hellerd2003

hellerd2003 RN

Critical Care

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All Content by hellerd2003

  1. Oh no she didn't!

    hellerd2003 replied to misslo's topic in General Nursing

    You did the absolutely right thing. I work in critical care, and I often tell my families that, once their loved one is in my care, the family is ALSO my patient. I do everything I can to keep the...

  2. HE was sent back onto the streets??

    hellerd2003 replied to DebRN06's topic in General Nursing

    If he were that violent at time of discharge, either he was very, VERY convincing to the psych evaluator, or he is manipulative, or his codes were due to a short fuse, or you live in a state with...

  3. HE was sent back onto the streets??

    hellerd2003 replied to DebRN06's topic in General Nursing

    Depends on the issues at time of discharge. The OP states that she was off duty for a few days prior to the patient's discharge. So, the patient could have been lucid and medicated properly, and...

  4. What are states that have high nursing shortages?

    hellerd2003 replied to princesasabia's topic in General Nursing

    Nevada has a nursing shortage, but it's a different shortage than when I moved out here almost 3 years ago. When I came out, I interviewed at only two hospitals (of my choosing) as a new grad-- and...

  5. Husband Trying to Discourage Me from Nursing

    hellerd2003 replied to Dottie78's topic in General Nursing

    Would hurt be less if a person had to give up their preferred career to keep a marriage where they weren't supported? I'm assuming that the OP's husband just has a negative slant on nursing because...

  6. Help I am scared!!!! PLEASE HELP ME!!

    hellerd2003 replied to smak60's topic in General Nursing

    If you've given B-12 shots, you're capable of injecting any child or adult vaccinations, including influenza and pneumonia. Just review your sites for peds/ adults and vaccination volume. Insulin...

  7. low body temp and fluid question

    hellerd2003 replied to jennifers's topic in General Nursing

    This pt had decreased urine output and decreased temp. Both could indicate sepsis. I only point this out in that you're saying that elderly pts. may not run temps until an infection has progressed...

  8. Triage question- what would you do?

    hellerd2003 replied to StealthyQ's topic in Emergency

    I'd document that she didn't want to tell me what was going on; take a bit of time to ask her WHY she had to only see an MD, and explain that not answering symptomology may lead to her being seen...

  9. what did you learn in the real world that you wish you learned in nursing school?

    hellerd2003 replied to mashamontago's topic in General Nursing

    That although nurses are listed as one of the most highly respected professions annually in national polls, you will get no respect if you're a bit slow bringing a glass of water. And that you may...

  10. Nurses will do the CNA job

    hellerd2003 replied to bongids's topic in General Nursing

    I work in ICU, and we never have CNA's. This may be unpopular, but in an ICU setting I'm *glad* I don't have an aide. I'm one of those nurses who really doesn't mind the "dirty" side of nursing. I...

  11. Upset

    hellerd2003 replied to sarbell's topic in General Nursing

    St. Paul MN is a highly saturated market (lots of schools), and if you're only applying to specific units, in specific areas, you will have problems. I moved from MN because I wanted more job...

  12. Jealous Nurses!!!!!!!!!!!

    hellerd2003 replied to meyun06's topic in General Nursing

    I don't know about being jealous re. money. With an MA in occupational therapy, I made less than entry level nurses. There were many factors that led me to leave OT as a career, but money NEVER was...

  13. "English Only" Rule at Work?

    hellerd2003 replied to Nurse!Nurse!Hello?'s topic in General Nursing

    I think that all should speak a common language. Both myself and my student nurse don't speak spanish. But we both understood a nurse telling another coworker, "you take the students" (and my student...

  14. hemorrhagic cva

    hellerd2003 replied to NurseyPoo7's topic in General Nursing

    I've also, to add to my previous posts, had patients ON A VENT, on PROPOFOL maxed out, with both morphine and dilaudid at the max, requesting to sign out (via a written note) AMA. Since I had...

  15. hemorrhagic cva

    hellerd2003 replied to NurseyPoo7's topic in General Nursing

    I agree. And placing foleys too frequently has been shown to lead to hospital-acquired UTI's. But if a person is having a hemorrhagic stroke, should not a nurse(ICU, ER or FLOOR) possibly thing...

  16. hemorrhagic cva

    hellerd2003 replied to NurseyPoo7's topic in General Nursing

    >I also called report to ICU - she was more concerned about why he didnt have a foley and why we havent given him anything for his HA 5/10 (pt refused Tylenol PO and supp.).> As an ICU RN, I'll...

  17. In your experience.......when a seemingly "stable" patient tells you they are

    hellerd2003 replied to JennRN65's topic in General Nursing

    ANY TIME they say that . . . it's impending. Never had a patient lie to me about

  18. Starting a Travel Company Just for my Mother

    hellerd2003 replied to jacobdh's topic in General Nursing

    Ok--- I'll bite. Number one, working with family can be difficult, if not impossible. Working with a mother who's been a travel nurse for 5 years, used *37* different companies and worked in *21*...

  19. All nurses hate their job

    hellerd2003 replied to iamhere's topic in General Nursing

    I should clarify that I work in ICU, so I'm not responsible for 35 pts per shift, or have multiple med-surg admissions. I have other issues, naturally (pts crashing, death, codes, etc.), and those...

  20. how much does your hospital pay to precept a new nurse?

    hellerd2003 replied to rninnv's topic in General Nursing

    Our hosp. pays nothing for a student pre-NCLEX. Post- NCLEX, they pay $1.00/ hour if the person is hired. If compared to my last preceptorship (a student post NCLEX) who had experience outside of RN,...

  21. Doctor title, Nurse title

    hellerd2003 replied to pegbord's topic in General Nursing

    Our intensivist is called Dr. ______ to the family. To nurses in general, he's called Dr. ______ To us nurses who deal with him daily (he's our ICU intensivist) it really depends upon how you relate...

  22. CNA vs. CMA

    hellerd2003 replied to cmadeit's topic in General Nursing

    Hospitals rarely take medical assistants, unless you are applying for unit secretary/ tech positions. Your first message did seem, whether you knew it or not, to be challenging a LPN (not so much RN)...

  23. Scrubs: All solid, or mix and match/prints?

    hellerd2003 replied to beachbum3's topic in General Nursing

    No cartoons if you're in ICU, or expecting to make a patient DNR. While patients' families will not notice the scrubs due to the circumstances at hand, you will feel odd wearing a Winnie the Pooh...

  24. How hard is it for a new grad to find a hospital job???

    hellerd2003 replied to ohcomeon's topic in General Nursing

    Can people post where they are from when they state how their job search has treated them? I think it would be easier for new grads to ID areas where they could get jobs if that was done.

  25. If you had to give a student nurse advice...

    hellerd2003 replied to 2009newgrad's topic in Emergency

    On my last post, I talked about orienting nurses . . . I do that, but was addressing my comments to student nurses, who I also take on during their education. Although I think all the points I made...