westieluv

westieluv

Med/Surg, Tele, Dialysis, Hospice

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All Content by westieluv

  1. I have a history of neck injury from an auto accident in 2001. I have had cervical disc surgery in 2002 and 2008 and have a titanium plate in my neck. Over the years I have developed a lot of...
  2. I Need Courage!

    Thank you, WinterLilac, you are very kind. I wish you all the best
  3. I Need Courage!

    Thanks for your replies. I am planning on getting a note of some kind from the doctor stating exactly what is causing the pain (I just had an MRI and the results are being faxed to him so there...
  4. What to expect fron Davita Dialysis Training??

    This definitely holds true in the chronic dialysis setting as well as other types of nursing. Every time I work at our Davita clinic, I oversee 40 HD treatments over three shifts, sixteen at a time...
  5. Linguistic Pet Peeves

    This. I used to work with a nurse practitioner who would say "I seen him yesterday", etc. It drove me nuts because she had so much education but sounded like she didn't. She would also say, "He don't...
  6. How to deal with coworkers

    You know what my theory is on this? I believe that most nurses feel incompetent and unsure of themselves at times, whether they admit it or not. It's almost impossible not to, what with all that we...
  7. Patient: Mid-50s male in our chronic unit who dialyzes three times/week and has chronic HTN. He will often arrive for tx with BP 180/100 or higher Problem: He takes his BP meds just before coming to...
  8. If you could pick up and go..

    Los Angeles, San Diego, Charleston, SC, Gettysburg, PA, or somewhere in the Upper Peninsula of Michigan. I have visited all of those places and they intrigue me enough to want to try living there for...
  9. Chronic Patient Dilemma

    Good points, nutella, but you know how it is. You can only go by what the patient tells you he is doing, and this patient tells us that he is taking all of his meds as ordered. Based on his...
  10. Chronic Patient Dilemma

    If I did the calculation right, it comes out to just over four hours. Right now he runs 3.5 hours. Of course, the day I post this things change. Today he came in with BP 190/100 but his BP dropped...
  11. Patient ratio

    I couldn't agree more with nutella's post. You do NOT want to be an RN in a chronic dialysis unit without being comfortable putting patients on and taking them off of treatments or understanding the...
  12. Let My Temporary License Lapse...

    Thanks for your reply. I did check the website but I don't see anything that addresses this particular situation. I tried to call the Texas BON yesterday, but I got the old "We are experiencing very...
  13. Let My Temporary License Lapse...

    I used to work from home for a telephone triage company. When I quit, I was in the process of getting my Texas RN license by endorsement and had my temporary license but not my permanent license. I...
  14. Patient ratio

    Well, I work for Davita in a chronic unit and when I come in in the morning, I have 16 or sometimes 17 patients to manage. I rarely have to put any of them on, so what I start out doing is as each...
  15. I have a history of neck injury from an auto accident in 2001. I have had cervical disc surgery in 2002 and 2008 and have a titanium plate in my neck. Over the years I have developed a lot of...
  16. Thanks for your reply, I really appreciate the suggestions. I think my first stop will be my neurosurgeon so that he can order some diagnostic testing to see why the neck pain and radiculopathy is so...
  17. Nurses With Chronic Pain...How do You Cope?

    Thanks so much for your reply. Unfortunately, doing anything while at work would be pretty much impossible, as we are a busy 17 chair unit with three shifts, meaning that I am lucky to take a 30 min....
  18. Anyone doing it for the money and stability?

    I do it entirely for the money and stability. If we didn't need my paycheck and benefits I would resign tomorrow and let my nursing license lapse, to be perfectly honest. I am very kind to my...
  19. I'm a diploma RN who graduated from a highly rated hospital-based nursing program 26 years ago. About fifteen years ago I went back to school to pursue my BSN but I didn't complete it because we were...
  20. Dealing with Guilt

    OP, read what you wrote here. The telemetry would lose connection without warning and the RNs ignored it even when it was working? No patient is going to be safe under those circumstances, why even...
  21. UNDERPAID

    I agree with the other responses. You accepted what they offered, so if you go to them now requesting higher pay, they are not going to be happy and they are going to label you as a dissatisfied...
  22. My experience has been that the techs that work in your clinic make or break how long the day is most of the time. We have some expert techs who are able to immediately address missed treatments...
  23. Struggling new charge nurse

    How do I do it? Simple. I am not expected to run a pod and perform all of my nursing duties simultaneously. If I was, I think I would run screaming from the building because running a pod is enough...
  24. I was working one night a few months after our son was born and as I was hanging an IV bag, the patient lying in the bed next to me asked when my baby was due, lol. I don't know if this counts, since...
  25. Dealing with Guilt

    My first thought when I read your OP was why, if this man was severely fluid overloaded and dangerously hypoglycemic, was he not on telemetry? I assume he wasn't, or when he flat lined it would have...