sunnycalifRN

sunnycalifRN

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All Content by sunnycalifRN

  1. Kaiser job fair in San Jose

    I applied to Kaiser back in the day (2005), when everyone was hiring. I was already in orientation at my current job, when I finally heard from them (5 weeks
  2. I work in the Bay area, too, but not in a surgi-center. However, as I'm sure you know, Kaiser pays very well. If you have any contacts who work in outpatient surgery at Kaiser, that would give you a...
  3. Can you live a luxury lifestyle as a nurse?

    Live a luxury lifestyle as an RN? Haha! No way, Ray! Of course, if you marry well, that's another story . .
  4. do you care about your patients?

    I always treat my patients as I would like to be treated should I ever be a patient (so far, never been hospitalized!!!) If that's "caring" about them, then, yes, I guess I do. But, I always try to...
  5. Measurements: NGT vs. OG tubes

    I just measure from mouth to earlobe to
  6. Within the scope of practice

    Good advice! When you decannulate a patient (remove the trach), you must be fully prepared to replace it should the need arise. Keep several cuffed and uncuffed trachs in an array of sizes at the...
  7. Dating someone from within ???

    LOL!! Yes, good advice. That being said, sure there are all types of hospital romances (RN-RN,RN-MD, MD-MD, etc.) and if they don't work, it's probably uncomfortable to have to work together. The...
  8. has anyone ever made the switch to MD?

    Nope, they don't even require a bachelors degree in a science. I was a history major and I got in with my BA in History. They definitely do not require a masters
  9. has anyone ever made the switch to MD?

    I went to med school in an earlier life but decided it wasn't for me. Worked high tech for 20 years and now I'm in
  10. I need help...keep forgetting to waste narcs

    As all the posters have said, it's not a memory issue. You have to just change your practice . . . do the waste before you even give the narc. Your co-workers and even your NM may say it's okay, but...
  11. Just sign for it

    Ditto!! Your DON is trying to get all of you to falsify records to trying to paper over a systemic problem. Continue to chart missing
  12. Blood pressure drop while giving albumin bolus

    I've got no idea. Seems counterintuitive. The BP usually goes up slightly which is probably your
  13. Who's to blame?

    Not being familiar with your hospital, it's hard to give feedback. But, how can day or night shift be taking care of the patient if you don't have orders? TPN was started, where are the orders?...
  14. Who's to blame?

    TangoLima, Sorry, I misread your post, it's like a book! You really did inherit a mess! I think the day shift nurse screwed up initially by initiating post op care without orders. But, when you...
  15. Who's to blame?

    Sounds like you had a busy couple of nights. A few thoughts for you. When a patient returns from surgery, the patients needs new orders. If I read correctly, you had no orders, so you can't really...
  16. Right on!! (to use a 60's phrase) When those clowns show up, our policy is that patient care comes first . . . if they absolutely want to talk to a particular nurse, our resource nurse takes over...
  17. Are the new nurses to blame

    i agree! i've seen a few of the types you mention come through our unit, too. they stay 6 months after orientation and then they've jumped to a better paying position elsewhere; the hospital...
  18. What hours do you work?

    I work in ICU. in a two week pay period, I work six 12's (7:30-20:00) and one 8 (7:30-16:00). I don't have a set work schedule, each pay period is
  19. How many of you hate your job?

    You only want to hear from BSN nurses? I'm an ADN nurse and I like my job. As others have said, it's hard work "tending
  20. Potassium IV solutions

    I'm not sure why you had to fill out an incident report. A K of 2.6 is really low. The IV fluid with 40 mEq total is in the entire bag, which probably will run over many hours. You needed to give...
  21. MICU Nurses, input please

    I work in a medical/surgical ICU, but I'll just mention the types of medical patients. Lots of sepsis, respiratory failure, DKA, pneumonia, chronic kidney disease, liver failure, EtOH withdrawal,...
  22. Time to call a duck a duck?

    Eric, great post!! I agree with most of your points, though my main reaction is, "who cares?". I don't have "RN" on my license plate and my identity is not defined by being a nurse . . . maybe...
  23. ICU Ratios in the US

    Yes, 1:2 in our unit is standard. 2 stable vent patients is quite doable. As much as possible, the 2 patients are in adjacent rooms so you can see both from one vantage point. And, usually, one...
  24. communicating w/ pts on ventilators

    I never thought of that . . . even better would be to use an iPad!! It's bigger and easier to see the keys!! Some of our docs have iPads, but I don't think they'd let the patients use
  25. So, I'm leaving my unit of 2 1/2 years

    Congratulations for sticking it out for so long, in such a crappy work environment! I wouldn't waste any time thinking about your management and how they suck. Just "smile and wave" as you go on to...