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Med surg, Critical Care, LTC
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Babs0512 has 20 years experience and specializes in Med surg, Critical Care, LTC.

RN with 20 years experience, primiarly in Critial Care

Babs0512's Latest Activity

  1. Babs0512

    What does it take to earn respect?

    I agree with so many of the posters, so I won't belabor the point. I too have been in this situation, (we all have!) I stood my ground until he stopped ranting, and I quietly said "Our discussion is over, I will not be spoken to in this manner, take it up with my Nurse Manager." I calmly walked away. He was always civil to me after that. He made a fool out of himself, and he knew it. I stayed calm, respectful and professional - but inside I wanted to slap him silly! Remember, his unprofessional behavior is HIS problem, not yours. Always hold your head up high, treat others as you would want to be treated, and the Doc's eventually catch on.
  2. Babs0512

    Nurse managers-Do you think tattoos look professional?

    I have two tatoo's, one on my left lateral calf, the other starts on my right foot, around the ankle and up the side of my right calf a little way's - it's a floral tattoo. I am in administration - and when I wear skirts, everyone can see them. Not once has it affected my ability to do my job, or have I heard any negative comments. I get a lot of compliments on my floral tattoo - from young and old alike. I have never been into drugs, I don't own a motorcycle (never have), these were personal choices that I made at age 48 and 49 - I am now 50, and I plan to do a floral on my left ankle that travels up to my current tattoo and intertwines with it to make it more lady like. My nose is also pierced, a gift to my self at age 36 - and again, never been an issue. The only time I would require someone to cover a tat - would be in the case of something like a Nazi tattoo, a horror type tattoo, or a tat that could offend someone due to race, ethnicity, sex, religion, etc... otherwise, I have no problem with them. I have no problem with piercings either. It's the person behind the piercings and tat's that is important to me, I am a good judge of character, and I realize that body adornments are a personal choice, and they have been around since there have been humans. Times have changed, we should change with them. Just MHO. Blessings
  3. Babs0512

    ACLS requires a doctor's order?

    I agree with you. Many of our MD's weren't ACLS certified. I took ACLS classes and recerts with MD's, and boy was it an eye opening experience for me! Talk about dumber than a box of rocks! Mostly, the code team ran the code, even with the MD present - for the reason you stated.
  4. Babs0512

    Conflict between staff

    Wow, you are in a wicked, tough situation. If these nurses are not approachable, and you've already gone to the "manager", then continue up the chain of command. Make sure you have documented problems/schedule changes/ and possible interference in patient care - document your concerns and how these concerns were responded to. Keep in mind, once you do this, you may not be very popular - but even that should go away in time. I would be most concerned with the patients. If staff is leaving and/or the schedules are getting mixed up, this could seriously cause problems with patient care. I would keep a close eye in this area and document problems. This is the area that will get you taken seriously - and most likely have management act. For example, a schedule change was not brought to the staff attention, and two of four nurses showed up for a shift - doubling your patient load - in a NICU - that is VERY serious. Good luck dear, you will need it. Blessings
  5. Babs0512

    Nurse managers-Do you think tattoos look professional?

    I have a tatoo on each ankle, and a nose stud. I had the nose stud for approx 16 years. Non of these things have kept me from being professional or doing my job. I have been hired as an ADON and DON with these items showing - since I always wear skirts to interviews. I have never been asked to remove my nose ring and would lose a job rather that do it. I am also 50 years old. My tats are 1 and 2 years old respectively. I plan to expand upon the one on my left ankle. It is a new world, just as in the past, attire that was once "banned" is now commonplace. My nose ring (stud) is small and most people don't even see it. My tats are personal to me, and I chose the least likely place on my body to wrinkle and age. You will see a time when the President of the United States has tats and or piercings. Maybe not in my lifetime, but certainly in our younger nurses lifetimes. I have never been into drugs or gangs - one shouldn't judge a book by it's cover. I have two folders FULL of awards for patient excellence - and you would be lucky to have me as your nurse, because I am experienced, have excellent assessment skills, and quite frankly, I ROCK as a nurse. Don't judge a book by it's cover, or you may lose a great employee or boss. Blessings
  6. Babs0512

    is weeks gestation subjective or objective data?

    not if the patient takes the temp in front of you and you can verify it - than it is objective. If, on the other hand she tells you she took her temp and it was 99.1 orally - that is subjective.
  7. Babs0512

    ACLS requires a doctor's order?

    I guess it would depend upon the hosptal's policy and procedures. When I worked the ER, one of us was assigned to in hosptial codes. So was a member of ICU. Both being ACLS certified. When I responded to hospital codes, I would usually "take over" the code and bark out orders (trying to get it organized). We are certifed to run a code without the physician present. Yes, when the MD is present, we would defer to MD (sometimes - you'd be surprised how many have no clue). We aren't going to lose the chance at saving a patient when you have several ACLS certified nurses in the room, RT would manage the airway and intubate, we would monitor the EKG, give epi, atropine, ... per ACLS protocol. If they were a diabetic, we would get a finger stick and if BS was low, and amp of D50 would go in. Well, you get the picture. I won't belabor the point. Usually, it wasn't an issue, the ER doc would come with me to the code - however, if he/she was already attending a code in the ER or a fresh MI and couldn't break away, it was up to the nurses to run the code.
  8. Babs0512

    is weeks gestation subjective or objective data?

    I would have to agree w/ Grn tea - if it is charted that due date is...then weeks gestation would be objective. Esp w/ the US to back it up. Now, if the patient show up at your hospital, lets say she is from out of town, and you cannot verify DOC, you go by what she is telling you, and that is subjective. IMHO
  9. Babs0512

    Is it ok to say . . .

    I agree with the other posters, everything you expressed is perfectly professional and polite - go for it!
  10. Babs0512

    accepted to bsn @ suny-b, but what about my job?!

    I agree, give your notice, and move on. They always reserve the right to fire you at will, and you are also an "at will" employee, work out your 4 weeks, don't want to burn any bridges, and enjoy school!. I work in Endicott - so when you graduate, or if you need a job in the interum, PM me. Blessings
  11. Babs0512

    In need of encouragement

    If I may ask, what is your Master's in? Perhaps you can find employment in that field while waiting for the right LPN job to come along? Just my Don't be discouraged. LTC facilities are usually always looking for LPN's, have you considered this? Whatever you do, don't give up. Stay strong, and the right position will find you. Blessings
  12. No, absolutely not. IMHO, a new grad needs some real life experience at being a nurse. Even starting out on a med surg floor, you will learn to be organized, prioritize, work on perfecting assessment skills, getting to know meds, dealing with crashing patients, putting together all that book smarts into real life situations - isn't easy. If you love psyc nursing, then apply after a couple of years of med surg. Psyc patients can have multiple co-morbidities - psyc patients can bottom out their blood sugar (who's going to know what to do, who's going to get that IV in to give D50?) Psyc patients can have MI's which can manifest in many different ways - what if their only complaint is a toothache - will you know how to assess them properly and completely without some experience? I'm going to say "NO" - Psyc patients can go into DKA, Thyroid storm, Myxedema coma or sudden cardiac death - will you know how to handle it and assess these patients properly? Will you know how to put symptoms together with meds? Will you know how to gather all the data before you call the physician and organize it? Will you be able to write a short, accurate progress note that covers the entire crisis? "No'. Trust me dear - been a nurse for 20 years. I've responded to codes on the Psyc unit where the RN's didn't know how to do these things - and the patient died as a result. Do yourself and the patients a favor - LEARN, hone your skills, make your mistakes and learn from them - do it before going into a non-clinical area - because your patients deserve that much. Blessings and good luck to you
  13. Babs0512

    What's Your Best Nursing Ghost Story?

    In 20 years of nursing, I only saw a ghost at work once. I was in PACU, called in for a case in the middle of the night. So, most of the lights in the OR suite were turned off. I was at the desk, putting my purse down and looked up. Across the hall we had a holding area for patients who were next up for surgery. I saw the silloute of a man with a hat standing there, not looking at me, but down another hallway. Even though the OR suite is locked, the main doors next to PACU can be opened by pressing the plate on the wall - so my first thought was this was a visitor who got lost. I started to walk toward the man, when he began walking toward the side hall - I said "Excuse me sir, can I help you?" He went down the hall and I turned down the hall because I knew it was a dead end, the door being locked. But when I turned, he was no where to be found. There was absolutely no place he could have gone - he just wasn't there. I went back to PACU and realized I had seen a ghost. I live in a haunted house, so it didn't bother me, I was more concerned that I wasn't able to communicate with him and therefore help him. My patient came to PACU a few minutes later and I was busy with the patient. After I got the patient recovered, brought to the floor and got back to PACU to close up, I checked the waiting area again, this time turning the lights on, but no one was there and nothing was amiss. This was the "old" portion of the hospital - so who knows back in the 1920's when this part of the hospital was built, what type of ward it was. After that episode, I always looked for the man, especially when called in overnight - but I never saw him again.
  14. Babs0512

    Help!! No one will hire me

    Obviously you are in NY. I work for a LTC facility in Endicott (a suburb of Binghamton). We are always looking for nurses LPN's and RNs'. Rents are very much less expensive here than NYC. For a two bedroom apt, especially if it is in an older home, would run about $550.00/month or less. For a "perfect" apartment, updated, granite counters, your looking at $750 or more. PM me and I can give you contact information - but we only want people who really want to work - not those who want to work when it is convenient. Good luck and blessings
  15. Babs0512

    CPR questions

    I work in a LTC facility in NY. We just recently had a code on our rehab unit. We have "crash carts" - without drugs, IV's etc... but it does contain BVM's, oral and nasopharengial airways, oxygen, paperwork, gloves, suction, AED etc.... We call a "code blue", once checking for responsiveness if none, we begin CPR. Someone calls 911, and we continue CPR until EMS arrives and they take over. We are not allowed mouth to mouth, but since we have ambu bags and masks, it's not necessary. As a former critical care nurse, it is very difficult for me to work a code in a LTC facility. I want to get that IV, give EPI, Atropine, blah, blah, blah.... it's sort of like nursing with your hands tied behind your back. It's an adjustment for sure. BTW, he didn't make it. It wasn't a wittnessed code, but in MHO, they should never have started CPR in the first place, as he was dead, dead - he had dependent lividity and was cold to touch. He must have died about an hour before being found, because he was seen eating dinner in the dining room an hour before, he had to have crashed within a few minutes of returning to his room. '
  16. Babs0512

    Real or Fake friendly smile.

    I had a nice "cushy" ADON position in a small facility. I had been there 11 months. I saw an ad for an ADON position in a larger facility with a SIGNIFICANT increase in pay ($20,000). So I applied. In my first interview with the DON, I was honest and said "If you're looking for a 'yes man', I am not your person". I was called back for a second interview with the DON - she told me she was going to be moving into the VP of nursing and she would like to "groom" me for her position - as the other current ADON "just didn't have what it takes" to be the DON. I then had a group interview with all the nurse managers. Long story short, I got the job. My boss was suppose to meet with me weekly for an hour - as a question/answer period, to tell me what I needed to work on, etc... This was often cancelled, by my boss, because of more "pressing" matters. I loved working there, I worked long hours and I learned much - but what I never learned was all these "committies" I was assigned to - some had very obscure names, and I wasn't certain what was expected of me. "Falls commitee was a no brainer" but "Administrative commitee" didn't tell me much. The meetings themselves weren't very informative - I found the majority sat around and talked about their weekends and such - so I never really understood their purpose. I worked there for two months, was called into my bosses office on a Monday ans she said "It's not working out, I have to let you go." I was shocked, no one (to include my boss) ever said anything to me about not doing a good job, or needing to improve in this area, and so on. I said "Why?" her response was "You're just not fitting in with the culture here" I said "What?" She repeated the same answer. I said "Look, I've never been fired before, so if for no other reason than for learning, please give me specifics as to where I faltered so this can be a learning experience for me." "Babs, it's nothing personal, you're just not fitting in with the culture here." I realized I wasn't going to get a straight answer - so I asked "What about a reference?" She said "I will give dates of employment and I will tell them that you are a very hard worker." She hugged me and wished me well. I was escorted to my office, given boxes to pack my stuff up, and escorted out of the building. I must say, that I have never figured out what she meant - I WANTED specifics, so I could learn, but was given nothing. Yes, it hurt, and hurt bad, but life goes on. I haven't been able to get a ADON or DON position since. Such is life. I feel your pain, been there. Blessings