scribblz

scribblz BSN, CNA, LPN

Med Surg, Tele, Geriatrics, home infusion

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All Content by scribblz

  1. N95 mask use to place PICCs

    scribblz replied to bethchpn's topic in Infusion, Intravenous

    WOW!...25 PICCs in 3 days...holy crap. You are a rockstar. I can't imagine how rough the past few months have been for you. Fingers crossed that you stay

  2. Considering infusion nursing

    scribblz replied to J-lynn's topic in Infusion, Intravenous

    Hi J-lynn, IVRUS gave you some excellent advice would agree with everything they said. I am a part time med surg nurse 7p-7a x2 years and before that LTC x 10 years. My 2 nursing loves are vascular...

  3. Home Infusion Nursing

    scribblz replied to nyrnjb81119's topic in Infusion, Intravenous

    Sometimes pay scale is a range based on pharmacy reimbursement. For example I have a Prolastin C client that his actual infusion averages about 45mins. His pharmacy pays me $60 per infusion whether...

  4. Coronavirus (COVID-19): We Want to Hear from You

    scribblz replied to tnbutterfly - Mary's topic in Disaster Preparation

    My hospital just created a dedicated Covid floor. I can only imagine the panic as staff try not to work that

  5. Coronavirus (COVID-19): We Want to Hear from You

    scribblz replied to tnbutterfly - Mary's topic in Disaster Preparation

    I had my first Covid patient this weekend. It was pretty intense caring for her plus 4 other patients. Based on my feedback my manager who is very supportive is aiming for a 2:1 ratio for these...

  6. Do Not Resuscitate - An Inconvenient Truth About Our Healthcare System

    scribblz replied to Skwidward's topic in General Nursing

    This is one of the most horrific things I've heard

  7. Going from full-time to part-time for dream job for time being? Advice?

    scribblz replied to newrnonthefloor's topic in General Nursing

    It sounds like your current unit needs you more than you need them. You mentioned that you have a good relationship with your manager so it seems very likely they'll keep you on per diem. Your unit's...

  8. I'm a NURSE!

    scribblz replied to Joe V's topic in General Nursing

    Jumped all over my house yelling when I passed the NCLEX. My kids looked at me like I had lost my mind

  9. When Nurses Say the Wrong Thing: 4 Ways to Improve

    scribblz replied to jeastridge's topic in General Nursing

    Home care makes maintaining barriers much tougher than inpatient where you have them for a shift or two rather than seeing them weekly for months. If one of my home infusion clients tries to get too...

  10. When Nurses Say the Wrong Thing: 4 Ways to Improve

    scribblz replied to jeastridge's topic in General Nursing

    I personally take my cues from the energy of the family/ patient on what "tone" they need from me. Some people are reassured by a formal, serious bullet list approach. IE good evening Mr Stevens I...

  11. When Nurses Say the Wrong Thing: 4 Ways to Improve

    scribblz replied to jeastridge's topic in General Nursing

    Definitely inappropriate and insensitive... But not intentionally so would be my guess. Like your dad said "it's just her personality" , sometimes nurses develop "gallows humor" or dark humor as a...

  12. IVIG titration rates

    scribblz replied to LJ85's topic in Infusion, Intravenous

    I think the titration is specific to each patient based on what they've tolerated in the past. I have one client who did not tolerate her infusion with her previous home infusion nurse, and her...

  13. Would this be considered abandonment?

    scribblz replied to Twinkle007's topic in General Nursing

    That sounds completely unsafe! Definitely give your resignation ASAP, run don't

  14. What Nurses really Want to Say When They Chart

    scribblz replied to SICUshortCait's topic in General Nursing

    THIS!! Every freaking time. Like do you go to a restaurant and then refuse all the food on the menu... and then throw a fit because you're still

  15. Coronavirus (COVID-19): We Want to Hear from You

    scribblz replied to tnbutterfly - Mary's topic in Disaster Preparation

    While this outbreak is alarming, I feel statistically it's still an outlier concern for me. I'm much more concerned about the flu than anything else. For patients with respiratory symptoms you could...

  16. Infusion nursing/ the journey to CRNI

    scribblz posted a topic in General Nursing

    Hey fellow nurses! My background in nursing is as an LPN for 10 years in mostly LTC settings with limited IV experience. 3 years ago I bridged and got my RN and have been trying to build as much IV...

  17. Infusion nursing/ the journey to CRNI

    scribblz replied to scribblz's topic in General Nursing

    Hi Nursy, Thanks for replying! If you don't mind me asking how did you come by your first PICC nurse position? Curious if you bridged into it from another branch of nursing. Similar to how many...

  18. I feel like I will never be a nurse. Need some advice/motivation

    scribblz replied to PrettyNerd's topic in General Nursing

    Hi pretty nerd, First and foremost get on your own team! You got through nursing school, you passed the NCLEX and earned your nursing degree. You are not dumb. But you do sound discouraged and...

  19. Coronavirus (COVID-19): We Want to Hear from You

    scribblz replied to tnbutterfly - Mary's topic in Disaster Preparation

    Our Infectious Disease Dept. has the ED screening all people with respiratory illness for recent travel to China. People who meet that criteria are placed on airborne precautions until we can verify...

  20. Team Huddle: The Right Way to Start Your Day

    scribblz replied to MBar1's topic in General Nursing

    I find a "huddle" to be a great meeting of the minds/ team work/ brainstorming session when done right. I work 7p-7a on a 25 bed med surg unit and myself and several others rotate being "charge". When...

  21. Help me choose a shift please! Time sensitive..

    scribblz replied to starmickey03's topic in General Nursing

    I have been working night shift my children's entire lives. Yes, I've been available for appointments and anything/ everything on any given day, but the exhaustion of swapping your sleep schedule back...

  22. New grad need help, afraid I’m failing

    scribblz replied to LMSNew's topic in General Nursing

    Hi LMS, Based on everything you've said it sounds like you are doing as well as you should be for your first year in nursing. What it sounds like is a communication problem. All the feedback you...

  23. 9 Types of Manipulative Patients

    scribblz replied to J.Adderton's topic in General Nursing

    I think the OP's article was pretty spot on for common, manipulative behaviors that we nurses have to navigate in practice. To all those who feel we are stereotyping our patients and that this is an...

  24. Alarm Fatigue Design Feedback

    scribblz replied to Cags_'s topic in General Nursing

    We are generally assigned to a unit and then within that unit we have a group of assigned patients. It's important that equipment be easily programmable to the patients assigned to that RN so we don't...

  25. Alarm Fatigue Design Feedback

    scribblz replied to Cags_'s topic in General Nursing

    This is a great idea! I love the idea of a vibrating wrist band which will notify me to refer to the monitor to check my patient rather than my ascom phone going nuts beeping. This beeping disrupts so...