Well most of those people I take care of are the recipients of the dollars this government takes from me to support them. Now let me figure which taxes actually come from my worked hours to pay for...
All ADNs and BSNs are not equal. We all graduate from simular programs; the BSN has more depth , the ADN has more skills so we can go out there and work. The biggest difference is the background...
13 years later and I still love nursing but there are some dumb things I have done. Lazy, probably not, overworked and trying to just get things done, probably. Sent the wrong patient to the beauty...
snowfreeze replied to foreverhope's topic in Geriatric, LTC
LTC used to be the poorly staffed entitiy of nursing, Add hospitals, home care, school nursing and penitentary nursing. Ask in your interview if you can talk to some people who work there. Many LTC...
snowfreeze replied to wannabenursetx's topic in General Nursing
My nitch changes, first was med/surg after nursing school then in 6 months I became an ICU/CCU nurse. That went on for another 2 years then I became a specialty transport team nurse and worked in an...
Maybe midwives as a part of the OB docs practices. Work together for the perfect outcome. Ok I know, I am living in a bubble LOL. But wouldn't that be nice, educate first. Lessen the anxiety and...
snowfreeze replied to HealinghandsRN's topic in Geriatric, LTC
Utilize the protocol of your facility, do a quick assessment of the situation and contact the doctor. If the facility has a do CPR no matter what on anyone who is a full code then start CPR. Call...
With most buyouts the staff nurses are rehired by the purchasing facility, the place cannot run without staff. The middle management will be relocated in the facility if they choose. New management...
On a lighter note: My most favorite patient is cardiogenic shock. So sick so close to death, multiple IV drips, balloon pump, Zoll pads attached at all times, usually intubated for a day or so. You...
Psych patients are a trip, you can usually get some vitaminA and H in em by needle then they settle down a bit. c-diff, that stuff stinks so does GI bleed vomit and poop. We can treat that. Drug...
KacyLynn Maybe your facility can compensate you for doing the mandatories at home on a set time to complete each one. You can easily print out what you complete or save it on disc for your records....
The facility I work in has a disease management nurse or ID (infectious disease) nurse. She works on our problems with scabies, VRE, pressure wounds, UTI's, isolation issues, HIV, etc. and presents...
snowfreeze replied to HealinghandsRN's topic in Geriatric, LTC
Nurses in the facility I work in do pronounce DNR patients. A doctor has to agree with futile measures on any others. One evening as supervisor I was called to a unit to a cardiac arrest. The...
snowfreeze replied to malusport's topic in Emergency
1. Pain, chronic and pain med seekers. (some are also in #10) 2. UTI symptoms 3. kid with a fever 4. ETOH/drug overdose 5. stupid human tricks (sprains, strains, lacerations, abrasions, contusions and...
snowfreeze replied to NoDayButToday's topic in General Nursing
Thank you and WOW. Wishing you the best in school and in your future career. I still love what I do and am usually positive and enthusiastic about my job after 12 years. Hope I can work with you...
snowfreeze replied to Nursein2006's topic in Ob/Gyn
If one test could tell us all where you should be, WOW that would be super. But if you really love that area of nursing, just plod on and go there eventually. Don't be discouraged. You got...
When I worked in ICU I did a lot of terminal weanings. Never gave a "fatal" dose of anything. We just withdrew treatments that were prolonging end of life for many suffering patients. We of course...
I recall writing up incident reports for unsafe patient/nurse ratios, sending them to the Head Intensivist with copies to the nursing supervisors office, and the administrator. Each incident report...
snowfreeze replied to SharonH, RN's topic in General Nursing
A big difference is less ancillary assistance, no IV team, fewer if any nursing assistants, no more daylight and evening unit managers, and the managers we have now usually have an assignment too....
On the rare occasion that I am overwhelmed by family and patient demands to correct whatever they percieve is wrong. I have answered with that response, I am just a nurse......I cannot change what is...