AlabamaBelle

AlabamaBelle

Peds Critical Care, Dialysis, General

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  1. you know you are in for trouble when.....

    Your unit is constantly bombarded by "suits", I mean Board members, kowtowing to one family and you're the one stuck with patient. Your patient (I work Peds) has a blood alcohol level I have yet to...
  2. Opinions on scripting

    Disgusting, degrading demeaning. I, too, refuse to follow the script. Especially now that we are using a "matrix" based staffing instead of acuity based staffing. No, I usually don't have the time I...
  3. Is there a feeling of entitlment among new grads?

    My daughter graduated in May, 2008 with a degree in graphic communications. She told us that many people in the December class were still without jobs. They started their job hunting well after their...
  4. ETT holders vs tape

    Jan, We rarely have self extubations with our orally intubated patients. They are usually on morphine and versed drips routinely. Some kiddos don't tolerate versed, so we do ativan drips. Then there...
  5. Exuse me while I gloat...just a little

    That was the classiest "gloat" ever - didn't even appear to be one! Congratulations - persistence paid off for you.
  6. I just picked up malpractice

    Sorry that the informatics thing was bogus for you. I gave teaching in IS a whirl - won't ever do that again! Best to you with your job hunt - your new employer will be truly blessed to have you on...
  7. ETT holders vs tape

    I, too, would love to see the tape job you described. Our RTs use elastoplast to tape to the upper lip. Mastisol is also used to aid in adhesion. We rarely get nasally intubated
  8. This is so hard to read. If the parents don't have guardianship, I'm not sure they have any legal standing. They may be caregivers, but as long as your patient is alert, oriented and still judged...
  9. Generally, the only people who've been escorted out of our facility are the MDs or administrators who have been relieved of their positions. The RNs generally give a 2 week notice and work it out....
  10. Bolusing sdation medications form the syringe pump

    Yeah, know what you mean! Nothing quite like that spike in BP and suddenly that HR craps out. Took only 1 of those for us to get really picky about what goes
  11. Don't Be Angry (Long)

    I've taken the good advice you've given. My iTouch has some of the silliest games you've ever seen and my Blackberry is getting loaded with much the same. And my music - how I love my music on my...
  12. tired of the abuse

    Gee, I am so glad it isn't just me. I'm usually so exhausted after 1 shift, let alone 2 in row, that I sit down and immediately fall asleep. I generally don't take breaks, have gone at least 10hrs...
  13. Oh, I forgot to add, I have absolutely no patience for lazy secretaries. I've worked with some and had some in our unit (floats). A good secretary is with her/his weight in platinum and a bad one is...
  14. Thank you, BlueHen, for your last response. Prior to becoming an RN, I worked as a Unit Secretary for 12 years (I was in school part of that time). It was my responsibility to answer the phones,...
  15. Bolusing sdation medications form the syringe pump

    Our attendings are usually really good about giving us good access, ie, cvl, if we need to run pressors. We have learned the hard way not to mix pressors with sedation gtts that you'll be giving pump...
  16. ADNs take the same NCLEX BSNs take. We have a mix on our unit (PICU). I am not going to debate this issue, it's an old one with its own
  17. Prayer @ staff meeting

    I am a conservative Christian and I do believe in the power of prayer. That being said - however, it is highly unprofessional and downright inappropriate to open a MANDATORY meeting with a prayer....
  18. Bolusing sdation medications form the syringe pump

    We have been doing this for several years. We love bolusing off the pump and we are generally very good about documenting those boluses. The big advantage is that the patient doesn't have to wait on...
  19. SNOTTY MA claiming to be a nurse!!!!

    Well, you know what "they" say.....out of the mouth of babes! Truth sometimes hurts. Also, the last initial in LPN, the "N", stands for Nurse, as does the "N" in RN. I just can't get the word "nurse"...
  20. Date my Doctor/Employer?

    :yeahthat: What Jolie
  21. "You'll be a nurse two years after you get your RN"

    i am currently precepting an lpn who is in her final semester of nursing school. she has 12 years experience and is totally awesome!!! her previous experience has been children's heme/onc and that...
  22. Vent and NGT Question

    Any intubated in our unit gets an NG/OG, even if extubation is planned within the next few hours. Always better safe than
  23. Grammar errors at the workplace, just for fun :)

    When I read the "Check at the nurses' station", I immediately thought of a literal check! Whoopee! They're paying me to go to the nurse's station. What a place! We had a secretary who made a sign to...
  24. Brain farts

    Yesterday I was hanging a tube feeding, not paying too much attention, until I felt wet on my arm. I forgot to open the bag. At least no one saw it. I spent several minutes cleaning up my
  25. Carolinas College of Health Sciences

    CCHS is a terrific school. I liked most of the instructors, there's always one or two you wont' like/get along with. I would definitely suggest any non-nursing courses (a & p, english, psych,...