Spiker ASN, RN, EMT-P

OR 35 years; crosstrained ER/ICU/PACU

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All Content by Spiker

  1. Spiker

    Crusty Old Bats

    Yes! I remember that formula! I always had a pad in my pocket to do bedside calculations.... Then I bought a watch that had a calculator below the dial! You just had to use a pen cap to push the tiny buttons! As for pharmacology classes now - I t...
  2. Spiker

    Crusty Old Bats

    LOL! The most we used after I graduated college in the late 70's was grains: Morphine & ASA were grains, as you say, the "old" docs used it😊😄
  3. Spiker

    Crusty Old Bats

    Does anyone else remember minims, drams, grains, gtts, etc?? 😄
  4. Spiker

    Crusty Old Bats

    Right!! After using butterflies to start IV's, angiocaths took a few tries to get used to!
  5. Spiker

    Twelve Hour Nights or M-F

    As an OR RN at a Regional Medical Center in NY, I worked 3-11, M-F. We were also on 11-7 call once weekly, & a full 24hr weekend call every 6 weeks. When hubby had an opportunity to move to Albany for his job as a Neuropsychologist, off we went...
  6. Spiker

    Blood on Shoes

    As an OR RN, I wear solid clogs (Merrell's are my favorites) that I can quickly & easily wipe down. If you're worried about stains & germs, sneakers are the worst shoes to wear, being permeable. And we leave our work shoes at work, so they ...
  7. Spiker

    The Collapsing Healthcare System in the US

    This is the state of healthcare, thanks to insurance companies who dictate our care, & big Pharma who charge outrages prices for meds. It's sad when we're operating, & a surgeon has to choose a lesser implant, repair method, fixation method,...
  8. Spiker

    Torn Between Two Hospitals as a New Grad

    I agree with all of my other well-experienced colleagues. It makes no sense to change where you work, especially if you'd barely be off Orientation. Be smart. Stay where you are, learn whatever else you can there; keep up with various online jour...
  9. Spiker

    Starting Out on a Medical-Surgical Floor

    I knew during my 6 weeks OR rotation in college (not just 1 day observing, as is common now)that I wanted to be an OR nurse. However, starting out as a new GN at a community hospital, I took the job I could, just to get my foot in the door. It was ...
  10. Spiker

    Positions With Most IV Start Experience

    Definitely Pre-Op or ER. I was an OR RN for most of my 40 years, & started a ton of IV’s there (evening shift - lots of trauma & acute/emergent patients needing extra IV access), as well as throughout the hospital. The Nursing Supervisor of...
  11. Spiker

    LPN Supervisor Would Not Let Me Call Doctor

    Key words: LPN, RN, didn’t “let” her call MD. First of all, I have never worked in a system that allows LPN’s to outrank RN’s! Of course, I’ve never worked anywhere except an acute care hospital, & only the 1st 5 (of 40) years on a surgical flo...
  12. Spiker

    Let's Put The Brakes On Drowsy Driving

    I started working 3-11PM back in 1980, on a Surgical floor, then moved to the OR in 1982. We took night call (11P-7A) once weekly, & 48-hr Sat-Sun call once every 6 weeks. My dear friend & neighbor was called back to surgery so many times, ...
  13. While I'm sure you were tired, had a stressful shift, & just wanted peace & quiet, I simply don't understand how saying a few kind words was beyond you. We're nurses, we should have each others' backs, even just for a few minutes! I wouldn'...
  14. Is there a House Nursing Supervisor on duty for all shifts? That is usually the 1st call any of us would make, for immediate assistance! That's what THEY'RE paid for, to put out fires on duty, not you! It's admirable that you want to help your coll...
  15. I am so sorry this happened to you! Were you treated in the ER for your injuries? That would have gotten the ball rolling as far as reporting, both with a facility incident report, & the police report. Then worker's comp would be the next step....
  16. Spiker

    Advice please! Med-Sug or OR training

    Hi! When I was in college, (late 70's) we had 6 weeks of OR clinical - scrubbing & circulating! I knew that was what I wanted to do! Unfortunately, getting into the OR as a grad nurse was not done in the hospital I applied at. I did get full-...
  17. Spiker

    What's the funniest most unusual baby name?

    Twin boys, were named "Sir" & "Mister". Sadly, as they became teenagers, both ended up periodically on the news as juvenile offenders......
  18. Spiker

    "I am not a robot!"

    My heart goes out to you & your co-workers. I know your pain: we lost a fellow RN who fell asleep at the wheel driving back to the hospital on a 48-hour OR call weekend. Sadly, that's what it took for the hospital to change our call shifts to 2...
  19. Spiker

    Death's Perfect Timing

    There is nothing far-fetched about this! When I was first out of school I had an elderly patient on my 3-11 shift who kept trying to leave. He had his belongings in a patient belongings bag, & had dressed in the clothes he'd arrived in as a res...
  20. Spiker

    So you're an RN - you must be earning big!

    I did just the opposite: after 20 years in Nursing, I went into EMS (Paramedic) as a 2nd full-time job. I worked 3-11 Mon-Fri in the OR at a Medical Center, & then 48-hr Sat-Sun shifts as a paid medic in the city. So yes, I worked a lot; my g...
  21. Spiker

    Do you overspend on luxury items as a nurse?

    Snels50, you are so right about that! I encourage our newer colleagues to heed those words! In my almost 39 years as an RN, I've worked in two medical centers, so I have two 401K's. Hubby has one as well. I've been auto-depositing into mine since...
  22. Spiker

    Do you overspend on luxury items as a nurse?

    Snels50, you are so right about that! I encourage our newer colleagues to heed those words! In my almost 39 years as an RN, I've worked in two medical centers, so I have two 401K's. Hubby has one as well. I've been auto-depositing into mine since...
  23. Spiker

    How do you deal with Doctors that insult nurses?

    @Tjballzack: Are you even an RN? Your post makes me think not.....you certainly don't exhibit any professionalism or intelligence. If you have issues with a physician, this isn't the place nor manner to deal with it. If you can't communicate with ...
  24. Spiker

    Blood transfusions??? just say no...

    Please, God! I hope not a Nurse or Nursing student! Atrocious grammar, spelling, lack of punctuation, & such negative, accusatory proclamations! Threats to sue? Not sure I'd want "Originalex" as a colleague, let alone caring for anyone in my ...
  25. Spiker

    Legal Name vs. Preferred Name

    My most recent employer, a huge hospital system, did allow us to have nicknames on our photo ID's, & to use our nicknames in conversation, introducing ourselves to patients, family, etc. We did have to use our legal names to sign charts & do...