mskate

mskate

Burn, CCU, CTICU, Trauma, SICU, MICU

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All Content by mskate

  1. 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...
  2. 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...
  3. 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
  4. 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...
  5. Moral Dilemmas: Two Scenarios - What would you do?

    This is always a touchy thing and determining medical incompetence can be difficult if they are still able to recognize "I am a patient in xyz tlc and you cannot make me do anything, i refuse care."...
  6. Moral Dilemmas: Two Scenarios - What would you do?

    Patient #1 - needs to be further evaluated. They can't just let her sit there, change the meds, give you PRNs, etc... how awful is it for her to be paranoid, upset, anxious, etc... and just be told to...
  7. Beds

    Heads and feet go up and down. The height goes up and down. The bed folds up into a chair position, t-burg and reverse t-burg. It also lengthens and shortens, assists with turning and the mattress...
  8. ACLS and Advanced Airways

    So, every single ACLS class I've been to always does advanced airways - oral, nasal, LMA and intubations, and you have to do a dummy intubation. A friend of mine recently went to an ACLS class - mind...
  9. We have to COUNT drugs like lisinopril and Claritin

    We started recently having to count propofol... other than that, its usually just controlled drugs, with the rare exception of counting random meds that usually has to do with the pharmacy trying to...
  10. ACLS and Advanced Airways

    No no, she isn't a coworker. She is just an old friend that decided to go to nursing school a few years ago and being unable to find a hospital job, started working registry shifts immediately out of...
  11. Body jewelry/regular jewelry policies

    Where I work - tattoos as long as they are not obscene - OK! Body Piercings - as long as they aren't too drastic or distracting - OK! Jewelry - whatever! Artificial Nails - nope! it is not for...
  12. What would I do? I'd run for the roof. I care for people, but I am not going to sacrifice myself. If I am alive in the end, then I can help more people. If I were to die trying to be heroic, no one...
  13. Travel Nurse Bait and Switch?

    Welcome to travel nursing. You will find this to be the rule in most hospitals, and not the exception. Gotta sort out the frequency of floats in your contract before agreeing to it and get it in...
  14. IV Fluid/IV Tubing

    we have a medication barcode scanning system, and when you hang new fluids, you scan it into the MAR, so it documents when you hung the new bag, carries the volume into your I&O, and it gets...
  15. Per diem availablity in San Fran, Sacramento areas

    It is pretty hit or miss and agency work here pays nearly 40 dollars an hour less than staff jobs
  16. Your Favorite one liner used with patients

    With overly paranoid or obsessive patients "You're going to drop me!" I usually answer with "Way too much paperwork and I'm just too busy for all of that! Guess you'll have to trust me!" And then you...
  17. So, long story short, I recently got back in touch with an old highschool friend whom I had lost touch with over the past 10 years or so over facebook. She is one of these chronically ill with a...
  18. Oh, no - sorry - she is well out of state. I don't have her at my facility, I'm just talking about the extremely uncomfortable personal
  19. What pay are nurses making these days?

    Pittsburgh PA was paying low to mid 20s/hr. as low as 18-20/hr for new grads. San Diego CA was paying low to mid 30s/hr. San Fran Bay Area pays
  20. Patient Abandonment

    One thing I am wondering about is how you said (and emphasized) being *mentally* unable to handle it. I'm not sure what that means to you... Generally, refusing to accept an assignment is based on...
  21. Transfer codes to ER not ICU

    I can see this happening - if there are *zero* ICU beds and this is a stroke patient that *needs* an ICU bed, then this is a patient that needs to be somewhere that you have staff that are ventilator...
  22. Nureses and Tattoos (esp. in San Francisco area)

    I am also heavily tattooed, knuckles and all... and I have worked all over the country. I had great experiences is southern and northern california, compared to other areas of the country. I have also...
  23. student assigned pt with respiratory MRSA

    MRSA, gown and gloves, wear a plain old mask if you'd like.
  24. always check breathing first - especially with kids. They tend to lose the respiratory aspect of things