snowfreeze

snowfreeze BSN, RN

ICU, CCU, Trauma, neuro, Geriatrics

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All Content by snowfreeze

  1. Finding my "nitch" as a nurse.

    after 14 years of nursing i am changing jobs again. i began my medical career as an adrenaline junkie (paramedic), attended a community college for my adn and my first nursing job was in med/surg...
  2. The unit I am working on has currently 3 new nurses off orientation and we have 7 more coming on in the next 3 months. It is wonderful that there are nurses to fill the slots, but a lot of new nurses...
  3. nurses writing admission orders

    I worked at a facility that did simular, often the admitting doc for the nursing home was the one who wrote the discharge instructions from the hospital. We would call doc to let them know patient...
  4. ICU or ED -trying to decide

    Do you like finding out first hand what stupid human trick was attempted (work ER) or do you like fixing the problem after the labs and tests have confirmed the trick was successful(work
  5. Nursing Reputation?

    In general as a nurse in the USA I am respected by patients, families and
  6. Will I get fired?

    Yes you may be fired for sleeping on the job. Making personal calls during work hours is not usually acceptable, you are working not socializing. What type of license do you have? Not giving...
  7. how did you get hired.

    Make sure you filled out the application correctly and had references with phone numbers. A nice resume also helps a lot. 1 to 2 weeks after submitting application and resume, call to see if it was...
  8. Would you have called rapid response?

    SBP less than 90 does not mean poor perfusion, look at the Mean Arterial Pressure. Assess your patient. If this was an automatic pressure, check a manual one. Ask your patient if they are light...
  9. Telemetry Staffing Ratios

    Travel RN, on 3rd contract with this awesome facility in Maryland. Type of Hospital: Community Type of Unit: med/surg/cardiac telemetry Number of beds: 24 Number of patients each RN has: 1:3 or 1:4...
  10. Paid sick-days issue

    The average person who is basically healthy will have 3 to 7 days/year when they are sick. Most of those are stress related not actual infectious related. If your work environment also adds to the...
  11. There are two routes, take the small hospital and semi specialize in everything for a rewarding career at the low level or work really hard for a while (teaching facility environments can be...
  12. I have interview!

    Good luck, I did some time in LTC and understand your frustration. You never see someone get better, it can be depressing. You do have time management skills that could be sold on E-Bay, lol. I am...
  13. When you can't leave it at work.....

    Debriefing helps a lot, talk to someone about this. The chat after a traumatic event is a defusing, a few days after is a debriefing. These are helpful to most people, going over the details with...
  14. Advice for student nurses

    As far as passing boards, I suggest test questions by yourself or with a group which ever you have access to. As far as being an orientee nurse, listen to your preceptor. Your orientation is very...
  15. how do you improve morale in a unit?

    htrn has good advice, talk to the manager. Suggest giving the complainers the job of finding a solution. Staff that complains about a problem needs the opportunity to be on a committee to fix the...
  16. Please MAJOR TROUBLE!!

    I was pregnant during my first year of nursing school and had to take time off due to a c-section mid August. I returned the following year and completed nursing school and passed boards the first...
  17. Is it okay to give an IM through clothing?

    Injecting through anything could cause an abcess, a small piece of fiber could be embedded in the flesh and this could cause a nasty
  18. old nurse with a new job

    Humm, a facility that has you caring for vent patients and has not oriented you to that yet? Sounds liike a place that runs on a shoestring. If you like the job (place, hours etc) then maybe you...
  19. The Best Hospitals List

    I worked at UPMC in Pittsburgh for 2
  20. Fed up of nights!

    Try working all your night requirements in a row, that way you can sleep daytime and work nights. Yes your social life will be non-existant but you will get your hours in and be back to normal for...
  21. Hospital bullies affect patient safety

    My first experience with a not so nice doc was with a pulmonologist who had a reputation for being verbal. I was orienting in ICU at the time and this was my first assist with a swan placement. I...
  22. for how long is new grad new grad???

    When you stop having nightmares about work stuff that is simple like meds given, forgetting patients etc. Your mind will tell you when you are there. Oh geeze, I had a dream about med passes two...
  23. Are RN refresher courses helpful?

    I worked with some refresher nurse students last month. This program took them through the whole facility. I worked with one student for 8 hours in a telemetry unit and she was very much into doing...
  24. Hospital bullies affect patient safety

    Humm, what a refreshing idea. I would love to be backed by the administration for this. Screen play for JACHO training film. Doc sits down and starts softly cussing and tossing charts. nurse "Hey...
  25. Potential nurse...scared of death

    We all fear the unknown. You will do fine, you care. The more you learn and experience the less you will worry. Except during nursing school when you seem to develop the symptoms of every disease...