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mskate

mskate

Burn, CCU, CTICU, Trauma, SICU, MICU
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  1. mskate

    North 14 - The room where the patient died.

    Quiet. The q work is QUIET -- all you cryptic superstitious people!!! ;)
  2. mskate

    Would you take a pay cut?

    I would lose 18% of my yearly income if I switched from nights to days. Not worth it. If I moved back home closer to my family, I'd lose over 50 dollars an hour, not counting my 18% shift differential. With the money I keep, I can fly to see them and have money left over. LOL Honestly, if it came to losing that much money and just working elsewhere, I'd chose a change career paths. I feel quite strongly that what we do is worth much, much, much more than most areas of the country are willing to pay.
  3. mskate

    Debate: 8-hour shifts vs. 12-hour shifts

    Having worked both, I will gladly stick to my 12 hour shifts. Albeit, I don't have children to try to wrangle childcare around, etc... for me - work is stressful. The trade off is 4 days off in a week! If I had to show up to the unit 5 days a week, I'd trade in my ICU job for a desk job.
  4. - Anticipate their issues as much as possible. When I walk into a room for the first time I have a pitcher of ice, a pitcher of water, a juice, a few cups, a few straws, a fresh warm blanket, etc... so they have fresh water and ice chips. If they drop a cup, theres another, if they lose a straw, theres another. - Before I leave the room I say "I am going into see MY OTHER PATIENTS now. Is there anything else that you will need in the next hour before I go into their rooms and take care of them? its important to me that all of my patients get the help that they need so I am not going to be able to come in here again for an hour. (unless there is a huge emergency.) I will come in and check on you at 9pm. (Specify the time). So what can I get you NOW that you will be settled until THEN?" - When they inevitably push the button 5 minutes after you walked out having the above speech, I usually will have another nurse co-hort go in and say "I know your nurse JUST LEFT THE ROOM and she told me she made a point to get you everything you needed. She isn't going to be back in here until 9. Whats wrong that she wasn't able to do 5 minutes ago?" or something to that effect. It reminds him, again, that you are busy - and its not YOU that comes back when you said you wouldn't and reinforces the limit setting. - I have no problem telling people that I have other patients too. Their concerns matter to me and I will take care of them, but that they need to group their needs together because I have to be able to help other people as well. - Document it all. All of it. - Let a supervisor know about the problem and if you work charge, try to make sure the same nurse doesn't have that room 2 nights in a row.
  5. I don't consider the treatment terribly rude, nor do I believe they deliberately decided to say these things to mean, as other posters suggested. I *have* been in this womans position and coming from a woman that had a good career that crumbled and I was subsequently homeless and living out of my car - I have been there and done that and anyone so concerned about what someone else is saying about their insurance company to the point of being too upset to speak about it needs to get a grip. People are *rarely* deliberately jerks to patients but they do have opinions (whether or not they are appropriate, they exist and are not going to go away). Should they have talked about it out of earshot? Sure. Is it a debilitating insult? Hardly.
  6. Personally, I wouldn't bother. I dont care what people say about my particular insurance company and if she thinks for half a second that she is the only person who utilizes the clinic with her insurance company, she is insane. Secondly, as far as an MD telling someone else to do his dirty work is also NOT something to flip about unless she specifically wanted to see that MD. Of course the staff will say something to smooth things over for the doc and "busy with an emergency", etc... I can't count the number of times I've been asked to do something for them and end up saying "Oh, he had an emergency to attend to... " or something when I know damn well he is in line in the cafeteria. I don't see that as being a big deal at all. No one was rude to her face, her exam went well, her examiner was polite... but she is upset because she heard people talking about her insurance company?... When I opened this thread I assumed people were going to be rude to her face, overtly mean, lacking attention to detail, making huge errors, etc... but "they were outside my door and talked about my insurance and the doc asked someone else to do the exam" hardly seems like something worthy of letter writing. Just my 2 cents, clearly - but really? "RUDE" staff? Too upset to talk? ... Nope. Take a deep breath and move on with your life. Not worth calling the DON certified letters, etc... Sigh.
  7. mskate

    Per Diem work..

    Yup. I work a full time job at one hospital and a per diem job at another hospital. The other hospital has a mandatory 4 shifts per month and pays significantly higher than my full-time job. I like having 2 jobs, it just feels more secure to me.
  8. mskate

    Do you do venipunctures as a nurse?

    I didn't learn it in nursing school, but was expected to know it when I started working. I learned on the job on patients.
  9. mskate

    UCSD

    Ahhh NICU... sorry!! I've never touched babies!!!! LOL I will say, however, that the unit has generally very good staff retention levels, but a couple years ago they had to let a handful of nurses go because of chronically low census...
  10. mskate

    UCSD

    No, but I've worked in all of their ICUs and step down units in the Hillcrest and Thornton campuses....
  11. mskate

    You're TERRIBLE at IV starts?? omg!

    I'm really really really bad at them. I'm going on 9 years of ICU and I have started MAYBE 3 successfully, and that is if I use a 22g on people with sewer pipes for veins. I blame it on all of our patients coming with access already there. They either come in via EMS (who place the lines), ED (who place the lines) and the OR (who place the lines) - and if I lose periph. access, I'll usually have a resident who needs to get signed off on central lines ready to toss a triple lumen in.... I'm really good at drawing blood but threading an IV is a whole different story....
  12. mskate

    Give up patient care - how long did you last?

    I am 8 years in and the only thing that has saved me so far was travel nursing so I could change units and sub-specialties. Now, I'm looking at another 2-3 years, MAX - just so I can finish schooling on a masters and move away from the bedside. I stopped travel nursing and signed onto a really kick ass ICU unit that will make these next few years nice, but the next job I take will not be working bedside.
  13. mskate

    Hanging dopamine and preventing accidental bolus

    I don't have an answer for you, I just have to give you props for working with a patient population that would is so sensitive as to notice the slightly fluid push from the slide of a roller clamp!!!!
  14. mskate

    Drinks at the nurses station

    We have full meals at the nurses station! hahaha basins of chips and veggies, cakes, drinks, crock pots..... and at the bedside, since we have to stay *inside* our rooms unless we are on break, we all keep covered drinks at the bedside....
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