JustKeepSmiling ADN, BSN, RN

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  1. JustKeepSmiling

    Do comfort care patients get oxygen?

    JustKeepSmiling replied to quirkystar's topic in Patient Safety Issues

    Depends. Keep in mind too that just because oxygen is applied does not mean the lungs are perfusing in a comfort care situation. In certain end stage/MODs situations, the lungs are not capable of...
  2. JustKeepSmiling

    Really dumb blood admin question

    JustKeepSmiling replied to Curious1alwys's topic in General Nursing

    That's crazy! I would never run blood that fast initially! 60ml/hr for the first 15 minutes then rate after that depends on clinical scenario/fluid overload/etc. If someone is going to have a...
  3. JustKeepSmiling

    Nurse monitored Tele only, no tech?

    JustKeepSmiling replied to JustKeepSmiling's topic in General Nursing

    Thanks for the feedback! I was curious because I'm going into a new job with no remote monitoring. After being used to having it, will feel different being solely
  4. JustKeepSmiling

    Nurse monitored Tele only, no tech?

    JustKeepSmiling posted a topic in General Nursing

    Hoping general nursing forum will reach a variety of nurses who interact with telemetry for this question. When I first started as a tele nurse, we had monitor techs on our unit with the big tele...
  5. JustKeepSmiling

    Most annoying reason for admission?

    JustKeepSmiling replied to HakunaMatata<3's topic in General Nursing

    I work at a rural hospital and a larger city one - huge difference in admits. And the inapproriateness of the unit admitted to!! Things that drive me... Admit dx UTI but u/a is clean, not even...
  6. JustKeepSmiling

    Since I can't see myself as how others see me...

    JustKeepSmiling replied to MPKH's topic in General Nursing

    Let me know when you find out - I have the same struggle!! I think I am very compassionate and high energy, I think sometimes that gets misunderstood for abruptness. I never intend to be rude or...
  7. JustKeepSmiling

    Errors--system problem or nursing problem?

    JustKeepSmiling replied to dudette10's topic in Patient Safety Issues

    Oh I have seen this types of situations all too often. IMHO... I am only one nurse with a 12 hour shift to fix/clarify/request orders. This issue is further complicated when the patient has 6...
  8. JustKeepSmiling

    Things that want to make you slap people

    JustKeepSmiling replied to SchoolNurseTXstyle's topic in School

    Doesn't really call for a slap but something that REALLY irritates me is when a random family member walks up to the station "can mom have coffee?" Who is mom and what room is she in? I want to say I...
  9. JustKeepSmiling

    Meal planning for day shift (breakfast and lunch)

    JustKeepSmiling replied to pinkiepieRN's topic in Health, Stress Management

    I like strawberry poptarts, not toasted, on the way to work. It's quick, cheap and easy. I also put cereal in a ziplock bag and munch on that. I'm not much of a breakfast person but those are my two...
  10. JustKeepSmiling

    What would you have done?

    JustKeepSmiling replied to chicago_RN's topic in Home Health

    I would have called EMS. Then again, you can't force her to go in
  11. JustKeepSmiling

    A VERY frustrated nurse

    JustKeepSmiling replied to RNnewbie2014's topic in First Year After Licensure

    Why are you typing out long careplans in Epic? They should already be there or you can pull in a new goal and you just have to document the progress or
  12. JustKeepSmiling

    Do you ever feel like you aren't *really* a nurse?

    JustKeepSmiling replied to live2bRN's topic in Home Health

    I know what you're talking about. When I'm bringing "that annoying visitor" their tenth cup of
  13. JustKeepSmiling

    OR Travel requirement

    JustKeepSmiling replied to Argo's topic in Travel

    I used to work around a laser and was required to get a baseline (company provided) eye
  14. JustKeepSmiling

    Medsurg nurse interviewing for CICU

    JustKeepSmiling posted a topic in CCU, Coronary, Cardiac

    Hi! Looking for interview advice. I've been medsurg/tele nurse for going on 3 years and finally landed a cardiac ICU interview. I have experience with... day 3-4 postop hearts, ppm/defib programming,...
  15. JustKeepSmiling

    Medsurg nurse interviewing for CICU

    JustKeepSmiling replied to JustKeepSmiling's topic in CCU, Coronary, Cardiac

    Asked me about experience, why I want to do ICU, why cardiology, how do I handle crouchy doctors, strengths/weaknesses. I felt I was a good fit for the unit. Start date pushed out as they are limited...
  16. JustKeepSmiling

    Which offer do I keep

    JustKeepSmiling replied to tknrosales's topic in Job Search, Interview, Resume

    When faced with a difficult decision I often reflect on what is going to make me happy/be ideal now and ALSO where will this decision put me in 1, 3, 5 years? Sometimes a "sacrifice" now leads to...
  17. JustKeepSmiling

    why do nursing???

    JustKeepSmiling replied to elgpak's topic in General Students

    I have no desire to be paged 50 million times a day. Especially at 3am. 3 twelve hours shifts a week gives for 4 days off a week. I like to think of myself as an intelligent RN and I know for sure I...
  18. JustKeepSmiling

    When is it delegation and when is it "Being bossy"???

    JustKeepSmiling replied to SNBTaylor's topic in Nursing Professionalism

    I could not agree with you more. I also read a leadership book that explained there are 3 types of performers. Most CNAs I work with are basically class C, that is they do the bare minimum to get by...
  19. JustKeepSmiling

    When to leave Med-surg?

    JustKeepSmiling replied to WannaBNursey's topic in First Year After Licensure

    I started in tele and have done "floor nursing" for 3 years. I always wanted to do ICU but couldn't break into it. Now that I finally landed an ICU job I'm googling and buying books to relearn things...
  20. JustKeepSmiling

    Medsurg nurse interviewing for CICU

    JustKeepSmiling replied to JustKeepSmiling's topic in CCU, Coronary, Cardiac

    I got the job!!!! Time to break out my critical care books from school, so glad I saved them!!! Can't wait to
  21. JustKeepSmiling

    Medsurg nurse interviewing for CICU

    JustKeepSmiling replied to JustKeepSmiling's topic in CCU, Coronary, Cardiac

    Thank you. I'll get thoughts together on sticky rapid responses etc I've been involved
  22. JustKeepSmiling

    new grad starting on med-surg unit

    JustKeepSmiling replied to icechick's topic in Medical-Surgical

    Develop a brain sheet that works for YOU. You have to have a solid way to stay organized. I also cannot function without a med/task grid. Basically columns with times & rows with patients. I put...
  23. JustKeepSmiling

    Charge nurse needing suggestions!

    JustKeepSmiling posted a topic in Medical-Surgical

    I'm a FT charge on a very busy medsurg unit. This unit has had many leaders in a short amount of time, older nurses bully young nurses, night shift vs day shift constant bickering. We finally have a...
  24. JustKeepSmiling

    Charge nurse needing suggestions!

    JustKeepSmiling replied to JustKeepSmiling's topic in Medical-Surgical

    Task oriented vs critical thinking = NAIL ON THE HEAD!!!! Interrupt me during helping a nurse with a serious pt situation to help you restart an IV that you have not tried yourself on a patient with...
  25. JustKeepSmiling

    Charge nurse needing suggestions!

    JustKeepSmiling replied to JustKeepSmiling's topic in Medical-Surgical

    Greenerpastures: our house supervisors don't work like that. They barely get involved in staff issues, actually I cannot recall a time they ever did. I work days so the assignment is already made when...