Rexie

Rexie

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All Content by Rexie

  1. I Need Courage!

    I've always felt bad giving notice but you have to do what's best for you. This dialysis position does not seem like a good fit for you (or anyone!). You do not need your doctor's permission to do...
  2. Has pain scale contributed to opiate problem?

    I've come to the conclusion that the 0-10 pain scale is just plain stupid. I was with my uncle at a doctor's appointment today and when they asked if he had any pain, he stated that he has arthritis...
  3. Do you ever resent your job(s)?

    It sounds like you're starting to burn out. Everyone needs some time off to rest and recuperate. A wise person once told me that resentment is a sign that you're going too much. Is it possible to...
  4. Nurses who don't have the "passion"

    I've wanted to be a nurse for as long as I can remember, so I guess you could say it's a calling. This talk of "passion" for nursing makes me uncomfortable. To me passion is fleeting. It's that...
  5. Pay grade: experienced nurse vs new grad

    I worked for a union hospital. The union was very weak. We got tiny step increases and had way too many freezes over the years. When I learned that the nurse that I was precepting, who had no...
  6. I too wanted to add my support. You thought you had a plan and now you've been thrown a curve. It's okay. Life does that. And don't worry about bonding with the baby. You only found out a week ago...
  7. Do you get paid to stay late and chart?

    With a couple of exceptions where I was ready to walk out the door and remembered something I wanted to document, I have have never documented off the clock. As others have said, it is against labor...
  8. Has pain scale contributed to opiate problem?

    I can't agree strongly enough. All too often, when I ask a patient to rate their pain on a scale of 0-10, they stare at me with a puzzled look. I do my best to explain, but they still struggle with...
  9. Getting out on time

    I work 12 hour days. I'm ready to take report at 0700. Not every nurse is, though. We have some stragglers that come in 10-15 minutes late. Why that is allowed, I just don't know. I think it's...
  10. What type of soap do you use?

    I use Johnson & Johnson's baby wash in the shower. I use it to shave too. My skin tends to be dry and a bit sensitive. I'll use whatever shampoo that's available. If my husband has left his...
  11. In over my head?

    That woman was just mean. I don't understand how people can be that way but some are. It says way more about her than it does about you. Don't let her shake your confidence. The program you're in is...
  12. Has pain scale contributed to opiate problem?

    I share your suspicions. We're supposed to write the time for the next available prn on the pt's white board. Some pt's get angry if we're even a few minutes late with their prn. And yet there are...
  13. Tired of being angry

    I'm not sure disdain is the right word. I read once that a lot of anger comes from fear and I think that might be the source. We have patients who, when they don't get what they want (meds, meals,...
  14. Tired of being angry

    I float too. Unfortunately, I've been spending a lot of time on the same floor because they've been having staffing issues (I wonder why...). It helps knowing that this will not continue...
  15. Tired of being angry

    We get enough truly sick people that I think we could stay in business but I do understand where you're coming from. I've had the same thought myself at times. But if it were really true, I'm not...
  16. Tired of being angry

    This is exactly what I needed. I read your advice right before I went to bed and kept repeating it to myself at work whenever I felt myself slipping into aggravation. It helped me stay detached from...
  17. I'm so sorry for your
  18. Incentives to orient new hires?

    I thin our facility offers an extra $1.50 to precept. I feel like precepting helps keep my knowledge current and I enjoy it mostly. It is more work a lot of the time and can be exhausting but I love...
  19. If you could speak your mind...

    When pt's elderly mother was complaining about her ex-daughter-in-law, I just nodded and made sympathetic noises. I bit my tongue hard instead of saying: "Lady, your son is a drunk who you've...
  20. Lucky he was constipated, or he'd be dead

    Had a patient who was about 50 years old. He was admitted with pneumonia and was also detoxing off ETOH. The bed alarm went off and we found him on the floor, propped up against the wall so he got a...
  21. It Ain't Like The Movies!

    It's a really minor thing but it drives me nuts that the everything from the surgeons' scrubs to the patient gowns all appear freshly ironed, crisp and
  22. Pet Peeves with Doctors

    Orders for dilaudid IV Q2 and Ativan IV Q3. Bonus point if they are ordered for doses that require a
  23. Really bad fever blister. Should I call in?

    I'd go to work but wear a mask so that the patients couldn't see the sun blister. I can understand how something like that might upset them, but you're ok and I can see no reason not to go to
  24. The Bad Shift

    I've had a string of bad shifts, usually due to poor staffing but also due to difficult patients. Not patients that were especially sick but difficult personalities. Patients who have prn pain meds...
  25. Too sick to leave AMA?

    Normally, if a pt wants to leave AMA, we'll call the doctor to come speak with them and if they still want to leave, we'll ask the pt to sign the AMA papers, and off they go. There are variations, of...