anon456 BSN, RN

Member

All Content by anon456

  1. anon456

    Patients that fire everyone/demand everything

    anon456 replied to anon456's topic in Patient, Colleague Relations

    I appreciate your feedback and I do think that in the beginning the staff should have set limits with this kind of thing. In the case of this patient I just had recently, they have home nurses who...
  2. anon456

    Patients that fire everyone/demand everything

    anon456 replied to anon456's topic in Patient, Colleague Relations

    I do remember one case where court did get involved and the child was placed into protective custody until the health issue had resolved. But this was extreme. This same parent was accusing staff of...
  3. anon456

    Patients that fire everyone/demand everything

    anon456 replied to anon456's topic in Patient, Colleague Relations

    So what can I as a lowly floor nurse do? I will take the advice to make them aware that I have other patients, but I doubt they will care. If I get fired it is because the family has voiced a...
  4. anon456

    Patients that fire everyone/demand everything

    anon456 replied to anon456's topic in Patient, Colleague Relations

    I agree with making a policy for families like this. When I get families like this I feel like an abused waiter. Thank goodness 90% of the families are a pleasure to work with and I love my job. It's...
  5. anon456

    when to suction?

    anon456 replied to tcooks7's topic in Pulmonary

    Sometimes the trach can get build-up inside and the hole gets narrower and narrower from dried build up until it becomes a crisis. You can suction frequently without harming the tissue below the...
  6. anon456

    Pulling out the trach

    anon456 replied to EGVnurse's topic in Pulmonary

    We keep a spare trach and one 1/2 a size smaller at bedside in plain view. If the patient pulls it out we immediately replace it with the same sized trach. Some patients are able to breathe through...
  7. anon456

    New grad nurse, feeling like I am barely hanging on!

    anon456 replied to Indigorn's topic in First Year After Licensure

    Any new grad is going to feel overwhelmed no matter what area of nursing they go into. It takes time to learn to mange time, organize, and have things become second nature like prepping lines,...
  8. anon456

    picu/nicu/peds

    anon456 replied to gladysh Rn's topic in Pediatric

    I don't recommend any new grad work in any intensive care units until they have a couple of years of general peds under their
  9. anon456

    Do saline locks last as long as a peripheral IV in children

    anon456 replied to James Bond's topic in Pediatric

    We get blood specimens from PIVs all the time. Our policy is to avoid poking and traumatizing the patient if you have a perfectly good PIV that has blood return. There are exceptions in special cases...
  10. anon456

    Patients that fire everyone/demand everything

    anon456 replied to anon456's topic in Patient, Colleague Relations

    I don't know why it happens. I guess because the management gives in a little bit, and then a little bit more, and the next thing we know the family is running the entire unit. What they probably...
  11. anon456

    When Faith Creates False Hope

    anon456 replied to kabfighter's topic in Spirituality, Religion

    What I struggle with at my workplace is not death (as you said it is inevitable) but my young patients in young bodies with strong hearts and lungs, who often hold on for *years* in persistent...
  12. anon456

    Sleep Schedule

    anon456 replied to chavezm1109's topic in Health, Stress Management

    I work 7pm -730am. On my nights off I stay up to about 4 AM and sleep until at least noon. It keeps me feeling alert on my night shifts and still allows me to enjoy a "real life" on my days
  13. anon456

    Would you hold Lantus?

    anon456 replied to nikki74's topic in Patient Medications

    This is something that anyone should do with any ordered med. It covers your "assets" and lets the MD make the best decision for that
  14. anon456

    new nurse needs advice, worries a lot

    anon456 replied to cbear5's topic in Patient Safety Issues

    What you are going through is completely normal. When you are a good nurse you worry about this kind of thing. :-) As you get more experienced with the types of patients on your unit, things will...
  15. anon456

    Question for people who made career change into nursing?

    anon456 replied to gcc8's topic in General Nursing

    What was your previous career? Semiconductor industry What is your current position? Peds stepdown ICU How has your overall experience been as a nurse? The hardest thing I've ever done-- mentally...
  16. anon456

    Nurse satisfaction: Nurse-physician relationship impact

    anon456 replied to RN-JB's topic in Patient, Colleague Relations

    I have built a rapport with the doctors and it really has made things go well. The regulars know me and if I call because I am worried about a patient, they take me seriously. I appreciate that very...
  17. anon456

    Have you been ever gotten sick from working as a nurse?

    anon456 replied to Aly529's topic in Health, Stress Management

    I am sure that by now I am colonized with MRSA and "regular" staph aureus, as well as pseudamonas. They all run rampant on my trach/vent unit. Most of the patients come in already colonized with it in...
  18. anon456

    When Faith Creates False Hope

    anon456 replied to kabfighter's topic in Spirituality, Religion

    I have seen a few families who believe and pray for complete healing and restoration of their family member to what they were before. It is very sad. Some accept finally that God is in control and...
  19. anon456

    Preceptor fired

    anon456 replied to knopod's topic in General Nursing

    yeah they can work with you. Maybe you can just talk your way through those skills and describe what you did and get them signed off by your
  20. anon456

    ughhh... Hail all the floor nurses

    anon456 replied to nichefinder's topic in General Nursing

    I am starting my third year as a floor nurse. My floor is very busy with very high-needs total care patients requiring tube-feeds, trach/vent, central lines, *tons* of meds (it's not unusual for them...
  21. anon456

    How do you prioritize what to do?

    anon456 replied to heyitsme728's topic in LPN, LVN Corner

    We have "brain sheets" that have time columns across them. I write when meds are due on the patients, and write other cares like starting feeds and time sensitive things. Sometimes things happen and I...
  22. anon456

    Continuous Feeding and walking.

    anon456 replied to 8milani8's topic in Patient Medications

    Yes many kids wear backpacks and go to school and even do sports with continuous
  23. anon456

    Registered nurses with an Associate degree...

    anon456 replied to Gaby_rmz77's topic in Diploma, ADN, BSN

    It depends on what you want to do, and what part of the country you live in. I graduated with an ADN nearly three years ago, and have a previous Bachelor's in Arts degree. I was hired straight into...
  24. anon456

    Patients Cheeking medications

    anon456 replied to sdegracia's topic in Patient Safety Issues

    Yep, I work in peds. It is a rare treat to give a patient an actual pill that they can swallow. Usually I'm drawing up syringes of the liquid form of the med according to
  25. anon456

    How do you cheer yourself after a bad day at work?

    anon456 replied to Brian's topic in Nurses Rock

    As a peds nurse who works step-down ICU, I get all the post-trauma survivors and many are changed forever. I come home and do exactly what the nurse in the cartoon is doing. I hug my children tight...