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psu_213 BSN, RN

Emergency, Telemetry, Transplant
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psu_213 has 6 years experience as a BSN, RN and specializes in Emergency, Telemetry, Transplant.

psu_213's Latest Activity

  1. psu_213

    New nurse struggling

    Is your hope to move to a permanent unit in this hospital or to move to another facility all together? If they are serious about this "verbal contract," they might be fairly unlikely to let you leave the float pool, but stay in the hospital. You can ask your supervisor though, share your concerns with her, and be honest about why you want to leave the float pool and move to a steady unit. If the hospital practices in the "sprit" of Magnet, they are more likely to let you make the change. If you did not actually sign a contract, there should be no issues with getting a position at another hospital and leaving this position behind--easier said than done, I know.
  2. Of course many of use earned our antibodies the old fashioned way for that one.
  3. psu_213

    HIPAA breach

    I don't have any words of wisdom about this particular situation, and I hope it works out well for you. However, let this be a warning to others--just don't post anything at all about work. Period. Even saying "it was a tough day at work" or "this one patient today...." can be taken out of context. Just stay away from it!
  4. psu_213

    How do you take blood pressures for 90 people?

    Is this LTC. It has been a while since I worked in LTC, but do you take everyone's BP every day?
  5. psu_213

    Children's Heart institute putting kids in danger

    Don't take this as a defense of the hospital, merely a statement about this particular article. I'm not saying the article is wrong, I'm not saying that this actually is a good hospital. I am not a expert in pediatric cardiology/cardiac surgery; however, I do know that it complicated. I think it may be a bit unfair to compare numbers from one facility to the next without any sort of context. When I was a kid, the local paper in my hometown of approx. 100,000 people published data on the cardiac surgeons from the 2 hospitals in town. They singled out a surgeon who had some of the worse mortality numbers. It was brought to my attention by a family member (who was not involved in the data and has no connection to the surgeons, other than the fact she worked in one of the hospitals--the one that this particular surgeon did not work for) stated that this doctor is known for taking high risk candidates, which was reflected in his data. We can certainly question his judgment about taking high risk patients, but the article basically said, "his number are the worst, don't go to him," with no context or background given on said numbers. Again, I'm not saying everything was fine at this hospital in Florida, but I'm going to reserve passing judgment until we know more about the nature of the patients--which is information we may never really know.
  6. psu_213

    PTO

    180? Yikes! So glad I can accrue more. I think it stinks that your cap is so low, but it seems to be and easy problem to work around. As others have said, plan you time so that you have to use hours. Take a calendar week off rather than taking parts of 2 weeks, so that way you are forced to use PTO. Try taking a day here and there to give yourself long weekends. If you are taking Wednesday through Monday off, add some days immediately before and after these days. However you decide to do it, I don't think you should have to be forced into a situation where you lose PTO.
  7. psu_213

    Medical/nursing shows/critical thinking shows...

    What drove me nuts was how he would always announce what he believed was the correct diagnosis with certainty. For example, "it is amylase transference disease. Give him steroids, he can be discharged tomorrow." Umm, we are only 15 minutes into the show. That is not it. For someone who is supposedly so smart, he does this over and over. Oh well, dramatic license, I suppose. Anyway, the team finds out House is wrong right as one of the doctors is getting ready to push the steroids, which is the biggest inaccuracy of all!
  8. psu_213

    Would you call in sick?

    I would agree if this happens repeatedly, but the OP states that she does not feel safe driving nor caring for pts. Just the driving issue alone: call me selfish, but I would't want to be hit/injured/worse by someone who fell asleep at the wheel, even if they are on the road with the best of intentions. If she can't work it out down the road, sure the employer is well within their rights to let her go. For this occasion though, I say this would be a justified call off.
  9. psu_213

    Reminder why the seven rights are important

    And in other news: "a nurse gave medication that is frequently used to commit suicide. That medicine is called acetaminophen."
  10. psu_213

    Verbally Abusing a Nurse

    Makes me grateful that at my hospital, one of the written pt responsibilities is that the patient will "accept their room assignment." Refusing transfer is not an option.
  11. psu_213

    Nasal Irritation From Crushing Medications?

    I put the pills in a plastic med cup, nestle in another plastic med cup on top of them, and use the butt end of a 10cc syringe to press down and crush the pills.
  12. psu_213

    Nasal Irritation From Crushing Medications?

    I've never personally have a problem, but I do my best to make sure that I am not going to make a cloud 'o crushed pills.
  13. psu_213

    J-tube. RN/LVN

    A lot of individuals have a low HR when then sleep. Does he also have episodes of this when he is awake--i.e., go suddenly from awake and alert to unresponsive with a low pulse? Report it to the physician, but in the end, it is going to be a cardiologist's call as to whether or not this individual needs/gets a pacer.
  14. psu_213

    Medical/nursing shows/critical thinking shows...

    I found House (for the most part) entertaining. I found ER (for the most part) entertaining. I also realize they are, besides for some scientific truths, very poor representations of real life medicine/nursing. If you are suspending disbelief, they can be fun, at times, to watch; however, there are too many plot elements that are introduced purely for drama that they make the show difficult to watch if you are looking for "real" critical thinking.
  15. psu_213

    12 hour night shifts

    Speaking as someone who was responsible for approving schedules (after the scheduling committee constructed it) in a fairly large department, this statement is a bit unfair. We had a robust weekend program on nights, so most straight night shifters did not have to work many weekend days. However, there were so many different preferences, there were times that people did not get what they wanted. Some wanted 3 in a row...some, absolutely not. Some wanted 2 on, 1 off, 1 on. Some wanted every Tuesday off. Some didn't really care, but made requests now and then to attend functions with their child. While the best effort was made to accommodate all those various preferences, there were times when people did not get what they wanted. If people didn't get what they wanted, it was not because I was not flexible or that I was not spoon fed; it is because the #1 priority is staffing the department, and sometimes that means some preferences are not reflected in the schedule.
  16. psu_213

    Med error and Pyxis

    Everywhere I have worked, unopened meds are returned to the Pyxis under the pt's name. If the packaging is opening, it is wasted under the pt's name (not witness required if not a controlled med), and the med is disposed of per policy (trash, sink, wasted med bin). I did work one place that had a mailbox style bin for wasted/unused meds. The med still had to be wasted in the Pyxis. Either way, ask you manager about the correct policy. I like the idea of doing by email to keep a "paper" trail.
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