amarilla

amarilla RN

MS, ED

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All Content by amarilla

  1. Hi all, I graduated last May and have worked per diem for the last year on the same surg floor where I was a tech throughout nursing school. I tried to work through the learning curve and ignored most...
  2. I knew there must be a reason why I couldn't find this post. LOL, here it is! I just wanted to thank everyone who took the time to respond. I appreciate your support; it's lonely for me at work with...
  3. What's the craziest getup you've ever seen?

    Saw an older gent visitor in hot pants stride through the hallway en route to.... somewhere hilarious, undoubtedly. We all just at each other in
  4. Most Common IV Push Meds on Med-Surg

    Echoing others - dilaudid, morphine, zofran, reglan, famotidine, protonix, benedryl, lopressor, toradol. (emphasis on lots and lots of
  5. I've been on my floor for about 14 months now and two years previously as a tech. I have worked other jobs - seasonal clinics, screenings, asc - to develop other skills but am most looking forward to...
  6. Love nursing hate nurses...what to do?

    This. I posted about this same issue recently and if, after your reassessment, the OP finds that people seem unusually high-strung, snotty or miserable... you may have arrived at the dead zone. There...
  7. If it were me: keep looking for the hospital job, (on *any* floor who will see you), and try for other jobs utilizing skills: flu shots, clinics, urgent care, doctor's office, so on. IMO, I'd pass on...
  8. What are clinicals all about????

    First thing: congratulations on the new job! I'm also a newer grad; I have a little over a year on a (crazy) surgical floor. I think most of us can agree that transition to 'working nurse' from...
  9. Report without Orders?

    We only get a SBAR form faxed up to us from the ED when the patient is on their way up. Tells us chief complaint, most recent vitals, IV site, and usually that's about it. Protocol states that no...
  10. It depends on the facility. The larger hospitals in my area have nurse residency/internship programs that hire PRN to start due to budget constraints. You receive 8-16 weeks of full-time orientation...
  11. Bedside report/hand off

    We have bedside report; 40 bed surg unit with 12 monitored step down beds. It's awful and management just continues to push it. At first, mgmt insisted that our entire report - history, labs,...
  12. What is your biggest nursing pet peeve?

    Yeah, that. Well said!
  13. PCA/Tech to RN

    I was a tech on my floor throughout nursing school and am a RN ('bout a year) on the same floor. If I had the choice again, I would have transferred to a different floor and started over rather than...
  14. Help, am I overreacting or is this normal???

    My floor will cancel the extra nurse; if we are allowed (by some kind act of God) to keep her, she will take a light assignment (2-3 patients) and be our float nurse - doing admissions and discharges,...
  15. per diem RNs-are you called to work every day?

    Me too! I'm also a new nurse - a little over a year - working per diem and am constantly called for extra shifts. I already work a full-time schedule but we are short-staffed enough that they are...
  16. 1/3 of my paycheck goes to tax!

    HAHAHAHHAHAH! So fitting!
  17. Patient rights v. Clinical instructor?

    In this case, I agree that your instructor was wrong... but I do see the rationale for 'insisting' and using specific language, (i.e., 'let's get ready to bathe' in lieu of 'would you like a bath?')....
  18. Too many absences for transfer

    We are allowed three 'unexcused' absences for the year, but if you're full time, you can have up to six including sick time. More than 3 days out in a row needs a doctor's note / explanation and you...
  19. JMO, but if you don't need to spend the extra cash, I wouldn't. Friends of mine who took similar classes, (using simulators, computer programs and mannequins), were disappointed in the experience for...
  20. Insurance coverage for ER visit

    Depends on the coding used for the visit, also. If coded as non-emergent, insurance may bounce it back. Hope it works
  21. Sorry, helping is just not an option.

    I spent a number of years in insurance and risk management before becoming a nurse. From reading your post, I can't help but think there are other issues affecting your staffing. If work is available...
  22. WOW! The public really doesn't like us, huh?

    I read that too and was oddly fascinated with the comments as well. I think the people brought out of the woodwork are the tall tale tellers and 5%ers, (the small margin who will never be satisfied,...
  23. Is Patient Safety A Good Reason To Quit Anymore?

    Just my two cents, but yes! You have to be able to sleep at night knowing what you've done during the day; what happens when the day comes that the environment / staffing / protocol / etc causes you...
  24. #1: it's the middle of the night, go to SLEEP! No, I don't think it's funny that you called 911 to tell them you want to fire your doctor and we are all idiots. *sigh. Mom is NPO for surgery in the...
  25. Skin assessment in the ED

    Hi all, I am a surgical floor nurse visiting you all with a question about how skin assessments are done in the ED. The hospital where I work has initiated a protocol that a head to toe skin...