s0ad

s0ad

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All Content by s0ad

  1. Hello! I've been at the bedside in various specialties for 8 years now. I'm a bit burnt out from it and would like a break. There are several ambulatory surgery positions available in my area right now that I think might be a nice change. I shadowed ...
  2. Ok so I work PT (2 12s)/week. I was doing PT bc of my daughter, but now need more hours so would have to go back to 3 12s soon. Busy med-tele unit. Hate the docs, they're awful. Coworkers are ok, not the best, not the worst. I like my manager. Every ...
  3. Patients lying on ciwa?

    Just wondering how everyone handles the ciwa scale. On my floor it's typically ordered q2 if the Pt has a history of drinking. However with the last couple of patients I believe the patients lied (or at least exaggerated) symptoms to get meds. I thin...
  4. When I was doing IV meds I rarely pushed anything for the full amount of time recommended unless it was a cardiac med or chemotherapy. Narcotics I would push over at the very least a minute, but slower in more critically ill patients. As far as lines...
  5. I wanted to be a wildlife rehabilitator. However, they don't make any money. So here I am. Still something I'd like to volunteer doing in the future.
  6. Continuous Bladder irrigation

    Thats crazy. I've never had a urologist come in and tell me my bag was going in too fast. I usually open it up enough where its fast but I can still see it dripping, rather than pouring out, in the chamber. I think an average bag for me will last abo...
  7. Haven't had this happen to me personally, but know lots of other nurses who it did happen to, usually by a difficult patient/family. Don't know why they liked me, but I really wish they would have "fired" me, ha. I just think some people don't have a...
  8. Young nurses

    I often jokingly get a "what are you 15?" thing from many patients. Many patients don't say anything. I don't really think much of it, I explain things, am honest when I am unsure of something and make sure to find the answer, and am compassionate. I...
  9. What is the lowest HGB you have seen?

    About 4.0. The patient had severe cancer mets spread throughout the GI tract. We transfused a ton and they would get to around 6.0 for less than 24 hours. They eventually went to comfort care and died, but was quite alert for a while.
  10. How often do you study/read up?

    I usually look stuff up a few times a week on my own at home. If a pt. has something I'm unsure of I look it up at work. I also watch medical shows, attend monthly educational dinners, and ask doctors (if its not crazy) things I am unsure of. Plenty ...
  11. Oncology nursing experiences

    I work in oncology, but with med-surg patients too. It has its ups and downs - the patients can be very complex. Complex chemo, patients who have had reactions to chemo, colostomies, urostomies, PEG feedings, trachs for those with with masses potenti...
  12. Hospital Units with Longest patient stays

    I'll vote oncology as well. We're also a med-surg floor, so have a variety of patients. But our oncology patients come in often, and many of them are there for a while. The sad thing is seeing them pass away though, as many do. But hey, some of them ...
  13. IV push and wearing gloves

    I wear gloves if I'm spiking antibiotics or meds (well, usually, sometimes I forgot) because I've had some leak on me and it freaks me out. I don't typically wear gloves during pushes because who would I be protecting? I always wear gloves while pull...
  14. This largely depends - DNR doesn't mean do not treat. I may have a pt who is a DNR who is perfectly alert and oriented, mostly independent and in with cellulitis. If I walk into the room and they are unresponsive I'm calling a MET call - maybe they h...
  15. Compassion, easily lost?

    I always have thought I was very compassionate, and still think I am, but maybe not to the extent prior to nursing. I think its because I've seen young patients die horrible deaths, yet stay in high spirits until the end, and have watched their famil...
  16. oncology (cna interview)

    Can't answer about pay. As to the oncology part the most difficult thing for newcomers I think would be the extremely sick patients you may have - many very young (I have had numerous patients die in their 30s, 40s, 50s). And the death. CNAs at my ho...
  17. RN Salary Survey 2013: Post here!

    1. New York 2. One 3. Hospital - oncology/med-surg 4. $24.80 (Days) 5. Nights gets about $4 more, evenings $3ish, weekends is cents.... don't even notice 6. Nope I live in upstate NY which I don't find to be too expensive. I rent a very small 2br hou...
  18. Being a patient where you work

    Due to insurance reasons and being in a smaller area this is quite common for people at my place of work. We've had doctors, nurses, ancillary staff we know on our floor. Thankfully I've never experienced that. I agree I'd be quite mortified. However...
  19. HELP!!!question about prn med

    I reread it, and would have given it. Though I wouldn't necessarily give the PRN 20 minutes after the routine, I try not to completely snow anybody. But yes, I consider PRNs and routines separate orders. Maybe ask for an MD clarification so the pt re...
  20. I had a small debate once with the older nurses on the floor. I was newly out of school and taught that many IM injections don't, in fact, need to be aspirated. They looked up the policy in the nursing guide we use, and low and behold, it did not say...
  21. The information they provided is all relative. If 500 people applied and only 7 were hired thats not a ton of openings. My flood alone hired like 10 new nurses in one summer, and we're relatively small. Also orientation for a new nurse is expensive. ...
  22. Magnet curse!

    I was not at my hospital prior to magnet but honestly don't care for the status. For one, I think we miss out on many potentially good employees because they will not hire those with two year degrees. A lot more paper work is added. It seems to me as...
  23. So I work days, which as a new RN can be difficult to get. I've worked a bit over a year. We're a busy floor. I am typically out late, between 4:30 - 5pm (supposed to be 7 - 330 shift). I usually am unable to get a lunch, so either don't eat, or eat ...
  24. Thanks everyone for their input; its very helpful. :) I think with less stress and better eating it may work out well for me. I feel tired a lot right now, so I can't see that getting worse, only maybe better. And maybe I will be able to see my boyfr...
  25. The anchor sleep thing is very helpful - thank you!