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DroogieRN

DroogieRN

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DroogieRN's Latest Activity

  1. DroogieRN

    Break the Silence Report Bullying

    And third...
  2. DroogieRN

    Break the Silence Report Bullying

    On second thought...
  3. DroogieRN

    ICU visiting hours

    My unit allows visitors from 10-2 and 4-8, with enforcement up to the discretion of the patient's nurse. Sometimes I am very strict with the hours; others, I allow family to come and go, generally, at will. We are a locked unit and the visitors have to pick up a phone to be admitted into the unit. If I am in the middle of my assessment, or I am cleaning a patient, or doing a complicated dressing change, the family has to wait. Generally, I allow them back. I absolutely do not allow them to stay the night unless the patient is actively dying. Our visitors' lounge has fold out couches and we provide blankets, etc. The size of the room does not allow for tons of people and me having complete access to the patient. I also find that I am often bombarded with questions while I am trying to assess, listen, pass meds, check neurological status, etc. I do understand that people have concerned about their loved ones -- I have been that family member wthoutna medical background -- but I appreciate the uninterrupted time that limited visiting hours affords the nurses. It is not selfishness. It is about being able to provide exemplary care without interruption. I had an intubated patient recently that the pulmonologist was trying to wean (albeit agonizingly slowly). Her family would get six inches from her face and shout, "Mom! Are you thirsty?!". Her resps would be in the high 30s and her heart rate would be well over 120. I would beg, insist, plead, that they get out of her face and just be a presence in the room and let her rest, to no avail. Fnally I made then leave from 2-4 pm, explaining that it was a rest period for patients and that they should go get lunch. They wholeheartedly agreed. Her VS were perfect while they were gone. They arrived promptly back at 4 pm, got right in her face and screamed, "Mom! We tried to come in but SHE wouldn't let us.". Patient's heart rate shot up promptly to 140 with resps At 36. Patient never was able to extubate.
  4. DroogieRN

    How did you get out of getting the Flu shot?

    I'm talking about visitors.
  5. DroogieRN

    How did you get out of getting the Flu shot?

    This is what I don't understand: no one asks the countless members of the unwashed public who traipse in and out of the hospital every day if they got their flu shots. I haven't had the flu in 25 years and I've never had a flu shot. Right now my employer doesn't require it, but we do have to sign a declination. Until they require it, I'm not getting it.
  6. DroogieRN

    ICU RNs running CRRT?

    We do CRRT on my ICU. We set up and run it in it's entirety, based upon a set of preprinted orders. It's always 2:1, but they try to gmake your second patient fairly stable, although one that will remain on the unit so you won't have to have an admission. We have to take a class in it first, and be "checked off" before we can take a CRRT patient. I personally love doing it.
  7. DroogieRN

    Break the Silence Report Bullying

    .....
  8. DroogieRN

    Aren't You just Incredibly Proud?

    I am incredibly proud to be a nurse! I was you just a few short years ago, and I remember the feeling well. I've been a nurse three years now, in an ICU the last 15 months, and I couldn't be happier with my choice of profession. I think being an RN is the best job in the world and as difficult as many aspects can be a great deal of the time, if I am going to exchange hours of my life for cash, there is not another thing I would rather do than this. Best of luck to you as you start your nursing journey.
  9. DroogieRN

    Patients who die right after the family leaves the room.

    This happened to me yesterday. Still so fresh and troublesome and I'm so glad to have three days off now. Patient stable all night and threw a PE right as I came on shift. There were literally 25 family members at the bedside all a.m. In an ICU but I let them stay. Sent them out at 1400 to eat and get some rest and so I could do some basic cares. Patient crashed and died quickly afterward. I firmly believe she waited until they left.
  10. DroogieRN

    Any other cold hearted nurses out there?

    I've been a nurse three years, but I am 48, so I have life experience to add to many situations. I don't have trouble dropping a difficult NG that may cause discomfort immediately but ultimately is for the patient's benefit. Doesn't even make me blink. I do struggle sometimes with intervention after intervention on a septic 90-year-old full code patient, because I genuinely believe they are suffering and I feel like I am only adding to it, when I think treatment should be withdrawn and they should be allowed to pass peacefully. And I have to squelch down my disdain about the 45-year-old 4-day post-op belly who won't even reach for his water glass and moans for Dilaudid Q1H when I have a World War II vet in the next bed who is eager to walk and get up after his thoracotomy and has taken only Tylenol because, after all, "well, I figured it would hurt, but lying around isn't going to get me better." As nurses, we can feel, or not feel, whatever we want about patients. No one can say any feelings are "right" or "wrong.". What matters is how we care for them.
  11. DroogieRN

    What do you love most about your floor/specialty?

    I'm in ICU. I didn't start there, however,; I started on telemetry. You'll get lots of opinions, but I don't personally recommend ICU for a new grad -- you'll get lots of varied experiences, and develop good time-management skills, if you start on med/surg or tele right out of school. In ICU, I love that you can be incredibly focused on your two patients, know everything about them, know the docs well, and have a great deal more autonomy than is possible on a medical floor. I love the critical thinking that you can develop caring for patients with multiple concurrent disease processes. It is never boring, and things can change in an instant. I don't love that a great many of our patients die, or else are shipped off to LTAC and die there. Very seldom do I actually discharge a patient to home (usually it's a patient who has had a carotid endarterectomy -- lots of those go home from ICU, at least at my hospital). It can wear on you to lose patients week after week and watch families grieve and/or make decisions to withdraw treatment. It might be the eighth patient that week you've had with these issues, but often, for the families, it's their first time dealing with something of such magnitude.
  12. DroogieRN

    Which Stethoscope should I get?

    Littmann Master Classic II for nursing school is a good scope and will serve you well. I upgraded to a Littmann Cardiology III once I hit the floor just because I was afraid I wasn't hearing everything -- at 47, maybe my hearing is going. The Cardiology is superb but it's heavy, so I am not as comfortable wearing it around my neck. I have it tricked out with a little bracelet with my name on it and follow the docs around when they borrow it. I also have an Ultrascope, which is great, but I've broken the diaphragm off twice -- not very durable if you are a little rough with your stuff, which I am.
  13. DroogieRN

    How much do nurses make?

    I make about $23 per hr in OH. Less than $1 shift differential or charge pay. No pull or preceptor differential. No difference in pay between ADN and BSN.
  14. DroogieRN

    Sandy Storm whom do I serve?

    I dunno. Maybe it's because 100 years ago people lived near/with extended families or at least knew their neighbors and could rely on these people to care for their children. Not so much anymore. My husband travels for his job and I have no one to look out for my kids nearby. My daughter is at college, but my son is at home -- am I going to leave him for possibly days alone at home while I work a disaster? Unlikely.
  15. DroogieRN

    Anybody LIKE working holidays?

    I don't love working holidays, but I don't necessarily mind, either. I've only ever gotten time and a half, which is better than straight time, to be sure. I'd always rather be with my family, but I tell myself that at least I get to go home to them after my shift... My patients aren't so fortunate.
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