turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. I always thought I wanted to be a doctor or a veterinarian when I was growing up...until I discovered all of the (more) advanced math and science that would be required along with the 8 years of...
  2. turnforthenurse

    Job Stress: Floor vs ED

    So true. I felt like on the floor I would get a break...I worked nights so most of the time the patients were sleeping. Didn't mean I sat on my butt and did nothing all night, though. We had some...
  3. turnforthenurse

    Nurse to patient ratio in ED

    If we have a tech, they're typically out in triage either helping to register patients, get vitals or bring them back. Some nights we are lucky and have two techs but one will always be out in...
  4. turnforthenurse

    How to chart I&Os

    I chart them as they happen. Our EMRs total up everything at the end of a 12 hour shift
  5. The Classic II S.E. is a good stethoscope, I believe the acoustics are rated a 7/10 which is decent. I used that in nursing school and I know many nurses who use this. I wanted an upgrade, though,...
  6. turnforthenurse

    Job Stress: Floor vs ED

    Both are very stressful, imo. The thing about the ER is that you never know what is going to be coming through that door or ambulance bay. You may get 4 patients all at once and you'll have to start...
  7. turnforthenurse

    Is your ER using the EDIE system?

    Unfortunately, this is the same with my hospital as well This EDIE thing sounds wonderful,
  8. turnforthenurse

    Which stethoscope do you like?

    I used a Littmann Classic II during nursing school and when I graduated, I decided I wanted to upgrade to the Littmann Cardiology III. The Classic II is a great option for nursing students. It's a...
  9. Yes it is normal to ask the charge nurse to help out. The charge nurse usually serves as a resource person on the unit. I luckily have worked in places where my coworkers and I really believe in...
  10. turnforthenurse

    weird patient demands

    I had a patient who was ambulatory and desperately needed to be bathed...we both agreed on her to take a shower but she demanded to be carried and wheeled around because she was
  11. turnforthenurse

    What is the lowest HGB you have seen?

    2.1. Alert & talking, no c/o other than "some fatigue." That bought them an admission and transfusion of blood
  12. turnforthenurse

    Feeling Guilty After Calling in Sick...

    I very rarely get sick so with that said, I also rarely call in. I only called in once last year because I was sick, and yes, I felt guilty. I know it sucks when staff calls in sick and you can't...
  13. turnforthenurse

    Simultaneous admissions (vent)

    I used to charge on a progressive care unit and I would always have a full load of patients. I made the assignments and also determined who would get the admissions. If we were getting slammed and...
  14. turnforthenurse

    Certifications: Are they worth it?

    I think certifications are a great idea. You took the extra step to better yourself by obtaining that certification! You also gain more knowledge from preparing and in my opinion, knowledge is...
  15. turnforthenurse

    Has anyone ever done this?

    Sadly, nursing seems to be more about customer service than actual nursing. Blame Press Ganey. I also worked as a tech before I became an RN (2008-2011) and I have also noticed the changes. It did...
  16. turnforthenurse

    What's the nurse-patient ratio in your unit?

    PCU/CCU is 1:4. ICU is 1:2, sometimes 1:3 depending on the staffing. I work in the ER now where we are generally 1:4 but sometimes 1:5 if we're short on staff. Fast track is always
  17. turnforthenurse

    What are your pet peeves?

    Patient's using cell phones, iPads and other electronic devices when I'm trying to obtain information or trying to go through their discharge
  18. turnforthenurse

    Bedside shift report w/ emergency department

    some nurses will do that...we will bring the pt up from the ED and then do bedside report on the unit. I personally have no problem with it (ED RN here) and as someone mentioned it can be difficult...
  19. turnforthenurse

    Triage and Assessment Abbreviation

    APAP = Tylenol NTG = nitroglycerin SL = sublingual NAD = no acute distress SOB = shortness of breath. I have also seen SOA = shortness of air but it's not as common. C/O = complain of CC = chief...
  20. turnforthenurse

    Christmas gifts for coworkers

    We had a secret Santa gift exchange. Everyone wrote down some things about themselves and we picked names so we got a gift based on that. My SS loves coffee so I got him a Starbucks giftcard along...
  21. turnforthenurse

    The lowest O2 saturation I've ever seen

    wow, and I thought 50-60% was bad...that was the lowest I have ever seen on a
  22. turnforthenurse

    Politeness in the face of rudeness and cellphone use

    I politely ask them to hang up the phone. my time is precious, too, and I may not be able to return in the next few minutes with your discharge papers. I once discharged a patient who was singing...
  23. turnforthenurse

    "Get out of here... go do some 'doctor' stuff..."

    I have had providers help me with boosting a patient up on bed.... otherwise that's it. A provider helping to clean up a code brown is a very rare site indeed. you are
  24. turnforthenurse

    How do you respond to rude patients?

    I agree, kill them with kindness. I feel like I could say some really mean and nasty things back, but I bite my tongue. I like my job. Sometimes you have to be honest, though, but not necessarily...
  25. turnforthenurse

    Nurse to patient ratio in ED

    Ours is 4:1. I thought they were trying to standardize that ratio nationwide...at least that's what one of my coworkers told me. If we're short, we'll have to take 5 patients. Fast track is always...