RN1982

RN1982

ICU/Critical Care

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All Content by RN1982

  1. Oh well, I tried..........

    Rattie, I love your story about the nurse telling the doc to aim better. That was great. Honestly, I could care less if they bring in the big bucks, they'd better treat their nurses with respect. I've...
  2. New NM having problems staffing

    I can see how some nurses leave units such as step-downs. It's stressful. For example, the acuity on my unit was pretty high. We have vent patients, trached patients who needed frequent suctioning,...
  3. New NM having problems staffing

    If that's how the staffing always is, I wouldn't stay either. I'm not trying to be harsh, just honest. You need to hire more staff. If the acuity of the patients is high, the nurses should have no...
  4. Struggling keeping nurses in my unit

    This eerily sounds like the unit I used to work on. It was a progressive care unit. Management hired nurses and then lost nurses. You have to ask yourself, are your nurses happy? Do you have enough...
  5. New NM having problems staffing

    Do you need to hire more nurses? Perhaps you just don't have enough staff. What is maximum number of patients on your floor and what is the nurse to patient ratio? Also what is the CNA to patient...
  6. I think you handled the situation just fine. You weren't nasty or
  7. Diarrhea & G tubes

    I think some of the tube feeding formulas cause diarrhea in some patients, usually we'll have the dietician order benefiber or change to a different
  8. frenemies

    Perhaps you should make copies of any documentation you do on a patient, that way if something comes up missing you have back
  9. frenemies

    As someone who has never been there, Blue's advice seems good. Do what Blue says and start looking for another place of employment
  10. Diarrhea & G tubes

    Could be. I have to hand-fill my
  11. frustrated

    I don't think what she said was all that bad. I don't really think they were smart comments. I've heard worse. If it was me, giving the blood transfusion would be more of a priority than giving meds....
  12. Diarrhea & G tubes

    Where I work, we are not suppose to hang more than 8 hours of tubefeeds. After the eight hours of tube feeds have been infused, we are suppose to rinse the bag out with sterile
  13. delete.
  14. Bad Day!!!

    Hey Meadow, I had a senior nurse yell at me before. One time it was because I didn't change the room numbers on the patient's new flowsheet and MAR. I had moved the patient from Bed 11 to Bed 1 and...
  15. Peg tube residual

    If I have a residual of greater than 4 times the rate at which the tube feeds are infusing, I shut the pump off for an hour and discard half of the residual. Thats what I was told at my last job. My...
  16. Bad Day!!!

    Consider this a lesson learned in how to deal with idiot co-workers. The next time this happens, tell them that they do not have the right to talk to you like that and walk away. You didn't need to...
  17. 1950s nursing

  18. Bad Day!!!

    I would strongly suggest not going back. And when you do finally leave, I'm sure you will have an exit interview. You can detail the poor management of the unit when you have the
  19. Bad Day!!!

    He should have not yelled at you over something so petty. If it was me, I would have called security. Your boss should have backed you up and he should have been reprimanded immediately. It's a good...
  20. I hate when my co-workers are wasteful.

    I don't mind using the wipes for baths. I will alternate wipes and soap/water if I'm working a few days in a row with the same patient. But come on, there is no reason why there should be FIVE bath...
  21. Things you'd like the ER to Know

    My favorite was "Yeah, this patient was A/O x 3 when he arrived to the ER, he's a COPDer, on a non-rebreather with 100% O2 and now he's obtunded".....Me: "did you tell the doc, this is a change in...
  22. Things you'd like the ER to Know

    Please actually look at the patient before giving me report. All too often have I received report from ER nurses who say "I just came on at 6:30pm, I'm not familiar with the patient". Ok, how does...
  23. I hate when my co-workers are wasteful.

    I have no idea. I don't they are charged to the patient, they are just in a supply room in a box. No real way to charge them to the
  24. Accreditation WCCCD

    CCNE is for accreditation for BSN programs not ADN. The only accreditation that matters is the State Board. I don't think it would make a difference if you go on to get you MSN or CRNA. All CRNA...
  25. I hate when my co-workers are wasteful.

    sometimes if i find an unopened pack of those wipes i will use them in place of washclothes when i'm bathing a patient. i still use soap and water of course. but i don't want to use them like that if...