beckster_01 BSN, RN

I/DD

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All Content by beckster_01

  1. beckster_01

    Would you report possible diversion?

    Why??
  2. beckster_01

    The worst job you had before becoming a Nurse?

    Strawberry picking. It sounds happy and fun because... Strawberries! But it is really early, hot, messy, and buggy. And depressing because the migrant workers are MUCH better/faster! I guess that is...
  3. beckster_01

    "Bleed" an IV line

    5 years running insulin drips and I have NEVER heard about this? Our insulin comes in 250cc bags, which seemed wasteful to me as we discard after 24hours. I will have to look at our policy and ask our...
  4. beckster_01

    Failed CCRN again

    Let's start with telling you that your experience sounds awful! To be so close three exams in a row... I can imagine how frustrated you are. But you clearly have the capacity and experience to be able...
  5. beckster_01

    New Grad RN... is this patient load safe?

    If you are thinking of making decisions I would certainly be careful, as you are at a vulnerable point in your career. On one hand as a new grad, you don't know what you don't know. You are still...
  6. beckster_01

    New Grad RN... is this patient load safe?

    I wouldn't say unsafe, ratios at my hospital range from 5-7 patients/nurse. They generally staff a tech overnight but maybe half the time on the unit I used to work on there was either no one on the...
  7. Rough start to the new year where I am 1. It's really hard to be a good nurse when a coworker has experienced a deep personal loss. It's a good thing I didn't have anyone super sick because I was...
  8. It is the most expensive route you can take. You will not save money- you are going to take out loans for nursing school, then you are going to take out another set of loans for med school. You won't...
  9. beckster_01

    ACLS should always be 2 days and in person!

    We are starting a new training program. Every 3 months we have to do a piece of the training and demonstrate a skill. It is supposed to provide continuous training instead of recertification every 2...
  10. beckster_01

    Concealed Carry for Caregivers

    I suppose it depends on the type of healthcare environment you are in. Our security officers are generally retired military or police, and if not they are still highly trained in managing hostile...
  11. beckster_01

    Concealed Carry for Caregivers

    I would settle for armed security guards. I am all for CC, but I recognize that it requires an enormous amount of responsibility. Perhaps if they developed a special certification for CC in the...
  12. beckster_01

    Extra orientation days...feeling so discouraged!

    Nothing wrong with needing extra days. I precept new grads fairly frequently and everyone is a little different. If they didn't think you were worth the time they would be firing you instead of giving...
  13. I have been troubled for quite some time about the excerpts that I have read from this book, as well as the long comment threads that follow. I truly regret not posting about this earlier this year,...
  14. beckster_01

    Are we saving lives?

    I don't consider a life saved until they come back to visit as an outpatient- which does happen on occasion. I did have an experience similar to yours, although it was an adult, and a very different...
  15. beckster_01

    Wanting to quit on LTC/Skilled nursing facility orientation.

    I haven't worked SNF,, but a lot of what you describe sounds pretty standard for long term care. Do you have LPNs that you "oversee?" The person training you should be telling you what is expected in...
  16. So I got my invitation to interview for the Nurse Anesthetist program at University at Buffalo! I couldn't be more excited :) Is anyone else here interviewing? And do any current students have any...
  17. beckster_01

    Magnet status

    We are a "magnet hospital," but all of the hospitals in the area are except for the very small ones, so I have little to compare it to. As far as shared governance goes, it can help improve things....
  18. I think the difference is that as a nurse, you want to help your patient and you want to be invested in their recovery. When they yell, throw feces, or demean you it is easy to take it personally. As...
  19. beckster_01

    Just need some understanding....

    Well, I'm sure that it is largely dependent on where you live, however I have never witnessed discrimination on LGBT group (...maybe the T..). At any rate, on my unit I work with at least four openly...
  20. beckster_01

    Is clinic nursing a dirty job?

    Sometimes when I am at work I wonder how the heck I got myself into this. When you have 5 nurses helping you try to catheterize a guy whose "business" is buried in his pannis, you tend to take a good...
  21. beckster_01

    Drug seekers

    1mg q6?? Meanwhile in the ICU: *pushes 1mg q1h *turns up dilaudid to 12mg/h, patient is still coherent and in pain *manages a dilaudid PCA that runs at a concentration of 20mg/ml I have worked in...
  22. beckster_01

    No briefs?! Is this an ICU thing?

    I often find that with loose stool in particular, briefs tend to push it up into the peri area, where as with just a pad it will...flow... Better. Skipping the brief makes an easier clean-up, and...
  23. beckster_01

    What's the highest blood pressure you ever recorded?

    Wow, glad to see you are ok! Definitely the highest I have ever seen with a good outcome, but that's just 2 years of critical care experience (4
  24. beckster_01

    sedation

    It is absolutely a hit-or-miss drug. I think it is worth a shot as long as your docs leave you something to use if it isn't effective. I have mostly found it useful for patients that have had long ICU...
  25. beckster_01

    Fluid bolus by gravity or pump?

    If it is non-urgent (low urine output, mild hypotension, etc.) then I use the pump. If I am really trying to get it in then I am using a pressure bag. I don't generally just let it hang because there...