NocturneRN

NocturneRN

ER, cardiac, addictions

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All Content by NocturneRN

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

    NocturneRN replied to jk2185's topic in General Nursing

    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?

    NocturneRN replied to jk2185's topic in General Nursing

    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. Seeking advice from all you Introverted nurses out there...

    NocturneRN replied to jk2185's topic in Patient, Colleague Relations

    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. Is the nursing profession causing its own RN shortage?

    NocturneRN replied to RNDave's topic in Nursing Professionalism

    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?

    NocturneRN replied to Bridgid Joseph's topic in General Nursing

    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

    NocturneRN replied to beachlover's topic in First Year After Licensure

    ********************* 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

    NocturneRN replied to EMSnurse411's topic in Spirituality, Religion

    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

    NocturneRN replied to EMSnurse411's topic in Spirituality, Religion

    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

    NocturneRN replied to Emergent's topic in General Nursing

    ******************* "Pumpkin"? That sounds a bit

  10. How do you leave it at work?

    NocturneRN replied to Newbie_RN17's topic in Patient, Colleague Relations

    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. Another feeling stupid thread... Need encouragement

    NocturneRN replied to tsm007's topic in First Year After Licensure

    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. Another feeling stupid thread... Need encouragement

    NocturneRN replied to tsm007's topic in First Year After Licensure

    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!

    NocturneRN replied to All4NursingRN's topic in Emergency

    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?

    NocturneRN replied to NursePystal's topic in General Nursing

    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

    NocturneRN replied to xxfischfacexx's topic in Critical Care

    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...

  16. Things you'd LOVE to be able to tell patients, and get away with it.

    NocturneRN replied to AngelfireRN's topic in Patient, Colleague Relations

    That's the best one

  17. Things you'd LOVE to be able to tell patients, and get away with it.

    NocturneRN replied to AngelfireRN's topic in Patient, Colleague Relations

    "No, the hospital ER visit doesn't include complimentary meals and taxi rides

  18. Things you'd LOVE to be able to tell patients, and get away with it.

    NocturneRN replied to AngelfireRN's topic in Patient, Colleague Relations

    "Contrary to what the commercials tell you, you don't come to the hospital to be waited on in comfort. You come here to work at getting well, and some of the work you have to do might be...

  19. ALL nights or day/night MIX shift to pick? HELP! need to reply to recruiter!

    NocturneRN replied to froggy8's topic in First Year After Licensure

    I'd definitely go for straight nights for several reasons: __it's easier on your metabolism, and MUCH easier to schedule appointments, etc. __the pay is usually better __there aren't as many...

  20. Do give up your seat for a doctor?

    NocturneRN replied to Pmkn10RN's topic in General Nursing

    I'll give up my seat to a doctor in the same way I would do it for any coworker: if s/he needs it more than I do at that particular moment. In other words, I'll do it as a favor, not out of a sense...

  21. new to ER - more questions....

    NocturneRN replied to jotond's topic in Emergency

    It's the same in my ER. One thiing I'd like to mention: the U/A order should be cancelled at this time, if the doctor doesn't want it. One of the quality measures that's tracked in my ER is how...

  22. Is there an Off-Topic Forum? Where nurses discuss things in life non nursing related?

    NocturneRN replied to MMA-N-Nursing's topic in General Nursing

    I wouldn't be surprised! I did.

  23. Is there an Off-Topic Forum? Where nurses discuss things in life non nursing related?

    NocturneRN replied to MMA-N-Nursing's topic in General Nursing

    AOL used to have a lively message board for nurses, in which everything from favorite recipes to politics was discussed. Sadly, it's slowed almost to a standstill recently, but it's still

  24. Patients asking for stuff

    NocturneRN replied to Darkpk55's topic in General Nursing

    In my experience, patients often ask that question about medications for pain, nausea, anxiety, etc. I wouldn't worry too much about the math part of it-----most of the time, they just want to know...

  25. ER handoff report to floor

    NocturneRN replied to PatricksRNMommy's topic in Emergency

    I've been on both sides of the issue at my present hospital (used to work on tele, now in ER), so I've seen the problems with each of the many approaches we've tried. When we used a telephone report,...