qnmimi

qnmimi

Med/Surg crit care, coronary care, PACU,

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All Content by qnmimi

  1. What one law would most improve nursing?

    Assault against any medical provider be a felony.
  2. 8 vs 12 hour shift?

    After 15 years of 8hr shifts full time, and now 15 years of 12 hour shifts....I'll keep the 12 hr shifts. The trade off for longer hours is fewer days/week to work. I have actually been able to have time off where I am not completely exhausted. I ...
  3. It seems like everyone but nurses make more money

    Wow, I was struck by the tone of envy in your letter. Please do not mistake this response as an attack, it is not. Do these other people have the job security, and a wide field of career choices in jobs as you do? Are you happy in nursing? If not...
  4. Should nursing pay remain modest?

    No matter what, modest pay means so very different things to the employer VS the employee. Do I enjoy the fact I have to work hard, keep a lot of knowledge up to date, deal with difficult people to name only a few things we nurses have to deal with?...
  5. 10 year old died after I performed CPR

    You are dealing with a very bad case of "what ifs" over a seriously traumatic experience. Your feelings are real, and are akin to PTSD. PLEASE if you feel this is taking over your life, can't eat/sleep, talk to a counselor...psychiatric, or spiritu...
  6. I started in my hospital's float pool as a new grad many years ago, and I can call it a success as I am still there, but have moved up the clinical ladder. Yes success can be achieved with a great orientation program designed to teach you basic nurs...
  7. Possible adult admit with minor child in tow

    Rule of thumb in our hospital is, if infant/toddler & up to young school age, there must be another adult to care for that small child. An older child who needs minimal supervision, and the pt basically has the physical, and mental capacity to c...
  8. When our older nurses die :(

    I learned so much from "The older nurses" As a new nurse 29 years ago I was fortunate to work with one on the medical floor who was full of great stories...stories that taught me how to be a good nurse, mistakes she made that I could learn from, and...
  9. a lake of C-Diff waiting for me!
  10. Day 1: 2016 Nurses Week Caption Contest

    Heart tones are on this side, or the other? Hmmm....
  11. What was it like to be a nurse in the 1980s

    When I graduated in 1987, one thing I remember is the hierarchy of the hospital: Doctor is boss, absolutely, then everything else pretty much trickled onto the nurse's lap to take care of. Few nursing assistants, LPN's to help shoulder the load. A...
  12. Would you report possible diversion?

    I would report him in a heartbeat...to his supervisor. Not even a second thought. He is exhibiting behaviors of diversion now.
  13. Haldol, Pneumonia, PD

    Snarky nurse says: because said doctor is not educated enough to know that haldol is contraindicated in parkinson's, and confusion is a symptom of pneumonia, with associated multifactoral delerium. Sorry, had to get that out.
  14. Successful Orientees Vs Unsuccessful Orientees

    I have found that new grads are a mixed breed. Personality definitely helps to succeed in any job, but I have found by personal experience that it is almost impossible to teach a new grad adequate critical thinking skills in an average 6 week orient...
  15. Are You Nurse Jackie or Nurse Zoey?

    Definitely I'd fall more under the Nurse Jackie. I am loud, and opinionated, and not afraid to do what is right with my patients. Fortunately for me my life is minus all the drama and drug addiction. BTW, I have used a stethescope for over 30 year...
  16. Another reason unions suck!

    PMFB-RN quoted ruger8mm, then added a political attack. IMHO it was rather misplaced in this discussion.
  17. Another reason unions suck!

    And how does a political harpoon like this help this topic? Disgusting attack.
  18. WHY do so many people hate nursing? Sigh.

    Nursing is consistently in the top 10 list of ethical/most trusted professions...what's not to love? Going home after my shift knowing I did my best to care for many at their worst, somehow keeps me going. Keep your chin up, eyes on the goal you se...
  19. Confronted about charting at patient's school

    Here in lies the rub. She IS paid to assess his communication skills specifically by the family who employs her through her employer. If she is not specifically assessing his educational experience, she is not overstepping her legal boundaries. Co...
  20. Union Grievance! I need help

    I would agree with Felder. If your contract explains you have a 30 day window to change your mind, and if you passed that, you will be SOL for sure. Again, contact your union rep, get out your contract book, and learn what your rights are. Not kno...
  21. Another reason unions suck!

    Once upon a time, we were all new nurses with the same issues. What is the point of staying at a job, if you don't earn perks? Do I think it's fair you can't get vacation? No. Do you have the right as a new nurse to take earned benefit away from ...
  22. Exactly right! Why is it more important to move a patient out of somewhere than it is for the nurse receiving the patient to be aware of, and ask pertinent questions regarding their care? I understand the time crunch between departments, but our pa...
  23. On epic, we can SBAR patient updates. Most of our floor nurses are expected to read the SBAR, then do a safety hand off in each room with the oncoming nurse. In emergency response I find many nurses have no idea of goings on during hospitalization,...
  24. Anyone have nightmares?

    The only time I have work related nightmares is when I spend too much time monitoring patients in MRI....it triggers my claustrophobia big time, and manifests in nightmares. I occasionally find co-workers appear in my dreams, but that's about all.
  25. I plan a bedtime snack in my daily calorie intake. If I don't, I find myself awake at some point finding only inappropriate foods. Working nights does change your metabolic needs slightly...eating against your programmed body clock does take a toll...