NickiLaughs

NickiLaughs ADN, BSN, RN

Emergency, Trauma, Critical Care

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All Content by NickiLaughs

  1. Choosing a Specialty

    NickiLaughs replied to Karamia0x's topic in General Nursing

    I know several ER nurses who have been denied the chance to train in L & D. I think some specialties it's hard to break out into others. At least in the west. ER and ICU keeps you in those...

  2. Rant about horrible shift

    NickiLaughs replied to gemmi999's topic in Emergency

    I think that even an experienced nurse would have had a rough night with all the nightmares you were dealing with. Some nights are put out one fire and then run to another type of night. And that's...

  3. What do you eat in the morning?

    NickiLaughs replied to turnforthenurse's topic in General Nursing

    I'm pregnant so right now it doesn't matter cuz it doesn't stay down.... But normally I do bacon and eggs toast. I work 11a to 730p so there is time for breakfast. I don't know what my struggle...

  4. UCSD/Should I take it!?

    NickiLaughs replied to SmashRN2's topic in California Nursing

    That's a tough call. I moved from so cal to nor cal because of the pay difference. But I have a family to support. If you have low bills and can afford the cut and are ok with apartment living...

  5. autopilot mindset med errors

    NickiLaughs replied to MelissaMooRN's topic in Patient Medications

    When I worked in LTC I was the only nurse and there was no double check because I was the only nurse in night shift. Auto pilot is scary and it does happen. One time the pharmacy clerk put a...

  6. Reaction to rocephin

    NickiLaughs replied to NickiLaughs's topic in Patient Medications

    we weren't made aware of the potential alcohol withdrawal until after she was in our fast track area. She displayed no signs of withdrawal and I asked the doc if we should move her to another area in...

  7. Reaction to rocephin

    NickiLaughs replied to NickiLaughs's topic in Patient Medications

    No known allergy history. We gave Benadryl, Epi and zofran for vomiting. I was thinking Ativan may have helped. The hypotension I expected and already had hung 2l wide open and obtained a second...

  8. Would you leave your current position over scheduling issues?

    NickiLaughs replied to Butterflyxx0621's topic in General Nursing

    There are tons of nurses leaving my current unit because of scheduling issues. You wouldn't be the first. they aren't playing fair and you've addressed it with

  9. How often did YOU see the school nurse?

    NickiLaughs replied to SnugglePuggle's topic in School

    Twice in elementary school, once for a fever, another cuz I had some palpitations and a had a heart history. I was feeling better by then and just went back to class. Never in jr high or high school....

  10. California Jobs... I'm giving up!

    NickiLaughs replied to Nevada_RN's topic in California Nursing

    That's unusual with the experience and all the right certs. I applied for about four months before I had a bite up here and moved. How recent is your oncology experience? I'm wondering if that's...

  11. At my wits end...

    NickiLaughs replied to DierkyBrewster's topic in Geriatric, LTC

    I think your nurses note is what got you in trouble. Next time focus more on the end result and not the pt was not arousable. Your work

  12. Requesting words of encouragement… I’m a new grad having a breakdown at work right now.

    NickiLaughs replied to BeatsPerMinute's topic in First Year After Licensure

    30% of ICU puts die. There are doctors that ignore you, and sometimes the reality is no matter how hard you work on that Pt, even if they improve for a bit, they still die. The sicker they are, the...

  13. Are we saving lives?

    NickiLaughs replied to adventure_rn's topic in General Nursing

    I do feel that way in the ER, in the ICU I rarely felt that way. one time in ICU I Had a pt I knew was gonna code, I just knew it and even tho all my interventions (abgs, labs, ekg) didn't show sure...

  14. Are the pts in the ICU mostly unconscious?

    NickiLaughs replied to Philly85's topic in Critical Care

    Some are, some aren't and you will get pulled a lot for things completely unrelated as well as to your patients. You will get phone calls, you will have unhappy families, you will have altered...

  15. San Diego Area Nurses

    NickiLaughs replied to alc0550's topic in California Nursing

    Probably 45$/hr approx, plus shift dif. However, California taxes are high. You'd probably bring home around 2500 to 2800 a check. Factor in at least 2000/mo for rent. (Likely higher) That leaves...

  16. San Diego Wages and Patient Ratios

    NickiLaughs replied to melissahall456's topic in California Nursing

    Depends on your bills. Income is decent, but you could easily spend one check on

  17. Top ethical concerns to RNs

    NickiLaughs replied to BirkieGirl's topic in General Nursing

    A lot of the points above are so valid. I worked ICU and keeping a pt alive for months on a vent, trached, pegged with family who would visit once a week or so and continue on insisting care. One...

  18. RN in clinical area vs hospital floor

    NickiLaughs replied to RN_1204's topic in General Nursing

    I had the choice between an urgent care and ICU when I started. I took ICU, I learned of lot of skills and it helped me quite a bit in ER. I think I never would have felt fulfilled starting out in a...

  19. Crashing pt

    NickiLaughs replied to blessedrn#1's topic in Emergency

    We have the primary nurse do the documenting usually. Second nurse is usually iv/meds. Techs usually do compressions and if third nurse available, does the monitor/defy. Most times we have too many...

  20. Depressed self-referral to ED

    NickiLaughs replied to jana82's topic in General Nursing

    In California if anyone mentions SI, HI, or is gravely disabled our doc orders a 1799. We immediately remove all belongings, and assign security. If the psych person comes and clears them. They...

  21. I really want to know?

    NickiLaughs replied to hppygr8ful's topic in General Nursing

    My dad was a drug addict for 30 years. He was finally recovering but you can imagine the pain control nightmare. He electrocuted himself working on his boat when his titanium ring came in contact...

  22. Federal Student Loan Debt..options?

    NickiLaughs replied to Scuba_NurseBSN's topic in General Students

    I was already married when I went for my RN. Student loans can be overwhelming. The first year after you obtain a job do am IBR. Then as others suggested do travel nursing. Live cheap, work as...

  23. Cheating in nursing school

    NickiLaughs replied to direw0lf's topic in General Students

    You can't cheat on the nclex. Everyone in my class who cheated during tests didn't pass

  24. Spice Spice Baby

    NickiLaughs replied to joyful_wanderer's topic in Emergency

    Haven't seen any spice yet. Northern Cali here...I'll just be grateful we

  25. New Grad, disciplinary woes

    NickiLaughs replied to furelite's topic in General Nursing

    I can't believe she would even create a verbal warning for that. That's a pure he said she said case with no factual information. You can't be written up for a family member's "perception." I would...