snowfreeze

snowfreeze BSN, RN

ICU, CCU, Trauma, neuro, Geriatrics

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All Content by snowfreeze

  1. 15 years ago CABG patients came from the OR still intubated, we treated them for tremors coming out of anesthesia. Chest tubes were removed two days later when the flow slowed down and extubation was...
  2. Wow: 3-1 Ratios in the ER

    That facility probably has happy patients too. What better way to have awesome press-gainey scores than taking care of patients properly with adequate
  3. new grad wage vs experienced wage

    A well rounded experienced nurse should make more than someone who has a few years
  4. A Hospital before its time

    It felt that way at the time
  5. what do you remember the most about psych nursing

    I find if I just listen to what psych patients have to say it helps me help them. Never believe they are
  6. complicastion of cpr

    complications of CPR for the patient can include: cracked ribs, fractured sternum, pneumothorax, hemothroax, emesis, aspiration pneumonia, liver laceration, bruising, PLUS longer term: sepsis and...
  7. my questions are #1 why was a high risk fall/wandering patient even admitted to a facility not safe for this type of patient? #2 staff may have been at fault for not updating the paperwork but who...
  8. On call for free?

    I don't think I would do that, since you are not on the clock the facility could easily argue that what you give as advice is not their responsibility. On call and carrying a pager needs to be...
  9. "We're Just Nurses" ..... Grrrrrrr!!!

    I usually use the line, "there is nothing obvious" but then again I am not a ( ) fill in the blank. When I am looking at test results, x-rays, echo, angiogram, etc and a patient or family member...
  10. Understaffing and burnout

    After 15 years as an RN I find I burn-out quicker if I am frustrated at work due to not being able to do my job properly. The things that contribute to that include: Understaffing, ancillary staff...
  11. Can CNA do an accucheck?

    The nurse aids in the facility I work in do accuchecks, they can go through special training for advanced skills also and are than able to insert and discontinue foleys, discontinue IVs(peripherals...
  12. 1. Yes I can type without looking at the keyboard 2. N/A 3. Yes I am happy with my typing skills 4. 49
  13. This post was perfect for me, answered my questions. I just applied for a GI lab position and was wondering what they would be looking for. I am currently working telemetry/stepdown and have a good...
  14. Can you believe this commercial?

    Talk about medical commercials, how about all the medications and treatments they tell you to ask your doctor about anymore? Can't sleep ask for L*^%$#@, can't pee ask for F*&^%$, Can't do the...
  15. I have allowed students to start IVs, insert foleys and give IM and sub-q but not IVP. I am not sure about NG insertion but maybe with a good teacher at their side. Hang premix IVs including...
  16. Waking up at night to worry about patients

    The IV pump will most likely alarm long before the peripheral IV clots and needs
  17. "Granny-Dumping" in Psyche Unit

    Where I work granny/granpa comes with a child who has "cared" for this parent all their life. This child is usually unreasonable as far as listening to diagnosis and care of their loved parent. All...
  18. Funniest Write Up You have Every Recieved?!

    I recently had a family member write a complaint that my patient coded because I was 'mean' to that
  19. Possible new nurse show/pilot

    Well maybe it will actually show what nurses do in their 8, 12 and 16 hour shifts. I would personally like the show to have the same type of patients we have to care for. DT's (no need to explain),...
  20. Convince Me !

    Hospital nursing in a specialty unit in a teaching facility is awesome. You learn so much and many facilities have cutting edge stuff as they are participating in new
  21. Staff to patient ratios?

    About 6 months ago I still worked LTC, staffing was on the 9 different units as follows: DAylight staffing sub-acute higher acuity 1 nurse 1 aid to 10 patients, rehab/sub-acute 1 nurse 1 aid to 14...
  22. I need a vision

    To follow patient life goals as to quality of life. Interview family, patients and friends to establish that life goal. Be a patient advocate. Support your staff in all avenues, communicate with...
  23. Feeling Cold Hearted

    If I traveled to california I would also want the top dollar, the cost of living out there is outrageous! Let me know what you find in california, I am planning to travel again in a
  24. How can you help? In most areas EMS is just a few minutes away, calling for help can be the best thing you can do in many emergency situations. Police are usually trained as first responders, carry...
  25. Becomming an RN??

    There are many levels of nursing, LPN is a licensed practical nurse who can do most everything an RN does. The LPN limits are usually no IV push meds, cannot administer blood products, some...