bigmona

bigmona

tele, ICU

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All Content by bigmona

  1. Dreaming about work while you sleep:(

    I have nightmares about work so often that it's made me seriously question my career choice. My dreams *always* involve me either forgetting about one (or more) of my patients or being thrown into my...
  2. I'm not a first year new grad anymore, but new enough. I'm starting a new job in a different kind of unit and currently in orientation again. My preceptor is brilliant, knows policy and procedure...
  3. Preceptor Mean To Patients

    she's not the first and last nurse you'll see act this way. it's a stressful job and people act out or cope in different (and sometimes unhealthy) ways. my first preceptor thought all our patients...
  4. need help with ABG question

    dee's explanation makes the most sense to me... the kidneys take 24-72 hours to compensate for an out of whack pH. so the only thing that makes sense is a COPD patient who lives with a CO2 in the...
  5. I HATE my job....what now?

    I wouldn't tell her that you'll leave if things don't change.. however, I *would* tell her that you often feel like you're left alone to do all the work, you often get the heavier assignments, etc....
  6. I HATE my job....what now?

    ugh..the first year is soooo tough. the same crap happens everywhere- the newbies get the heaviest assignments, always first up for new admits, most isolation patients, etc. its unfair, but...
  7. Depression, burnout, etc

    it sounds like you're doing all the right things for yourself...caring for others is hard enough and much more difficult when you're finding it hard to care for yourself. i can relate to what you're...
  8. I was taught in school not even to recommend what OTC meds someone should take for a headache, stomach ache, etc., because it could be considered "medical advice" and it's outside our professional...
  9. IV Push Practice

    I always look it up first...if the drug guide doesn't have the answer, I call pharmacy. 40 mg of IV Lasix (according to my book) can be pushed over 1-2 mins; however, anything more than that I infuse...
  10. Confussed and hurt

    that's a horrible first experience in orientation... but please know, it's THEM, not you, and no one deserves to be treated that way. i wouldn't want to stick around an environment that isn't...
  11. Peace Corps nursing stories needed

    Peace Corps (PC) gives you three months of intensive language training before you even start volunteering. I believe you need significant experience as a nurse before you can volunteer in that...
  12. Drove home in tears...

    extremely normal. so if i'm reading your post right, you only had 1 month of orientation? and now you're on your own with 7 pts? that's a lot to handle in a little bit of time- nursing is HARD and...
  13. dilantin

    thanks! my patient had a port, too, and it was only 100 mg. Sounds like I could have pushed it in slow and been okay with
  14. What are charge nurses like at your work place?

    I work on a PCU (basically tele) and the charge nurse does not usually take patients unless we're shortstaffed, which means she almost always has an assignment on nights but not days. Her assignment...
  15. DNRs and ACLS

    where i work, we have different levels of DNR. a form needs to be completed by the doc if someone is to be DNR and there is a checklist of potential life-sustaining actions that can be taken that...
  16. stay hydrated to stay awake- drink plenty of H2O. Use some of the downtime on nights (if you have any) to read charts in depth and look up stuff you don't know. I see a lot of nightshifters reading...
  17. My husband and I bought a house... we settle on friday! We have no kids yet and I would not have been able to do it on my own this early in my career but I am so thankful that we can finally afford...
  18. salary & traffic to CHOP

    someone who works at chop told me that if you work evening shift (and i'm assuming nights, but she did eve), then parking is FREE. don't know if that's still the
  19. Wiping Butt...

    87.6%
  20. Go to ICU without MedSurg Experience?

    can you give an example of being "run down"? do you mean getting taken advantage of for being the new kid on the
  21. Insulin verification

    our hospital has a policy to double check insulins, but most people don't. i went to ask a nurse to double check my insulin, and she scowled and told me she thought it was insulting. unfortunately,...
  22. First night off orientation...

    i also had a patient die on my first night on my own off orientation...it was expected, but i hadn't really dealt with that on orientation, and no one helped me with the
  23. West Mount Airy?

    My husband and I *just* bought a house in West Mt. Airy and are settling on it in January. We CAN'T WAIT! We went up to look at a house there and immediately fell in love with the area. It's...
  24. Updates

    you did what you could, so don't let the other nurses bully you or give you attitude. i'm not sure if you said you did this- but the only other thing i might have done was recheck BP 15 mins before...
  25. what did you do in your former life?

    go go dancer just kidding- i watched tv for a living. i'm actually not kidding about that. it was part of a research study that i was assisting on looking at how media influences adolescent...