HyperSaurus, RN

HyperSaurus, RN BSN

NICU

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All Content by HyperSaurus, RN

  1. Relocating to Portland?

    Hello all, I'm currently a Michigan resident with 1 year's experience in medical/oncology with telemetry. My husband and I are considering relocating to the Portland area. What is the job market like...
  2. Relocating to Portland?

    Swinging back around to create another shortage...of jobs or
  3. D50 for blood glucose protocol vs juice/snacks, your thoughts

    I would follow your facility's protocol. That said, my facility's policy states that if low, but alert, feed the pt rather than use
  4. Our contract is up in June and we have a tentative contract that has been ratified--it would seem the contract has mostly stayed the same with a couple of improvements. I was actually surprised, there...
  5. first night shift over

    Nights and days (and afternoons) are all quite different shifts with their own set of difficulties. It sounds like you didn't have a super great preceptor either, especially considering it was your...
  6. Nights and weekends as neede

    Rotating shifts are a rarity in my area. I work straight nights and love it. The only people I know of that work a rotating shift are the contingents--they can choose which shifts to pick up where...
  7. Quick Head to Toe Assessment

    Introduction (gives you a tid/bit for orientation, as for pain at same time), heart/lung/bowel sounds (good time to check incentive spirometry use, cough, flatus, bowel movements prn), palpate abd,...
  8. Calling Code Blue in ED

    Christy1019- No codes called in OR. I have no idea why codes are called in ICU, ED, ect. I do know at a recent code I responded to (as recorder), the ED nurse said she hadn't had a code in 7 months. I...
  9. Calling Code Blue in ED

    har...apparently I already posted to this thread. God-bless night
  10. Phone, cell, beeper and texting.

    We have text paging during the day--text with concern and physician calls back with orders. At night, we have an on-call hospitalist and resident who we just
  11. How high have you seen??

    I had a DKA transferred to my floor from ICU. Initial blood glucose
  12. 2nd day on orientation, I was orienting with one of the LPNs. We were hanging a lasix drip, which was not programmed in our alaris pump library. The label wasn't very clear on the rate,--we ended up...
  13. Love or hate your IV pumps?

    Alaris--I love them. The pre-programmed library is nice (guardrails, ect), they are pretty easy to use, setting up boluses is quick, and you can easily add another channel (assuming one is
  14. I don't know how long I'll be able to do nights...

    I work 8 hour nights--it works out to about 5 shifts one week, 3 shifts the next, 5 shifts one week, 3 shifts the next. I don't think I could enjoy doing 5 shifts a week every week. That would be...
  15. Please tell me that there will be a day

    You had three weeks orientation as a new grad to a med/surg with tele
  16. New nurse feeling overwhelmed and miserable!

    I am a night shifter with team (Rn and LPN) nursing on a medical with tele unit with 8-12 patients, 7 months off of orientation. It does get better! Here's my routine: 2300--get report 2330--LPN looks...
  17. Top Issues with Your EMR

    We use McKesson Paragon. It can be a pain in the tush at times (areas to chart not being consistent, resulting in double charting, or hard to find information). I would love to use Epic or Cerner, but...
  18. Doubts as a new grad med-surg nurse

    Nexium is not a histamine 2 blocker--those would be zantac, pepcid, tagamet, ect. Nexium, as well as prevacid, prilosec, aciphex, and protonix, are all proton pump inhibitors. Both H2 blockers and...
  19. You might be a night shifter if...

    When day shift starts arriving at 0645 and turn on the lights, and you think "wahoo! quittin' time!" When you wonder if your neighbors are judging you for taking your dogs out at 5 in the evening and...
  20. LOL ( little old lady), FOS (full of ....). Just kidding. We have a list of approved abbreviations for orders, but we also have abbreviations that we use for report and such. Others we use include:...
  21. new grad on med-surg

    Go with an open mind and be prepared to learn. Nursing school gives you a framework, but you learn a lot once you're actually on the floor. Ask lots of questions, look things up, and figure out who...
  22. insulin per sliding scale

    We hold all oral anti-diabetics as well, d/t interaction with contrast
  23. Would you trade a great team for an easier floor?

    Nope. I work a very busy medical with tele floor, and while we have quite a bit of turnover (new grad RNs who just don't ike the controlled chaos), the team we have is great. I won't stay on this...
  24. Has anyone tried team nursing? Opinions?

    I work a medical with tele floor on nightshift with the team format. On nights, we can have up to 12 patients with 1 RN, 1 LPN, and 1 aide. On days and afternoons they can have up to 8 but usually...
  25. First and last. Can't say that I care too much. The only patients that I care about seeing/knowing my last name are prisoner patients, and I have to take my badge off anyways before entering their...