trebugRN

The anesthesia docs at our hospital would be alarmed about a 3.4, but the renal docs would be happy. Just have to know tour population sometimes.

I work on a floor and it's the same deal. I recently left for other reasons, but was glad to be leaving charge behind. Only been in my new job a month and they are already asking me about charge.....NO NO NO!!!!!

Wow, what if I legitaminately have allergies to Daypro and Nubain (had it in an epidural, not a pretty experience at all). I might be in the ED, but I don't want to lay there wondering if that is going to happen to me! It stinks to have these headaches dictate so much of my life. It stinks so much more to be judged when I am in pain. WOW! Please do pull whatever report you have to pull, and hop to it Honey, I need some relief if I am spending my hard earned money on this ED visit.

A friend's DH was in a horrible bike accident. She reasoned that since they gave her his helmet back that it was OK to wear. I asked her if they told her that it shouldn't be reused and she said "yes, but I think they just say that" So, something to consider. I wonder if there is a way to have some stickers and printed info???

I work in peds and we almost always do axillary temps.

At the bedside in a isolation gown, in a the warm room beside a sweet old lady helping talk her thru a PICC insertion. Couple of days before I had my 2nd blood patch from a major spinal headache, I was a little more dehydrated that I realized. I blacked out cold and fell backwards all they way onto the hard floor. Ended up in the ED where my sister was a nurse. CT showed no problems. Went back to the floor, started throwing up. Had a long weekend of nausea and disturbed vision. ;-) Adding that the other nurse in the room still sees me and laughs about almost calling a code because it took so long to rouse me and my eyes kept rolling back in my head.

people are *rarely* deliberately jerks to patients but they do have opinions (whether or not they are appropriate, they exist and are not going to go away). should they have talked about it out of earshot? sure. is it a debilitating insult? hardly. true. from wooh: quite honestly, i think she's understandably being overly sensitive to whatever is going on around her because she's embarrassed to be receiving public assistance. and here's why: first off, i'm doubting this was "nursing staff." in a clinic, it's rarely actual nurses, much less a group of them joking together. next, how does she know it was her insurance they were talking about? just because she could hear it outside the door? at the various offices that i've been to, there's all sorts of things going on outside the door to the exam rooms. and i've heard jokes made about all sorts of insurance. "will this be covered?" "of course, it's insert-really-good-private-company, they'll cover blahdyblah-off-the-wall-thing-blah!" "will this be covered?" "with crappy-private-company? they won't even cover a bandaid on a gushing head wound." they repeatedly asked her if she had insurance? when i'm at the hospital and a home nebulizer is ordered, i'm excited when the patient has medicaid, because our respiratory therapists can dispense it themselves. it's a pain when it's "good" insurance because then i have to change things in the computer, contact case management, wait on them to set up home health, wait on delivery. she's in a crappy situation right now. and probably understandably sensitive about receiving public assistance. losing your job is a huge blow to the ego, and receiving help is a huge blow to the ego. i can't blame her for feeling like the whole world is out to get her. but before i'd advise her to start "reporting" people, i'd have to seriously consider if she's taking things she's hearing out of context and putting them into her own feelings of the world crashing down on her. so much in woot's post was exactly what i thougth again and again as i read the op and as i read all the responses. some things to consider, that's all. i think the rest has been said enough times.

It can go both ways... I work at a large teaching hospital, and it's the opposite with the age categories. The younger crew all hang out together outside of work, and believe me, they have each other's back at work. They are tight--in every way. The few of us older staff tread lightly, very lightly -- it's unbelievable!! Definate generation gap issues.

Just hoped on and started reading this thread. What a brave group here. Keep up the fight!!

I have an ET and have been a nurse for 4 years. It's not a problem at all. I take my meds (propanol is Cheap - $4, can you switch to that?). When I am really tired, anxious or have had too much coffee, it's more obvious...but you know yourself an you can steer clear of those things. When you are enrolled in school full-time while in the nursing program, maybe you can use the health center to get back on your rx during your clinicals if it becomes a problem for you. If a family or patient ever seems to notice I just politely explain to them - they seem very understanding. Good luck - don't let it hold you back!

Hi Epic users, (thought I posted this Friday, but I don't see it anywhere - pardon me if it's hiding out there somewhere!) We are going live with Epic soon. I work in a Pediatric hospital on a Renal floor. Wondering a few things about items I couldn't find during training: Place to chart fistuals but nowhere to chart Hemodialysis catheters or peritoneal dialysis caths. Careplan for kidney transplant/dialysis pt's. Thanks!

Hi, Just completed Epic training (our hospital will go-Live May 30th, had 12 hrs of training...hmmm, not enough? For those of you that are using Epic already, I have a question. I work on a Renal unit, in training I didn't notice anything about PD caths, HD caths, stuff in care plans specific to new Renal Transplants? Thanks, Mylloh

I work in a teaching hospital, and I would LOVE to leave a list of tips for these wippersnappers! + I am with "your" patient 12hours a shift (often more than one shift in a row) and if I think it would be helpful for the patient to have an order for MiraLAX, simethicone, a suppository, etc., please consider it. I am not the doctor, but I do know my patients. There PD will not work if they aren't pooping....you will learn this too! + Our units has a lot of chronic/repeat/complex patients, and I do know a lot about these kids and their families. If I tell you "Johnny is very anxious" I am not trying to get you to prescribe him something to help him sleep (we don't do that to 12yr old kids) it's because it is probably important to know, at least on a you know it basis. + If I call you because the kids BP is High or Low, don't ask if I am sure! Yes I am sure! And NO I don't need to change the cuff -- it's the same correct cuff I have been using all shift, and probably all week. I need you to get up and come see the pt like I asked you to. + If I need to call the Attending or Fellow, it's not a slap in your face - I need to do what's best for my patient. We're all here to learn and you need to leave your big ego at home. + No, I cannot take EVERY order as a verbal order - it is not safe. There is a Resident and a Senior for a reason. + You cannot have the chart for 2 hours. + In the morning when you & your dr friends are taking up all the computers & all the chairs, at least let me see the chart you've had for over an hour. I need to review the orders with the next nurse.....but please don't get up or anything because your feet might hurt. + If you MUST have a drink at the nurse's station (despite all the signs saying NO drinks, and do you see any of use with drinks?) PLEASE do not spill it! If you do spill it, don't look at me to clean it up!!! If you spill it on our information binders, well you need to figure out how you're going to work that out - not just leave them there, all soaked in your coffee or tea. (yep, happenend last week) We use all the information in there to take care of these complex little kids and I think your mom should have raised you better. + Don't call me at midnight and ask me where the pt's I/O's from the day shift are - really not my problem. I already asked Suzie Sunshine...she didn't think it was important to get them in the computer I guess, or maybe the kid is shutting down (just kidding on the last one; we have internet access at our hospital and it's a huge problem for productivity). If there aren't any I/O's in there, NO I cannot "estimate" them; the best I can do is have you come up and talk to the patient or call that cute nurse your were swooning at change of shift at home (you seemed like you might want her phone number). I realize it will affect your "plan" but I can't help you with it, I've already asked my CN 15 times about I/O on RENAL kids, but whatever! I'm a little older, not so cute anymore, and obviously getting a little bitter. +Don't call me at 10 or 11 pm when I am passing out my meds to ask where my first set of vitals and the I/O's are: look, we don't have a tech and I am taking care of a fresh transplant and 2 other patients. When I can humanly get them in the computer, I will. And don't tell me you need them so you can "go to dinner" or "pick up your take out"....hmm, I might not get them in there for quite some time. If you really need to know how the kid with the new kidney is doing, come see them!!! + If you MUST talk to me when I am on my precious lunch break of 20 minutes trying to cram in whatever food I can, you better not be calling about something stupid that "I can help you with" OK, do you think that's enough? :-)

Wow, pushing IV lasix -- I have seen it cause massive fluid shifts and kids (peds nurse working on a renal peds floor) and kids be intubated ON THE FLOOR and go to the unit. I make it a practice to never give it fast push - always on a pump - and have a my kids on a monitor. Granted these kids are probably not the healthiest anyway, but I am shocked at the nurses on my floor that have also witnessed this same thing happen and continue to 1) push the lasix 2) kids not on monitors.