AlabamaBelle

AlabamaBelle

Peds Critical Care, Dialysis, General

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All Content by AlabamaBelle

  1. How do you handle rude comments?

    AlabamaBelle replied to MA Nurse's topic in General Nursing

    This is a touchy subject. I've dealt with some pretty rude and thoughtless remarks about my daughter's congenital heart defect. She's nearly 30 now, which is nothing short of miracle, since she was...

  2. RVN: Registered Veterinary Nurse, what do you think?

    AlabamaBelle replied to AllisonLeighLVT's topic in General Nursing

    I see both sides of this argument, primarily because my husband is a veterinarian. He has techs that are trained in the clinic, by him or his primary tech. There are licensed techs, but not all...

  3. Many nurses do not chart?

    AlabamaBelle replied to Guest716906's topic in General Nursing

    If I chart something in one place, I don't chart anywhere else. Too easy, even for the most diligent of us, to make that one slip that makes the whole thing look

  4. Low Diastolic Pressure - I mean REALLy Low

    AlabamaBelle replied to AlabamaBelle's topic in Dialysis, Renal, Urology

    Thank you both for your comments. Yes, patient does have CHF. He considers me to be, in this instance, very stupid and told me to find another job. My run with this patient kept said patient within...

  5. Ethics: "Every minute counts..." or not?

    AlabamaBelle replied to parolang's topic in Dialysis, Renal, Urology

    The only time(s) to take a patient off early is: a) there is a medically indicated reason and MD notified; and b) patient ACTUALLY requests to come off early and MD is notified. I also note that...

  6. Many nurses do not chart?

    AlabamaBelle replied to Guest716906's topic in General Nursing

    How about watching nurses chart an assessment on a patient they have not even seen

  7. Low Diastolic Pressure - I mean REALLy Low

    AlabamaBelle replied to AlabamaBelle's topic in Dialysis, Renal, Urology

    Both! I usually do both when I get a pressure that is questionable. This nephrologist is only concerned with systolics and MAPs and BNP (he is the only one who routinely follows the BNP and dialyzes...

  8. Anyone working or have worked for Davita

    AlabamaBelle replied to NURSET2007's topic in Dialysis, Renal, Urology

    I left acute dialysis at the first of the year for several reasons, two being the insane hours (20+) and bullying (one subtle, one very open). The company could not keep RNs. I was vigorously pursued...

  9. That's not a bad nurse

    AlabamaBelle replied to stephen1219's topic in General Nursing

    I just had an endoscopy/colonoscopy. I had an experienced nurse who was orienting at our facility (yep, went to my own small hospital) try to start an IV on me. I suggested my fat sidewinder on the...

  10. If not nursing what other career would you have done?

    AlabamaBelle replied to nurse2bnoob101's topic in General Nursing

    If I only had the body! Maybe somebody likes an over the hill, slightly saggy (haha on slightly)

  11. Is leaving before hurricane abandonment?

    AlabamaBelle replied to CNAbutLPN2be2017's topic in General Nursing

    I think the OP has already checked out of this thread (she posted this early on). But it does point out that she knows the area she lives in, she knows her job and her husband's. Should she have a...

  12. Sunday Service and Weekend shift

    AlabamaBelle replied to gigglebotRN's topic in Spirituality, Religion

    gigglebotRN, I, too, am a member of the church of Christ. I do sympathize with your situation. What I don't understand is why your congregation has these attendance requirements. This is very...

  13. ECMO: Most Advanced ICU Technology?

    AlabamaBelle replied to CVVH's topic in Critical Care

    Really, it isn't a technology...the most critical care technology is critical thinking. No "highest advanced" technology will ever surpass the need for the human brain and it's ability to assess and...

  14. Has anyone overmedicated a pt?

    AlabamaBelle replied to jl18's topic in General Nursing

    I once hung a sedative gtt on a child who was intubated and terminal. The medication had been triple concentrated and I did not appropriately check that. It ran at the regular concentration rate. It...

  15. "I Narcanned Your Honor Student"

    AlabamaBelle replied to EAGirl's topic in General Nursing

    I love my "Keeping "em Alive" shirt...for home wear. I have a warped sense of humor from being in health care, starting as a unit secretary, now a nurse. Part of our patient population is detox....

  16. Pt family pocket narcotic

    AlabamaBelle replied to pikachu715's topic in General Nursing

    Major mistake. Never, ever leave any med at the bedside. I always watch to make sure that the meds are taken. Write yourself up for this major breach in

  17. Confused

    AlabamaBelle replied to ConfuseRN's topic in Dialysis, Renal, Urology

    I've been in your shoes on the acute side for the same company. I quit in February and went back to my previous employer and am much happier. The turnover was insane! They didn't think I was serious...

  18. Chronic Dialysis VS Acute Dialysis

    AlabamaBelle replied to nurse_dot's topic in Dialysis, Renal, Urology

    I went back to a previous position with a twist. I'm one of the two night charge nurses in a small community hospital. We have general medical/surgery beds, an inpatient rehab unit and detox. The...

  19. Chronic Dialysis VS Acute Dialysis

    AlabamaBelle replied to nurse_dot's topic in Dialysis, Renal, Urology

    I just left acute dialysis nursing after nine months. Both sides of the coin are stressful, but in different ways. You are expected to take call in Acutes. There is still paperwork to keep up with. It...

  20. Advice for family...

    AlabamaBelle replied to Cwalz5's topic in Dialysis, Renal, Urology

    The advice given by traumaRUs and StarBrownRN is excellent. Having worked acute dialysis for the last year, I can honestly say that I would not have put any of my family members on dialysis after the...

  21. HIPAA and one's own spouse/partner

    AlabamaBelle replied to pmabraham's topic in HIPAA Challenges

    No, just no. The spouse is does not need to know. I have not ever, in my years of nursing disclosed PHI. My family has never, except in cases of prayer requests or social media posts, know anything...

  22. terminated from FMC

    AlabamaBelle replied to Healerforlife's topic in Dialysis, Renal, Urology

    The dialysis community is a fairly closed, but well connected one. Other clinics are probably aware of problems within other clinics/programs. I work in a smaller city and trained in a much larger...

  23. davita sign on bonus

    AlabamaBelle replied to Optimistic_RN_'s topic in Dialysis, Renal, Urology

    You will most likely be started on the job. When the Basic Acute Training Class is offered, you will be scheduled. I had to travel to Birmingham for the on the job training (the program at UAB is big)...

  24. Dialysis and H&H

    AlabamaBelle replied to JonSnowedSRNA's topic in Dialysis, Renal, Urology

    We like to ask if any labs are needed prior to treatment, just after we have accessed the patient. After that, if labs are needed, we tell the staff and lab personnel who may be trying to obtain...

  25. Working in an outpatient vs in-hospital dialysis

    AlabamaBelle replied to reginalin's topic in Dialysis, Renal, Urology

    Our acutes program does not have techs. Our training was in a large city with a large acute program with techs. What a luxury to have someone set up your machine and access your patient! We are RN...