beckster_01 BSN, RN

I/DD

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All Content by beckster_01

  1. beckster_01

    Any IDD Nurses in Texas

    I'm also in the northeast. I agree with connecting with DDNA, an added bonus is that their offices are in Texas. I went to the San Antonio conference in 2022 and it seemed like there is pretty good...
  2. Scene: Patient is comfortably sleeping while on a trach collar, the ventilator next to him reads "STANDBY" in big, bold letters. Resident walks in and stares intently at the ventilator for a few...
  3. beckster_01

    Best MD note

    There may or may not be a thread like this but I couldn't resist sharing. This weekend I was digging through my patient's chart trying to learn more about his history when I came across a note by the...
  4. beckster_01

    omg...fish oil!

    So we have been treating our anoxic brain injury patients with high doses of Omega 3's- the back story is that we had a patient whose mother found research that it helps with long term recovery. She...
  5. beckster_01

    The "How was your day" question

    I talk to my husband about work if I need to. When I first started in the ICU I had a lot of things to talk about. But now I usually give simple indicators of how my day was (good, fine, busy)....
  6. beckster_01

    8's vs 12's

    8- hour nights sounds like a dream. 8-hour days can be tough since there is generally more going on. If you have a busy day there are generally a lot of loose ends for evenings to tie up. When I work...
  7. beckster_01

    Don't arrive early, don't leave late

    I am curious what your "average" is. I time my work drive so I arrive between 6:50 and 7 (or 7:05). It varies according to traffic and the line for coffee. But I also get out early more often than...
  8. beckster_01

    omg...fish oil!

    I totally can embrace C-diff for what it is. Truly most smells don't bother me, my nose is actually a little broken! Good call on your MIL- I can't imagine willingly spreading this stuff on my face of...
  9. beckster_01

    Don't arrive early, don't leave late

    I'm not in a good state to give advice for levels of snark- I'm feeling a little snarky myself today. But you should definitely clearly communicate that this is a patient safety issue. They are...
  10. beckster_01

    omg...fish oil!

    A little bit yes. There is only one case study that I know of, but it isn't an unheard of recommendation. The idea is that Omega3's are essential for neuro growth and recovery, so lets give huge doses...
  11. beckster_01

    High dose insulin for Beta blocker OD

    Sorry it has been so long to reply, I haven't logged in for awhile. I think he ended up being 1:1 for the next two shifts so about 24 hours. He was on D30 and still needing amps of bicarb, and I think...
  12. Hello all :) Today I initiated high dose insulin to treat a beta blocker overdose for the first time. We have done it before on our unit but it is quite rare (1-2 times in the 4 years I've been...
  13. beckster_01

    omg...fish oil!

    We did just break out the essential oils. So now it smells like a minty fish. Or a fishy mint. I'm not quite sure but it is preferable. We also tried getting a hold of activated charcoal but the...
  14. beckster_01

    New nurse: I get no respect

    Goodness, give the OP a break. It is HARD to talk about new job issues without tipping the scales between sounding whiny vs. know-it-all. I can relate with feeling like you've covered the same ground...
  15. beckster_01

    Lifestyle of a Nurse

    Stress: The first year is very stressful. You will second guess yourself, make mistakes, make people mad. But its all worth it when you get to the point where people are asking you questions and you...
  16. beckster_01

    Treat the Patient, not the Monitor.....Really?

    I feel like the OP is saying the same thing as the objectors, but in a different way. OP is saying "don't ignore the monitors," because a patient might feel ok without actually being ok. If I have a...
  17. beckster_01

    Don't think I can do this

    What ^ said. While you titrate drips are you thinking about what the next steps for your patient are? Before they drop their pressure do you know if you should ask for fluid or pressors? If they desat...
  18. beckster_01

    Words You Hate

    I forgot what pulmonary toileting was until I got to the ICU and a resident kept using it. It took me awhile to get the courage to ask exactly what she was referring to. I like chest physiotherapy...
  19. beckster_01

    Work and pets?

    Don't be fooled into thinking big dogs need more exercise! I think a GSD is a great choice for a nurse, as long as you do the basic things that ALL dogs need to be happy. A good walk, continuous...
  20. beckster_01

    Not what I expected

    Umm this sounds crazy, and not in the general trend of the thread, but have you thought about ICU? It is NOT low stress, but the stress comes from a different source. Yes your patients are...
  21. beckster_01

    New nurse and I hate it

    I will add that the new nurses I have worked with that we're CNA's actually have unique challenges as they enter nursing. I won't say that it is a harder adjustment, but it is different. You might...
  22. beckster_01

    Radiation technologist or BSN nursing?

    I'm a nurse married to a rad tech, so perhaps I can help? Personally, I favor nursing. I find it more flexible, with more room for growth, where I can have an impact in developing my patient's plan of...
  23. beckster_01

    The worst job you had before becoming a Nurse?

    My high school job was an ice cream scooper, but at a frozen custard place. I didn't realize at the time how lucky I was to have picked that particular form of ice cream. Not hard to scoop at all :)...
  24. Well, stalking aside, I think you do still have good insight and are asking the right questions to try and improve your next orientation experience. As others have said, let it go and move on, you...
  25. beckster_01

    Femoral arterial line protocol

    No protocols, we pull all our art lines unless they have