel) are cheaper, easier (read cheaper) to replace, and can do many of the things licensed staff traditionally do, as long as the licensed staff does the assessments and charting. which is really unfortunate for those of us with nursing licenses -- we spend nanoseconds with the patient, yet "get" to complete mountains of paperwork (or pages of computer forms). however, i work in a hospital that would be in a dire condition if it wasn't for our foreign nurses (most from the philippines). for the most part, i think we are very welcoming. maybe not --maybe i'm very naive. but i haven't seen any prejudice first-hand. if anything, people seem to prefer working with the nurses from the philippines because (at my hospital) they are perceived as hard working. i'm not completely stupid; i'm sure some prejudice exists, but it hasn't yet occurred in front of me. you know, it is an unfortunate tradition in the usa for new immigrants to be mistreated by the immigrants of past generations. my irish-born relatives learned that first-hand in the early 1900s, as did their italian contemporaries. fortunately for them, they looked anglo enough that much of that was overcome by a change in their last name. kind of ironic, isn't it?
  6. CritterLover

    Please dont hate me for saying this...

    hmm... there isn't any denying that there are lazy nurses out there, and i don't want to make any excuses for them. i like to think though, that part of learning to prioritize is learning to ration your energy (mental and physical), in addition to learning to ration your time. i think this is really true in the er, when some patients really need your energy; yet others shouldn't even be there. when i read your comment about checking a patient's vitals and not going back into the room, i laughed to myself. i consider myself to be a pretty hard-working, kind, compassionate, skilled nurse (most days :) ). but i have to admit that i've been guilty of this. when i worked in the er, i was usually in triage. but on the days when i was in the back and took patients, it wasn't all that unusual that i would go in, check vs, do a quick assessment, and never see the patient again until i went in with discharge instructions. for a long time, this really bothered me. i went to the er from icu, and the thought of not at least eyeballing my patient every hour or so was disturbing. one day, it dawned on me: most patients that come to the er don't need more than a quick assessment, a set of vs, and their discharge paperwork. actually, many don't even need that much. the set of vs they get in triage, plus the set i got when i roomed them, plus the set i got when i discharged them, was pretty much overkill. most don't need to be in the er at all, let alone have their bp and hr checked three times. i can honestly say that i'm much better at spending some time with what i consider to be the "real" er patients -- you know, pts who are experiencing an actual emergency. obviously, if the patient needs meds or treatments, the nurse will be in the room more often. beyond that, they tend to be scared, and need to be reassured and updated. (and the patient doesn't have to be a major trauma or an ami to be a "real" er patient. just something that warrants an er visit). on the other hand, the patients that come in for their repeat utis, yeast infections, mosquito bites ... not only do they usually not really need reassurance, they don't want it, either. they are talking on the phone, or watching tv, or napping, and they want/expect to be left alone until it is time to be discharged. don't let your reaction deter you from trying er nursing. there really is a place in the er for nurses that want to spend a little time with their patients. you just have to accept that you won't be doing that with all -- or even most -- of your patients.
  7. CritterLover

    Just one persons opinion

    i can't comment on the contents of the article since i don't have access to it. however, i'm going to agree with the quoted statement: experience isnot sufficient for competence. maybe i'm dense, but i'm not understanding why so many seem to be taking offense to that. i don't think that statement discounts the value of experience. you would be a fool to take the stand that experience is worthless. nursing school presents us with the absolute minimum of experience; yet you could memorize a med/surg or critical care text, and it wouldn't be worth much without the basic experience you gain during clinicals. the knowledge a nurse gathers in multiple years of bedside nursing is invaluable. but it isn't enough. as with any other lesson, what you do with that experience means more than the experience itself. to me, that statement is more about the necessity of keeping up with current practices than it is about the value of experience. it is about learning from your mistakes and the mistakes others make. it is about accepting that learning does not stop when we graduate from nursing school ... or when you get done with orientation ... or once you've been a nurse for five years ... or fifty years. a nurse with 20 yrs of experience who refuses to accept new policies, procedures, equipment, and techniques because "that's not how i was taught to do it" may not be competent. a nurse with 30 yrs of experience who doesn't go to mandatory inservices on new equipment, or look up new drugs before she/he gives them may not be competent. granted, "best practice" comes and goes. we work in a rapidly evolving field. part of being a competent nurse is accepting that things will change as research is done. we sign up for that when we decide to become nurses. i freely admit that i don't like some of the changes i see. however, it is part of my obligation as an rn to be aware of the changes, and to work with them.
  8. CritterLover

    Ever give thorazine(chlorpromazine)IV?

    i've given it ivpb for hiccups a few times, but it has been a while. pharmacy would put it in 50cc ns and we'd run it over 30-60 min (30 min for 25mg/60min for 50mg) (as i'm typing this, i realize it sounds odd to give iv thorazine to a patient for hiccups. these were npo trauma patients without a functional gi tract. not sure why we didn't give it im, other than we didn't give much im. the hiccups were thought to be related to a chi.) you're supposed to watch for hypotension/keep them lying flat for 30 min afterwards.
  9. CritterLover

    Question about flouroscopy?

    i don't know about the legality, though that probably varies from state-to-state and depends on how the state's nurse practice act reads. however, i do know that it isn't all that uncommon for fluro to be done without a physician present when placing piccs in radiology departments. some places use a rt and an rn, but i think other places use two rns. at any rate, your friend needs to check with the state bon, since that is the most reliable source of information.
  10. CritterLover

    Anyone work in a "no smoking " facility?

    i work for a "no smoking" facility. it's a joke ... staff, patients, and visitors all still smoke in front of the building. security? yeah, they're out there smoking with them. no one signs out ama. they just leave. sometimes they tell the nurse where they are going, sometimes they don't. sometimes they come back, sometimes they don't. (seriously) as for the patients, it isn't just cigarettes they're smoking when they go out for a "smoke break." for what it's worth, they do sign a form on admission stating they know it is a non-smoking facility. a little hard to enforce it on the patients when they aren't even enforcing it for the employees.
  11. CritterLover

    EMTALA Survey

    ours was done by the state.
  12. CritterLover

    poor people get poor tx?

    horrendously so. however, it is an inpatient-only med. inpatient meds generally aren't the issue. the hospital is obligated to provide what the patient needs. (i'm not saying it doesn't become an issue at some hospitals, but it isn't usually the big issue). discharge meds are the issue. once the patient is discharged, they frequently don't get their meds unless they can pay.
  13. CritterLover

    4 hospitals penalized for serious mistakes

    my guess would be that they are using large plastic bags (like the large red biohazard bags) to help slide patients on and off the or table. the radiology dept where i used to work did this for cts. like a slide board, only they'd leave the bag under there during the test. the patient was always strapped to the table. guess the pt hadn't been strapped to the or table (yet).
  14. CritterLover

    poor people get poor tx?

    i don't see it so much as poor people getting poor care in-hospital, at least where i work. i think, though, that this varies from hospital to hospital. saying that, it is difficult to give excellent care with a smile on your face to obnoxious, rude, abusive patients. now, those patients might see their nurse less often. i think the bigger issue is post-hospital care. that is where i see people without insurance having a hard time getting care. to the point where i've seen er docs admit patients just because they knew the patient would never be seen as an outpatient.
  15. CritterLover

    becoming a "Code blue" team nurse

    agree with the above -- it varies greatly from facility to facility. here, no one from the er responds, and i rarely see the nursing supervisor. usually the icu charge nurse comes, and sometimes other nurses from icu if they aren't too busy. always at least one respiratory therapist. other places i've worked at have been different. i'm on the code team in my hospital, and it is because of my icu experience. i would suggest that you get experience in either er or icu, and of course take an acls class. when i was a new nurse, i found that doing the "recorder" role in codes was the best way to learn. i got experience in codes without having to worry about doing it wrong or getting in the way. before long, code interventions became second nature.
  16. CritterLover

    Weight Lifting RN's

    that's not an uncommon job requirement. i've seen 70 or 80# lift requirements more often, but i have seen it as high as 100#. they aren't asking for a weight you can bench-press, after all. think about it -- it isn't unusual to ask two nurses to lift a 200# patient up in bed. i can lift 100# without too much trouble, and i'm an averaged-sized female. i carried a 95# dog from my car to the vet's office last week, and only had trouble when i had to open the door.
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