llerkl

llerkl ADN

Non-Oncology Infusion currently

RN, CRNI

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All Content by llerkl

  1. Inappropriate Conversations in the Workplace

    With the current events and everyone being SO polarized and offended about EVERY little thing.......you never know when you will stumble upon a controversial topic. I work in a small infusion area....the patients will have discussions among themselve...
  2. "I am a nurse!"

    I agree with others here who have said they NEVER identify themselves as nurses when seeking care for themselves or a family member. I have ALWAYS wanted to respond to the "I'm a nurse!" comment.....with something like....."well that's awesome! Then ...
  3. I wasn't aware until recently, that "private" smaller free standing infusion areas are held to different standards than larger, hospital affiliated centers. Not exactly sure what the standards are. I know the nursing staff must be trained in compound...
  4. Disheartened

    I am at the top of the career "hill" looking down, rather than the trail leading TO the hill......Sometimes folks are unfriendly and not helpful just because that is the kind of people they are, age is not even a factor!! Yes, there is a little trut...
  5. Why I LOVE night shift

    SO TRUE!!! If only we were't working against our body's natural rhythms....that is what I worry about. Long term fall out from working nights forever is questionable. It IS my family though and I love the climate of the hospital at that time. Stupide...
  6. Book: The Basics of Camp Nursing

    I LOVED this book!!!! I just returned from camp after caring for about 80 high school marching band students in northern Michigan. I was there with them for a week. Had a BLAST!! It is the fourth time I have been their nurse but still ordered this ...
  7. Pain Management Certification?

    I recently became certified in this area. There are a lot of free CEU's on line....I used places like Gannett Education online, Medscape LLC, and Nursing Spectrum Continuing Ed. Looking at my application to take the exam, some of the course titles I ...
  8. What do you use as your "brain" while on the job?

    When I worked in the Neuro ICU, I used to rip off a piece of EKG paper, label the back of it by the hour. Wrote down whatever was due each hour (12 hr shift) such as labs, vs, meds etc. and carried it in my pocket. Worked like a charm! Of course I ...
  9. ANCC Pain Management Certification

    GOOD LUCK on exam! I just took it last week and passed. Summer begins for me NOW!!!!
  10. ANCC Pain Management Certification

    I looked at the paper work posted on ANCC website: You have to have "a minimum of 2000 hours of practice in pain management within the last three years" and have practiced the equivalent of two years, full time as a registered nurse. Guess your ne...
  11. ANCC Pain Management Certification

    Maybe you should contact ANCC with your specific question about this. They have pretty specific guidelines for eligibility to sit for exam. Not sure how strict they are on them. Good luck!!! Hope you get to take the exam!
  12. How Does One Start in Pain Management as a Patient

    I agree with keeping up with the PT. Work as hard as you can. Possibly, getting another primary care doc's opinion if you think you still are not getting any better. Does anything help your discomfort? Like whirlpool, heating pad, ice pack, stretchin...
  13. Why apologize to doctor when calling?

    My standard line about calling docs in the middle of the night....." If he/she wanted to be a plumber, they should have been a plumber!". However they ARE a doctor and patients DO have issues 24/7 and sometimes they need to be notified. I have no sh...
  14. MD orders via computer

    Computerized order entry is great for the most part. I LOVE that you can determine WHO wrote WHAT and the exact time it was written. My personal opinion is, at times the computerized system keeps Docs/Practitioners FARTHER from the patient bedside. E...
  15. Advise regarding acute pain management

    My answer is based on practicing on the USA but some of the principles may apply......I think you need to get into a PACU situation, working with patients/ pain issues Also lots of CEU's are available online regarding acute pain and post op pain man...
  16. A cold-hearted manager

    I realize the upset, stress, and anxiety evoked by reporting disruptive behavior in the work place......BUT if no one reports it, and folks WAIT for someone else to do it.......said behavior WILL continue. Believe me....I DID report someone who is hi...
  17. A cold-hearted manager

    Need to file a disruptive behavior in the workplace report, regarding the manager......you HAVE the witnesses
  18. RNs tell your hospitals to hire new grads

    I would be HAPPY to encourage my employer to hire new grads......but currently there is the issue of "down staffing" occurring at the teaching facility where I am employed. Nurses who are gainfully employed, are not getting their hours due to lower ...
  19. Favorite "Lay Terms" For Diagnoses

    epidermal=epidural
  20. Time Management

    Posts are referring to a brain sheet.........I ALWAYS used this when I worked even with one or two patients in the ICU. Truly the BRAINS of the operation some nights!! Get an index card ......large if you can..........or I even used EKG paper too. ...
  21. Not staying on top of pain - confusing orders - myths?

    I am SO SORRY this happened to you!!! A few things I am thinking, based on the information you have provided.......Sounds like the nursing staff did not understand that you had MORE than a vaginal hyst and were basing their administration of pain me...
  22. No gloves ever?!?

    While rounding recently on a surgical floor, I saw a medical student remove a patient's abdominal dressing WITHOUT gloves on! I was horrified! I looked for her when I was finished seeing the patient, but she was gone. I remain stunned and will talk ...
  23. Night Shift For Newbies

    An additional TRIED and TRUE night shift assist= GET A FAN! I am SO about the "background noise" ....it really does help block out neighbors mowing lawns, family in the house showering or just doing stuff, even loud horns honking next door, and littl...
  24. I can see it from differing angles..........some folks like answering/offering advice, sharing information and welcome the opportunity offered by these "HELP" posts. Others are more logistically intense....... preferring that posts are named clearly ...
  25. Change...good or bad?

    Yes, I agree ..........GREAT question! I think the focus of care delivery has changed.......since 1978 when I started nursing. I mean, think about the fact that a patient having surgery for cataracts might be hospitalized > a week, on strict bed r...