beckster_01 BSN, RN

I/DD

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All Content by beckster_01

  1. beckster_01

    How to adjust to night shift?

    The day before my first night shift I will get up around 8am, then nap from 12-4/4:30. In between shifts I have no trouble sleeping, however it takes self discipline to make myself go to bed. I...
  2. Where I work, the most common emergency situations are CVA's and respiratory distress (for various reasons), and occasionally sepsis. The most important thing you can possibly do is USE your...
  3. beckster_01

    shooting up in the palms? why?

    Wow.... Injecting in their eyelids? I'm surprised the thought of losing an eye never occurred to
  4. beckster_01

    shooting up in the palms? why?

    Do you think that heroin would get absorbed more rapidly PR than IV though? I have heard of campaigns to distribute clean needles and teach people how to inject safely in the name of risk reduction....
  5. beckster_01

    You never know

    6 months before I graduated high school I swore that I could/would NEVER be a nurse. Oops
  6. beckster_01

    you can't reschedule insulin? computer charting

    At the same time, how many patients will eat dinner two hours after they've eaten lunch? Well, I'm sure there are a few. But most of my patients, who may come back from dialysis at 2 with the tray...
  7. beckster_01

    you can't reschedule insulin? computer charting

    It drives me nuts when people let computers critically think for them. For your case, I would let the medication be late. When the patient returns to the unit and orders lunch, I would recheck a BG,...
  8. beckster_01

    Street Drug PANDORA

    Medscape had some interesting information on some of the "newer" street drugs out there. You have to be a member to read the articles but it is free. I don't know if this "pandora" is included, but it...
  9. beckster_01

    CNAs deserve more appreciation in nursing!

    I am sure that things vary quite widely, but my mom is a home health aide and got her CNA certification through work. And yes, she got paid for attending the course just as I get paid for any job...
  10. beckster_01

    CNAs deserve more appreciation in nursing!

    Yeah...I'm a little confused as well. If it is illegal to hire non-certified assistants then every hospital in my CITY will be thrown under the bus. I have always been confused about the adult...
  11. beckster_01

    Waking up the crabby butts

    I can absolutely identify with my patients. On the night shift, things don't settle down until 11-12 am. The residents come in at 0430 to do pre-rounds, and that doesn't count the blood draws and...
  12. I'm the same way. I can't eat very much at night because it bothers my stomach. When I get home, I don't know what/when to eat, so I usually run on 1-2 meals a day. Healthy, right? But I have usually...
  13. beckster_01

    hyponatremia question- please help!

    The number of times a doctor has thanked me for one of my "just in case" phone calls definitely trumps the number of times doctors have yelled at me for it. I will now go look up what happens when...
  14. beckster_01

    Question about nightshift Tele preceptorship

    Nights might be a better experience for you, actually. Many cardiac meds are TID/BID, so you will get experience passing meds. Most IV's will run around the clock. In my experience, just as many (if...
  15. beckster_01

    Please Help...Advice.

    At my facility (inpatient), RN's must be PICC certified to insert/remove a PICC line (usually we just have our NP do it). From the wide variety of responses it looks like you will need to look at your...
  16. beckster_01

    CPR - AED- lost my first patient today.

    If someone told me that, it just might traumatize me forever. I'm so sorry he said that to
  17. A black pen or two, some good shoes, my stethoscope, my ID, handful of alcohol swabs (they always seem to make it home with me), and of course a good cup of
  18. beckster_01

    Healthcare professionals using insulting language

    I used to say "retarded" all the time, until I worked in a group home for people with DD for 5 years. The f-bomb is more well received in that environment. Before that job, I didn't even relate the...
  19. It totally depends on staffing patterns. In the fall we over-hired in anticipation of some of the new grads transitioning to the ICU. I haven't gotten too many calls since then. In the summer we were...
  20. beckster_01

    Why do you like being a nurse?

    Today a patient called the unit to thank me for being his nurse (I had discharged him on Tuesday). I was sad because I was at lunch and didn't get to talk to him, but on the plus side, my nurse...
  21. beckster_01

    Vent. Should I feel bad about not picking up shifts?

    It sounds like you have earned yourself the right to work your two days a week and be done with it. I'm sure your co-workers are jealous, but so am I! That is definitely not your problem, and don't...
  22. beckster_01

    What "qualifies" a patient to be admitted to ICU

    I am not an ICU nurse, but our patients get sent to the ICU if the require any q1h/q2h checks (neuro, dopplers, etc.), or if they have issues with blood pressure/heart rate that are not responsive to...
  23. beckster_01

    Nurses with C-diff?

    I was just talking the other day about how I felt I have the immune system of a horse (or maybe not lol...but I NEVER get sick), but I worry about bringing bugs home to my family. I have never met a...
  24. beckster_01

    New Nurses Precepting Students/New Hires?

    lol... I had my first capstone student less than a month off of orientation as a new grad. At that time, all of the experienced nurses were orienting their own new grads, so they didn't have much left...
  25. beckster_01

    scoop method for recapping

    If our insulin needles did not have a safety device on them, then I would ask for a portable sharps container to dispose of it immediately or recap the needle using the scoop method. At my facility...