Been there,done that ASN, RN

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All Content by Been there,done that

  1. Been there,done that

    Sending People to the Hospital

    Been there,done that replied to addylpn's topic in LPN, LVN Corner

    Privately owned being the problem here. Hopefully, you have a policy that covers this. It should include a doctor's order to do so. Document, document, document ... and make yourself a copy. If the...
  2. Been there,done that

    Oh oh! Not again...

    Been there,done that replied to Brian's topic in Nursing Humor

    Managed to staunch the flow from the bag before I was completely covered. More concerned about the hassle of getting another unit ,as I had to walk half a mile to the blood bank and sign my name 84...
  3. Been there,done that

    Med Surg Then and Now

    Been there,done that replied to Lev's topic in Medical-Surgical

    "confused sitter patients" Dang I hate that when the sitter is confused :) As you noted, patients require more nursing care . The medical necessity requirements for reimbursement is jacked higher...
  4. Been there,done that

    Need some guidance

    Been there,done that replied to Lola RN's topic in First Year After Licensure

    Sounds like your main problem is the other nurse. We ALL needed support and mentoring in the beginning. I couldn't nurse my way out of a wet paper bag for the first two years. Why do you feel the...
  5. Been there,done that

    Father of a nursing student needs advice

    Been there,done that replied to Keane68's topic in General Nursing

    Your parental support and concern is something many of us never experienced. My father paid for my education, I succeeded. I quickly realized .. nursing sucks. My poppa said... "you're not liking...
  6. Been there,done that

    Narc count

    Been there,done that replied to dubspot's topic in Patient Medications

    It surely depends on your facility's policy. Who called you regarding a possible write-up? Why is the focus on this , instead of the real problem.... the chronically late
  7. Been there,done that

    Non-acute nursing jobs. Suggestions?

    Been there,done that replied to beachlifeRN's topic in Nursing Career

    "i defiantly know i don't want hospital/acute care/LTC/Hospice" Was defiantly a Freudian slip ? Have you studied the job boards? They can give you some insight as to what is available. Public...
  8. Been there,done that

    Preceptor

    Been there,done that replied to Sabr's topic in General Nursing

    Nix the coffee.It's ingratiating. Many facilities have a pharmacy policy that adds 3 cc's of Lidocaine to each IVPB. It's the only way to prevent pain during KCL
  9. Been there,done that

    Got a job...then quit the job.....

    Been there,done that replied to RN that never was's topic in Nursing Career

    Please .. lose the " nursing is a calling" point of view. Nursing is a business. You hold a valuable degree. YOU must make it marketable. Network, network, network. Speak to your school counselors...
  10. Been there,done that

    MA v.s LPN on job availability alone

    Been there,done that replied to Thujone's topic in LPN, LVN Corner

    I am agog that there is an associate degree in MA. I hold an associate degree in science that prepared me for the RN exam. An associate degree requires a LOT of work/ credits. Why cant you apply to...
  11. Been there,done that

    Sitter breaks

    Been there,done that replied to permanentnights's topic in Patient, Colleague Relations

    It appears the charge nurse has lost control.No way should the sitter combine break time into an hour. Mayhaps the inmates are running the asylum? As charge, when I made out the assignment, I also...
  12. Been there,done that

    I'm going to a Job Fair. Thoughts??

    Been there,done that replied to sMoLsNurse's topic in Job Search, Interview, Resume

    May as well go for it, it's networking. I never found job fairs to be effective. However, if you click with the right nurse manager... it could open a door for you. Good luck, let us know how it...
  13. Been there,done that

    I feel like an illegitimate nurse

    Been there,done that replied to Laura Polifka's topic in General Nursing

    Hope that's not your real life name, if so please change it . You ARE using nursing skills. The ones that really matter. Assessment, disease management , organization and prioritization. Trachs,...
  14. Been there,done that

    Med Error.

    Been there,done that replied to choksantos's topic in Patient Medications

    "should've recognized that he was using a wrong parameter". Please clarify... do you mean the pharmacist? If so the pharmacist made the
  15. Been there,done that

    Stick a fork in me, I'm done

    Been there,done that replied to nursej22's topic in Patient, Colleague Relations

    I can feel the euphoria from here! Good luck in your new
  16. Been there,done that

    Questions about CHF

    Been there,done that replied to Chabu213's topic in Nursing Student Assistance

    The development of peripheral edema , in a person who has stopped receiving diuretics, would not be uncommon. The diagnosis of CHF would not be considered with that singular symptom.Heart failure...
  17. Been there,done that

    Co-workers begging for donated PTO

    Been there,done that replied to Emergent's topic in Patient, Colleague Relations

    That is quite a different scenario. Is she ill.. or manipulating for vacation
  18. Been there,done that

    Co-workers begging for donated PTO

    Been there,done that replied to Emergent's topic in Patient, Colleague Relations

    Perhaps "she is always calling in" because of "legitimate health problems". Hard to accumulate CTO, if you you need to use it right away. It sounds like she is treading water due to her illness.....
  19. Been there,done that

    Why do they always start with IV fluids?

    Been there,done that replied to rosemary_petals's topic in Nursing Student Assistance

    Getting to the cellular level response to the medication being administered..
  20. Been there,done that

    Why do they always start with IV fluids?

    Been there,done that replied to rosemary_petals's topic in Nursing Student Assistance

    Too old for extra credit. I do , however remember questioning administering drips with seemingly opposing actions regarding the patients treatment. Dopamine is titrated to different responses in the...
  21. Been there,done that

    Why do they always start with IV fluids?

    Been there,done that replied to rosemary_petals's topic in Nursing Student Assistance

    I do not have pediatric experience. However, your question reminded me that the little ones are 70% H20... adults 60 %. Therefore much more susceptible to dehydration. As they are much more...
  22. Been there,done that

    I made a med error

    Been there,done that replied to sno963's topic in Patient Medications

    Just curious. Does your policy have any time frame to notify the on call doctor ? Could it have waited until morning? Especially when it is the same med, just a different form and the patient was...
  23. Been there,done that

    Advice needed

    Been there,done that replied to EMEddie's topic in CCU, Coronary, Cardiac

    Congrats on you internship, awesome opportunity. I am thinking your instructor may be referring to your demeanor in class. Do you maybe come across as too soft-spoken? Definitely ask him what...
  24. Been there,done that

    Imagine my Dismay.....

    Been there,done that replied to mindlor's topic in General Nursing

    Do you have any recourse when you unit is staffed well below your matrix? Who was the "they" that pulled the tech ..and was your manager aware? I would always write an unsafe staffing report when...
  25. Been there,done that

    Which job would you choose?

    Been there,done that replied to LisaLPN7's topic in LPN, LVN Corner

    It's unacceptable to not inform you of the shift you will be working, Feds or no Feds. Forget any info from HR. Have you asked the NM since your offer? I would think about completing orientation...