imintrouble BSN, RN

LTC Rehab Med/Surg

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All Content by imintrouble

  1. imintrouble

    Devastated :(

    Be proud of the fact that the judges recognized an exceptional human being when they saw one. Regret is a painful thing. Don't allow it to mar the fact that you were paid a great compliment....
  2. imintrouble

    I am about to enter the snake pit...please help

    Ok. I'm completely, thoroughly, confused.
  3. imintrouble

    Blame the weekend staff! It's fun!

    I once worked in a LTC on nights. There was a surprise state inspection. Everything that the inspector found wrong was the night nurses fault. Of course I was long gone. I found out all the...
  4. imintrouble

    help please! morphine side effects!

    Ten times the amt ordered is a pretty large mistake. Was the Morphine through a G tube? Or IV/IM? Is it possible that someone gave the med and did not record it? In LTC it's not usual to have a PYXIS,...
  5. imintrouble

    So here's my nursing dilemma ......

    Not just administration dumping on nurses, but nurses dumping on each other in a mad frenzy not to be the one to take the fall when somebody has to be sacrificed. Being without a job stinks big...
  6. imintrouble

    Snoring EMS dispatcher

    I apologize for not having a link to the article. The finer points of this site escape me. I'll try to describe the incident as best I can. Woman calls 911 because her husband is in respiratory...
  7. imintrouble

    Patient falls off operating room table

    We have a friend, in his early 60s that presented to the ER with sx of MI. EKG, cardiac enzymes all positive. Protocol for MI in ER prior to being flown out involved heparin? ER nurses would be...
  8. Austerity measures. Isn't that what responsible people do when they don't have enough money to
  9. imintrouble

    Gave my notice yesterday.

    I hope your life continues just as you've planned. And that it's filled with tons and tons of joy. A stay at home Mom who is a nurse, has double the experience to share with us here at
  10. I can't add a single thing bigger, better, or more heart felt than what has been posted already. I'll just post my, hoping for a quick and complete recovery, on top of everybody elses. There's no...
  11. imintrouble

    Tips for Dealing with Difficult Patients...

    If, after all attempts to satisfy the pt has failed, I reliquish control. I acknowledge that they are the boss. They want to control everything about their hospital stay and that includes me. I do...
  12. imintrouble

    Overwhelmed

    First of all, you did what you needed to do. You took care of you. You placed yourself first. When your mental health was suffering you eliminated the source of your anxiety. Your job. Now....
  13. imintrouble

    How can you neglect a patient and live with yourself?

    I have an enormous amt of respect for those nurses who work in LTC. But then, I have an enormous amt of respect for nurses in
  14. imintrouble

    How can you neglect a patient and live with yourself?

    I can't defend what the poster described in his ED. There is no defense. I have one suggestion, though. The OP needs to work in a LTC facility for at least 3 months. Then come back here and...
  15. imintrouble

    First code

    My first thoughts were the same as the above. I've cracked too many ribs, and watched too many 70, 80, 90 yr olds linger on a vent. However, the OP was about a code and how the nurse felt about it. A...
  16. imintrouble

    Shift differentials?

    Putting the number as yearly, instead of hourly, is pretty impressive. With that in mind I make around.....$1,500 more a year than a day shifter. Nights differential is $1.25. No weekend and no...
  17. imintrouble

    How much of a raise did you get this year?

    I'd forego the raise for the next 4 years if they'd just not cut two days a pay period for "low census". "Low census" is when they make 3 nurses do the work 4 used to
  18. imintrouble

    Labeling syringes?

    I never label a syringe because I never have more than one in my hand at a time. I take the empty medicine vial with me when I administer the med. If there is more than one med, I draw them up at the...
  19. imintrouble

    I hate ignorant people...

    I just don't get the outrage. A misinformed friend made a statement that was inaccurate. You could have vented, made the friend either feel bad, or mad. Probably not changed anybody's perception. I...
  20. imintrouble

    Phasing out Unit Clerks???

    LPNs are taking the place of unit clerks. They can enter med orders, answer call lights, and do nursing stuff in a
  21. imintrouble

    HIPAA violations and the cell phone

    I am scheduled for minor surgery. There are so many things about surgery that worry me. The main one is how I will be treated when I'm unconscious. Believe it or not, having my picture taken has...
  22. imintrouble

    Same patient's over and over again

    If we didn't have repeat "customers" we wouldn't have a hospital. With that in mind I greet these pts like old friends. All the while I'm mentally banging my head on the counter. You really can make...
  23. Threads like this make me feel so
  24. imintrouble

    Great moments in bad judgement

    "I stopped taking that medicine because it made me pee all the time." Admission Dx: CHF with 4+
  25. imintrouble

    Has Nursing hardened you?

    Of course nursing makes you harder. How could it not? How many times do you think you could cower and cry when an MD singles you out, as an object to vent their own anger and frustration? How many...