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canesdukegirl BSN, RN

Trauma Surgery, Nursing Management
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canesdukegirl has 14 years experience as a BSN, RN and specializes in Trauma Surgery, Nursing Management.

OR nursing, Nurse management

canesdukegirl's Latest Activity

  1. canesdukegirl

    November 2013 Caption Contest: Win $100!

    "No, Bob Marley Wanna Be, I do NOT think that every little thing will be all right. I'm here because my insurance got changed on account of Obamacare. Now, do you want me to Get Up Stand Up, or do you want to Keep on Movin'?"
  2. canesdukegirl

    Evaluate this situation. What did I miss?

    CALL. THE. DOC.
  3. canesdukegirl

    Charge nurse

    I've been a permanent charge nurse for 5 years now. It still makes me laugh when one particular staff member argues with me (every. single. time.) about his evening assignment when he is required to stay on call. He says, "OK, sure. Whatever. You're the boss. You make the big bucks". I wish I could tell him that in reality, I only make a buck more an hour being charge. However, he makes $13 more per hour because he has to stay and work. Why IS it that charge nurses only make an additional $1/hr? There is something inherently wrong with this. Thoughts?
  4. canesdukegirl

    Calling in sick on 4th shift

    I agree with Been There. Sounds like you might need to adjust your schedule. Do you work 12s? Was the last shift a 12 hour scheduled shift? I'm assuming it's not or it would put you into OT, depending on the days that you worked. It's really hard to get through the week sometimes; we've all felt extreme exhaustion. Calling out an hour prior to your shift means that your colleagues will have to work harder, because there is little time to call in per diem staff. But you know that. This is a learning experience for you. Talk to your NM about adjusting your schedule so that you can break up the week. Believe me when I tell you that it's worth it! For the last 3 years, I worked 4 10s in a row, and had every Friday off. Seems like a sweet schedule, eh? Not really. I was so exhausted at the end of the day on Thursday that I did nothing but sleep/lounge around on Fridays. I was a total bump on a log. I worried the whole day because I had stuff to do, but simply COULD NOT muster the energy to get anything done. I felt like a complete loser. When I changed my schedule so that I had Thursdays off, I can't even express to you how delicious it felt to leave my alarm clock in the "off" position Wed night. I was actually productive and got a lot of stuff done on Thursdays, and went to bed early so that I could feel refreshed on Fridays. Now, I wake up every Friday with a smile on my face, knowing that I just have to work one more shift till the weekend! A break during the week is refreshing, and will give you more energy. Keep us posted.
  5. canesdukegirl

    Do you have 30 minutes for lunch?

    Pfft! I am lucky if I get to go to the bathroom!
  6. canesdukegirl

    Do Mean Girls make Mean Nurses

    OP, I admire you for your strength and resilience while deployed. My hubby was a medic in the 82nd, and I can understand (only peripherally) what you are describing. He jumped into some pretty heinous territory during his time in the Army. I think it would be helpful for all of us to understand what your definition of "bullying" entails. Were you sabotaged in some way? Were you wrongly accused of a mistake? What experiences did you have that you considered "deceitful"? What course of action did you take prior to throwing in the towel? You mentioned that "men try and men fail in nursing due to factors beyond our control and ability to adapt". What factors did you target as beyond your control? Why do you think that you couldn't adapt? Did you talk to some of your colleagues? What kind of support did your nurse manager give you?
  7. canesdukegirl

    Need some insight from experienced nurses...

    The key to success is organization. If you are organized, you spend less time searching for something and more time thinking about what you are doing.
  8. canesdukegirl

    How NOT To Be An Annoying Nursing Student

    I've not had any trouble with nursing students. Med students, on the other hand... Normally, I love having med students in the OR with me. They are SO EAGER to learn. But sometimes I get ones that aren't so eager. After 15 minutes of holding retractors, the neck rolling starts, the constant shifting from one foot to the other starts, and the sighs begin. I am confident that those med students don't fare well during evaluations!
  9. canesdukegirl

    Lunch breaks/assignments

    All, I need your brains...in a totally non I-am-a-zombie-and-I-am-starving kind of way! How does your facility assign lunches and breaks? How do you track who has had lunch and who still needs to be relieved for lunch? I work in a large L1 TC, and have at 60+ people to relieve for lunches and breaks. Tell me what your experiences have been in both the staff or charge nurse role regarding lunch breaks. What was the most effective way to track lunches? How do you handle accountability for lunches and breaks? Do you have staff check off which lunches they have done? Do you have a log sheet? Do you use a magnet board? Thanks for any ideas/input!
  10. canesdukegirl

    Warm Fuzzies Story

    Blue-what a story! Yes, this is our reward. The deposits that are made in our emotional bank account when this happens makes us rich. You, my friend, are wealthy. Hugs to you! Canes
  11. canesdukegirl

    Transplant Thanksgiving

    Bwaaahaahahaha! I can relate!
  12. canesdukegirl

    Transplant Thanksgiving

    Yes, I do. I am thankful every single stinking day that he is by my side. Oh, and I can't help but mention that I am also lucky to have a puppy that curls up next to me, smelly feet and all!
  13. canesdukegirl

    Transplant Thanksgiving

    Thankfully, my husband is also in medicine. He understands with one look. Broom closet affairs? Has he been watching too much TV?!? I wish your hubby knew that our fantasies entail a complete lunch break (where we can actually DIGEST our scarfed down meal), time to pee, and being able to chart without interruptions.
  14. When you are finished with the vials, put them into a small basin/bowl and hand it to your circulator. The circ should then dispose of the vials in the sharps box, just as aubgurl mentioned.
  15. canesdukegirl

    Experienced nurses

    First of all, kudos to you for stepping up into a "leadership position", although it can be quite taxing. Naturally, these new grads look up to you and trust your judgement, else they wouldn't get so upset when you aren't immediately available to them. When I found myself in your position YEARS ago (I think that I actually treated a T-rex on my unit), I became quite discouraged because I felt so much pressure with guiding new nurses, as well as tending to my own duties. So I decided to adhere to the old saying, "Teach a man to fish...". I made an "algorithm cheat sheet" for new grads, and brought it to my NM for approval. It helped the new nurses learn how to prioritize, who to call, WHEN to call, and what info they should have in front of them prior to calling. I also made a list of common phone numbers and shrunk it down to fit on the back of their badges. It's good that you are being sought out for your knowledge. When your peers ask you for help when you are completely slammed, ask them to walk with you while you are completing your own tasks, and then pose the question to them, "Tell me what you are thinking?" It's easier to just solve the problem for them, but it's more beneficial to let them think through a challenge. Easier said than done, I know. If you work in a system that has a "tiered" clinical nurse ladder, you can use this algorithm as a project for your application to the next tier. Hope this helps. Hang in there!
  16. canesdukegirl

    cutting sterile drape

    OP, can you describe further what you mean about "the surgeon reaching through the hole to the elbow" How was the pt draped? Where was the operative site?
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