nursemike ASN, RN

Rodeo Nursing (Neuro)

Member

All Content by nursemike

  1. i had 48 years of life-experience and 7 as an unlicensed health care worker when i graduated nursing school. both have been and still are helpful; neither entirely prepared me for being a nurse....
  2. I think I'm still working on figuring out some answers. Won't live long enough, of course, to figure them all out. But I do sometimes feel I think better with a pen in my hand. You know, I think I...
  3. (emphasis mine, directed at self)You know, I still think the OP could have been more constructive and objective, and I still don't believe it's an old vs young issue. I don't imagine I need to tell...
  4. To me, that's one of our strengths, although it certainly does create challenges. The setback, in my eyes, is when the various powers that be try to standardize us to death. Patients with CHF get...
  5. Thanks. I am reminding myself that no nurse should make any big decisions when he/she is tired. I wonder if that's why the only meds we pass at 0600 are Nexium. ETA: Well, and synthroid. That's a...
  6. Thank you. I don't know whether to be more flattered by your comment or Viva's, but I do appreciate your understanding that even when I've felt a bit testy, it hasn't been my intention to "tear you a...
  7. Your point of view is mistaken. You've said what's on your mind, and you certainly have that right, but those of us who've found at least some of what you've said obnoxious or offensive, or simply...
  8. Apparently it does take much, because people seem to have a hard time grasping that posting about bitter old nurses vs. eager, young, enthusiastic nurses is pretty insulting to older nurses. That...
  9. In fairness, I do think there's a gray area between appalling and reportable, and it's undoubtedly bigger and grayer to a student than to an experienced nurse. I feel lucky that I've never witnessed...
  10. In my previous post on this thread, I tried to address the idea that some times there just isn't time for the small kindnesses many of us expected to be doing when we entered nursing. Others have...
  11. It's a complicated problem. Sometimes it genuinely is an issue of the nurse's ego. We (all of us) would like to be treated with respect as the healthcare professionals we are. Not many nursing...
  12. nursemike

    Time to call a duck a duck?

    I think perhaps the gist of this thread has been that perhaps we try to cover too much ground too diligently. Another thread, on nursing diagnoses, raises the question whether efforts to develop a...
  13. Working my way through this thread, I have to respond to this with a resounding "Why?" If, as nursing leaders so adamantly declare, a plan of care is crucial, why do we not have time to work on them?...
  14. nursemike

    am I that "b" nurse? or am I being an advocate?

    I think confronting the issue during report was correct, but the OP's account seems to undermine the preceptor with the new nurse. I think it would have been more important just to note objectively...
  15. nursemike

    Not "real nurses"

    I've worked with some nurses who were new to acute care, coming from a background in LTC, and one from a doctor's office. None of them found the transition easy, but compared to my transition from...
  16. I'm surrounded by eco-hippies. Long before the unfortunate disaster in Japan, most of my co-workers were still obsessing over the Three Mile Island accident. Can't hardly have a conversation without...
  17. I think we don't know why the OP almost certainly exaggerated the dosage of antihistamines. I think she was probably just being colloquial. It's entirely possible she was unfit to come to work....
  18. nursemike

    Just let me go!

    I once had an 18 y.o. pt with a DNR order. I cringed, at first, until it occurred to me that her condition would have to deteriorate a lot before it became an issue, but there was some potential to...
  19. I've paged docs that I've given a pt a ton of pain meds. I actually meant "a lot". I doubt the OP meant a literal
  20. At my facility, we have to let PRN staff know by 0500 if they won't be needed. We're semi-rural, so if we waited much later, a lot of people would be en route by the time we tried to call. Or census...
  21. There's a spectrum of symptoms from sniffles to cardiac arrest/respiratory failure that are true allergic reactions, and my understanding is that any allergic reaction can progress down that chain, so...
  22. You didn't mention the type of facility where you work. I work acute care in a hospital, and if one of our aides calls off, it's a pretty big bummer, but not the end of the world. In LTC, it could...
  23. nursemike

    Anyone else feel like they don't know anything?

    Yes, I often feel like they don't know anything. In fairness, I'm sure there must be times when they feel like I don't know
  24. nursemike

    Tell us about your Allnurses' experience/Journey

    I joined during my first year of nursing school when the site came up after a google search. Didn't lurk. Why on Earth would I settle for reading other people's opinions when I could be expressing...
  25. I think some of the posters continue to participate because they relate it in some way or another to their own experiences and have become emotionally invested in persuading others to see their point....