HeySis BSN, RN

PACU

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All Content by HeySis

  1. HeySis

    Holiday Bonus

    HeySis replied to sunnyskies9's topic in General Nursing

    Yes, I got a $500 bonus. The company looks at it every year and decides how much they can "afford" based on your PT/FT status. Someone said it's actually about their tax liability and to give us a...
  2. HeySis

    What do you do when your instructors are useless?

    HeySis replied to Lpn2014's topic in LPN to RN

    Critical thinking is definitely a learned skill, and the more overall experience you have the easier it is to apply knowledge from one situation to another. There is a book that I used to study for...
  3. HeySis

    Seasoned nurses really affecting my self esteem as a newer nurse..need to vent?

    HeySis replied to mzsuccess's topic in General Nursing

    So this is your first job as an LPN? RN? How much training/orientation did you get? how many people are you responsible for? are there other nurses working the same shift as you? Just looking to see...
  4. HeySis

    Fentanyl Consent?

    HeySis replied to Whitesranch's topic in PACU

    And you most likely didn't give him his first dose of fentanyl... our anesthesiologist use it in the OR all the time. If my pt is awake I always ask if they'd like pain meds in their IV, I only chart...
  5. HeySis

    Covering unexpected on-call shifts

    HeySis replied to Daytoe's topic in General Specialties

    No this is not fair. The list would be fair if it reset to zero every quarter/year (depending on how many pick ups there are). That way each person would have to do the same amount of pickups each...
  6. HeySis

    Resignation, What To Do With Accrued PTO??

    HeySis replied to J89Mike's topic in General Nursing

    You can take the amount and place it into a a 401k.. that way it's placed in pre-tax and when it comes out during retirement it will do so at your tax rate then.. not some higher tax
  7. HeySis

    Lost 15 yrs of Senority by changing departments

    HeySis replied to Daytoe's topic in General Nursing

    If that's your hospitals policy, I would push it. But our hospital doesn't have that policy. You keep seniority as far as benefits (the longer you work there the greater amount of PTO and such you...
  8. HeySis

    Covering unexpected on-call shifts

    HeySis replied to Daytoe's topic in General Specialties

    I work a small PACU with limited staff, we take call about once a week. If someone is sick they send out a group text to see who can cover.. one of two things happen, either someone picks it up with...
  9. HeySis

    When you thought it was patients you needed to watch...

    HeySis replied to smf0903's topic in General Nursing

    In the first articles it says he was escorted, but later people that were there (including a patient that videoed it on their phone) spoke with Dog MD and he reported that the anesthesiologist just...
  10. HeySis

    When you thought it was patients you needed to watch...

    HeySis replied to smf0903's topic in General Nursing

    Do people know how many wrong doses of medications I would have given if I didn't question physicians? or how many times the wrong knee may be operated on.. sponges left in a patient?? How about the...
  11. HeySis

    When you thought it was patients you needed to watch...

    HeySis replied to smf0903's topic in General Nursing

    When Doctors Attack! | Incident Report with Dr. Zubin Damania Here is the link. Dog MD went on to say that he has nothing to say off the news report himself without further info... so if you're going...
  12. HeySis

    Drug administration in PACU

    HeySis replied to SNIXRN's topic in PACU

    For fentanyl, I draw up the full vial in a syringe and give titrated doses from there. That syringe has to be labeled with the drug, concentration (mcg/ml) and the time it was drawn up because it does...
  13. HeySis

    Is this fair move for my immediate supervisor to report me as noncompliant?

    HeySis replied to dehlnmaria's topic in General Nursing

    I work PACU and BLS, ACLS, and PALS are required, they were not upon hire, but were before orientation was completed and we are required to keep re-certified. Our hospital keeps track of all of our...
  14. HeySis

    "My doctor told me..."

    HeySis replied to angeloublue22's topic in General Nursing

    I have seen that a lot, and I've heard doctors tell patient not to let anyone use their ports except the infusion/chemo team. It usually happens because someone has not properly cared for a port after...
  15. HeySis

    Two weeks notice?

    HeySis replied to kelbeljo's topic in General Nursing

    Your resignation letter will go into your employee file, if you're ever back that way and you reapply, it'll be looked at. So put it in writing, if you can give more then two weeks, then do so... but...
  16. HeySis

    New Grad PACU Nurse

    HeySis replied to Abnjoroge's topic in PACU

    Congrats on your new job, I'm hoping this was a move that you were hoping for. I love the PACU, The work, the environment, the patients and acuity and the people I work with, I hope it's the same for...
  17. HeySis

    "My pain is about an eight and a half"

    HeySis replied to Emergent's topic in General Nursing

    In cases like that I ask the patient. Have you ever had oxycodone? If so what strength did you take and how many, how often? For your pain level I can give you one or two tabs, would like to start...
  18. HeySis

    Is this a fair holiday schedule

    HeySis replied to sweet sunshine's topic in General Nursing

    Every hospital nurse as worked a ton of Thanksgivings and Christmases... its part of the job. Black Friday and Halloween aren't considered holiday's. When my kids were little they didn't look at the...
  19. HeySis

    How do you staff your PACU overnight?

    HeySis replied to slutgen's topic in PACU

    When enough rooms have closed that they can go down a nurse. I have done a 26 hour call day (got called in at 6:30am on Saturday and my relief person wanted to take a shower when I called her on...
  20. HeySis

    Do you recover c-sections under general?

    HeySis replied to Pipsy's topic in PACU

    We rarely do C-sections in our OR... if we do, its because something is going terribly wrong. They are done up on L&D (some of our anesthesiologist don't like it, they don't feel the nurses have...
  21. HeySis

    Incompetent CRNAs?

    HeySis replied to krnlm's topic in PACU

    I agree with the pressures being a bit low, I know most of our anesthesiologists would respond until they were at least 80/40's, but we normally get patients with 80/40's and know they normally come...
  22. HeySis

    Beta Blockers PreOp

    HeySis replied to RNDarling's topic in PACU

    What I have been told was that you never should should suddenly stop taking beta blockers or miss a dose, it can lead to dangerous rhythms, extremely high BP's and runs the risk of a MI. It is one of...
  23. HeySis

    Autonomic dysreflexia in PACU

    HeySis replied to krnlm's topic in PACU

    And a full bladder can set it off too... so can bowel issues.... Other symptoms you can notice are anxiety, increased heart rate, pounding headache.... sometimes those are very hard in PACU because...
  24. HeySis

    Verifying Medications in PACU

    HeySis replied to kevinjen2's topic in PACU

    We have an electronic MAR, but we can override and get a lot of meds before the pharmacy has reviewed... but any controlled medication given to a pediatric patient has to be double checked and double...
  25. HeySis

    PACU nursing

    HeySis replied to filigirl23's topic in PACU

    Breath sounds can be hard on patients that are still under the effects of anesthesia and narcotics... there is a lot of diaphramic breathing, and the lungs don't expand well. When that happens I do...