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beeble

beeble

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  1. beeble

    I feel so bad

    Thanks all for the replies. Jslovex2- maybe I should interupt my charting everytime a light goes off because I am more centrally located, and the patient "might" want a medication. No sense in the NA getting up from the internet for that possible scenario. If they need help with getting water or the commode, since I am there, I will do that too... (sorry, feeling sarcastic after you post)... What I spoke with her about was sitting more centrally, and she replied with "Everyone has to answer lights". I told her (in a nutshell) I was trying to CHART, and that AS SHE KNOWS I do as much as I can/answer most all of my own lights on my patients (not to mentions others), and she replied that "I can't answer ALL the lights", so I figured she she not care to understand.
  2. beeble

    Do Nurses Have to Make Their Home Addresses Public?

    Do they do this for MDs? Why are birthdays important?
  3. beeble

    Do Nurses Have to Make Their Home Addresses Public?

    Why does the BON feel the need to post these things (such as date active, disciplinary action, ect). In my state, it's posted, too. Even birthdate!
  4. beeble

    I feel so bad

    Thanks guys. I feel like maybe I should have not been so quick to write nurse mgr, just let what I said to her sink in...I really am one of the few who will say anything, though there is another night RN who will, too...I just worry I hold my annoyance inside for so long, and then, once to many times, and you dont get what I am saying right away...you get the picture? I should have worked with that more? I dont know...But thanks for your replies. I also was feeling bad because last night I actually did have some real downtime (unusual), expecting her to work when I had had time to jabber...but just then I was focused on charting (and I hate, but always do, get distracted). We dont get breaks on our unit because thats been the climate there. We have a higher patient load than most other units. We usually have patients we can't really leave for much length of time. There is one other unit that shares our matrix, and they organize themselves and get a break. I hear rumors that the breakroom there at night is a dimly lit quiet zone. Thanks all for your help.
  5. beeble

    Should I transfer?

    Hi, wondering if I should transfer to MICU. I have the opportunity to transfer to MICU from a telemetry floor, where I have been for 2+ years. I have 6 patients (sometimes 5, but usually only briefly). I finally have great hours (.9 12 hour nights), and would be going to .7 d/n, but I hear that there is always opportunity to pick up. And finally, our unit is a good place to work (not as clique-y as it was, and the NAs are really good right now). And I feel really competent on my job right now, with my skills. So all this--after working through some of the struggles (regarding cliques and NAs)-- I am fairly happy. Though our unit is known as "one to avoid" by others in the hospital (we are very very busy), but I like that-- time goes fast. There had been a time I wanted to transfer out as fast as I could, but not anymore. I have gotten some MICU transfers lately and wondered 'what is up with MICU?' The patients came down to us with stool, lack of charting, they never bother to send equipment down (where we will have to re-order it, causing us and other departments who deliver it extra work). So lately I have been wondering what they do, if I have 6 patients, and they have 2, these things are too much for them to do, I had been thinking, maybe my long term goal of working there isnt the best. I had wanted to work in ICU to get the experience. I like being technical, I wanted to learn more advanced equipment and concepts (though I do a lot of critical thinking where I am at now, and believe anyone in any area of nursing does this, it's just a different focus). I also thought it would make me more marketable, especially in this economy. I see that many hospitals are only looking for ICU experienced RNs right now. I am thinking of possibly moving in 2 years to an area where jobs are tight, and this might help. Can anyone give me any input on decision making in this matter? I am torn...
  6. beeble

    Over riding a resident?

    The patient was not in distress, and regular people would be coming at 0700. I have 6 patients. This was NOT stat.
  7. beeble

    Over riding a resident?

    I was wondering what your opinions are on this. I worked nights. A pt had mild chestpain a few days after surgery (sternal incision).They had d/c'd pain meds d/t AMS. Inthe a.m. (0600) he c/o of this pain,'soreness'. The brand new resident was there. She then ordered a stat portable CXR, stat trops, and stat EKG. Guess who would have to do the labs and EKG? The normal staff for these things would arrive at 0700. I tried to talk to her that he stated this was the same pain he has been having and that it was normal soreness. She stated that"I followed him yesterday and he didnt c/o this'. I stated maybe you were focused on his AMS yesterday. She insisted they be done. 0600 is a crunch time. I didnt feel these things were truly 'stat'. I paged her and she didnt call back. I then paged her senior who modified her orders to 'routine', meaning they would be done this a.m. when regular staff were here (not STAT). Then she called back, I told her I had talked to her denior, and he modofied them. She then said I should have talked to her first and "How would I like it if she went to MY supervisor?..... I didnt go to the senior with a complaint but a legitimate patient care issue. What do you think?
  8. beeble

    opinions, please

    Grey Gull, I am sorry, I dont think you are getting it. I am doing very well in nursing BTW. I am not sure why you are harping on me or trying to turn this around...
  9. beeble

    opinions, please

    Well, grey gull, its interesting that you joined today-- to comment on my post? I was able to get an intermittent read, but not enough to closely monitor this patient, and to titrate her O2, which dipped into the 70's. The RT had been aware of this patient as he earlier had been hovering around an RRT that was called. In any event, it is not the RTs job to psychologically analyze statements made by an RN, and to diagnose, particularily when a patient is in distress, and in a patient room. The focus is on the patient. And when the intent is to 'hurt', then I call thaat abuse, especially since I was doing everything in my power to help the patient in a systematic way.
  10. beeble

    opinions, please

    PS sorry for my typing, the keyboard I am on is so tiny that I can barely touch the buttons.
  11. beeble

    opinions, please

    Thanks for your replies. As far as writing up, I value myself more than I do that of this other guy hating my guts. I have tostand up for myself not to be abused while doig patient care. I dont go to work, and work my butt off, to be abused. He dosent work "in my area"mas he has told me in thepast, so other than walking arond him to the kitchen while he is on the internet, that is the only contact I expect from now on. He dosent want to be bothered. And I feel good that I did lay my boundaries....both with him, and with the hospital as a whole. I think we should be able to work together without name calling. and BTW, I have NEVER in my life EVER been accused of being passive aggressive, so I dont think it is a character trait of mine.
  12. beeble

    opinions, please

    Well, I have asked him previously for help and he has always said, "not my are". I did ask him for a forehead probe and he said he didnt have one. H e did say during this time that "You need to talk to Bob". So by the responses, it is okay for a staff memeber to call you passive aggressive? In my book, it is NOT. That is verbal abuse to me.
  13. beeble

    opinions, please

    I did tell him before that I would be re-using the old one that dosent stick now.
  14. beeble

    opinions, please

    I was working nights, two patients had severe hypoxia issues. The RT assigned to my area was really busy. He came by and with one patient switcher her high flow NC to a face trough, and switched her forehead probe to a finger probe (there was a reason for the forehead probe AND the high flow NC)...but this RT 'knows best'. And he turned down her O2, Not long after, she was desatting, and I couldnt get a good reading half the time. I paged, no response. The the RN at the desk said that I did get a call back...but it was from the "guy at the end of the hall" (it turned out it wasnt). I went up to him, he is an RT for other areas that arent so busy, and he chooses to sit on the computer in our area, sometimes for hours, in his downtime. He is the senior RT. I asked him if he had another forehead probe, said my pt was desatting, and I couldn't get a good read. He said he didnt. So I went to re-use the previous one, and to turn the O2 up. He came into the pt room a minute later, and as I was describing the problem (I thought he was here to help) he said "And youre good at being passive aggressive...". I said what? can you explain that? /what do you mean? no response but a smirk and a shrug. silence. I said you need to talk to me about that statement. That was a very mean statement. nothing. I said if you cant takl to me about that, I am filling an incidenet report out. Which 'i did. It was disturbing, and I was so upset..
  15. Hi, of course I work on an understaffed, horrebdous unit....getting worse. It seems every time I work, I start getting stressed, there is a patient problem, ect. Its the patient problems that I am wondering about. If there are no problems, MAYBE I can do what I am supposed to on the shift (assess, turns, meds, chart, ect) If there is a problem, the rest get neglected to some extent. Wondering the extent of charge nurse expectations to help out when there is an issue, be it needing a sitter to a low blood sugar of 20, ect. that can zap my resources. The current charges DONT help at all, an its getting frustrating. Or they behave as though my issue is a bother and I need to eal with it. Alone, and/or with the MD (and to let them know).
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