JustEnuff2BDangerous

JustEnuff2BDangerous BSN, RN

Med-Surg/Oncology

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All Content by JustEnuff2BDangerous

  1. Nursing Superstitions?

    What are your nursing superstitions? Here are a few of mine... - I become paranoid if, during report, someone explicitly states a pt is a "full code" (we don't normally note code status unless a pt is...
  2. patient death from PE

    While I was still in preceptorship on my floor, we had a man who was being discharged, all papers signed, IV had been taken out, street clothes on, stood up to get into the wheelchair to be taken out...
  3. Not a waitress or barista

    I don't mind fulfilling simple, politely-worded-and-toned requests. Start treating me like I'm paid to take your order (and receive tips while doing it), or start acting like you automatically expect...
  4. Is med/surg really that bad?

    You can make a huge mistake anywhere, not just med-surg. The good news is, there are not a whole lot of mistakes you will make that can't be reversed or mitigated - there's not a whole lot of mistakes...
  5. What is important for opening note?

    My "opening note" only consists of "Received report from ______, RN." But if your preceptor wants you to paint a brief picture of the patient, I'd stick with objective things. "Patient awake, alert,...
  6. All Med-Surg patients require an IV site

    We require all patients on telemetry to have IV access, saline locked or otherwise. Most of our other patients do have IV access, but if the patient is stable, has no IV medications on their...
  7. Shower with IV

    Only issues here with showering are the IV site getting wet and the potential for the patient to fall (you could be in a world of hurt if the patient on heparin falls and hits their head!). As long as...
  8. New Grad RN First Job OR or Med/Surg Oncology

    Never worked in an OR but I've worked on a Med-Surg/Oncology unit for as long as I've been a nurse (a measly 2 years ), and I feel I have learned more in these 2 years than some of my peers (who went...
  9. for the love of money...

    Eventually, going into ANY profession (especially one as physically, mentally, and emotionally demanding as nursing) solely or mostly for money will only cause you to burnout. There have been many...
  10. Choking Patient

    There's absolutely no reason why you can't perform Heimlich on a patient who is choking, after all at that point it's all about clearing the airway so a choking situation doesn't turn into a code...
  11. Oncology Drug shortage

    I had a 5-day regimen of inpatient IV chemotherapy delayed by a day because there is apparently a shortage of Taxol as well (patient's Day 1 was Taxol only; Days 2-5 were Ifex and Cisplatin). So it's...
  12. My hospital is breaking the law...

    I typically have 12 patients assigned to me, and an LPN (to give meds to the 12 patients) and sometimes a CNA (to do patient care on the 12 patients). Not only do I trust my LPN -and- my CNA to...
  13. These are probably just surly people who need something to be surly about - its nothing against you personally. :) I am always thankful for my sitters, especially if them being there means that my...
  14. Nursing scrubs are darn expensive

    I complain about this too, but (much to my annoyance), someone in the non-medical field always has some version of a comparison to "regular" work clothes and it really comes out to be about the same...
  15. Does anyone like their job?

    One of the first posts I ever read here, I remember a quote from it, as plain as day: "Do I love my job? What day is it?" I love nursing. Some days I love my specific job on my specific floor, and...
  16. Staffing Sucks

    Its been a very trying two weeks at work. For some backstory: I work on a 36-bed medical-surgical/oncology floor that dabbles in a little bit of everything (telemetry and such). We do team nursing....
  17. Staffing Sucks

  18. Question about flushing lines

    It depends, really, on how long the IV has just been sitting there with nothing running through it. Most hospitals have a "flush IVs not in use every ____ hours" but nobody really abides by it. If the...
  19. Anyone else feel like they don't know anything?

    That's why we have Google.
  20. Want to be a Med-Surg Nurse

    I don't think you can sit for a med-surg certification exam (like the ANCC - if that is what you mean) without having worked so many hours on a medical-surgical floor over the past year or two. I...
  21. Position difference between RN vs. BSN

    Some hospitals/organizations will only hire BSN RNs for positions, especially if it is a "leadership" role (charge nurse, supervisor, etc). It could be argued that BSN RNs have more upward mobility...
  22. Small talk with patients, what to say?

    As a nurse, my small talk has a dual purpose... It helps me bond with my patients, and it also helps me uncover any underlying issues/frustrations/ailments that I might not have known about. If I ask...
  23. Just let me go!

    Nurses have a unique perspective on end of life matters because we get the full picture, thanks to our access to information about the patient that the family may or may not have and we have the...
  24. If you could create the visitors policy....

    - Visitors shall abide by the usage of the call light ONLY for summoning nursing staff; visitors shall not come out of the room and interrupt an occupied nurse for the purpose of fulfilling needs for...
  25. Social Interacting, work and becoming an RN

    I'm also an introvert, and do not feel that it has hindered me at all in my profession; in fact I think being a nurse has actually helped me be more outgoing and "openly" friendly, because you deal...