dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. So fed up with my coworker

    This adds so much more info. Your management doesn't give a crap about their nurses---staff or per diem. Per diem is often more per hour, no benefits, no PTO, no holiday pay, work when you want. She...
  2. So fed up with my coworker

    Working only when you want to is a perk of being per diem. Ask any per diem
  3. Would you leave your current position over scheduling issues?

    I left a job because of scheduling issues. I was promised to move from nights to eves, but kept getting passed over, and I saw new grads getting moved into the shift I wanted. When I mentioned it to...
  4. I have worked in both, and I concur with the differences in expectations between a teaching and nonteaching
  5. Is this normal?

    I see it all the time. Attendings state they discussed the medical POC with nursing, and I didn't even see them on the floor. Surgical notes pop up in the notes section, and I know the surgeon hasn't...
  6. Chest pain, SOB, diaphoresis...on an unmonitored floor at my workplace, it would have been a rapid response. On a monitored floor, nurse immediately gets an EKG per protocol and trops x 3 will be...
  7. The courage to say "I don't want to do this"

    I wonder when my professor in my MSN-NE program ever sleeps. She posts grades on the weekend. Anyone who teaches and lives "the good life" is teaching in a program that doesn't expect much of its...
  8. Does everybody want to be a NP?

    I too have noticed that many, many nurses are working on their FNP. I have no desire to be an NP, so I am pursuing the nursing education track. I've also noticed that many FNPs go into teaching...
  9. Why do I have to call lab to remind them of timed blood draws being drawn, well, on time? Why do I have to call dietary to make sure the ordered supplements are on the tray? Why do I have to call...
  10. I have looked at the Bard site, searched the internet, and asked two more experienced nurses at work. I've not been able to get a clear answer. With someone diagnosed with hematuria but WITHOUT CBI...
  11. Scared to admit I am a RN who cares

    This is
  12. The problem is that best practices and reimbursement and/or accreditation guidelines don't always match. The federal government has been getting deeper and deeper into directing medical and nursing...
  13. Nurse Retention ideas

    Before you come up with solutions, you have to figure out what the problem is at your particular facility. I guarantee its not all about
  14. "They may hire a private investigator..."

    OP, I want to hear what the law firm and your RM department say about a nurse's documentation. Mind
  15. Yep, that's what we are saying. On a very good day, I get about an average of 3 calls an hour (36 calls for a 12 hours shift). On a bad day, double that, which is an average of 1 call every 10...
  16. Price of Patient Satisfaction

    I've often said to my manager that the chronic complainers will not give us an excellent on the survey, so why are we bothering with them? They will not be happy no matter what we do! The people who...
  17. Price of Patient Satisfaction

    We have a situation in our hospital in which specialized nurses are the only ones who can complete a particular nursing task. Bed availability sometimes dictates that the pts cannot be immediately put...
  18. Then work under the assumption that it's always POSSIBLE. You may not even know when you make one. On my last shift, I had to give meds through an NG tube. I always, always check if something can or...
  19. Some people are too smart for nursing

    I was wondering about the type of evaluation testing done in med school. I took an advanced patho course for my MSN that wasn't in the school of nursing--it was in the biology department. It was the...
  20. Hourly Rounding--pushing back

    What is worse is when no one answers bed or chair alarms except nurses and aides. As I was leaving the nurses station to answer a bed alarm the other day, I saw a house supervisor RN, and RT, and an...
  21. Hourly Rounding--pushing back

    I round as frequently as my workload and patient condition dictates. I do not fill out the rounding sheets--I refuse to. The whiteboard gets updated with the date (for orientation reasons), my name...
  22. Those reasons for the cancelled draws make sense, and no nurse will find fault with it. We don't want to stick patients any more than we have to. The other day, I sent down urine for osmolality and...
  23. I watched the entire video in which you spent nearly 13 minutes degrading nurses. There's a lot I want to say. Newsflash: your lab's understaffing DOES NOT mean nursing must pick up your slack. Do you...
  24. Holding prn meds for attention seeking behavior

    I went through a considerable amount of moral distress associated with med-seeking behaviors for presumably acute pain when pts did not show any outward signs of acute pain. (Chronic pain is...
  25. How to become NP

    You are going through the same thought processes as I was a semester ago. I thought, "NPs can teach, so why am I limiting myself to only teaching through the NE track?" I came to the conclusion that I...