applewhitern BSN, RN

ICU

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All Content by applewhitern

  1. applewhitern

    Most challenging nursing department

    My most stressful was ICU step-down (some call it Progressive Care). Patients on multiple drips with constant monitoring, too sick for the "floor" but just well enough to be a
  2. applewhitern

    What is the better antiemetic zofran or phenergan?

    My hospital's policy is that we have to give Zofran first; it Zofran doesn't work, we can give Phenergan. However, we have to mix it in a 50cc bag of NS and give it over 30 min! They will not let us...
  3. OK, I'll bite. I think nursing school is harder, simply because you have to learn to think differently. Things aren't necessarily black and white, you have to learn to think about "which is MORE...
  4. applewhitern

    Liberia: Nurses Abandoned Redemption Hospital

    I never thought I would take care of HIV patients, but I do. Personally, I don't trust protective gear too much! Yeah, I would have to use the best protective gear available, and would need to by...
  5. That doesn't even make sense. Surely there is a doctor assigned to each patient; the patient has to be admitted to
  6. applewhitern

    From nurse to a doctor

    I am not a doctor, and have never been to med school, so I can't offer a valid opinion either way. I can say, however, that I personally know several doctors who have chosen to get out of medicine....
  7. applewhitern

    Walkie Talkie

    I use "instant reply" admission, frequent flyer, in addition to walkie-talkie. I say "buff and puff" for bath, "tips and lips" for TPN and lipids, "altitude vigil" for weaning vents, and many more....
  8. applewhitern

    Nursing School Incivility

    I was paid to precept students who were doing their practicum years ago, but apparently most hospitals no longer pay for this. It sounds to me like he was not a very good preceptor, and maybe he...
  9. applewhitern

    Walkie Talkie

    That term has been around for many years, and I have never heard anyone claim it is derogatory. I agree, some people find offense in anything and
  10. applewhitern

    help- How to become an RN- no science courses

    If you went to Laurier in Canada, I am surprised you didn't have to take any math classes for your psychology degree. Since requirements at each nursing school are different, you really need to...
  11. applewhitern

    Husband not supportive of me going to school

    Please put a lot of thought into this. Nursing school is hard work, but actually working as a nurse can be hard, too. You will probably have to work night shift, weekends, holidays. Who will take...
  12. applewhitern

    If you had money to spend on your unit or staff---

    I was paid an extra $4.00 per hour years ago for this. I am shocked that your facility keeps the money, instead of letting you have it. There is a lot of extra work involved in teaching a student...
  13. I address my patients by Mr. or Ms. Last Name, as required by every hospital I have worked in. Here in the deep south, it is considered disrespectful to address someone by their first name, unless...
  14. Hospitals still want experienced nurses. I am starting to see ads again for EXPERIENCED REGISTERED NURSES but no mention of type of degree. Maybe they are starting to see that experience matters....
  15. applewhitern

    On-Call Pay Survey

    We do not receive call pay, period. That said, you don't have to be on call if you don't want to. It matters when you get your yearly evaluation and (hopefully) pay raise, because if you don't come...
  16. applewhitern

    In need of work

    If you volunteer to work "every Saturday for a year," what will you do when you get an actual paying job, because most nursing jobs will require you to work at least one Saturday per month, and most...
  17. applewhitern

    Manager Bonuses

    I have heard that our upper and middle management gets a bonus each year, but I don't know if that is true or just a rumor. We don't staff short, unless we simply can't get anyone to come in when...
  18. I still see ads in newspapers for nursing jobs. Just today, an LPN job for a county jail, experienced RN jobs for ICU, and ER and cath lab at 2 different hospitals. I always see nursing home jobs...
  19. applewhitern

    Water based lubricants moisturizers ?

    We have a pulmonologist who routinely orders Vaseline to the lips of our ventilator patients. Not only the lips, but he wants it rubbed around the nose, too. I know why people say it is...
  20. applewhitern

    Do you hear nurses will take over respiratory work?

    Intubation was a standard part of ACLS for many years, so many of us nurses can intubate. Actually, I have rarely seen an RT tube anyone. It is all hospital specific; everywhere you work has it's...
  21. That is the way it is for us, too. (I used to keep books and do payroll; we paid for every minute.) Anyway, I don't have to stand around and wait, because I am NEVER early! I am one of those...
  22. applewhitern

    Just a rant rn-bsn

    There is no way I would pay such ridiculous tuition costs today. When I would take classes, I could pay for one whole class with just one week's paycheck. I went to a private college for my ADN, and...
  23. applewhitern

    How does your facility prevent falls?

    We use the bed alarms. They have been effective for us, and we rarely have a
  24. applewhitern

    an oldie but goodie

    In the early to mid 80's, I wouldn't even walk to the mailbox in front of my house without the perfect hair, ton of makeup including 3 eye shadows, eyeliner, mascara. Today, I rarely even wear makeup...
  25. applewhitern

    Do you hear nurses will take over respiratory work?

    Arterial sticks are not outside the scope of the RN; that is one of those facility specific things. If your hospital allows it, then you will have education on it. Every hospital I ever worked at...