Been there,done that ASN, RN

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All Content by Been there,done that

  1. Been there,done that

    Case Study: Can You Prevent This Medical Error?

    Yes, of course it is preventable. "the nurse flushed the patient arterial line with insulin instead of heparin. " You can quote all the studies you want, develop all the algorithms you want. The...
  2. Been there,done that

    Forgot to restart my patients fluids

    Failure to restart the fluids would be a VERY big deal if : they were hypovolemic, hypotensive, or in DKA. The rule is... do no harm... not the minimal
  3. Been there,done that

    Support myself PRN?

    Sorry for you husband's illness. Intermittent FMLA sounds like it's working for now. I don't know how many hours you could get doing PRN and home health, or if it would be enough money for you. Could...
  4. Been there,done that

    Forgot to restart my patients fluids

    Yes, I have made a med error, but not that one in 30 years. OP is a newbie and has several posts about med errors. In this case, s/he is not taking responsibility by hoping a fellow nurse will...
  5. Been there,done that

    Advice please

    I have been there done that, years at the same place without having to start my own IV's or draw blood. Then, the powers that be decided to cut the IV team and phlebotomy. I don't think orientation...
  6. Been there,done that

    Forgot to restart my patients fluids

    It's a very big deal, it's a medication error. Not clear as to why you had to unhook the main IV. But all of that will come out when you write yourself
  7. Been there,done that

    Home Health for Sutter

    You don't need to go through a recruiter to get a home health job. Go directly to the employer. The difference is Maxim would get 30 % of your
  8. Been there,done that

    coworkers calling me stupid to and in front of patients

    Their comments are not appropriate in the work place, especially with a patient present. Review your facility's policy .. then write them up with specific verbiage... each and every
  9. Been there,done that

    Are you a "Sister?"

    That term is not professional. Can you imagine doctors referring to other doctors as brothers/ sisters? I think the patients could get confused during hand off at shift change. Introduce me as the...
  10. Been there,done that

    No, you can't do that!

    Does not matter if the facility is for profit or not. Is the patient competent? If not, the family member trying to call the shots.. must have a Durable Medical Power of Attorney. Either way,...
  11. Been there,done that

    Struggling, am I a crappy nurse?

    Most certainly we have had more that one patient die close together. It has nothing to do with our skills. We are not able to outsmart the grim reaper. All we can do is
  12. Been there,done that

    Patient rights an privacy bathroom

    "My manager told me in the future I can't leave the bathroom even if they insist." You have been directed by management. Review the facility policy for
  13. Been there,done that

    "You made a mistake."

  14. Been there,done that

    Keeping an active license

    Only the Arizona BON can answer your questions. Be aware.. that BON is
  15. Been there,done that

    Sexual harrassment or just an old creep?

    Kinda hard to tell if he just wants to talk ... or wants more. There is no way I would hide from him. Use the "I can't talk right now, I have work to do" excuse... until he gets the
  16. Been there,done that

    I need some career advice

    Please see my
  17. Been there,done that

    "You made a mistake."

    That's a classic nursing nightmare. My real nightmare is...they never
  18. Been there,done that

    "You made a mistake."

    Check out the other threads here on AN about nursing nightmares. We have much company! I have been away from the bedside for several years, as well as my BFF. We both conjure up DOOZY nursing...
  19. Been there,done that

    I need some career advice

    Your references will be fine. You were there a year and gave proper notice. Don't be afraid of some vague threat. Have three co-worker references ready to go. Apply to whatever looks good to you... go...
  20. Been there,done that

    Unsure if this is right for me...

    Your job sounds like it deserves a special place in Dante's Inferno. I could not/ would not do it. But you stuck in there for that almighty golden year of experience! You are being flogged like a mule...
  21. Been there,done that

    Medical Assistant vs. RN

    Average nurse salary =70K Average MA salary=32 K. RN's are professionals, MA's are not. It appears that you are focused on the work
  22. Been there,done that

    withholding medications ethical dilemma

    You have excellent observational skills. In this case as a seasoned nurse... I would have further assessed the patient and medicated them appropriately. However, as a CNA in this scenario you are...
  23. Been there,done that

    I don't like my unit, what should I do?

    If you are still on orientation, it is perfectly acceptable to request a new
  24. Been there,done that

    Question about applying for hospital job

    Be careful what you wish for :) A three month gap after achieving your licensure is acceptable. You have been in the same facility for years, it's okay to decide to transition from group home to...
  25. Been there,done that

    Question about applying for hospital job

    You have plenty of skills. What other skills do you thing you would learn in a hospital, and why do you want to work in a