TonyaM73 ASN, RN

MED/SURG STROKE UNIT, LTC SUPER., IMU

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All Content by TonyaM73

  1. I have been a RN for about 1 1/2 years now and am starting to look towards going back and getting my BSN. I need something online since I work full time and have children, but also something that is inexpensive. What has been your experience with get...
  2. I work in a long term care facility as the evening supervisor. I just took this position a couple of months ago, but have noticed that we have A LOT of call offs. The DON told me on Tuesday that if the 11-7 nurse calls off then it is the responsiblit...
  3. How is your search and relocation going? We are doing the same thing here, just have not completely decided to make the plung yet.
  4. TonyaM73

    FL to TX move

    My family and I am considering moving to Houston, TX from Jacksonville, FL within the next year due to decreased commercial construction jobs in FL and the fact that my hubby's employer looks like they will disolve the company by June. Does anyone ha...
  5. TonyaM73

    FL to TX move

    I have currently been working on a Med/Surg Tele unit that specializes in stroke to which I have been floor nurse and relief charge nurse, but am thinking of trying for ICU. Either one would be fine to start off with.
  6. TonyaM73

    FL to TX move

    Thank you so much for the input. We have basically zeroed in on the Houston area due to the positive construction environment and the proxemity to the beaches. We don't want to be too close to the shore though because we know what that entailes W...
  7. TonyaM73

    That nagging "Did I miss something?" feeling

    I had this recently myself. A pt I took care of off and on for over 3 weeks. Last shift I had with this pt, they didn't look good, but there was not much that could have been done since they were a DNR and the family did not want anything invasive ...
  8. TonyaM73

    Too many hats

    Thank you for putting it so well. I have always been stumpted by this.
  9. TonyaM73

    Too many hats

    Just to warn you, I had a hard day yesterday. It is impossible to wear as many hats as a med/surg nurse has to wear today. We need to be RN of course, but there is also MD, case manager, aid, secretary and Lord knows what all else in one day. For ...
  10. TonyaM73

    Too many hats

    That would be lovely. I don't think it will happen anytime soon with the job market the way it is.
  11. TonyaM73

    Medi Tech...Who slept with Who? Vent.

    We have Medi tech also and it is such a pain. It took so much time to understand that you have to press enter here, but the next page to do the same thing you have to press control and don't get me started on the function keys.
  12. TonyaM73

    Too many hats

    I have a friend of mine that I work with and we vent together. I really don't know what is to be done. I have gone to my manager about some of it and keep being told to keep a log of events and then email her with it. THERE ARE TOO MANY for me to ...
  13. TonyaM73

    Deathbed visions **UPDATED**

    It is amazing all of the things we know that we don't know. I think God gives us the comfort that we need at a time when we need it the most. If this vision is comforting to her, then that may be all there is to it. Good luck and God Bless to you ...
  14. Speaking of trachs....had a trach pt at a LTC, I used to work for, that needed O2. Came in after shift report and found O2 mask over his nose?!?!?!?!?!?! HUH? Kind of had to let every other nurse on the unit know about that and they seriously didn...
  15. TonyaM73

    Any tips with smells? Please!!!

    I ALWAYS have cough drops in my pocket for just such occations. If you have a menthyl one in your mouth and you are breathing through you mouth, you won't really smell anything else. Anytime one of my PCTs have to clean out a colostomy, they usual...
  16. small nose bleed to which the pt was in the hospital for 3 days with Dilaudid ordered 2mg q3 hrs. ?????????????
  17. I had the same thing. Yes, the clinical instructor told me that "You will never be a good nurse." I was promoted to evening nursing supervisor in my first job and they are talking about charge nurse in my second job. Just try to figure out what it...
  18. TonyaM73

    Is LTC really a kiss of death for new grads?

    Depends on the nurse manager. I had to start off in LTC due to the shortage of new grad jobs after I graduated. I took every opportunity I could to learn and refresh the skills that I didn't use to often. I moved up the latter very quickly to the ...
  19. TonyaM73

    Not a waitress or barista

    I had one that I was discharging the other day at around 11am and the husband actualy asked me, could we get an early lunch tray to go? Really??? I told him that we really do not do that here, but if they want to stay for lunch, please let me knowl.
  20. TonyaM73

    Stubborn Docs, New Docs

    oh boy and how! Usually their response is to belittle the nurse. I give them a blank face and read the order out loud so that everyone in the area can hear it and hope to get some comments on it or hope that by reading the order out loud that the M...
  21. TonyaM73

    I got fired today

    All the time. :) It sounds like it was for the best. It stinks being fired, but it would stink even more to work for someone you had a bad feeling about and they treated you like crud. You have experience, so that is a good thing and you will find...
  22. TonyaM73

    So disgusted with everything

    Oy, sounds like my day on Med/Surg the other day. Not as many as 9 pts at a time though THANK GOD! 3 on the verge of respiratory distress (Full code), 1 Conversion disorder, and 1 who I asked the doc for an order for an U.S. do to edema, swelling a...
  23. TonyaM73

    Only 5 units of insulin per injection site??

    This is crazy. I have given lots and lots of insulin and it absorbs just fine. Everyone has taked about the infection issue and the pain or multiple injections, all of which I was going to say, but no one addressed the fact that we are talking abou...
  24. TonyaM73

    documentation

    I would bring a witness in each and every time I went into that room. I would quote pt's exact words and who you brought in with you. I will never understand the mentality to treat the people that are trying to take care of you like dung. Hellloo...
  25. TonyaM73

    Leaving AMA

    Most of the people that want to sign out AMA for me are either: #1 They feel fine now and we are not moving quick enough for them to figure out what happend or #2 The MD dc'd their dilala and they are not getting their fix anymore, so why stay. Most ...