SoldierNurse22 BSN, RN

Member

All Content by SoldierNurse22

  1. SoldierNurse22

    Bedside report - hate it? Like it? Love it?

    Why would it be against the law? It's pertinent information to the patient's care and it's being given in a report setting, which is now required per my facility to be at bedside. This is the...
  2. SoldierNurse22

    Epidural responsibility

    I don't know of any CRNAs in our hospital that are only OB. They are on duty hospital-wide and bounce between the OR and
  3. SoldierNurse22

    Strange federal interview

    If they find you incompetent, they'll get rid of you in your probation period. It's much easier to fire someone for being dangerous than it is to fire someone for being a "bad fit" (see: lazy,...
  4. SoldierNurse22

    Interested in Becoming a L&D Nurse

    For those interested in L&D nursing, I am starting to post this blog as a reply: https://cervixwithasmile.wordpress.com/2015/10/03/the-happiest-job-on-earth/ Keep your grades up. Get your CNA or...
  5. SoldierNurse22

    L&D STAFFING--info needed!

    Which hospital do you work? (if you want to share) [withheld for privacy reasons] How many Births do you do each year? somewhere in the 1500-2000 range. How many RNs do you staff on day shift...
  6. SoldierNurse22

    Bedside report - hate it? Like it? Love it?

    Hate it. Because how would you like... 1. To be woken up at 0300 so your nurses can give report? (part of our hospital works 0300-1500 and 1500-0300). 2. For your entire family to hear about your...
  7. SoldierNurse22

    Code Black

    You mean I shouldn't come into work, open a bag of Cheetos, put my feet up on the desk and say, "Sounds good!", "Yessir!" and "Go get 'em, ma'am!" to every doc who runs by one the way to place a cath,...
  8. SoldierNurse22

    Compassionate Connected Care (C3)

    Some honest talk-ups for a few choice coworkers (names changed to protect the guilty): "This is Sarah Staller, your day shift nurse. She doesn't really like to deliver babies, so be prepared to be...
  9. SoldierNurse22

    Epinephrine IV or IM in this situation.

    Unless the patient walks in with an IV already established, you're going the IM route. This is an emergency. You're not going to take the time to establish an IV while the patient's airway closes...
  10. SoldierNurse22

    Customer satisfaction callbacks

    At my old place of employment, if this happened, you ended up apologizing (usually profusely) for every doctor/PA/nurse/tech/housekeeper/food service staff member/valet/RT/living creature who ever...
  11. SoldierNurse22

    Post op complication question

    Also, consider the antibiotic properties of oxygen and think about how much more O2 your body will require when trying to fight an infection. This is another potential cause of decreased SPO2 sats as...
  12. SoldierNurse22

    Post op complication question

    The O2 sats in this case likely point to infection/sepsis. The patient's O2 levels aren't dropping in response to the O2 being given. The patient needs more O2 in this case to maintain SPO2 levels...
  13. SoldierNurse22

    Post op complication question

    It could be. It is at very least a sign of a brewing infection. In a patient like this, you'd want to do a few things: 1) Check the NG tube. Is it actually on functioning? What's coming out and...
  14. SoldierNurse22

    VA HR Record

    He must have been given something by way of warning. It's pretty hard to get fired from a government job, especially as a veteran working for the VA. Documentation of a performance improvement plan...
  15. SoldierNurse22

    Customer satisfaction callbacks

    I used to do them at an old job on a med/surg ward. I, too, hated them. On occasion, they did have merit. I had a few patients who would ask pertinent questions about their care...pain management,...
  16. SoldierNurse22

    Post op complication question

    Hemorrhage is a good thought. The BP being low and pulse being elevated could potentially indicate a hemorrhage as those are classic signs of shock. However, there is certainly more than one kind of...
  17. SoldierNurse22

    Post op complication question

    Not only are those vital signs trending in a concerning direction, this... ...is definitely not a situation where one would remove O2. Definitely a good reason for further assessment and...
  18. SoldierNurse22

    pregnancy/diabetes nurse interview

    What exactly are you looking to discover? And of course, consider the source (an anonymous website where anyone, licensed nurse or not, may answer
  19. SoldierNurse22

    Post op complication question

    As this sounds like homework and I'm not keen to do it all for you, what do you think it is? I'll do the homework tango if you'd like to dance.
  20. SoldierNurse22

    LPN jobs in L&D??

    None of the hospitals I have worked in (and I have worked in several different states) utilized LPNs in L&D. As a previous poster mentioned, there are some significant scope of practice issues...
  21. SoldierNurse22

    Introverts in Healthcare Field

    Funny you should mention introversion...
  22. SoldierNurse22

    The Dark Side of Nursing...

    I started out in oncology and I now work in L&D. I worked a few other specialties in between, but particularly in those two specialties, I have seen a lot of death and a great deal of variety...
  23. L&D is a tough field, but if you really want it, there's no need to start on postpartum, especially if you manage to get hired on L&D right away. Starting on postpartum can be a great way to...
  24. SoldierNurse22

    Medication

    I think you're looking for the FDA pregnancy categories, listed here: FDA Pregnancy Categories - CHEMM For specific side effects/potential consequences posed to pregnant women and/or the developing...
  25. SoldierNurse22

    Help! Pathophisiology of inflammation.

    Tissue injury and inflammation Inflammation: The Leukocyte Adhesion Cascade The inflammatory response to skeletal muscle injury: illuminating complexities. - PubMed - NCBI The immune response to...