Pudnluv ASN, RN

ED

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All Content by Pudnluv

  1. I keep reading posts of nurses unable to find jobs. I"ve been an RN for 18 years and I don't think in all my 18 years, I have ever been on a unit that is adequately staffed. I don't believe the problem is oversaturation of nurses. I believe the pr...
  2. Pudnluv

    Burn Nursing

    God bless you burn nurses! I know I couldn't do it and I am glad you are there.
  3. Pudnluv

    "Your ER sucks!" and other pleasantries...how you handle them?

    We were intubating a pt the other night and the pt on the other side of the curtain was complaining that no one had been in to see him. When his wife told me they were going to leave, i replied, "so leave". I told her it was absolutely her right to...
  4. Pudnluv

    Share your unit's new Ebola protocol

    We do much the same. As one of the designated "Ebola" hospitals in my state, our guidelines exceed the CDC guidelines. We have a special room (negative pressure) for the patients and we have converted another room for doffing. We use three people ...
  5. Pudnluv

    Drug-seeking in prison? Rx narcotics?

    I just tell them flat out that we do not give narcotics. I also tell them that people with chronic pain will NEVER have a pain level of zero. That is an unrealistic goal and taking more and more narcotics, will only exacerbate the problem. Then I ...
  6. Pudnluv

    Negligence in correctional nursing

    The photo Huffington has was clearly taken before all the toes were gone. The picture in the Denver Post shows all the toes on the right foot have been removed. We only see one side of the story, but from what I can see, there is clearly negligence ...
  7. I would think they would tread carefully. They have already been found guilty of unfair labor practice. The last thing they would need to is a suit claiming a hostile work environment.
  8. There is no nursing shortage and there hasn't been one in years. There is however, a staffing shortage. Hospitals are cutting back on staffing, so more and more nurses are working short staffed. Adding to that is that the patients being admitted a...
  9. Pudnluv

    Correctional Nursing Pros/Con and Environment

    In the jail, I am surrounded by correctional officers. Inmate movement is monitored and boundaries are clearly established. Also, every inmate is searched before entering (although I am sure some get away with contraband). In the ER, people just c...
  10. Pudnluv

    Correctional Nursing Pros/Con and Environment

    I have been a RN for 20 years and have worked in various settings. After spending 11 years doing med/surg/telemetry, I moved to the ED, which I absolutely love. Recently, I decided to take a part time job at the county jail (I still work in the ED)...
  11. Pudnluv

    What to do with a head banger?

    I know in our ER we have had inmates come in due to mental health issues. If they are having a psychotic break, this is a mental health emergency and should be evaluated by a medical professional. There have also been a couple of times we have had ...
  12. Pudnluv

    Seizures Real vs Fake

    I just started working in corrections, but still have my job in the ED. We get a lot of fake seizures in the ED. One thing I usually find, is that the fake seizures are usually preceded by some comment like," if I don't get my pain med, xanax, ect,...
  13. We have hospitalists that come down and do the admission for all patients. Once the patient gets to the ICU, the ICU doc takes over. So it is up to the hospitalist to make the initial determination, although the ED doc usually is the one to make th...
  14. Pudnluv

    Sick

    Everyone makes mistakes. No one was harmed. All you can do is learn from this. I am willing that you will become a "house expert" on the use of the pumps and blood administration. Don't lose sleep, just don't do it again.
  15. Pudnluv

    Is this a legal part of the job?

    Not sure, but I don't think snow shoveling is in a RN's scope of practice. I am willing to bet that having nursing staff going outside to shovel snow, without providing proper equipment is an OSHA violation. Is the facility providing proper footwea...
  16. Pudnluv

    Nurse To Patient Ratios

    I would love to see the breakdown of a CEO's daily work day. While I am sure that the majority really do work hard, I would like to see what they do day to day to earn their enormous salaries. We had a CEO that came to work every day at 4am. He st...
  17. Pudnluv

    Nurse To Patient Ratios

    I love the idea of hospitals being transparent about their nurse to patient ratios. In this day of technological advancement, it really wouldn't be difficult. I believe all hospitals should put on their website the nurse to patient ratio for each d...
  18. Pudnluv

    Favoritism with working(or not working) holidays

    We break our holidays into two groups, 3 summer holidays and 3 winter holidays. Everyone must work 2 out of the 3 in each group. A sheet is posted and you pick your preference from 1 to 3, with 1 being what you most want off. The list then goes by...
  19. Pudnluv

    A Bathroom Reminiscence

    What an amazing gentleman! How fortunate for you to have met him. It is people like this that make nursing so rewarding. Not only can we touch another person's life, but they can touch ours as well. Thank you for sharing such a beautiful story.
  20. Pudnluv

    Hindrance to professional growth

    To the OP.......welcome to our world. Gender discrimination has been around for a long time, and as a female, I deeply offended by it. You should be able to go to your job, and do it without being constrained by your gender. For many years, women ...
  21. Pudnluv

    "For Profit" vs. "Non Profit" employers?

    Today the county run nursing home in my area became privatized. The new owners want to turn the facility around to make a profit. The way they state they will do this.....cut benefits to workers. No more paying into the state retirement system, re...
  22. Pudnluv

    Emergency Nursing Mandatory Overtime, On Call

    I think call time in the ED is a good idea. At least it would be a good idea in my ED. There are times when we are short and having an on call person would be wonderful. You only have to be on call for 2-3 days a month and you get time and a half ...
  23. Pudnluv

    why so many negatives about nursing?

    I see the same people over and over again also. The ED is the landing pad from many frequent flyers. Is it frustrating? Sometimes. Am I going to teach these people anything? Probably not. So what? There are many others that I will help. Nurse ...
  24. Pudnluv

    why so many negatives about nursing?

    I love nursing. I love my job. I've been a nurse for 20 years and I have never wanted to do anything else. I work my butt off every shift, but I wouldn't have it any other way. I work in the ED and we work as a team, nurses, physicians, techs. A...
  25. Pudnluv

    I love nursing!

    I've been a member on this forum for some time now, and is see so many negative threads. If I were new to this profession, or just starting to think about becoming a nurse, alot of what is on here would scare me. Now I know that this is a place wher...