accessqueen

accessqueen

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All Content by accessqueen

  1. Leaving the Inner-city-ER-guilt? Advice please..

    accessqueen replied to RNAsh's topic in Emergency

    Absolutely do NOT feel guilty. If you want to feel guilty, I'll help you--why aren't you working In one of Mother Teresa's clinics?? Why aren't you volunteering to work with Dr. without Borders??...

  2. How Safe is Home Health

    accessqueen replied to missea39's topic in Home Health

    I did home health for 10 years (Miami, Fl) never had a problem. When you go to bad neighborhoods the people usually watch out for you. Just knowing that you're a nurse makes people usu look out for...

  3. Large hospital and specialize or small hospital and cross train?

    accessqueen replied to applelady's topic in General Nursing

    You have to follow your heart on this one. When I was younger, I needed to be where the action was. I worked ICU in a 1300 bed teaching hospital. I really really loved it and learned a heck of a...

  4. push or infuse antibiotics to the febrile neutropenic patient

    accessqueen replied to blue444's topic in Oncology

    Each medication has instructions from the manufacturer on how to administer. Some drugs, (rocephin) can be pushed. Some drugs (vanco) absolutely cannot be pushed, even infusing too fast can cause...

  5. Patients with drug issues vs. the doctor playing dumb about it!

    accessqueen replied to nursey07's topic in General Nursing

    It is extremely frustrating to deal with patients who SEEM to be displaying drug seeking behavior. Unfortunately, even if they are a raging drug addict, you are not going to cure them, not is it...

  6. Co-worker Harassment

    accessqueen replied to AngelCat's topic in Patient, Colleague Relations

    Another characteristic of people who have been under communist rule is a tremendous amount of suspicion re people around them. You never forged friendships cause you never trusted anyone. here we...

  7. biased workplace!!

    accessqueen replied to lenjoy03's topic in General Nursing

    The reason they're doing this is obvious--they want to keep the floor nurse on the floor. It's easier to hire new grads to ICU than to med surge. New grads are getting smarter--they hear the talk...

  8. must read

    accessqueen posted a topic in General Nursing

    There's a new book out called "My stroke of insight" about a physician who was a neuroanatomist and in her 30's had a massive stroke. She describes her experiences, and also talks about how to treat...

  9. Where oh where to start??

    accessqueen replied to jewelsg627's topic in General Nursing

    If you read these forums enough you will see a pattern emerge. Many new grads go to the place they want to be, (ICU, ER, etc.) and have horrible experiences. They pick a place because of a high...

  10. MEOW! Catty nursing students

    accessqueen replied to OldShoesRock's topic in General Students

    I'm kind of surprised that you have so much time to gossip, worry abaout gossiping, and write on forums about gossiping. There's a saying, the best revenge is success. You need to focus on...

  11. New Grad Blues

    accessqueen replied to sunshineyday's topic in General Nursing

    Having been in an ICU where the nurses eat their young, (Iwas lunch) I can see both sides of the story. On the one hand, you have a few new grads that come out and are really sharp and quick...

  12. picc line dressing change

    accessqueen replied to sweetieann's topic in General Nursing

    The facility where I work, aned most facilities that I know of, have an extensive order sheet for PICC line insertions. It is pre-printed, and Includes the order for the PICC, the CXR, the flushing...

  13. Ticked Off/ Major Vent/ What To Do?

    accessqueen replied to bshaw96's topic in Home Health

    How about sending the patient for a flow study to determine if the port is properly positioned. Sometimes the sutures securing them get loose and the ports flop around. This could potentially cause...

  14. Vent about cheating/gossip/drama...advice?!

    accessqueen replied to amjowens's topic in LPN, LVN Students

    The only way you could be connected with cheating with this person is if both of your right and wrong answers matched. Since you say you didn't give her any answers, and she called you late in the...

  15. ICU Help!

    accessqueen replied to NewTexasRN's topic in General Nursing

    I wnet to ICU after graduating. It can be done. But you will pay the price. All the more experienced nurses who do not believe that a new grad should be in ICU will not make your life easy. If you...

  16. 18-gauge vs. 20-gauge

    accessqueen replied to solneeshka's topic in General Nursing

    Infusion Nurses Society guidelines (based on research) state smallest gauge in the largest vein that will do the job. This is because the smaller the cath the less damage to the intima of the vein....

  17. Stupid mistakes!!!!

    accessqueen replied to kit3375's topic in First Year After Licensure

    Well, i've been a nurse for twenty seven years now, so thank God I'm finally perfect and never make mistakes anymore. NOT!!!!! THe other day I screwed up a stress test, and had to tell the patient...

  18. Port Access Question

    accessqueen replied to AtlantaRN's topic in Infusion, Intravenous

    Ports are sutured in place, usu one suture on either side, (underneath the skin). Sometimes these sutures become loose making the port very difficult to stabilize when accessing. Some docs only...

  19. Worried: have to spend 5 hours doing IV sticks tomorrow.

    accessqueen replied to locolorenzo22's topic in First Year After Licensure

    Couple of other hints: I always use the sleve of the gown to cushion the tourniquet. You can make it tighter without hurting the patient. TAKE YOUR TIME. Put a tourniquet on a friend or coworker...

  20. New to allnurses and wondering about the Miami area

    accessqueen replied to twogoodboysmom's topic in Florida Nursing

    I just moved from Miami, having lived there for 30 years. At first I loved it but as the city grew I started to hate it. It's very crowded, traffic is horrible, and the people can be rude. THe same...

  21. Why is the first year so hard???

    accessqueen replied to Aislstarfish's topic in General Nursing

    The first year is hard, because nursing school is so comlpetely different from real life. The hardest thing for new nurse is admitting how much they dont know, not asking questions for fear of...

  22. Highest PEEP you've seen?

    accessqueen replied to poppy07's topic in Neuro Intensive Care, ICU

    I was an ICU nurse a bazillion years ago so I know things have changed, but I routinely saw PEEPs of 40-50 even 60. Of course these people had full blown ARDS, most did not get pneumos, and I even...

  23. picc stat lock

    accessqueen replied to rehabhereIcome's topic in General Nursing

    When placing a stat lock I peel off one side first and apply the stat lock to the skin. Then I clip the PICC on to it. Then I peel off the other half. THis way you can handle it with gloves without...

  24. I Dislike Nursing:

    accessqueen replied to Barlan's topic in General Nursing

    I agree with the responses that advise some counseling/therapy. The fact that you keep persevering in an area that you hate so much is disturbing. Sure, everyone is telling you you're doing a great...

  25. it is depressing and dissapointing

    accessqueen replied to tryingtobecome's topic in General Nursing

    Probably the nurses that have it the worst are the ones with few choices. If you work in a one hospital town, and can't leave, you might be stuck in a lousy position. But the most fantastic thing...