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sabRN2b05

sabRN2b05 BSN, RN

Med-Tele, ICU
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sabRN2b05 is a BSN, RN and specializes in Med-Tele, ICU.

sabRN2b05's Latest Activity

  1. sabRN2b05

    The night Shift

  2. sabRN2b05

    The night Shift

    Are you a single parent or are you married? How many kids and how old? Not trying to be nosey, just trying to get more detail about your family. Are your kids younger (toddler, preschool) and more dependent on you or older (upper elementary/middle/high school) and more independent? Your home life is going to be a major factor. My husband is a cop and he works 12 hr shifts (days) and I work nights (12's also). I try to schedule my shifts to work the nights that my husband is off the next day (hope that made sense). That may not always work out....have to get to the "plan sheet" at work when it first comes out. 1st come, 1st serve. Everyone has their own thing, but here's what I do. My first day on, I have usually slept the night before (generally don't stay up on my nights off), get up the next a.m. and take my son to school (unless hubby if off and takes him). That's only a 20 minute round trip, so once I get home, I get housework/laundry done PRN, errands, etc, then get a nap the latter part of the morning around 10 or 11 a.m. for a few hours or until time to get my son from school. We are fortunate enough to belong to a car pool in our neighborhood, so sometimes I just make arrangements for my son to ride home in the afternoon. Same goes for if I have worked the night before, and my husband has to work that day, then I make arrangements for carpool in the a.m. The mornings that I have worked the night before, I make no plans when I get home (errands, housework, whatever)...I just get a shower and crash. I am usually asleep by 0830 and wake up around 2-3pm. I try to make supper before I go to work so I will have something to take with me. Sometimes my husband will cook something quick and easy (like tacos, sloppy joes, casserole, etc) if he's off. Crock pot recipes are wonderful!! If my son has something at school during the day (field trip, class party, etc), I try to request off the night before or swap with someone. Again, gotta get to the plan sheet 1st and hope I know about these events when it comes out!! Adjusting to nights is difficult for some. You either love it or you don't. I transferred to ICU this past July. My orientation was also on days and I switched to nights about 6 wks ago. I had to take a night position to get my foot in the door. I did nights before on med/tele as a PCA while in nursing school, and I hated it then. I have done days since being out of nursing school (5/05). I think the night shift is more laid back, and I am adjusting well. Pts in the unit tend to keep you very busy, so the shift flies by, but it is also (sometimes!) a slower paced environment (i.e., no docs rounding, no procedures unless emergent, what others have said about PT, ST, OT, etc), so it is easier for me to learn. Also, you'd be amazed how you can stay up when there are other people around you doing the same.
  3. sabRN2b05

    What do you have in there??

    Did you say "type A?" ....gee, I've never been called that!
  4. sabRN2b05

    What do you have in there??

    I am glad someone else asked...I was wondering myself
  5. sabRN2b05

    What do you have in there??

    Don't ever change either...had another nurse that I worked with on med/tele who was such a b**** one day about all the stuff that I had in my pockets. She told me that once I was a nurse about a year, that I would quit carrying all that. Well...I've been an RN for 17 months and my pockets are still full!
  6. sabRN2b05

    What do you have in there??

    I have a "Critical Care Made Incredibly Easy" book, a "Hemodynamic Monitoring" book, drug guide, my journal, makeup bag, personal hygiene items (toothbrush/toothpaste, hair spray, makeup, deodorant - hey 12 hrs is a long time - feels good to freshen up midway through the shift if time permits). In my pockets, I have alcohol preps, pens, hemostats, scissors, hi-liter, black marker. On my stethoscope I have another miniature light that is velcroed around it (in case pen light goes dead), and a roll of tape. One of the more seasoned ICU nurses that I work with was picking on me the other night because no one had a black marker except me (she was needing one). Always find the newest nurse around and she/he will have everything in their pockets!
  7. sabRN2b05

    Extubated my patient

    I started in ICU about 3 months ago (1st night off orientation is tomorrow night - scared to death!!). Shortly after I started, we had a code and my preceptor made me get up front and center (another RN had the pt that day). I pushed the atropine and epi that brought her back. She was the cutest little old lady in her late 60's - lots of medical issues including a rare genetic disorder and multi-system organ failure - don't want to give much detail due to HIPAA. She was a med code only. I was so excited to get to push the meds that I did not even pay attention to the pt's name or anything. I was even more excited when she went from asystole to sinus rhythm. A few days later (or maybe a week), my preceptor and I were assigned this same pt. After I got report, I realized that it was the same pt that I had "pulled back from the light" and I felt so GUILTY. There were lots of family issues....pt was going to die. It was just a matter of time. Family looking to the oldest daughter to make the decisions (make a DNR, turn off ventilator?). I was working 3 in a row and I knew it was going to be a very emotional 3 days. I just kept thinking I wish it hadn't been me that had kept her from dying the previous week. I had a really difficult time with that. I felt guilty for being so excited about that code (it was my first one in the ICU). Luckily, I had a wonderful preceptor who gave me a lot of support to get through those feelings. Suffice it to say that the family took baby steps from med code to DNR to stopping dialysis (after recommendation from nephrologist) and finally to pulling the ventilator over those 3 days. No one wanted to make the decision individually and they finally came to a decision together as a family on what to do. The pt remained intubated but placed on a t-piece my last day with her. I watched the MD turn off the ventilator (happened toward the end of my shift) and I cried with the family. I made sure all day that the pt had Morphine to keep her comfortable. I am one of those nurses that will keep pushing it (i.e., q hr, q 2 hrs, etc) in an end of life case as long as I have an order. At the end of my shift, I gave all the family members a hug, wished them all the inner peace and strength, and told them they would be in my prayers. The pt died peacefully the next morning surrounded by her family. They came by the hospital on Monday, brought a beautiful cake for the staff, thank-you cards for me and my preceptor with gift certificates inside to a nearby restaurant. They looked so at peace. They were smiling and gave us all hugs. It was a proud moment for me to be a nurse! I stopped feeling guilty for "pulling her back" that previous week, and told myself that her family needed that extra time to process what was going on and be at peace with one another. BlueEyed RN, I wish you all the inner strength and peace in your job. Someone else mentioned keeping a journal. I was doing that when I first started in ICU and it helped me A LOT! I also called other nursing friends when I'd had a bad day (believe me, there have been several along my 3 month orientation!) And, this web site is great to come to when you need to vent, need support, and just need to read that someone has "been there". Best wishes!!
  8. sabRN2b05

    What have other nurses done that have freaked you out?

    I can't stop laughing at this one!!!
  9. sabRN2b05

    Are you my waitress today?

    :yeahthat:
  10. sabRN2b05

    Volume in 1 unit of blood?

    Volume at our hospital is 350ml
  11. sabRN2b05

    Nurse's Aid acting as a Nurse

    At the hospital where I work, nursing assistants wear wine colored uniforms hospital wide and nurses wear white and/or unit specific colors. On my unit, we have "orientation boards" in the pt's room where we write the day/date and RN: ________ and PCA: ________. I have worked on both sides of the fence (PCA and RN - same unit). As a PCA, I have used medical terminology in my charting before, but always reported to the RN what I was charting. Now that I am an RN, I co-sign what the techs do (our computer charting system allows that), e.g. co-signing vitals, pt activity, % meals eaten, baths/linen changes, etc. The computer system only allows PCA's to "participate" in minimal charting, such as the items I listed above. I have never had a PCA misrepresent her/himself as an RN nor have I had an MD mistake a PCA for an RN (like I said, wine uniforms sort of give it away!) Like a previous poster said, everyone has their preferences (aides and nurses). Communication with your techs is a KEY thing!!
  12. sabRN2b05

    How to call a code?

    At our hospital, it is a "code 7"...weird, huh? Most places it's a code blue. I am not sure why it's like that....we either call ext 3600 or 0 for the operator and tell them to call the code overhead. Stupid question, but what do the pharmacists do in a code? At the hospital I work at, they don't respond to a code. Security does, however, and stands outside the door to direct traffic, handle unruly family members, etc.
  13. sabRN2b05

    What's Your Best Nursing Ghost Story?

    I have a few but they haven't happened in the hospital setting, really. When I was in nursing school, I lost my father to pancreatic cancer (January 14, 2004). I didn't expect him to make thru the end of 2003, but he did make it thru the holidays at least. He died early a.m. (around 0500) that Wednesday. He and my mom lived about 3 hours away from I live. I had spent a few days with him the previous week, said my goodbyes, and came back to the Gulf Coast to start my second semester of nursing school (I couldn't stay and watch him linger ) My mom called me early the a.m. he died and told me. I went to school as usual (trying to have some normalcy to my day), and drove to my mom's late that afternoon. As I was driving from my mom's house to my mother-in-law's house (where I was staying....my mom and I don't get along), I drove thru the WORST patch of fog you can imagine. I missed the turn to my mother-in-law's neighborhood!! It was eerie, but I swear I think it was my dad!! I had chills go thru me when I drove thru the fog. It scared the h*** out of me!! Second story: The 1st Xmas without my dad (2004), I was feeling very blue and on Xmas Eve I sent an e-mail to a cousin of mine saying "I wish my dad would send me a white Xmas to let me know he's ok and thinking about me". On Xmas day, later in the afternoon, it started to SNOW!! I was ecstatic and crying. We don't get much snow in MS (especially on the Gulf Coast!). It was 30 degrees outside but I went outside and played in it with my son!! We had so much fun!! I don't care what anyone says, I know my dad had a part in that. Third story: My mom had surgery (electrophysiology study for atrial fib) in March 2005. She got really upset right before they took back to surgery, so my sisters and I said a prayer with her and asked my dad to watch over her. I got really upset after they wheeled her into surgery (I don't get along with her well, but I wasn't ready to lose her too). I went to the restroom to wash my face...put my elbows on the sink and buried my hands in my face. The water faucet turned on by itself!!! I looked up at the ceiling and told my dad, "ok, I know you're here...please watch over her and get her thru this". Of course, after saying that, I looked back down at the sink and saw the faucets were those automated, touchless kind...but (AGAIN!) I know it was my dad. My mom came thru the surgery with no problems Last story: (sorry this is so long!!)..last week on the way to work... I am going on my 4th shift in a row (not common for me..usually do just 3, but picked up an extra shift). Anyway, on my way to work, I was tired and I got to thinking "watch us have a code today" Then, as soon as I thought that, I drove thru the worst patch of fog (AGAIN!!...what is it with me and driving thru fog?) Once I got thru it, I thought, "that was weird" Sure enough, had a pt brady down on us, coded her, sent her to the cath lab for a pacemaker (frequent CHF'er, on Dobutrex drip, overweight, COPD, 20% ejection fraction on admit), and then she went to ICU. Of course, during the code and even after the code I didn't think about what I had thought on my way to work!! BUT, when I got home and was telling my husband what happened, it hit me!! Gave me chills :uhoh21:
  14. I am looking into an opportunity with Nurse's Choice. The assignment is @ Ochsner in New Orleans. Just a little nervous being that it will be my 1st traveling assignment (telemetry unit). Any opinions on either the hospital or Nurse's Choice? Thanks!
  15. sabRN2b05

    Nurses week Cheap gifts from admin.

    I'd like to work at your hospital!!
  16. sabRN2b05

    Nurses week Cheap gifts from admin.

    I've worked for Tenet..know the feeling