imintrouble BSN, RN

LTC Rehab Med/Surg

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All Content by imintrouble

  1. imintrouble

    Phone, cell, beeper and texting.

    I love AN, but there is such a disparity in our working conditions it's hard for me to imagine some of the things I read here as far as technology goes. I know it's hard for some of you to imagine...
  2. imintrouble

    Phone, cell, beeper and texting.

    It seems I might have to learn some new tricks as far as communicating with MDs. I've been giving it some thought, because I really oppose the new way. Texting, and leaving messages on cell phones....
  3. imintrouble

    No pay raise

    I've never left a job I liked, for one making more money. I left jobs I hated for less money. For me, leaving or staying was all about how well I like the job. Not money. That includes times when I...
  4. imintrouble

    Phone, cell, beeper and texting.

    Do you use that brief message to judge which situation you can postpone? Or do you respond to each with the same speed? Obviously somebody with a pressure of 70/30 would need a quicker response than...
  5. imintrouble

    Phone, cell, beeper and texting.

    I would be more comfortable with the basics as you describe, but we were instructed to give a brief message concerning the call. How long do you wait before you repeat the call, when there is no...
  6. imintrouble

    Phone, cell, beeper and texting.

    Me either. Would you leave a voice mail on a cell phone about a pt and a change in condition? At least half the time our new MDs don't answer their cell, and that's the only way we have to contact...
  7. imintrouble

    Phone, cell, beeper and texting.

    Our MDs do not enter orders in the computer. Ever. Maybe someday. As far as the FYI text, if they don't respond, can't they then deny they received it, if the FYI concerning a pt turns sour? I...
  8. Suffice it to say, that each of our realities are not the same. Kudos to all of you who have never found yourself working where they don't even have alcohol preps. May you never have
  9. It looks to me like this argument has deteriorated into two camps. Hospital nurses/new grads who have never worked LTC. LTC nurses who have resigned themselves to reality. It would be beneficial if...
  10. imintrouble

    Describe yourself in one word.

    If I were honest I'd say antiquated. But I don't share that with prospective employers. Honest and dependable are wonderful attributes. I'd list them myself. But you want to get a job everybody else...
  11. Thanks for the reprint. Wish I'd known that a week
  12. imintrouble

    Doctor texting order turned into a nightmare

    I saw a newer nurse where I work text an MD for orders. The first time I've ever seen any nurse do that. Didn't even know it was being done til right now. My thought was it's just unprofessional....
  13. I would have skipped the second phone call to the puking pt's nurse. We would have been looking eyeball to eyeball. If she refused to do her job, she'd have to tell me that, and everybody else within...
  14. imintrouble

    Things You Didn't Learn in Nursing School

    What to say to dying pts and their families. How to relinquish the guilt when the end stage COPDer who can't breathe says "Help me" and you can't. You can't always fix what's wrong. You can do...
  15. imintrouble

    question: can you chart on a pt. being rude?

    I almost always quote verbatim. Rude is subjective. If the pt gets physical, I chart specifics. Grabbed, pinched, squeezed,
  16. I've felt every single thing you describe. Personal care on pts who can do it themselves is the worst. I'd like to say it gets better. It doesn't if you work med/surg. Hopefully you learn to
  17. imintrouble

    This may be a dumb question but...

    I don't have a clue what ROI means. I'm leaning toward the "return on investment". I just couldn't resist a thread that led with "This may be a dumb question
  18. imintrouble

    Would you give a drug someone else pulled from a pyxis?

    I thought this was a pretty cut and dried thread. Yes or no. I'd give the med if it were still wrapped, just like everybody else. I've done it before. Then I thought about incidences when I've given a...
  19. imintrouble

    For extroverts...please don't ask me

    The good thing about being an old introvert is that people just consider you eccentric. Look what you have to look forward
  20. imintrouble

    After Nursing: Is There Life Out There?

    I just saw this thead and read first to last in one sitting. I didn't have to wait days to know the outcome. Yay!! You have been spared the pain, anxiety, depression and hopelessness of a nursing job...
  21. imintrouble

    Different Piggyback Antibiotics, Same IV Tubing??

    We just use different tubing for every piggyback. Maybe it's just a resistance to change I'll own it. Maybe it's a safety thing. There's always going to be one person who "forgets" to back prime with...
  22. imintrouble

    Facility penalty or not?

    Well, the pope resigned today. The first time in 6 centuries? Maybe there's hope for the docs after
  23. Schools are doing a disservice to their graduates by emphasizing theory over the practical. The last two new grads we had, didn't know how to hang a piggyback. No exaggeration. They didn't know about...
  24. imintrouble

    I must make a confession

    ouch...ouch....ouch!! The crackers and milk is not just for pts where I work. There are also sodas, juice and tea for employees. Coffee too. (thank goodness). As I stated EVERYBODY eats them. Freebie...
  25. imintrouble

    I must make a confession

    I was really surprised with the responses to this post. My first thought, was it's theft. That's still my opinion. I wouldn't have done it in a million years. I'll own up to eating grahams and...