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Med Surg; Emergency Room; Long Term Car
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dayspringacres specializes in Med Surg; Emergency Room; Long Term Car.

House Supervisor of small rural hospital

dayspringacres's Latest Activity

  1. dayspringacres

    Is it true all nurses get MRSA or C-DIFF?

    Not true at all. I had a new hip installed last year, was tested for MRSA, and came back negative. Yes, we have chances every day to catch something, and i HAVE caught Norovirus, first time while thong prep classes for nursing school. Never touch your face unless you've just washed your hands and haven't touched ANYTHING, even at the nurses station. Scrupulous hand hygiene going into and out of rooms. Drink lots of fluids while at work. Don't eat out of community bags or bowls. Pour them out and insist every one else do the same, say you are concerned for their health, too. Computers harbour germs, so wipe down before your shift. Change clothes when you get home.
  2. dayspringacres

    Banning Crocs due to Static Electricity

    Okay. My small rural hospital is considering banning Crocs and similar shoes. The first concern I agree with is because of the open holes. the second concern is the Static Electricity causing Ventilator malfunctions. In my research I have noticed the following: 1. the only hospital this has been an issue with -- as far as I can determine -- is the single Swedish hospital. 2. How many ICU and CCU nurses in the States have been wearing Croc-type shoes, and how many ventilator malfunctions have there been? 3. I don't see any evidence based practice at this time, but would love to see real research and evidence. 4. How sensitive ARE ventilators to static electricity, anyway? since this is such an important safety item, wouldn't they come prepared to deal with the incoming shocks? Static electricity is going to happen no matter what is worn, so I cannot believe that the manufacturers did not take this into consideration. I am okay with banning Crocs from the hospital, because the dress code has always required closed shoes. But let's do it for the right reasons. Lets do it because of proper research. Let's do it because we are Nurses who prefer Evidence Based Practices. Thank you\ Dulcinurse
  3. MY earwax story didn't turn out so well. I had a young adult male come in with his SigOther, saying no ear pain, just couldn't hear very well. I suspected perforated eardrum, so I didn't poke around there looking, I waited for the MD to show up. Which he did about an hour later, diagnosed ear wax, and prescribed the waterpic therapy. So, I duly got him set up for the waterpic torture with the chux to catch the overflow, and the emesis basin to catch what wasn't supposed to hit the chux. Filled the container with peroxide saline mix, turned it on, and -- NOTHING! The stupid machine was broken. :imbar Okay, no problem. I pull out a syringe, attach a flexible tubing and shoot the solution into his hear several times, with no results. I sent him on his way, telling him to see his doctor. Well, he says, that is why he's here! He had used the Debrox solution for four days, and he followed the directions on the box which says to see your doctor if no results after four days of treatment! So this naturally meant an ER visit at 2300, right? Oh, he was SO ****** off that he couldn't get the proper treatment. I went to the local coffee shop that weekend, when what to my wondering eyes should appear but this very same young man! The barista went on about how he hadn't gotten proper care at my hospital, how he was mistreated and how the equipment was faulty, and he should have been better treated. All I could do, thanx to HIPPA, was to smile wanly and drink my coffee. And, because she knows I work there, I did tell her that it really upsets me when my customer can't get satisfaction. {Isn't there a song about that?}
  4. I just discharged a female abdominal pain. her SigOther was also ina ttendance. He told me as I was giving her the Dilaudid/Phenergan/Toradol injections that he had just run out of his pain pills a couple of hours before, and he was probably going to come in himself in another couple of hours. I was shocked, and I asked him why? Guess what he said? You got it: "I can't afford the insurance to visit a doctor." Dumbfounded, I asked him "and you can afford to come to the ER?" Well, dumb me, of course he can afford it, because I am paying for this visit!!!! What is a girl to do?
  5. dayspringacres

    Emergency Room Nurses!!!! HELP!

    I know these answers are too late for your paper, but i still want to answer them. I work in a three bed ER in a small rural facility. I work nights. Most of the time I am alone. Keep this in mind when you read my answers. The most exciting aspect of being an ER nurse is fixing people. People who come in scared to death that they are going to die, and I can fix their pain. Or, how about that one question that I ask of the patient that nails the definative diagnosis of appendicitis? Or the time I predicted Atelectasis before the patient went into the Radiology and had the chart ready to go and the team ready to be called? The Provider is the one deciding when a pt is treated and streeted, or admitted to the floor. I can just about predict those admissions based on my knowlege of the disease process, of my working diagnosis, of my providers. Usually, if they cannot be "fixed" in the ER they are admitted, or they become a "drip and ship" I have frequently been in situations where I wasn't sure what to do. That is the "Oh SH**" moment. So, I say Oh Sh** and then find something to keep moving. Airway. Breathing. Circulation. Vital Signs. By the time I get to that point, I have decided whether it is a crisis or not, and who to call. I pull nurses and aides off the floor to assist me until the code team arrives. The nice thing about ACLS protocol, is it is designed for the single person resuscitator -- for me. It gives me the "recipe" to take me through the blankness of the Oh Sh... moment by concentrating on the ABCs ER nursing is a focused assessment. A patient comes in with difficulty breathing, I will ask questions primarily of the respiratory function. I will later touch on the other systems, but will focus on the problem area. Sometimes, someone will come in with general complaints, say of my belly hurting. I will ask them to point with one finger where it hurts. I went to college to become a nurse. I didn't know what I wanted to be when I grew up until I was 40 years old. My husband chose it for me, and I found out that I REALLY love it. Why emergency room nursing? I have to say it chose me, I didn't choose it. Again, I work a very small facility, and I have had to learn every aspect of this place, including OB, OR (for crash C-Sections), ER. I love being jack of all trades, master of most. Other fields of nursing I've though about were as follows: 1. Operating Room -- but the culture is not one I can live with. 2. Long Term Care -- I've done that and I'm just not suited to that, although I am very good at it. 3. Large Facility -- I would have to specialize in one area, and I just don't want to be that limited! My specialty is Rural Nursing, and Night Shift. The kind of person to be a nurse has to be a self motivator, especially in the ER. Intelligent, but not too smart for her own good; Has to be teachable at all times. Has to be able to assist the provider in making the "correct" orders for the patient (this is part of the assessment as well, you know) The most rewarding part of being a nurse is when I am able to save someone's life. When I predict a lung collapse and have the people ready to rock and roll when the doctor makes that diagnosis. When I call Respiratory Therapist in to help with a distressed newborn, and the infant is all better by the time the RT gets there, because I did my job, and did it well and quick. When the blue baby is shipped out in time for a good outcome. Also, when I can help family cope with the impending death of their father, or make sure the wife is treated humanely until the time of her death. The most difficult part of being an ER nurse is never knowing what will come through that door. Or when the parents of the croupy child who is not in distress complain about the poor care they rec'd as they were asked to sit in the lobby because all of the ER beds are full with bloody mess, with cardiacs, with dying infant I'm trying to save, and they can see all this going on and left AMA. My least favourite part of nursing is dying. Whether the death of an older end-stage COPD, or the stillbirth of an infant, it is never easy. My first witnessed death was while I was a CNA years before I became a nurse, so I had had experience with death and with providing the patient dignity during the dying phase. I have nightmares. But I still work in the ER, and I will continue to do so. I am a Registered Nurse.
  6. dayspringacres

    Advice for a student nurse going on a rural placement

    Rural nursing is a specialty in and of itself. I work at a hospital that has a three bed emergency room, and a medsurge panick level of about 12. You get to know your patients on a much more personal level than in a larger facility. You get to know their families, their customs, their quirks. They get to know you, too. You will become jack of all trades, and have to master most of them. As a rural nurse, I work the ER, I supervise medsurg where we care for all age groups, all levels of illnesses from respiratory, to neurologic, to gastric, to muscularskeletal, to post surgical (or pre-surg), as well as obstetrics. We also have several social admits where the patient has no where else to go but here. And we provide very good care to them all. Patients have been known to pass up the large facilities to come to our small rural hosptial where they know they will obtain personalized care.
  7. dayspringacres

    What is the Craziest Nursing Story You Have?

    1. In the ER, the aide offered to show me her patient's vagina. I wasn't sure what was going on until she took me into the room opened the paper sack with that MAN's vagina -- along with several other erotic toys removed from, on, and out of this man's person -- after the battery power was turned off, of course. 2. A fellow nursing student -- Very large, very dark, very big voice, very male -- during rotation in labor and delivery. He related a discussion regarding nursing of the newborn infant. He was trying to reassure the new mom that she was indeed going to be able to nurse Baby, since her nipples were "very good." If he hadn't been so dark skinned, he would have been blushing. I blushed for him.