justmanda

justmanda

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All Content by justmanda

  1. Charge Nurse Role

    justmanda replied to BGSRN's topic in General Nursing

    My floor has tried it both ways and, truthfully, it sux both ways (for the charge nurse anyway). That's why I detest being in charge. Here's why. Imagine you have no patients and are in charge on a...

  2. RN's who cannot insert IV's being Fired???

    justmanda replied to maidy's topic in General Nursing

    Yes there is a difference in the attitude in that I am willing to start the IV and she is not. So, you could comfortably send a coworker in to start an IV for you and NOT tell her the patient has...

  3. RN's who cannot insert IV's being Fired???

    justmanda replied to maidy's topic in General Nursing

    Thank you! I agree with you 100%. One can be politically correct and say "If you use universal precautions then it shouldn't matter" Well, it does. If you are PRIVY to this information and you are...

  4. RN's who cannot insert IV's being Fired???

    justmanda replied to maidy's topic in General Nursing

    How about this one. There is a nurse on my floor who is a great stick but won't start IVs on HIV/Hepatitis patients. The worst part is, she will ask another nurse to try her "hard stick" patient and...

  5. RN's who cannot insert IV's being Fired???

    justmanda replied to maidy's topic in General Nursing

    I love starting IVs, especially on hard sticks. When I started at a new hospital though, they used different catheters and I was couldn't get even the largest veins without blowing them. So, I told...

  6. How long will I be miserable?

    justmanda replied to nrcnurse's topic in First Year After Licensure

    Unfortunately, nothing will prepare you for the rigors of nursing except nursing itself. You will learn how to do things in school, but you won't really know how to prioritize your shift until you...

  7. I didn't get all this education to wipe behinds!

    justmanda replied to SeekingNur's topic in General Nursing

    I agree. I work at two hospitals. At one hospital, I have 7 patients (it's a busy cardiac floor with tele, drips, etc.) and another hospital with 4 patients. At the latter, even though I have a...

  8. Suspended

    justmanda replied to bacca's topic in General Nursing

    I don't quite get the joke, but I trust that you know what you intended with the remark. I always get into trouble because of my sense of humor. One time, me and a fellow co-worker were doing a good...

  9. Advice On Shift Report Needed!!

    justmanda replied to lisa41rn's topic in General Nursing

    I give report by problem. For example: Patient was admitted with Uncontrolled HTN....adjusted meds, problem is resolved. Patient developed fever while here....BC done, on ABX. Patient's COPD...

  10. Received this email today and I am steamed!!!

    justmanda replied to MomBSN's topic in General Nursing

    i found it funny and, in some cases, very true. i don't quite get the cough syrup reference....are we talking about hitting the sauce? you honestly have to not worry about what other people "lay...

  11. Verbal abuse by physicians in ICU

    justmanda replied to erinnRN's topic in MICU, SICU

    If a nurse wrote that, I think TPTB would realize it was THE DOCTOR who needed to come under fire, not the nurse. The nurse was just doing her job, being a patient advocate, while the doctor was...

  12. I don't understand this profession..

    justmanda replied to smg's topic in General Nursing

    I think the primary reason for this behavior is the stress. You see, everything that goes wrong is the nurses fault. Respiratory doesn't give your pt. a treatment, your fault for not making sure...

  13. Telemetry Techs vs. Nurses

    justmanda replied to Jubei's topic in Cardiac

    And one more thing. You said "Remember, treat the patient..not the monitor" That applies when the rhythm is, for example, artifact as opposed to the actual rhythm. Treating a patient's arrythmia IS...

  14. Telemetry Techs vs. Nurses

    justmanda replied to Jubei's topic in Cardiac

    So what are you going to do when a patient has 20 beats of V-tach and you didn't see it? And then, 15 minutes later, he has 15 more beats of V-tach and you were not at the monitor at the time? I...

  15. New nurse scared to talk to doctors!!

    justmanda replied to cparrish's topic in First Year After Licensure

    One more thing....I don't think there is anything wrong with saying..."Forgive me Doctor so and so, I'm a new nurse" whenever you get flustered while you are trying to give them the required info. I...

  16. New nurse scared to talk to doctors!!

    justmanda replied to cparrish's topic in First Year After Licensure

    Some doctors will be grumpy no matter what. I live for these types. They make my job very entertaining. For some reason, it just makes me laugh to see someone blow their top. Here's an actual call...

  17. Telemetry Techs vs. Nurses

    justmanda replied to Jubei's topic in Cardiac

    At our hospital, we call them the Tele-nazis. They badger us all the time and, yes..they are just doing their jobs, but it is no less annoying to have your phone ring 20 times AFTER they have already...

  18. 15 year old son with cystic acne

    justmanda replied to sharann's topic in General Nursing

    I had horrible cystic acne as a teen (on face and back). I took one round of accutane and was able to get rid of the acne without scarring. I can still remember when an old woman commented on what a...

  19. 12N Sleeping During Break

    justmanda replied to MEDRQST's topic in Patient Safety Issues

    If you expect the nurse on break to be AVAILABLE for emergencies, then she is in an ON CALL position and should be paid for this. She has someone covering her patients, so that person would respond...

  20. 12N Sleeping During Break

    justmanda replied to MEDRQST's topic in Patient Safety Issues

    Unfortunately, the nursing profession is filled with those who want to play the big hero -- like they are somehow saving the patient population from an evil presence by catching someone doing...

  21. 12N Sleeping During Break

    justmanda replied to MEDRQST's topic in Patient Safety Issues

    You work 12 hour shifts without a break? WTF? What kind of sweat shop do you work in? I'd be trotting off to the labor board if I were you. I can't believe your managers can make these demands...

  22. 12N Sleeping During Break

    justmanda replied to MEDRQST's topic in Patient Safety Issues

    I really dislike this nurse manager...and I have never met her. From what you describe, she is a horrible human being. She is actually going to report this person to the nursing board? Gimme a...

  23. My patient fired me!

    justmanda replied to InfoNurse1595's topic in General Nursing

    So management did not back the nurse? If the allegations were absurd,..WTF? That one of the big pitfalls of our job...EVERYTHING is considered to be OUR FAULT. We get patients who are SICK and...

  24. Nurse/Patient Ratios

    justmanda posted a topic in Patient Safety Issues

    I'm curious to know about the nurse/patient ratios in other hospitals. I am in central Florida on a Cardiac/Telemetry/Med-Surg floor. We take all kinds of cardiac drips, BP drips, Insulin drips,...

  25. My patient fired me!

    justmanda replied to InfoNurse1595's topic in General Nursing

    I actually had a patient get in my face...UP IN MY FACE, FINGER WAGGING, when I told her I was going to call her doctor to get her IV Demerol changed to a PO med. You see, the woman (hx drug...