NickiLaughs ADN, BSN, RN

NickiLaughs has 16 years experience as a ADN, BSN, RN and specializes in Emergency, Trauma, Critical Care.

Latest Activity

1. Informed Consent Question

   NickiLaughs replied to NickiLaughs's topic in General Nursing

   OK thanks. Most of our patients who just had another procedure the day before are alert and oriented but some nurses say since it hasn't been 24 hours since last dose of sedation, we shouldn't be...

2. Informed Consent Question

   NickiLaughs posted a topic in General Nursing

   Hello all! We've recently had some arguments about informed consent for endoscopy procedures mainly in the inpatient setting. Sometimes our patients are poor prep & we need to rescope them...

3. Transferring to another Kaiser Hospital

   NickiLaughs replied to Faith_n_God's topic in California Nursing

   Depends on your RN union's contract. The one we have every 3 years of LVN experience they give you credit for a year or RN. So you'd have 4 years of RN seniority I

4. NPO status changes for EGDs?

   NickiLaughs posted a topic in Gastroenterology

   Hey all! So our protocol for endoscopies has always been NPO after mn & clear liquids morning of. Our medical director heard I rescheduled someone for drinking an ensure 4 hours prior. (I...

5. Frustrated with New Manager

   NickiLaughs replied to NickiLaughs's topic in Nursing Career

   Update: More people have quit/transferred. He went to another unit and told the manager he needed to offer one of our open positions to someone on her staff. The nurse was so furious he told her boss...

6. Frustrated with New Manager

   NickiLaughs replied to NickiLaughs's topic in Nursing Career

   I did finally talk to him. I don’t think he knows what to do and basically came out with a “I feel like you are all taking out your frustrations on me and things I can’t control.” I basically...

7. Frustrated with New Manager

   NickiLaughs posted a topic in Nursing Career

   So I frequently fill the charge nurse role at my endoscopy unit. We got a new manager about 5 months ago who unfortunately has no nursing experience. It sounds as though he got his license a couple...

8. Room turn over times

   NickiLaughs replied to Gi rn acm's topic in Gastroenterology

   Our docs “hop” between two rooms. So they have time to get the next patient out to recover flip the room and have it ready by the time the doctor is done next door. 5 minutes is phenomenal. We...

9. How to keep the team motivated

   NickiLaughs replied to special1rn's topic in Nurse Management

   She sounds amazing.

10. Got The Vaccine! Share Your Experience

    NickiLaughs replied to Nurse SMS's topic in Disaster Preparation

    About a week after getting the second dose of Pfizer I started having moderate shortness of breath/light headed/palpitations. I ended up in the ER twice; my coworkers hooked me up to take me down I...

11. Back pain... the abysmal side effect of nursing

    NickiLaughs posted a topic in Health, Stress Management

    Hey everyone! What do you do to combat back pain? I’m 37 and it seems over the last few years it’s gotten worse. I do have a special needs son who we have to lift sometimes for his...

12. Post procedure vitals

    NickiLaughs replied to roseynurse345's topic in Gastroenterology

    We use fentanyl/versed/Benadryl. Our discharge time is 30 min from last dose and 15 min from scope out. I do VS every 5 min during the procedure or when a med dose is given. Then post procedure we...

13. Terminated the third week into my orientation

    NickiLaughs replied to HippyHappyRN's topic in General Nursing

    You should always directly inform you boss of any shift missed regardless of it’s a class or not. That was truly your only mistake but a big

14. Blood Transfusion With Leaking AAA

    NickiLaughs replied to atimeforeveryseasonednurse's topic in Emergency

    We’ve done that on critical hypotensive bleeding patients. Have you ever used a level 1 transfuser or a Belmont? You basically spike blood on both tubing ends to save time to get it in them as...

15. On Call Requirements?

    NickiLaughs replied to hcurry1's topic in Gastroenterology

    Every place is different. Where I work we are asked to do a 6 hour call shift on Saturday’s or sundays about once every 10 weeks. I usually refuse and let other people pick up. We have plenty of...