Rexie

Rexie

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All Content by Rexie

  1. Can we talk about the Travel Nurse Cap?!

    Granted, the money is good but what other professions have had their salaries capped? Personally, I am uncomfortable with the concept of capping salaries. But if we are going down that path, why not hospital CEOs? Why not accountants? Why target ...
  2. Can we talk about the Travel Nurse Cap?!

    Apparently it has happened in Massachusetts: https://www.mass.gov/regulations/101-CMR-34500-rates-for-temporary-nursing-services
  3. Got Written Up, Cant Stop Thinking About It

    I agree. It's a pretty crappy way to transfer patients I worked at a hospital that switched to a system in which the floor nurses received no report and were expected to monitor the room assignments in epic see when a new patient was added. The ER...
  4. Constant interruptions

    I've been working on a surgical floor and I am about ready to lose it over the constant interruptions, especially when I'm passing meds. We have an intercom system that the secretary uses to call into the room to tell us that we have a call. She sa...
  5. Med reconciliation

    I hate them too. Many patient keep accurate lists in their wallets but a surprising amount don't know or don't care. Calling their pharmacy to verify can be problematic as well because quite a few people use mail order pharmacies and I've found them ...
  6. Is anyone able to tell me what the typical day is like for a nurse manager? Some floors seem to have nurse managers that are present for rounds and are out on the floor quite a bit, even answering call lights. Other floors seem to have managers that...
  7. Why Do We Continue to Harm Patients?

    To my knowledge, I've not made a med error that resulted in harm to a patient. It's only by the grace of a God because every day it is push, push, push, rush, rush, rush. We need better staffing. I agree that patients are sicker than ever. They also...
  8. A family member has cancer and needed a unit of blood. The nurse in the infusion center intended to run it over an hour, though she had to slow the rate a bit due to a rise in blood pressure. It probably took 2 hours. On the floors I work, we typical...
  9. So long as I can pay my bills and have a little left over, I'd go for the better work environment. If not, I'd do what I had to do and keep looking for a position that would meet my financial needs and was a tolerable environment.
  10. On the floors I work, when a pt is being admitted, the home medications are to be reviewed in the ED by a med tech and then reviewed again my the RN as part of the admission process. Is this the most common method? We seem to run into a lot of prob...
  11. Is this reasonable or just over the top?

    I agree that the pt has a right to know everything about their care but there are certain things that they do not need to hear from nursing. The worst examples have been times when there was a question of cancer but we're waiting on radiology report...
  12. What Did You Get For Nurses Week?

    We got a small soft cooler. It's actually pretty nice. TPTB provided ice cream sundaes that nobody knew about until after we'd returned from lunch. Typical. Last year, if I recall, we got nothing
  13. No Lunches

    I was just thinking about this yesterday. I make a point of taking my lunch break every day and if I don't get my lunch break, I will write "no lunch" when I sign out at the end of my shift. Even so, I often feel bad about taking lunch and return e...
  14. Be honest: do you feel valued by your employer?

    My manager has told us how much she appreciates and values us. Whatever she can do for us, she has. This seems mostly related to scheduling issues, though. As far a the upper managaement goes, absolutely not. They've cut back holidays, vacation ac...
  15. Flu masks & co2

    The hospital where I work requires us to wear a mask if we do not receive a flu vaccine, no matter the reason. One of the respiratory therapists told me that certain masks will cause a build up of co2. Has anyone else heard this?
  16. Nursing is Just a Job - Common Myths in Nursing

    The idea of nursing being just a job has kept me sane (less crazy?). Last summer I posted about being tired of being angry all the time. I was burning out big time. It has helped me detach and by doing so, I am actually a better nurse. I have to c...
  17. Patient huddles: how to improve compliance?

    On most floors that I work on, if there is a huddle, it goes really quickly. We talk about fall risks, concerns, and whatever management has decided we need to improve. Later, there is another meeting which is also attended by case managers and the...
  18. Calling report to the floor.

    I used to absolutely hate when the ER nurse calling report would tell me "this isn't my patient, I'm just helping out" and proceed to read from the SBAR. I can do that myself! But after working at a hospital in which the ER does not call report, I ...
  19. Tired of being angry

    Our patient population is tough - many people with chronic health problems but also lots of (too many) people playing the system. They're demanding, most likely drug seeking, malingering. I find myself driving to work telling myself I'm going to g...
  20. I bought the crockpot liners at the supermarket though I don't use them often. I do all the prep the night before and take it out of the fridge and dump into the crockpot. I mostly do this so my husband will eat something besides popcorn and ice cr...
  21. nurses who are bad patients

    To me, Good Patients are the ones who try to work with us. We're always about talking the patient's health care team. The most important person on that team is the patient himself. His attitude goes a long way in how well he will do. That doesn't...
  22. nurses who are bad patients

    Nurses are generally some of my best patients. I'm sure that I've been a bad patient once or twice, not horrifically bad but whiney. I was sick and I was scared. Sometimes we know too much about all the things that can go wrong, even when the cha...
  23. Professional (Dis) Courtesy

    I mostly like taking care of nurses or people in health care. It usually means that I don't have to translate a lot of things into lay language. It also give them the opportunity to ask questions that a "normal" person might not ask, lab results fo...
  24. The trucker who is working through his lunch break is most likely eating while he drives. Due to the nature of the work and not being allowed to eat at the nurses station, nurses who work through lunch are skipping meals altogether. When I worked 8...
  25. Nurses who don't have the "passion"

    I totally agree. It doesn't matter how or why you came to be a nurse. All that matters is that you do a good job. I suppose this is true for almost any job but I feel like the patients are vulnerable and relying on us to advocate for them so it is...