theantichick

theantichick

LTAC, ICU, ER, Informatics

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All Content by theantichick

  1. Overflow in the er

    Both ED's I've worked in struggle with overflow. IMHO, the patients do not get good care when they're boarded. Last shift, I had two boarders... I was at least an hour, and sometimes two hours late...
  2. Relationships with floor nurses?

    Thanks for all the feedback. We are required to call and give a verbal SBAR, and our medics/PCT's do the transport except to ICU. I'm fine if you say "hey, I've already read the chart, is there...
  3. What is your ER like.....need advice?

    My last ED: Trauma I center, county facility. Trauma hall did it's own thing with team nursing and an average ratio of about 1:4 with a tech. Fast track type area with 10 beds and holding chairs...
  4. Paramedics in ER

    Love my medics in the ED. A few have the "field doctor" syndrome, but honestly not a huge number. By and large they are huge assets. I'm also in Texas and their scope is limited in the ED, but if...
  5. My Unit Is Bleeding Staff & Morale...Vent!

    Run far and fast. I worked in an ED like that. Nights, 6-8 (sometimes 9) patients, half with high acuity, several unstable, treating patients in the halls is the norm, bringing people to rooms that...
  6. Anyone familiar with Kindred (LTAC)

    I don't know what the new grad programs pay. for the ICU, my pay was a little lower than the hospitals in the area, PTO seemed to be about the same. I got hired to the ICU because I'd impressed a...
  7. From IT to RN and now back to IT/IS

    Thanks for the experience. I'm also an IT refugee... 20 years in reporting and data warehousing. I have been keeping informatics as an option for my career, but am of two minds about going back...
  8. Thanks! Summa Cum Laude for my BSN program,
  9. Do New Graduate Nurses Need a Formal Residency Program?

    The ER where I work has a six month new grad program that appears to be helping with competency and retention. The program has classroom time for the first few months along with precepted shifts, and...
  10. AIDS during the 80s

    This. My first Ex had been a Paramedic for a long time, he came up in the days when you hadn't had a good shift unless your uniform shirt was soaked with blood. He and most of his cohorts had a...
  11. AIDS during the 80s

    Wasn't a nurse but was in paramedic school in 1989-90. Universal precautions were being implemented and people were freaking out about AIDS. I never saw anyone refused treatment or transport, and I...
  12. Any thoughts on Kindred Hospital?

    I got really good experience at the Texas kindred I was at... and still work PRN at. But I was lucky and got hired straight to ICU. I also found long term care is not for me. Our acuity in the unit...
  13. Seventh Day Adventist and working on Sabbath???

    I was raised SDA. Talk to your pastor. There is no conflict. Jesus healed the sick on the Sabbath. SDA has a long long history of healthcare. the town I grew up in is an SDA college town with an...
  14. New grad starting LTAC job next week - advice?

    I'm behind on this, but feel free to send me a PM about working there. I'm grateful for the opportunity they gave me, and still work PRN there but found it was not my
  15. I'm a career changer, leaving the computer field where I've been for almost 20 years and starting my first RN job at an LTAC on Monday. Any advice for the newbie? I'm super excited, and a little...
  16. Will LTAC help me get to ICU?

    I also emphasized the skills I used in the LTAC ICU on my resume and it helped my interviewers understand that I wasn't a glorified pill pusher.
  17. Will LTAC help me get to ICU?

    The answer is yes. I'm just shy of a year at my ltac in ICU and I just got hired at the county hospital for ER. They were impressed with my critical thinking skills and ability to manage fairly high...
  18. RN Oversight of LVN care

    Ok, my facility has started having RN's sign off at the end of the shift that they provided oversight for the LVN's care for the patient. It's done as a free-form text input field and since I work...
  19. RN Oversight of LVN care

    I ended up assessing each patient and reviewing the LVN's observation and documenting that I agreed with her observation. Come to find out the shift supervisors mis-construed the instructions from our...
  20. RN Oversight of LVN care

    I should add I've already pulled down a copy of the nurse practice act from my BON and it doesn't address this that I can
  21. Best Scrubs for the Money?

    I adore Aviator Scrubs the quality is amazing and you can get pockets and pockets configured many
  22. Nicotine & Work

    I know that they can discriminate. I don't think it's right. I believe at some point someone will find a legal wedge to use to put a stop to this, or the nursing shortage they keep promising well...
  23. Nicotine & Work

    I have several issues with nicotine testing. For starters they are discriminating based on legal activity done away from the work premises. They have every right to say don't smoke on our property and...
  24. Does nursing really suck that badly?

    I'm coming up on a year as a practicing nurse. I'm a mid-life career changer. I took a pay cut to go into nursing. I drove a desk as a computer programmer for 18 years. The thought of doing it until I...
  25. My house phone doesn't ring. There is a sign on my door for sales critters and delivery guys. My child knows that if she had to wake me up it better also involve calling 911. Anyone important enough...