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critical care/tele/emergency
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becca001 specializes in critical care/tele/emergency.

becca001's Latest Activity

  1. My biggest mistake was a med errror on a pediatric pt. I had recently been transferred to the ED after working for a couple of years on a stepdown unit and while the rest of the hospital uses metric system, the ED uses standard. Still being in the mindset of my former unit, I thought the triage nurse meant 20 kilos and did the mental conversion in my mind from kilos to pounds and entered the information. So when I admitted the pt, I started her antibiotics right before she was to go to the floor. Unfortunately, the pharmacy was dosing her at 44lbs and this wasn't caught until the pt arrived on Pediatrics. Thank goodness for pediatric nurses. The antibiotics were not enough to hurt the pt but the potential for damage is there. Now I double and triple check everything on peds patients.
  2. becca001

    Curious Question

    OP, you state that you are a known procrastinator and you get caught up in other things. Some folks just should not have those temptations staring them in the face. It is all too easy to get behind in NS and making it up is not only stressful (like you don't have enough of that already!) but almost too hard to accomplish. Your priorities need to be in correct order. Delete FB (it takes about a week but it is sort of possible and makes it harder to get back in) and spend the time you would have wasted on FB studying instead. Just my two cents.
  3. becca001

    What was the longest code you have been in?

    About 1 1/2 hours long. Pt was young (mid 30's) and wife had already lost a child 3 years prior. Unfortunately, it was unsuccessful. Seems the longer the code goes, the least likely for a positive outcome.
  4. becca001

    How the HELL Did They Get Into Nursing School??

    It's been a few years but we had a young lady that was a constant source of mystery as to how she got in and how she managed to stay in and graduate. Her clinical skills were close to horrible, she hid from the instructors all during rotations, she was still only able to take one patient after the rest of the class had advanced to multiple patients and she was unable to take a manual blood pressure in the last few weeks of school. But...she had a 3.9 GPA and could ace any of her tests. She was extremely book smart but did not know how to communicate with patients or other health care professionals. Now, I would personally rather have a smart nurse than one that is all ooey-gooey sweet without a clue but she just couldn't seem to put it together. Hopefully, she's gotten better.
  5. becca001

    Bedside nursing= depression?

    I am currently in a NP program. I always have a mid semester breakdown, but seem to push through the stress. I currently work weekend nights and have been able to work full time and do an online program full time 8 hours a semester. This semester I had to take some time off of work to complete clinicals. I Am 2 years into my 3 year program. If you think that you will like being the provider I suggest that you continue with school. Over the next few years there will be several opening for NP in any area of the country. If you can get off nights that would be good, but I chose to stay in my current position due to the great staff that I work with. It helps to have family and friend support when going back for an advanced degree. good luck
  6. becca001

    Calling Code Blue in ED

    Thanks again for all the responses. I greatly appreciate any and all responses. You guys are the greatest.:yelclap:
  7. becca001

    Calling Code Blue in ED

    P.S. ... OP, is someone in anesthesia bored, that they brought up this idea? No. The two biggest proponents of this idea are managerial and educators. I'm not certain what their agenda is but it's become a fairly fierce debate. Currently, Director of the ED is saying no way. I just needed some input from others in the ED. Thanks everyone
  8. becca001

    Calling Code Blue in ED

    Thanks for the answers. Right now, the Code Blue team consist of an ICU nurse, step down nurse, an ED nurse, the hospitalist/intern, RT and primary nurse plus whatever nurse can be spared from the floor that inititated the Code. We are not large enough or have enough staff to be able to run a full time code team.
  9. becca001

    Calling Code Blue in ED

    As part of the Code Blue Team, I am participating in a committee to revamp our Code Blue policies. We are a 100 bed hospital with no tramua level designation. ED is 25 bed unit and sees between 100-190 pts in a 24 hour time frame. The Code Blue team is different members throughout the hospital, all ACLS nurses and hospitalist/interns. Some on the committee are arguing that Code Blue should be called within the ED for all codes, including pre-hospital arrests, citing EBP's that standardized response increases outcome. Some(myself included) argue that responding to an arrest that began pre-hospital creates chaos to a team that is already established. My other part to the arguement is that I am leaving 4 critical care patients (I work weekend nights) to respond. What is the procedure at your hospital? What would you change if you could? Thanks in advance to all who read and answer.
  10. becca001

    Nurses who worked through school

    I worked 3 12's on weekend nights in a busy ER and was in accelerated nursing classes. During that time, I had only one child left at home (a teenager) and a very supportive husband. I basically had nothing else going on for that 16 months. It took a lot of prayers, tons of help from the nursing staff (they and the docs quizzed me on every pt through the door!), a few tears and almost no sleep but there was a light at the end of the tunnel and my husband is in it for the long haul. Support from family and friends is essential and dedication to your goal is crucial. It's doable but I have no idea what went on in the world from summer of 08 to winter of 09.
  11. becca001

    "Sir or Ma'am" when addressing physicians?

    Okay, I'm going out on a limb here, but the most disturbing thing about the poll was that 30% of the respondants chose Are you kidding? I admit to being old (in some folks opinion ) but really??? Have we really lost the need for a little uncommon courtesy? I'm with the folks that say it depends on the situation. For instance, I won't address anyone as Sir/Ma'am when we are working side by side but will the first time I see that person. Hands down, it is considered professional and respectful and besides, my grandmother would beat me with a stick from her grave if I didn't.
  12. A toothache. A simple toothache. No abscess, young relatively healthy 25yo. Called PCP after ED docs refused to continue to give her narcs and pharmacies in town refused to fill the one script she did have as she was refusing the antibiotic. PCP admitted to Medical floor with dilaudid PCA. I think the PCP had heard from her repeatedly in the past couple of days and was tired of her.
  13. becca001

    Clinical Ladder at a small hospital

    I work in a 100 bed community hospital and we have recently started the clinical ladder program here. I'm not certain what you mean by successful, so far in the year and a half after implementation, we've had only a dozen reach the 3rd level and none the top level. I think we've seen a larger amount of nurses enroll this coming year.
  14. becca001

    Please share your story

    Bottom line is this... you get what you put into it. Whether it's waitressing or nursing, it's all about the attitude. Some folks deal with the job only on the clock, others choose to put more of themselves into whatever field they are in. Either way, always remember to make the best of every moment you get. Life doesn't give out refunds.
  15. becca001

    RN On-call car plates/sign on cars

    laynaER, I'm not sure you're getting my point. Reputation means a lot around my hometown. If I'm accused of gross negligence, my reputation will suffer. My employer may stand behind me and maybe not. Just the accusation is enough to cause most to question the whole case. Proof is something that is only required in a criminal court of law, not civil. And the public will think whatever they want. Actually, you kinda proved my point in your next post. No matter what the union rep said, the public convicted them in the court of public opinion.
  16. becca001

    RN On-call car plates/sign on cars

    Okay, so this may be a bit of a stretch but...in my state, the Good Samaritan Law states you won't be held liable for acts rendered in good faith when outside a compensation setting (ie auto accident) but there is no protection for gross negligence or omissions, etc. So, it could be argued that if a nurse fails to stop and render care and someone recognizes them as they pass by.... a lawyers dream case. Bottom line, I stop at accidents and carry good liability insurance. (small town living means everyone knows everyone else)