NocturneRN

NocturneRN

ER, cardiac, addictions

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About NocturneRN

NocturneRN has 30 years experience and specializes in ER, cardiac, addictions.


Latest Activity

  1. Treat the Patient, not the Monitor.....Really?

    One of the problems with this whole discussion is that the saying isn't "Look at the patient, not the monitor." It's "TREAT the patient, not the monitor." This distinction is important, because the...
  2. Treat the Patient, not the Monitor.....Really?

    Here's a less dramatic reason for treating the patient rather than the monitor. I have PVCs----lots of them, on a regular basis. Sometimes I feel them; sometimes I don't. Nurses often get concerned...
  3. I'm an introvert and a pretty obvious one, but that doesn't mean I don't enjoy interacting with patients and staff. In general, being an introvert just means that you're most relaxed and comfortable...
  4. I'm currently on the last leg of getting a BSN. (After 35 years in this profession, my employer decided to make BSN's mandatory. Not exactly mandatory, mind you, but just mandatory enough that I'm...
  5. Code Blue: What Should I Do?

    I just had to mention this: on the list of trending threads, this "Code Blue: What Should I Do?" topic was immediately followed by "Just need to vent for a few
  6. Fired during orientation/7 weeks in

    ********************* I'm afraid I've got to disagree in this instance. In my workplace, the rule is that you don't interrupt a nurse who's pulling or preparing medications. The preceptor was...
  7. An Atheist Nurse in King James Hospital

    Wow! I'm going to suggest that to the ER doctors and NPs, the next time one of our usual suspects asks for
  8. An Atheist Nurse in King James Hospital

    Could you just say, "You're in my thoughts"? Most of the time, I think, patients just want to feel that you care about them, and will continue to care about them even after they're not right there in...
  9. Scripting sounds patronizing

    ******************* "Pumpkin"? That sounds a bit
  10. How do you leave it at work?

    Talk to your unit's (or department's) clinical instructor. It's not a violation of HIPAA if the purpose of learning the outcome is to improve your nursing skills, and if names or identifying numbers...
  11. Well, it's also possible that the unit you work on has a dysfunctional environment. That's a management issue, and there's little you can do about it, except put up with it (or switch jobs, if you...
  12. I'm going to remind you of what I was told when I was a brand new graduate, struggling in my first nursing job 35 years ago: Your nursing education, as difficult as it was, gives you only enough...
  13. My Unit Is Bleeding Staff & Morale...Vent!

    I agree with PsychGuy. I work in an ER now, but some years ago I worked in psych. The ER is just a holding tank for psych patients: you can't do anything with them; you can't take the time to build...
  14. Confidence, where art thou?

    I remember having similar feelings when I graduated from nursing school many years ago, and started on a busy surgical floor. I had 10 patients, with the help of a CNA who had a habit of disappearing...
  15. Personality Traits of a Good Trauma Nurse

    There is no one specific personality type that's suited to trauma nursing. (I know that, because I'm a trauma nurse and my personality is about the opposite of what you'd expect.) But many of my...