TygRNoef

TygRNoef

PCU, LTC

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All Content by TygRNoef

  1. I'm trying my best, but seriously stop putting me down on the phone

    TygRNoef replied to Catch22Personified's topic in Emergency

    Would you be willing to keep that patient in a LTC facility to wait and see if that's the case? Not many of them carry themselves to the bathroom. I've seen more than one infected wound that had...

  2. Not many Black/African American nurses working in the ICU's

    TygRNoef replied to i-njoy-being-a-nurse's topic in CCU, Coronary, Cardiac

    It seems you've hit on the problem, and missed the problem all at the same time. Since you can't see where the racism originated, you assume it must not be racism, yet the reason you can't see where...

  3. Does suctioning trach's ever get easier?

    TygRNoef replied to MadpeysRN's topic in General Nursing

    It depends on you. Sputum used to make me gag far more than feces. Working in cardiac, and LTC before this, I've seen FAR more feces than sputum, and now sputum doesn't bother me at all, but feces...

  4. I'm trying my best, but seriously stop putting me down on the phone

    TygRNoef replied to Catch22Personified's topic in Emergency

    I find myself in the same boat. I don't know everything, and I know that no one else does either. All of us will, at one time or another, miss the obvious, and make mistakes. Some of us more than...

  5. I'm trying my best, but seriously stop putting me down on the phone

    TygRNoef replied to Catch22Personified's topic in Emergency

    I've been steaming about this a bit, and I'd like to address another couple of points you made. Why don't you have enough information? What information are you missing? The OP stated, in the opening...

  6. I'm trying my best, but seriously stop putting me down on the phone

    TygRNoef replied to Catch22Personified's topic in Emergency

    Let me fill you in on another reality of my job. I no longer work in LTC, I clawed my way out of that field, because it IS pure hell for an RN that actually cares. I now work in cardiac critical care,...

  7. I'm trying my best, but seriously stop putting me down on the phone

    TygRNoef replied to Catch22Personified's topic in Emergency

    I'll find your first post, oh, here it is. Hmmm, I see NOWHERE where you said anything even resembling, "I definitely agreed that one if not both of her patients should go to ER." Your implication...

  8. I passed the pharmacology calculations test!

    TygRNoef replied to garnetgirl29's topic in LPN, LVN Students

    My NCLEX had apothecary questions on it, but I was supplied with a

  9. Nurse on vacation

    TygRNoef replied to Joe V's topic in Nurses Rock

    I've been called to come in while on vacation more than once. .

  10. I'm trying my best, but seriously stop putting me down on the phone

    TygRNoef replied to Catch22Personified's topic in Emergency

    In your OP, when you said, my first thought was SEPSIS. Reading this entire thread, I was wondering why nobody thought of this. Instead, people like VICEDRN are berating you because you wouldn't...

  11. Patient died...

    TygRNoef replied to samiam4's topic in General Students

    No, there's nothing you could have done different. If anyone bore any blame on this man's death, it wasn't you, if he did, in fact die. I'm just struck by something in your description of his case....

  12. Nurse's vent!

    TygRNoef replied to RNGriffin's topic in General Nursing

    It seems like your mother is one of the many that think we just hand out pills and clean poo. I remember a discussion I had, regarding the damage cocaine does to your heart, with someone once, where I...

  13. PCT ratio to patients 34:1 ..... how is this safe?

    TygRNoef replied to katehensley's topic in Patient Care Technician, Assistants

    1 RN to 3 patients? On a Med-Surg floor? Honestly, if I could have a ration like that, I'd be fine with no aide at all. I work in Cardiac PCU and our ratio is usually around 1:5 with 1 PCA for 30...

  14. Getting a Job through a Residency/Internship

    TygRNoef replied to It Takes Heart's topic in Nursing Career

    Are they charging you for the event, or are you just speaking of the money you will spend to be able to attend? I wouldn't go if they were charging for the event. I have never attended one, but I know...

  15. CEU's - Preferred online source?

    TygRNoef replied to MiaLyse's topic in General Nursing

    I use Medscape almost exclusively. I never subscribed to their e-mail lists, and only sign on when I care to get some CEUs. I've done a few that were intended for just physicians, and, as long as...

  16. Can pdn nurses collect unemployment while pt hospitalized?

    TygRNoef replied to smartnurse1982's topic in Private Duty

    If they offered you an assignment that you turned down, you can't

  17. Philadelphia Area "New" RN: 30 applications rejected : When will my dream come true?

    TygRNoef replied to HelloNurse_RN's topic in Pennsylvania Nursing

    E-mail me at [email protected] and I'll give you the

  18. Nurse to Patient Ratio

    TygRNoef replied to flg2008's topic in Patient Safety Issues

    I'd be happy with anything even close to those ratios. I work on a stepdown cardiac unit, and the normal staffing ratio is 5:1, often we go up to 6:1, and on that rare day when you're down to 4:1 you...

  19. Do Not Send to Hospital From Nursing Home

    TygRNoef replied to toughjob,nurse's topic in General Nursing

    Ultram for CP from an MI? I'd be more apt to get the orders to crack the box. I've been in similar situations before, DONs yell a lot, mostly because they're getting it from every angle

  20. Philadelphia Area "New" RN: 30 applications rejected : When will my dream come true?

    TygRNoef replied to HelloNurse_RN's topic in Pennsylvania Nursing

    Philadelphia is a tight market right now, when I started school, many RNs that I knew commuted in to Philly, I live 1.5hrs from Philly, and I planned to do the same. Today, most of the RNs getting...

  21. career change question

    TygRNoef replied to jblazer1's topic in Men in Nursing

    I started my nursing career at 35 after working for 14 years as an electrician, and a short stint in the Army. I saw no age discrimination to speak of, many other new nurses are around our ages even,...

  22. Tips for working night shift as a new lpn.

    TygRNoef replied to jmitchell-85's topic in LPN, LVN Corner

    At first I had to take a sleep aid to be able to sleep during the day at all, and I drank a lot of coffee to stay awake through the night. After a few weeks, I stopped being able to sleep at night on...

  23. Tips for working night shift as a new lpn.

    TygRNoef replied to jmitchell-85's topic in LPN, LVN Corner

    I work 11-7 in a LTC, and the shift is great. I can do things with my family whenever I like, and sleep at the remaining times. I had to adjust to a crazy sleep schedule when I first started, but now...

  24. Patient's Families as Facebook Friends....

    TygRNoef replied to spacey's topic in NICU, Neonatal

    I don't know what my facilities policy is on the matter, but I won't do it. I'm leery about friending co-workers on FB even, and extremely selective about the ones that I do. There is just too much...

  25. Our ADON says that ICU is boring... Is it true.

    TygRNoef replied to NurseLoveJoy88's topic in General Nursing

    I have never worked in the ICU, but I currently work in LTC, and the staffing levels where I work are abysmal. We spend most of our days just trying to keep our heads above water, and when something...