imintrouble BSN, RN

LTC Rehab Med/Surg

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All Content by imintrouble

  1. imintrouble

    Are they still giving out incentives for nurses?

    The good ole days. When all you had to do was say "I'll work" and you were
  2. I decided to watch instead of post. Might get
  3. imintrouble

    Are they still giving out incentives for nurses?

    The only places offering incentives are the ones so bad, they have to "buy" a nurse to work there. Beware of a facility offering sign on bonuses. Especially in a time when there are so many nurses...
  4. We either find placement directly from the ER, or admit them to the floor until placement can be found. It's inadequate care all the way around. We're not psych nurses, and we have no psychiatric...
  5. imintrouble

    Visitor filming during code

    I don't like family watching while we code, but it's allowed where I work. The same rationale is used. Better opinions of staff, from family of the patient. The hospital thinks if family sees how hard...
  6. I worked in a vent dependent LTC. The RTs would be furious at me when an alarm would be sounding, and I didn't run to check on it. "I didn't hear it" would be met with skepticism, but I honestly...
  7. imintrouble

    discovered and reported falsification of VS

    I've worked with the same CNAs for years. I trust the VS they chart. Having said that, I recheck B/Ps whenever I give a med that will significantly lower that B/P. Expecially when what is recorded...
  8. imintrouble

    panic attacks at work

    I'm sorry you're having panic attacks. You've received some good advice. I can't add anything better. I'd just like to let you know you're not alone. I avoid medical intervention of all kinds....
  9. I have one word for you. Sundowners. It's impossible to be lazy at night where I
  10. imintrouble

    Good Excuses for Missing Work

    This might not fit the cartoon, but it made me think of it. Many, many yrs ago, I found the family pet who had been missing for a day. He was dead, and I was devastated. I knew my husband couldn't...
  11. imintrouble

    The Childish "I Wuv You" Act

  12. imintrouble

    Nurses who hate patients - advice

    How can you be a nurse and not start to dislike the people you care for? Hate is much too strong a word though. Somebody explain to me how that's possible. Not all of them, but a good portion of my...
  13. There are a thousand different ways for a human being to end their own suffering. Most of them can be accomplished without the assistance of another person. I disagree with the idea that society has...
  14. imintrouble

    job offer--can I ask this?

    I've done what you describe, and it's never caused the job offer to be rescinded. Asking for an agreement in writing? I'm not so sure about that. It would definitely take care of any questions that...
  15. Oops....not nurse rounding. Don't I feel
  16. We do hourly rounding. The requests by pts during those rounds are generally not r/t their illness. Usually warm blanket, more water, help me turn, pick up my remote, cover me up, the room's too cold,...
  17. imintrouble

    Fired for med error

    I self report for myself. Not for the pt. Not for the facility. I'd find it hard to live with anything less. My sister tells me I'm crazy stupid. If my facility fired for med errors, I might have to...
  18. I didn't have a calling. I wasn't inspired by nurses who had a calling. I chose nursing after weighing pros and cons. Very cold blooded and practical. That's how I try to make most major decisions....
  19. imintrouble

    Tired of discrimination

    Maybe the OP needs to grow a thicker skin. I tell my coworkers if you want to insult me you better make it blatant, because I give everybody the benefit of the doubt. I never can understand why some...
  20. imintrouble

    Would you hold Lantus?

    There are so many variables. If Lantus were the only insulin being used, and BG had all been normal, I'd give with an HS snack. We frequently have extremely noncompliant pts. They take HUGE amts of...
  21. imintrouble

    Tired of discrimination

    My brother in law is white. He works in a factory with thousands of employees. Every race, sexual orientation, sex, and age is represented. He frequently says white male is at the bottom of the heap...
  22. imintrouble

    I wouldnt allow her to die -Hospice

    Maybe the pt shouldn't be on Hospice at all. I'm not a Hospice nurse, but I've taken care of thousands of COPDers. Unless they're sedated, the end is agonizing for pt AND nurse. I'm afraid I would...
  23. imintrouble

    Reviewing Patient EMR After Transfer

    I've done exactly what the OP describes. I've looked at a chart of a pt that was transferred. I considered it might be a HIPAA violation, but ignored it. I won't do it
  24. I work in a small rural hospital and that kind of assignment is routine. Throw in some peds every once in a while to know true misery. Clarification: I have nothing against kids as patients. They just...