mskate

mskate

Burn, CCU, CTICU, Trauma, SICU, MICU

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All Content by mskate

  1. SPIT AT....AGAIN!

    mskate replied to ThrowEdNurse's topic in Emergency

    We restrain Bipap patients a lot. If they are confused with a co2 through the roof and unable to ventilate properly, we restrain them for their own safety. Of course they are not ignored in the back...

  2. If you could create the visitors policy....

    mskate replied to happy2learn's topic in General Nursing

    ICU visitations.... 2 visitors at a time. 1 chair will be provided, take turns using the chair. 2 chairs around an ICU bed in a crowded room is too much for me to climb over. You may come in for 30...

  3. Things that should be banned in acute care.

    mskate replied to november17's topic in General Nursing

    LOL, i dunno about your hospital, but we don't have literacy tutors on staff and I don't get paid enough to take on yet another job! :)

  4. Do nurses learn how to read EKG's and do phlebotomy?

    mskate replied to TamTammers's topic in General Nursing

    I had to learn to draw blood, place IVs and do 12 leads on my own after I got my RN and started working - it wasn't taught in my nursing

  5. Things that should be banned in acute care.

    mskate replied to november17's topic in General Nursing

    I will personally not allow caffeine for my cardiac patients or anyone with a baseline tachycardia above 110. I need to know if it is your heart or the coffee that pushes you over the threshold. TV...

  6. Wound question,

    mskate replied to Finallydidit's topic in General Nursing

    sounds like some false documentation to me and people taking short cuts to me.... saying you assessed something and that the assessment is xyz - and it CLEARLY was not. thats a major, major

  7. Wow, is it really a zoo out there?

    mskate replied to loving2's topic in General Nursing

    It really will all depend on the unit/hospital/specialty you choose. From my experiences, med/surg, tele and step down nurses seem to more run-ragged than other specialties. They have a larger...

  8. Interview left me speechless

    mskate replied to loving2's topic in General Nursing

    OMG I feel like we interviewed with the same woman!!!!!! She was a new manager for a unit i worked on years ago and was considering coming back to - she bad mouthed all the nurses who had been there...

  9. Over riding a resident?

    mskate replied to beeble's topic in General Nursing

    How would you feel if your dad's nurse put of orders for the next shift to do when he was experiencing what the nurse decided was just incisional pain? How would you like it, knowing that - RN got the...

  10. Staffing Ratios Condemn Patients To Inferior Care

    mskate replied to DoGoodThenGo's topic in Activism, Healthcare

    Working in a hospital without ratios - and now working in california where we have them - its the literal difference between life and death. I was working on a step down unit in PA and regularly had...

  11. Funny Nursing Dreams

    mskate replied to abbaking's topic in Nursing Humor

    I woke up one time sleep walking (i worked a WAY too many shifts in a row and was WAY overtired) and i was standing in front of the tv trying to sort out why I couldnt see any waveforms on my...

  12. Nursing interventions for mentally challenged patients

    mskate replied to Blackheartednurse's topic in Home Health

    Before you get completely flamed by a lot of people - you may want to edit your post so you choose your words better and not refer to a patient as "retarded". Just a friendly

  13. You know you're a neuro nurse if.....

    mskate replied to Elenaster's topic in Neuro Intensive Care, ICU

    Atropine works based on a vagus nerve response with your parasympathetic nervous system which will be gone with a herniation. Hit 'em hard with epi and vaso - although, once you have a full, real...

  14. Biting your tongue when it comes to visitors!!

    mskate replied to KSU-SN's topic in General Nursing

    In the ICU, we also have a 2 visitor limit and have SUCH a hard time enforcing it because there is always going to be 1 nurse on that patient's hospital stay that says "Oh, I don't mind!" and after...

  15. Biting your tongue when it comes to visitors!!

    mskate replied to KSU-SN's topic in General Nursing

    I *dont* keep my mouth shut! I am not impolite, but we are working and we are there to try to keep their family member safe and comfortable - at times this means being inconvenience them....

  16. What do you call the Doc?

    mskate replied to Flipper911's topic in General Nursing

    I call everyone by their first name, only very very occasionally will I call a doc by their last name with a title - and even then it is "Dr. B." - and it is very casual. They are my co-workers, not...

  17. How long after your 3, 12 hour shifts do you feel rested?

    mskate replied to borinick1492's topic in General Nursing

    I never work 3 in a row, but even after 2 in a row - I need to be left *alone* for at least 6 hours after I get off work just to unwind and then a solid 10 hours of sleep. haha I have no idea how...

  18. I need help...keep forgetting to waste narcs

    mskate replied to BabyLady's topic in General Nursing

    Do the waste at the computer immediately as you waste the med with the other nurse in front of you. Do not wait until the end of the shift. Ultimately, wastes that are not documented will cause...

  19. awesome nurse pt ratios

    mskate replied to sassy_cassie's topic in General Nursing

    i work in ICUs, we have mostly 2 patients for every 1 nurse and 1:1 for sick patients, cvvhd, balloon pumps.. If they are really really sick we give 2 nurses for the 1 patient. When i worked step...

  20. To all you experienced nurses - Do you think learning Sign Language would be useful?

    mskate replied to happy2learn's topic in General Nursing

    I am also an ASL interpreter and have only used it once in my career. Frankly, most Deaf people can read and write without a problem, many have taken formal lip reading education and depending on the...

  21. communicating w/ pts on ventilators

    mskate replied to turnforthenurse's topic in MICU, SICU

    When I have an awake ICU patient that is vented I do a lot of education with them and a lot of talking to them to try to minimize their talking! HAHA :) I will start off by fully reorienting - day,...

  22. When to transition from non rebreather to bag valve mask?

    mskate replied to theodog's topic in MICU, SICU

    I have bagged awake people, I do not wait for someone to become agonal to bag them. If they are breathing ineffectively, if their mechanics are ineffective, etc... I allow a person to sit up and using...

  23. Biggest Misconception about nurses you've heard

    mskate replied to dinah77's topic in General Nursing

    "You ONLY work 3 days a week! You can't possibly be tired!" "You got to work, pass some pills, wipe some bottoms and hold some hands. It's not like your job is HARD." "The doctor is the one who has...

  24. Would you support this federal staffing bill?

    mskate replied to herring_RN's topic in Activism, Healthcare

    Coming from a California nurse who has worked in other states that do not have mandated staffing ratios - there is no way I will work as a bedside nurse in an area that does not have mandated ratios....

  25. Pet peeve

    mskate replied to Up2nogood RN's topic in General Nursing

    I was recently called out my a nurse for lifting up a patients gown without gloves. In the middle of report at the bedside, my sedated, intubated, freshly bathed patient was there and I wanted to...