nlhnurse1982

nlhnurse1982

Telemetry/Med-Surg

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All Content by nlhnurse1982

  1. Should I tell my manager I applied at another facility?

    nlhnurse1982 replied to nlhnurse1982's topic in General Nursing

    I guess the main reason I was considering telling her was because I didnt know if the place I applied would contact her about my current employment. I did put my assistant managers name down though...

  2. Something I have noticed during clinicals re: Dr's and privacy

    nlhnurse1982 replied to ~Mi Vida Loca~RN's topic in General Nursing

    i do see this as being pretty common and i don't know if it is because that the doctors feel that they are just soooo busy that they couldn't possibly take the time to shut a door or draw a curtain or...

  3. Troponin of greater than 300! What is the highest you have seen.

    nlhnurse1982 replied to nlhnurse1982's topic in General Nursing

    This patients dx is stemi and myocarditis and no I did not miss a decimal it was thankfully trending down today and was 228.3. the ef is only 35% and ckmb and bnp is also quite elevated. I work on a...

  4. I feel like I am working at Walmart...The customer is always right!

    nlhnurse1982 posted a topic in General Nursing

    I am just wondering how your facility responds when there is a conflict with a patient or their family especially when they are wrong. Will they back you up or will they kiss butt and appease them. I...

  5. I feel like I am working at Walmart...The customer is always right!

    nlhnurse1982 replied to nlhnurse1982's topic in General Nursing

    You hit the nail on the head with that. We recently were given new scripting to use which includes us saying at the end of each encounter with a patient is there anything at all I can do for you I...

  6. Wildest lab values you've ever seen?

    nlhnurse1982 replied to nerdtonurse?'s topic in General Nursing

    INR of 48 K+ 1.7 HGB

  7. Should I tell my employer why I'm really leaving?

    nlhnurse1982 replied to nursngstudent05's topic in General Nursing

    As much as I would find it hard not to get verbal diarrhea on my way out the door if I were you I think you should leave on at least a neutral note. I think maybe even say to your vapid boss that as...

  8. program to teach preceptors to be preceptors

    nlhnurse1982 replied to leejmac's topic in Emergency

    Wow you get extra pay to do this we don't get anything for it, in fact I just found out that our new grads are making more money then some of us precepting

  9. program to teach preceptors to be preceptors

    nlhnurse1982 replied to leejmac's topic in Emergency

    I went through a preceptor course at my hospital in theory it is a good idea. We went over common sense topics such as that everyone learns differently, what is expected of us as a preceptor...etc. I...

  10. Does anyone know of any online ICU prep courses

    nlhnurse1982 posted a topic in General Nursing

    I was wondering if anyone knew of any online ICU prep courses or something similar that would make me more marketable when I apply for positions in the ICU. I currently work med/surg tele.

  11. Manipulative Boss?

    nlhnurse1982 replied to Born2BWild's topic in General Nursing

    The NM on my floo has used similar tactics with some nurses and I don't think it is fair to the employee or professional. If the reason you are leaving is for a new oppertunity and it is what you want...

  12. GN's paid more than experienced staff is this typical!

    nlhnurse1982 replied to nlhnurse1982's topic in General Nursing

    I do understand that bouncing around from hospital to hospital you can get paid more. These are brand spanking new nurses though with no experience except clinical rotations in

  13. No Lunch Break

    nlhnurse1982 replied to barkandwag's topic in General Nursing

    It really depends on how your unit is run, thankfully where I work it seems to be the excepion instead of the rule to miss a break because everyone understands that we all need down time to reload so...

  14. Is this a common discharge practice?

    nlhnurse1982 replied to ThanksForAllTheFish!'s topic in General Nursing

    OMG no if I have someone who is d/c'd I always tell them that the room is theirs until they have a ride. Not only is that rude to the patient to push them out the door but the hospital should look at...

  15. Med-surg or tele floor?

    nlhnurse1982 replied to Blackheartednurse's topic in General Nursing

    Well it sounds like you are put in the same dilemma that I had when I graduated. I went with med-surg at the smaller hospital instead of the stepdown unit at the large level 1 teaching hospital. Now...

  16. What is your manager like?...Managers please also lend insight here.

    nlhnurse1982 posted a topic in General Nursing

    So my current manager is a great source of distress for our entire floor. Her priorities seem to be way off base, patient care is not on the top of that list! I am just curious if this is the norm if...

  17. What is up with sexist doctors?

    nlhnurse1982 posted a topic in General Nursing

    Just wondering if any of you out there have one or two of these jerks oops I mean physicians floating around. We have a new doctor not just new to the facility but new to the profession who threw a...

  18. Should I take Human Phys and Chem together?

    nlhnurse1982 replied to emily_ganshert's topic in General Nursing

    I took them both together when I was in school I scored an A in A&P and a B so it is doable! It is what you make of it if you are good at studying and managing your time you shouldnt have a...

  19. Where are your bronchoscopys perfromed and what is the protocol.

    nlhnurse1982 posted a topic in General Nursing

    I was wondering where bronchoscopys are performed in your hospitals and what the protocol is. At my facility they are performed in the patient rooms and usually a nurse is not present just the MD and...

  20. Where are your bronchoscopys perfromed and what is the protocol.

    nlhnurse1982 replied to nlhnurse1982's topic in General Nursing

    Thanks for your answers I just don't feel that a med-surg floor is the place to have this done. Granted they don't happen very often. I just think that especially since the person is on the floor as...

  21. Hospitals Hiring only Nurses with BSN Degree

    nlhnurse1982 posted a topic in General Nursing

    Has anyone heard of hospitals hiring only nurses with their BSN? I was told that a hospital in my area was doing this and also making all of their RN's that don't hold the degree go back and complete...

  22. My Daughter Has H1N1

    nlhnurse1982 posted a topic in General Nursing

    So my poor little girl has the swine flu, I was hoping she would be better today she went almost the 24 hours with out the fever and then this morning it was 102 again . Of course since she has been...

  23. Measuring blood pressure

    nlhnurse1982 replied to Moogie's topic in General Nursing

    We do occasionally use the lower arm for obtaining vital signs, so she was not wrong to do this. Our documentation screen at my hospital even has a selection for lower arm when we put our v/s in the...

  24. Foley cath anchoring device

    nlhnurse1982 replied to Snickers418's topic in General Nursing

    We also use the stat lock to the thigh unless it is on a pt with edema to the area then they are contraindicated. It is important to use the skin prep before application and alcohol to remove them. I...

  25. My Daughter Has H1N1

    nlhnurse1982 replied to nlhnurse1982's topic in General Nursing

    Thanks for your replys I know normally when we get our evals if you miss more than 2 or 3 days in a year it is considered excessive. Yet I didnt get brownie point when I was projectile vomiting and...