applewhitern BSN, RN

ICU

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All Content by applewhitern

  1. applewhitern

    Ativan

    Are you sure it wasn't "atropine" instead of Ativan? We give atropine to help dry secretions on hospice patients. I agree Morphine would be a better choice; atropine drops and
  2. I don't like to be addressed by my first name, either. When I first started out, we were called Nurse Last Name; now it is simply "first name." We are required to call all doctors by their title and...
  3. applewhitern

    Should I resign, or be suspended?

    My hospital will fight your "unemployment benefits" tooth and nail. Unfair, and I don't know why they do that, but I know 3 people who were fired from my facility during the past two years; they have...
  4. applewhitern

    Obesity, diarrhea and skin care

    Just wondering where was your instructor during all this? That is something that just floors me; you pay a ton of money to attend nursing school. This would have been a prime teaching moment for...
  5. applewhitern

    Aha bls certification question

    If you are trying to do an "online" class, keep in mind that some facilities will not accept it. Mine doesn't. It has to be "hands-on" in front of a real, live
  6. applewhitern

    Nicotine Test for new employment

    Some hospitals here in Florida advertise that they test applicants for nicotine prior to hire, and again 6 months later. (My insurance rep claims it can be detected for 6 weeks, but I don't know if...
  7. applewhitern

    Ambien- FDA Recommendations

    At my previous hospital, we gave 5 mg to anyone over the age of 65; patients younger than 65 could receive 10 mg. At my current hospital, we give only 5 mg to
  8. applewhitern

    help

    So are you supposed to diagnose the medical condition? I thought the MD's did
  9. The hospitals in my area might pay 25 cents more per hour for a BSN, but some don't pay more at all. There is no such thing as tuition reimbursement around here, except for LPN to RN. There is no...
  10. applewhitern

    The Strangest/Most Inaccurate Things You Learned In Nursing School

    Our main educator has a master's degree in nursing, but a lot of what she says is inaccurate. She has very little experience in actually taking care of a real live patient, and apparently doesn't...
  11. I agree with you, Sam J. If I hold a med, I inform the doctor. I can certainly make nursing decisions and nursing judgment calls, but I would never withhold a prescribed medication without telling...
  12. applewhitern

    Jobs that older nurses do. (?)

    We have lots of nurses in their 60's and 70's. I am 57, and still work full-time in ICU. We have floor nurses, ICU nurses, supervisors and managers in their late 60's thru
  13. applewhitern

    APA Rant by RN

    All I can say is I am so glad to be thru with all that! Back in the dark ages, we didn't even have computers, let alone fancy stuff like you guys describe here. I had to drive one hour (each way) to...
  14. I don't feel it is safe, either. We had to do seven (yes, seven!) 12's in a row, night shift, in one ICU I worked. I finally said I couldn't do it anymore, and went to five (5) twelves in a row. (5...
  15. I would not hold metformin for a blood sugar level of 149. (It is usually given with the morning meal.) In my state, you would need a doctor's order to hold this; otherwise, it is considered...
  16. applewhitern

    Bedside Shift Report

    I would only like it in the ICU setting, and only if it is a private room. I would be upset if I were a patient in a semi-private room, and the nurse was giving report where anyone could hear my...
  17. @mhy12784. Communications and journalism have never been lucrative career choices. Liberal arts? That could be anything. I wouldn't compare those degrees with a nursing degree. Completely...
  18. applewhitern

    Hospital staff/no weekends/holidays

    There is a hospital near me that constantly advertises for "WOW" positions~ meaning, work on weekends. I never see them advertise for the sacred Monday-Friday positions, so I guess it must be hard...
  19. applewhitern

    Nurse brutally beaten in a Brooklyn Hospital

    I don't think the age of the nurse would have made much difference. What if she was only 4"11, 98 lbs, but 23? We have a lot of nurses in their 70's. One is 80. They can work circles around some of...
  20. applewhitern

    darn bed alarms

    Personally, I love the bed alarms. Whatever I am doing is generally not as important as someone potentially falling and breaking a hip or back, or worse. I haven't worked in a hospital that will...
  21. applewhitern

    Who should make patient assignments??

    Assignments should be based on
  22. applewhitern

    ACLS certification

    Please do not stress over the ACLS. It is so simple these days~ nothing like it used to be! Just know your basic CPR, how to use the defibrillator, and of course rhythm recognition. The written...
  23. applewhitern

    I hear ASN degrees are being phased out.

    Employers who will pay for your tuition (or have tuition reimbursement programs) are few and far between these days. Plus, from my experience, most only pay a part of it, meaning they might pay the...
  24. applewhitern

    I Just Need To Vent A Bit... Or A Lot.

    Seems like everybody I know is trying to become a nurse. At least, all the young people I know claim that is what they plan to do. Try telling them there is no nursing shortage? Nobody believes it!...
  25. applewhitern

    Hallway beds on the floor/overcrowding

    Not every hospital uses The Joint Commission for accreditation; mine does