Vespertinas

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All Content by Vespertinas

  1. Vespertinas

    Coreg med and no heart rate parameters?

    I don't understand all these posts where people describe one mistake and then a swift termination. Is the nursing environment really this intolerant or are some people not seeing the bigger picture...
  2. Vespertinas

    I miss...

    It'd help if its function would be spelled out when you hover over the arrow; instead you get a preview of the original
  3. Vespertinas

    Patient asked me what an IV med was for..i didnt know

    Huh?? I thought one inconsiderate and misguided response was an anomaly but there are... many! I'm
  4. Vespertinas

    Unsanitary practice?

    Folks, this is a pediatric clinic. I can't say for sure but I don't imagine there's a lot of c.diff going around so I don't think that would be a strong angle for OP to take when making her case for a...
  5. Vespertinas

    Unsanitary practice?

    It doesn't matter whether alcohol based handrubs kill c.diff or not. If your hands are visibly soiled from anything, you must first rinse them with soap and water per every policy I've read on...
  6. Vespertinas

    Subq Heparin

    Shoot then I guess I'm due for shots every other
  7. Vespertinas

    Doctor Hassles

    I see that a lot. Either the MD advocates for their hire because they get along in the first place or the NP learned the style from the attending. Either way, rock and hard
  8. Vespertinas

    Patient ratios progressive care units

    Just read our actual policy which states that max RN:pt ratio for any IMC patient is 1:3. So if you even have one IMC patient, you can only have 2 more patients whether they are IMC status or
  9. Vespertinas

    Precepting a floor nurse

    Crazy&cute, your story of no orientation (with no materials) and OP's story of no preceptor training workshop makes me realize (again) how spoiled I've been! One suggestion I'd make, OP, is to ask...
  10. Vespertinas

    Gero NP dreams vs. experience

    I'm going to school to be a gero NP. I envision that one day I'll be working in a LTCF or perhaps rehab. My concern is that I imagine I'll never actually work as an RN on the floor of either of those...
  11. Vespertinas

    Gero NP dreams vs. experience

    I suppose I could work part-time since I am not contracted anywhere anyway. I'll definitely be that "substitute teacher" though haha. But that is a good idea. traumaRUs, I can only say that I have...
  12. I love getting report when the RN tells me about how unmanageable a particular patient is because then I make sure that they're not going to ruin my day and it feels like an accomplishment when I've...
  13. Vespertinas

    Its really NOT a fate worse then death

    Also, two of my grandparents were kind of in and out of the same nursing home and rehab. My mom and I were floored with the reception and treatment we/they'd get every time. I mean, it felt genuinely...
  14. Vespertinas

    Its really NOT a fate worse then death

    So glad to hear love for the LTC population! I haven't worked in that setting as a nurse yet but I can't
  15. Vespertinas

    What shift does the 7am med pass?

    I thought OP was being facetious. But I suppose that's the predicament you face with meds scheduled at change of shift! How
  16. Vespertinas

    IV Magnesium Sulfate in office???

    When you say patient safety do you mean... support in case something goes wrong? Or equipment you need to monitor a patient? If you're worried about something going wrong... well, I think we've...
  17. Vespertinas

    Coma Dreams

    I had to share this... A patient who was previously very ill but is now on the progressive care unit told me this story. He was in a coma for 51 days. He had a dream where he was standing on a hill...
  18. We sometimes have a "floating" sitter who goes around and relieves other sitters for lunch. But that's on a good
  19. Vespertinas

    IV Magnesium Sulfate in office???

    You wouldn't need baseline labs because it would take a lot to start experiencing symptoms of overdose. Each gram IV is supposed to increase serum levels what, ~0.25mg? That's really nothing that...
  20. Vespertinas

    Any other nurses have a baby voice?

    I'm glad you posted this because a floor I frequently work on has a consulting doctor with a baby voice but we all have decided it's awfully annoying without considering that she can't help it or she...
  21. Vespertinas

    Treating fever with acetaminophen

    I mean despite a clear parameter that states for fever >xx degrees. ...I know But I still want thoughts on the physiology behind
  22. Vespertinas

    Harlem Shake - Nursing Style!

    Wait a min, wait a min. This was all something I'd love to do myself. But you must be aware that not everyone in management will necessarily have such a lax attitude. If you think you do, I'd suggest...
  23. Vespertinas

    Harlem Shake - Nursing Style!

    Waste/pilfering of materials, inappropriate use of medical equipment (you know, it's really not a good idea to even pretend like you're going to shock somebody... I don't think policemen take kindly...
  24. Vespertinas

    Roux En Y

    Now that I'm a float RN, I like to educate myself about procedures/labs/whatsits that I'm not familiar with. This one really has made my week. Roux-en-Y... now that is some Frankenstein business! I...
  25. Yeah girl! Stay mobile! If you're willing/able to relocate, it could be best thing that might happen for you. Maybe you'll get hired by a podunk hospital in the middle of nowhere but I bet you'd learn...