Sonjailana

Sonjailana

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All Content by Sonjailana

  1. Nurse safety

    The laws don't matter if your employer won't enforce them or there is a culture of not reporting patients or calling the
  2. RN to MSN?

    You enroll in a master's or doctorate level nurse practitioner program. First you practice nursing for a bit so you actually have some first-hand experience, figure out what area of specialty (for NP)...
  3. Quality Improvement in End of Life Care

    Question for you, StefO. Why is EOL care happening so frequently in the ICU? Why aren't we having these discussions far earlier and providing for much better deaths for our patients? When should these...
  4. Somewhere
  5. Yes! I went to a school that is nationally ranked in the top five for my specialty, and it has opened several doors for
  6. My mom doesn't believe in me.

    I had some majors issues with my mom too OP. I think the earlier you can address this and set appropriate boundaries, the better off you will be in the long run. It sounds like your mom does not...
  7. am i reasonably resigning?

    Wow.. so much drama from saying "Back in the day.." NO ageism here, respect your experience, but acuity is NOT the same as it was in the past, and so don't just suck it up and take it OP! It's not...
  8. am i reasonably resigning?

    What kills me here is so many nurses are saying, well, back in the day I had.... Today's med-surg floor is so different! In my 7 years of nursing acuity has soared! Med-surg almost always has tele now...
  9. Cyclical vomiting syndrome

    Yes! I had a pt with this and we de-toxed him. Put him on suboxone and kept him..it did work..but took like 5 days..and it was miserable in the mean
  10. What kind of car do you drive for those 1+ hour commutes?

    Honda Civic..gets 40mpg
  11. What is your de-stress?

    Petting the cat Calling my mom to whine (we have an open post work whine policy..it works well) Taking a bath Reading a goood book Drinking a beer Spraying things in the yard with the hose Zumba...
  12. We had a two week old nursing assistant training a new nursing assistant the other week...they actually had her assigned two of them! So, I took one away..but talk about blind leading
  13. Small talk with patients, what to say?

    How did you sleep last night.. What did you think of that game (whomever is local) You picked a good to day to be here (if there is horrible weather..often in Michigan) Did you get...
  14. G tube to gravity drainage

    A couple months at best..likely less than that. We usually hydrate these pts pretty aggressively IV wise
  15. Morphine/Phnergan IVP...to give or not to give?

    Just say No. Seriously, if a pt had a peripheral IV, I would NOT push phenergan undiluted. Can you say extravasation? I have no problem telling a pt, "that's fine that the other nurses did it such and...
  16. What do you think of Clinical Nurse Leaders (CNL)?

    We have CNL's and they follow the patients 'story.' Honestly, they don't do any bedside care, and tell staff nurses what to do without having any authority. It seems really like a miserable position....
  17. Helping patients with migraines

    As a hormone induced migraineur.. I can say, cold, quiet, dark room. Anti nausea meds. Sometimes excedrin. Massage is good sometimes..sometimes I do NOT want to be touched. Really, not too much out...
  18. Getting Sick at Work

    Fell down went boom. Went to work, Soooo painful. Worked for like 90 min, my manager is like, are you ok? I said, no, and said I need to go to ER. My leg was so swollen it was stuck on my scrubs....
  19. Are you a sensitive person too?

    I'm sensitive in my personal life, but I try REALLY hard not to be at work. I let it roll off my back. (and cry when I get home..you know it) Being in tune with what your pt needs and being a...
  20. The introverted nurse

    Your patients will tell you that you're a calming presence. The last thing they want is someone with another 'presence' to be dealing with. As long as you are able to communicate when it's needed, I...
  21. how old is to old for medsurge

    25! Hahahaha, just kidding. It feels that way sometimes. I would say you need to be able to walk five miles over the course of the day, squat, bend, and lift. Consider some gym training if you needed...
  22. Anti-Intellectualism/Autonomy in nursing

    I would say to really judge the situation. If your pt really needs an 02 mask, put on a @#$@ mask, then call MD, RT, RRT, and get the pt transferred. It's not helpful to you or the pt for a charge...
  23. nursing care r/t pregnancy termination

    OP, did you learn about giving Methotrexate IM for an ectopic pregnancy? At my hospital we admit pt's to the med-surg ward if we expect any loss of pregnancy. If a pt is hemorrhaging, you need to get...
  24. Nurses can do their homework
  25. Knee, work, weight..ugh!

    Hi Fellow nurses, I am a surgical oncology floor nurse and I fell on the ice two weeks ago. Initial x-rays said bone chip and PA said sprain, follow up with doc said sprain. Two weeks later, my left...