missbutton

missbutton

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All Content by missbutton

  1. Critical Care Procedures

    There is a service at Vanderbilt run NPs that only does percutaneous trachs and follows those patients.
  2. Why go into trauma/critical care nursing?

    Earn your own internship.
  3. Shafted on Thanksgiving

    It's just business. I get called off all the time and have learned to never leave without double checking my phone. But I'm sorry you had a crummy night.
  4. New grad took unwanted position, now what?

    Everywhere I have ever worked has had a three month probation period where either they or you can end the employment without issues because you are not yet a real employee. Its a trial period. If you get the other job just quit at the SNF but tell ...
  5. ER Wasted

    I second looking at PACU/ ambulatory surgery for a lateral transfer. But have you looked for more supervisory positions? 10 years of hardcore er experience sounds perfect for advancing to a dedicated charge nurse position or a house supervisor posi...
  6. The heparin bottle for a cap?

    I'm a newish grad and that's the way I was taught to do it to. 1. As as student we were not to give meds without a nurse verifying the med were were giving/ actually watching us draw the med. 2. It is best to draw the med at the bedside. and 3. It...
  7. Mandated Flu vaccine?

    Required or you have to wear a mask. But I don't get why so many healthcare workers are against vaccination? It drives me crazy.
  8. Are any of you loyal?

    I'm loyal to my unit and direct management. I'm blessed that my direct manager is awesome and if she leaves before I do, I would strongly consider following her. But the humungous corporation I work for? No.
  9. Is this in our scope of practice?

    CA nurse practice act says that nurses are responsible for 'personal hygiene'; whatever you will make of that. Any restrictions about clipping nails are facility based. I strongly suggest that you read the nurse practice act, lots of people will te...
  10. Low Censused while on Orientation

    Hi guys, I'm orienting to the ICU (yay!). It's a rural and low acuity ICU and we're in the middle of a really bad summer slump. And both me and my 'dedicated' preceptor are getting low censused, but independently of each other, so as a result I've ...
  11. a new grad's gripes

    To the OP: I'm a year out and I'm still there many days. But you learn to tread water. And after switching units, I now know how important unit culture is to my professional satisfaction.
  12. "Don't be nice to her"

    Keep applying for other jobs now. As long as you are on probation, which I assume you are because everywhere I've ever been has had a 3 month probation, you can leave or they can let you go much easier then after you are a full employee. Once you h...
  13. Report without Orders?

    Thanks for sharing... I now feel very spoiled by my little hospital.
  14. Report without Orders?

    Is anyone else expected to routinely take report and accept a pt from the ER with out seeing the admitting orders? I just transferred from med surg to the icu; and I'm now forced to routinely take report on pts without the ER sending me the order. T...
  15. Report without Orders?

    I didn't realize that that's the way it is at other hospitals. In my defense, the orders are the only official notice that we get, its the only thing that even has the pt's name and DOB. Thanks for sharing.
  16. No hospital job after working LTC? True?

    I was hired as a new grad the same day that RN with one year of LTC experience was hired. Her orientation had to be extended, and a year later she is barely making it. The same with the nurses that they hired with only clinic experience. That's jus...
  17. Can't wait to go to work tomorrow.

    I'm officially one year into being a nurse and I love it even more. The bad days make the good ones even better. In a sick way, I even love the bad days. I love getting through the seemingly impossible workload. Tonight is my last night on Med Su...
  18. Home health aide as RN student?

    I was a home health aide in nursing school and I loved it. But no, the people you will work with will be more stable than in any facility. They only need 1 to 3 hours of nursing care per week vs. 24 hr nursing care of a facility. Before you would ...
  19. Okay, why do ER nurses think they're so cool?

    I have a really good relationship with most of the ER nurses that I work with (I'm that med surg nurse who always goes to the ER when they call ( I'm in a very small hospital) ). But every once and a while they feel the need to tell me how cool they...
  20. I refuse to be a punching bag - NO MORE ASSAULT

    I've been assaulted by dementia patients. I've always reported it internally since the two times it happened it was by pts who were completely out of it. But it's made me wonder what happens when you're assaulted by a patient who is with it? Obviou...
  21. Pet Nurse?!

    Here's the thing, though: all of these little disrespectful things that happen in our our society towards nurses add up to why nurses are so undervalued in the healthcare setting. Petnurses, sexy nurses in advertising, and the absolute lack remotely...
  22. Pet Nurse?!

    Do it. Report them to the board. We fight enough for respect. Or you could just call/write the manager and let them know that 'nurse' is a protected title and what the consequences for using could be. That might just fix it. But please, please, ...
  23. Doctors office job..think I made a mistake...

    I would be bored too. To me, your situation sounds awful. If the hospital isn't your thing, have you thought about looking for a position at a clinic, or in home health, or hospice? In my area, the clinics have way more nurse run programs. One o...
  24. How did you get into the ICU?

    I'm a new grad in my third month in Med/Surg. I was not one of the lucky ones who got to start out in the ICU, even though I did everything I could in nursing school (right tech job, icu preceptorship, ACLS, PALS, and a member of AACN) to start in t...
  25. Help im having IV problems

    Are you starting your Ivs on little old people? I'm a new nurse and I was having a terrible time starting Ivs. I had the same problem you describe, getting the flash but then blowing it. I stopped using tourniquets. I use heat, gravity, alcohol,...