NickiLaughs ADN, BSN, RN

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 the next day. Because it's often less than 24 hour...

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 consenting them. All I can find is on anesthesias we...

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 believe.

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 always double check with doc & he wanted pati...

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 years ago and he was very vague about his experience...

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 about it she declined the position on the spot. ...

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 stated “we are working with 60% staffing on any given day...

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 had a 15 min turnover expectation if we were only usin...

She sounds amazing. ❤️

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 care. I think also being tall (5’11”) as a woman and in n...

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 was in bigeminy. My only abnormal lab was my d di...

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 do VS in scope out, 5 min after and then 10 min af...

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 one.

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 fast as possible. Our MTP (massive transfusion protoco...

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 part timers and I’m already there 5 days a week pull...

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 time (all seniority based) then finally full time. ...

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 one department doesn’t mean you aren’t meant for 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 still died but you didn’t get to bond with them or know ...

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 hospital food barely passes for digestible.

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 one saving grace... But then she basically tells your...

This is an excellent answer

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 commute from fair oaks area to south sac and spent an ave...

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 rural hospitals outside of stockton and marysville i...

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. I'm expecting to make 170k this year. We bought a ...

There is specialties for a reason. Nurses DO learn ACLS etc of their specialty demands it. I worked ER for 10 years and have passed several accidents/potential emergencies where my husband asked if we should stop. My answer is always NO. I have n...