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xoemmylouox ASN, RN

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xoemmylouox has 13 years experience as a ASN, RN.

Happily married ~ most days anyway ~ to my high school sweetheart. We have 2 very busy, stubborn, and opinionated kiddos (I don't know where they get that from, lol) and a four legged fur baby.

xoemmylouox's Latest Activity

  1. xoemmylouox

    No Order

    At the hospital I work at we have a nursing judgment protocol that allows us to bladder scan & straight cath a full 24hr for retention (or sx of) before we need an order. Perhaps that is something you can suggest at your next meeting. This was put in place to reduce the number of foleys since the providers tend to give an order to anchor a foley vs bladder scan & straight cath (or at least they said that was the situation). I LOVE this protocol.
  2. xoemmylouox

    How do you get called in?

    I get that they are trying to find the fastest solution, but I don't think it's actually doing anyone any good. I would NEVER rely on a text message to call someone in. Our house supervisors will send a mass text to us if they are looking for volunteers to come in, but any time someone gets called in - a phone call is made. Day or not - this should be the policy.
  3. xoemmylouox

    How would Medicare for all affect nursing?

    I keep hearing about the wait times in other countries. My question is how many Americans simply just go without care because they can't afford it? How many don't address their health concerns, or receive any treatment because they cannot afford it? Those numbers are going to be hard to come by, yet remain a real problem. I don't know if Medicare for all is the answer, but I know our current system is awful. When people are in their most need, and least able to work, life is costing the most. How many people who have cancer, heart disease, or COPD can still work full time? How many lose their insurance because they cannot continue to maintain their hours at work? How many are taken to collection during their treatment because they are too sick to work while undergoing chemo/radiation? Those are the victims of this system. Sure you can get your MRI tomorrow, but the cancer they find on that scan is going to bankrupt you. Sure you can get in with the cardiologist next week, but you're going to lose your job and your health insurance so you won't get to have that surgery done.
  4. xoemmylouox

    How I made $93,000 my first year of nursing

    That's great. I wish more places paid like this, but we also have to keep in mind cost of living expenses. Kudos to you and keep rocking it out. Save some for the future and enjoy your time away!
  5. xoemmylouox

    Rapid response in the clinic

    We have different codes. We have the usual code "blue", but we have a specific code "white" for those times a patient passes out, has a vagal, etc. We have a specific team that responds, and there are enough people on it that we are typically fine. If someone is on lunch they still come, and we sort out time cards after. We have "go bags" which contain pens, documentation paperwork, b/p cuff, stethoscopes, accuchecks, and biox machines. We have people from all over respond. Maintenance responds in case they need to direct an ambulance, our "green shirt/greeters" respond with a wheelchair in case it is needed, even admin shows up in case more support is needed. It isn't always perfect, but we often have the staff we need to address the issues as they arise.
  6. I stand corrected. There are pockets where there are not enough nurses.. Again - overall there isn't a nursing shortage. If the areas were attractive enough, nurses would move from overly saturated areas to work in those areas where we need nurses. Either marketing for that area is poor or again there isn't enough incentive to bring nurses there. I didn't mean to offend anyone by pointing out that we don't truly have a nursing shortage nation wide. If we made the job more appealing we should have enough nurses. There will always be areas where this is not true. Just like there are areas where there are such an abundance of nurses, that even crap jobs are hard to come by.
  7. xoemmylouox

    Pyxis Problems

    We don't have a med room. Most of our pyxis machines are in main hallways so there is no hiding from patients. They can walk right up to you and demand their meds.. It's super convenient for them to walk up and request their diluadid right then and there. No need to dilute it either.. They'll take it straight in their IV.. 🙄 Really, it's a disaster and clearly and afterthought. The only floor that has a true med room is the rehab floor. It makes no sense.
  8. xoemmylouox

    BLS renewal—ouch

    We recently had a code at work. There was 5 of us that rotated for compressions. We did compressions for about 45 minutes before they pronounced the poor guy. It was awful. I was sore for like 3 days. We were all dripping with sweat when we were done and the soreness didn't really hit until the day after.. My poor abs were d-o-n-e!
  9. The patient is right. They aren't enough of us at the bedside. Before I start hearing the nonsense of a nursing shortage, I'll shut it down. There isn't a true nursing shortage. There is just a shortage of nurses willing to be at the bedside. The reluctance is for good reason. It's physically and emotionally draining in ways those who aren't nurses can't understand. EVERYTHING is on your shoulders. A physician makes a mistake and orders the wrong thing - you better catch it. The pharmacy sends you the wrong dose - you better catch it. The demands are impossible and then you add the large number of patients we are responsible for.. It's simply not safe. Then add the fact that we are exhausted. We work "12" hour shifts, which often become 13-14 easily. We are picking up extra shifts to help cover the gaps as well. So that means your nurse, who is responsible for every single aspect of your care, may not have had more than 4-5 hours of sleep in the last 4-5 days. Then lets discuss the abuse we receive from patients and their families. I have been hit, kicked, screamed at, and sexually harassed. I understand patients are hurt, sick, and are at their worst - but that doesn't mean I deserve to be treated like trash. Rarely does an employer support you pressing charges. Don't forget the charting.. We spend HOURS of our shift clicking and typing. With everything we are expected to accomplish each shift it's amazing we have anyone working at the bedside.
  10. xoemmylouox

    A statistical death

    Sounds like it's time to find a new employer. Most places are going with bare bones staffing, but some places are worse than others.
  11. xoemmylouox

    Is it a bad idea to return to the hospital?

    I would wait until this summer when you aren't working your school job. This will give you time to go through orientation, training, and get some hands on job experience. I would go for a PRN position so if you decide it's not something you want to do full time, you can maybe stay in the PRN role and keep your full time school nurse job. The hospital is brutal. It takes a lot out of you, and it sounds like that is a concern you have for your upcoming years. I don't know about there, but around here school nurse jobs are not easy to come by. Most people stay in them because while the pay is low, it has many other perks. If we could afford it I would consider taking one, but I am the sole income provider for my family right now while my husband stays at home with our kiddos.
  12. I would see what they say during your 2nd interview. I would also let them know when/if you get the other offer. Perhaps this will speed up their several week waiting period. The hiring process for some companies is so long, it's no wonder some spots never seem to get filled. My employer struggles with this sometimes. HR needs everything to be perfect from the practice manager to post or remove a job posting, despite the fact that sometimes we have delicate situations. I understand from HR's position, but it can be challenging at times. Go with your gut. Whichever sounds best for your situation. Money is not everything, but it is a great incentive.
  13. xoemmylouox

    Flyin' high in April, Shot down in May

    We all make those mistakes. That's something we have to keep in mind when others commit similar errors.
  14. Stick with your current job. It (hopefully) pays you well. You should have a decent career ladder if you are looking to move up. Volunteer if you want to add purpose to your life. You can volunteer at hospice, LTC, even the hospital holding preemie babies. There are plenty of places that are DESPERATE for volunteers. Nursing is hard. You sacrifice so much including your body, your sanity, holidays, family time, weekends, vacations, etc. Nursing school does not prepare you for what nursing in the real world is like.
  15. xoemmylouox


    That doesn't make sense. The thickness of the formula does not prevent orders being written. What is more likely is that they are not sure how at what rate your patient will tolerate this thicker feeding. Sometimes feeding rates have to be changed depending on how patient's tolerate them, especially when their consistencies change. They should have given you an order with parameters. That's what I have dealt with in the past with patients.
  16. xoemmylouox

    Force to change unit in the middle of shift

    This is fairly common in most facilities (acute and LTC). It make not be what everyone loves, but it is a way of addressing changing staff needs.

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