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jessiern

jessiern BSN, RN

Med-Surg
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jessiern is a BSN, RN and specializes in Med-Surg.

jessiern's Latest Activity

  1. jessiern

    What do you start IVs with in your OB unit?

    When I had my little one, the MD required a 18g-hospital required at least a 20g. Hurt like $^%^&$, and it took 4 sticks to get it (I have GREAT veins). Carried bruises around for 4 weeks, but if something had happened I'd been glad it was in.
  2. jessiern

    rough night

    Yep, sometimes we forget how dangerous this job can be. Been assualted by patients in the past myself. Sorry you had such a terrible night, and hopefully he'll be transfered or discharged by your next shift :)
  3. jessiern

    I don't feel like i did the right thing...

    I'm currently on maternity leave, but in the last week I worked, I had to transfer two critical patients to the ICU with fluid overload. One I had the whole shift, about 3 hours, and the the other from ER about 30 minutes before. I felt like crap, and had a lot the same "bad nurse" concerns you mention. I agonized over what I did wrong. An older, abrasive nurse (that I LOVE) was supervisor both days, and I asked her what I did wrong. She told me sometimes patients go bad on good nurses. The difference in a good nurse and a bad nurse is that a good nurse sees the signs and intervenes when needed. Intubating a patient is not a pretty thing, and if I were the patient I would want the docs and nurses to be sure I darn well need on before doing it.
  4. jessiern

    Would you marry a doctor?

    Attention: Feeding of the trolls is prohibited
  5. jessiern

    When to call the Doctor regarding a fall?

    I would always call the MD. Serious injuries may not be evident from a head to toe assessment, and patients may deny pain when it is present (had a little old lady with her head gapped open deny pain b/c she "is a silly old lady and doesn't want to be a bother" - also denied hitting her head during the fall). If the patient's health declines r/t the fall, and you did not notify the MD you arse will be on the line.
  6. I have on many occasions kindly reminded patients that I am human deserving of basic courtesy, such as please and thank you. I find when you educate an adult on use of proper manners, they are usually (not always) embarassed.
  7. To the patient with a BP f 90/45. No, you can not have your pain meds-your doctor said so. And, futhermore, if you can jog up and down the hall to "up your pressure" then I really have a difficult time beleving that your suffer from 15/10 hip and knee pain.
  8. At least where I work that is true. PT and PTAs are in high demand right now. There is a true shortage (not like the overly-hyped nursing shortage)
  9. PTA's (PT assistants) only have to obtain an associates degree, like RN's. They make more money, have better hours, better working conditions, and the demand for PTAs is through the roof. I'm stronly considering it. BTW, you have to take your patients to PT? Our therapist come to get the patients. Maybe that's why that are so carefree
  10. I could echo what the others listed above, but I want. I will simply add my situation, which is probably not common. I have a stressful, difficult and demanding job. I come home many nights in tears. I am belittled by patients and MD's, and pulled to my limits by all the demands placed on me. I have worked one hospital, and one floor since graduation. I love my co-workers, and our supervisors are God sends. I am burnt out from dealing with drugseekers, over demanding families, mental patient for which we can't find placement, God complex MD's, ect, ect, ect. But I can handle it. I go into work knowing that I work with a group of woman that have my back, just like I have theirs. I know if I get in a situation I can't handle, my girls are right there with me. The experienced nurses are always willing to lend me a hand, or advice. If I can't get an IV (getting a little rarer theses days), one of my co-workers will. And no one makes me feel inferior because I am still learning. I have been on these forum enough to realize that is not true every where. No matter how tired of the frequent fliers I am, I know what I am getting when I go to work. I know I can handle it. If I go elsewhere, I don't have the assurance and that scares the hell out of me. I am comfortable where I am, and I'm scared to go elsewhere.
  11. jessiern

    Where did you learn all of the acronyms??

    Yep..I sent out Christmas cards with "We wish you a Merry Christmas c (line over it) lots of joy" and countless thank you cards with similiar mistakes. I don't even realize I do it until someone asks what they mean. I also sign Jessie, RN instead of my full name so often my bank had me come in and resign their signature they keep on file to compare to checks. As for the OP, you spend a lot of your first few months says "what does that mean?" and you learn by asking. Sooner or later you realize the new nurses are asking you.
  12. jessiern

    'Ignored' patient sues Las Vegas hospitals

    No matter what the situation, my heart cries for the couple. I hope God will grant them peace. I can't imagine the pain involved with losing a child, even one that may would consider "only a fetus". If the mother was aware of the pregnancy, and informed the staff a 6 hour wait for a pregnant mother with abd pain is unacceptable IMO.
  13. jessiern

    can family give pt unprescribed meds

    That was my first thought as well. Either the patient is being given more than the prescribed amount, or someone in the family is taking the meds. Either why, the MD should know so they can determine which is the reason and address is. If the patient has been on these meds for an long period, the dosage may need adjusting to met his needs.
  14. jessiern

    Where did YOU sleep last night?

    Our town flooded last week, and numerous nurses had to stay at the hospital because they couldn't get home. I have slept on a treatment table in PT during a hurricane though. Not recommended.
  15. jessiern

    Your CALL LIGHT privileges have been revoked!!!

    And before anyone points it out, yes - I know it was a stupid and equally juvenile action I took. He could have easily faked a fall and sued claiming he had no way to call for help. I tend to be a little hot headed, and act before I think at times, especially with people that are trying to make themselves as difficult to deal with as possible.
  16. jessiern

    Your CALL LIGHT privileges have been revoked!!!

    I actually did once take the call bell away from a patient. We had an A&O 40-ish year old PIA admitted with elbow pain (yes, that's right). I had him his third day at our faculty (uh-huh-third), after he had made quite a name from himself with the nurses. Was rude, condescending and on the call light every 15 minutes. While in the next room on first morning rounds, and helping LOL to BR, he sent his wife to her room (OMG) to inform me his water pitcher needed refilling, and I informed her I would do so when I made it to his room (I went there next). On entering room they were having a loud conversation about lazy, stupid nurses. After introducing myself, he pointed to his call light and proceeded to inform me that him and "his little buddy was gonna give me hell today" and he didn't tolerate "lazy ass nurses". So, I said "oh, really?" as I unplugged the light and walked out with it in my hands. I went to the nurses station, were his MD and our DON happened to be sitting and told them about the conversation. D/C orders were written, and the DON discharged the patient. But, for a disoriented patient? Never. I have a soft spot for demented patients, as I lived for a period with my grandfather after he suffered a stroke that affected his short term memory. If they are truly that demented, I try to get a family member to come in, or move them to the nurses station. Luckily, our nurses work together with patients like that too.