dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. Do pt families every drive you crazy?

    Ha! I had one patient complain to me about his niece who was always riding my butt about one thing or another. I told him that if he really wanted her to leave, I could make up something and be the...
  2. Patients with sitters

    I feel your pain. There was one sitter for a suicidal patient that gave me a really negative vibe when I first met her, and I couldn't put my finger on it. When her shift was over, the PATIENT told me...
  3. You MUST manage and prioritize your interruptions. If I'm pulling, scanning, administering meds, i do not answer my phone. If its that important, they'll call back. i have never gotten in trouble for...
  4. Can you work straights days?

    I worked straight nights. I was willing to wait in line for a daylight shift. I was told by the NM that I was next in line. The NM then proceeded to hire new grads for daylight shifts. I left the...
  5. legal ramifications?

    Every time I enter a room, I do a little clean up. Warning, rant ahead. I'm getting sick and freaking tired of not only managing my work, but also that which is clearly within the job description of...
  6. We're nurses. We're smart. We discern. And, given specific situations, rules can--and should--be broken when it comes to visitation policies. There are a lot of wonderful stories here about breaking...
  7. Low Acuity Floors

    This. If a hospital has an on-site skilled nursing and/or rehab unit, those are lower acuity. At any time, however, even those patients can go bad and need to be transferred to an inpatient
  8. I have worked at both as a floor nurse, and it will be an adjustment. In fact, I started out as a new grad working nights at a nonteaching hospital, and the amount of autonomy can be nerve-wracking....
  9. Working PRN and buying your own insurance?

    The paperwork nightmare is this: if even one employee uses the premium tax credit to buy their own insurance, the IRS will require the employer to prove that insurance was offered. It adds more...
  10. I refused to do 16s when I was on 8s, and I refuse to stay until 2300 now that I'm on 12s. I know my
  11. You know when you are a good nurse when...

    I still hesitate to call myself a "good nurse" because I learn every day. I suspect I will never give myself that title then. However, I am more confident, and I now enjoy going to work. You just do...
  12. End of Per Diem?

    In some systems, I don't doubt it, but per diem where I work means a higher wage without being offered any benefits...no pension, no PTO, no sick time, no health insurance. The higher wage is...
  13. End of Per Diem?

    I have done some research on the ACA, and apparently, the change goes into effect 1/1/14. All employees working more than 30 hrs/week on average over the previous 12 month period must be offered...
  14. Working PRN and buying your own insurance?

  15. Working per diem only?

    I do. No problem getting full time hours. I'm on my husband's insurance, and my kids are teens, so no problem with them staying by themselves. I will never go back to regular staff, if I don't have...
  16. Personality At Work vs. At Home

    Let's put it this way...I let my husband read my most recent evaluation (which was very positive), and he said, "That's not
  17. The two most demanding patients with basic ADLs who absolutely refused to do anything--but who could dial their cell phones to their daughters complaining that no one did anything for them--also had...
  18. Irritating things about being a nurse VENT

    We have a kit with a sterile container for UAs and a vacutainer with preservative for C&S. Our kits, however are designed for collection in the container, then you hook up the vacutainer to put it...
  19. Identity as a nurse.

    There are certain professions in which identity as that profession is obtained over time: police officer, firefighter, teacher, doctor, nurse. It seems to be limited to those professions in which the...
  20. Here's the thing. Chronic migraine sufferers hardly ever look like the second description. They mostly look like the first description, even the teens. They are experts at using distraction to deal...
  21. What the recovery time after a severe hypoglycemia

    It usually doesn't take long for blood sugar to go up. I did have a patient w/ a BS of 22, and it took about 30 minutes w/ two rounds of oral interventions to get it within normal range. Awake,...
  22. Blue about Code Blue

    There is a flip side to this. I get a little uncomfortable during my admission questions when a young, relatively healthy patient talks about not wanting to be on life support. I keep thinking,"Yes,...
  23. behind the scenes issue

    The system worked. What is there to write
  24. That's how we do it!
  25. Charting...what to say?

    Well