NickiLaughs

NickiLaughs ADN, BSN, RN

Emergency, Trauma, Critical Care

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All Content by NickiLaughs

  1. Reaction to rocephin

    NickiLaughs posted a topic in Patient Medications

    I've always viewed rocephin as one of the safer antibiotics considering how quickly we give it. this pt had a rapid onset after starting an IVPB. Flushed skin, diaphoresis, sorta syncopal/half...

  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. 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...

  4. 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

  5. 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...

  6. 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...

  7. 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...

  8. 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...

  9. 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...

  10. How to keep the team motivated

    NickiLaughs replied to special1rn's topic in Nurse Management

    She sounds amazing.

  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. 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...

  13. 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...

  14. 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

  15. 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...

  16. 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...

  17. 20 yrs Total nursing years (15 yrs RN and 5 yrs LVN years floor not required to float

    NickiLaughs replied to CFern1's topic in General Nursing

    My system never has people exempt from floating depending on their unit. I worked ER they don’t float. I know IiCU could get floated to tele but went by travelers first, then per firm, then part...

  18. I can’t get past orientation and want to be an aid instead

    NickiLaughs replied to Bjessica's topic in General Nursing

    I’ve been a RN for 10 years and an LVN for 5 prior to that. I was I see you trained and couldn’t handle one shift on the telemetry floor with four patients. Just because you don’t succeed in...

  19. The ICU sucks sometimes

    NickiLaughs replied to SquatsNScrubs's topic in General Nursing

    I did ICU for 5 years and don’t know why it took me so long to realize it wasn’t the right fit for me. I was good at it but emotionally drained. I switched to ER and was much happier. People...

  20. Plant-based (vegan) mandate for NY hospitals

    NickiLaughs replied to Emergent's topic in General Nursing

    Dirty hippie was the persons screen name. ?. See dirtyhippiegirl above. I think options provided for all is reasonable. I however would probably still order DoorDash in the hospital because...

  21. To kill or not to kill... another person dream?

    NickiLaughs replied to KatieMI's topic in Nursing Professionalism

    Dude.... several problems here: She put something deadly for you in your food.... to prove herself right. Sociopath at a minimum. I’m assuming she owned up to the concoction as some point? Her...

  22. Code Blue: Just Trying Figure Out What Happened?

    NickiLaughs replied to Binz's topic in General Nursing

    This is an excellent

  23. Moving to Sacramento for new job

    NickiLaughs replied to FullGlass's topic in California Nursing

    Certain parts of Elk Grove, mid town are nice. If you want to live in the country with acreage look at Wilton. Traffic can be a beast so I wouldn’t recommend going much further than that. I...

  24. Is it beneficial to have ACLS and PALS as a new grad looking for a job in Sacramento, CA?

    NickiLaughs replied to dejo1290's topic in California Nursing

    Potentially, but I would wait til closer to your graduation date since these classes are only good for 2 years.More sought after is having some sort of healthcare experience. Also look st the more...

  25. What city do you work in and how much do you get paid hourly?

    NickiLaughs replied to Mortaaaay's topic in General Nursing

    I live in northern California and we get by on one income. We live in Sacramento area though. My mortgage is 1800 a month for a 4 bedroom in a nice suburb and wages are competitive with bay area....