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xx--RN--xx's Latest Activity

  1. xx--RN--xx

    Neuro ICU - Do you talk to brain-dead patients?

    I work in a Neuro ICU and I got to say I don't talk to brain dead patients. We care for our organ donors up until they go to surgery for harvest. To me, after brain death the person is just a big "ice chest" full of organs that I must keep in stable condition so that they may be passed on to the organ recipient. Honestly, I've never even thought about the question of talking to a brain dead pt. Brain dead is dead. I don't even talk to dead family members at funerals or viewings. They don't get so much as a "good bye". They are gone...what is the point? I don't get it. I'm there to do a job. Talking to dead people serves no purpose for that job and would only reflect my coping with death if I were to do it. JMO
  2. xx--RN--xx

    Is being a Male nurse weird?

    As soon as I get to know my patients or their families (first few hours of a shift) I usually get the "So tell me, how did you get into nursing question?". IOW, "how does a dude become a nurse?" I don't mind and usually welcome any sort of small talk. I tell them my story and they are usually surprised. No one has ever asked if I"m gay but I work in the fact that my wife is also a nursel to ease their curiosity about my sexual orientation. I don't have to do any of these things but I know that a large chunk of the population is most probably not used to the idea of a straight male nurse. I could F*** with them and be vague but I find that telling my story helps build rapport and opens up dialog which is vital because I need for people to talk to me so I can gauge their needs. I don't really have the "f*** you get used to me being a guy attitude" with people. I don't understand that sort of thinking. I want to help you process the fact that I'm a dude (if it is an issue) so we can get down to the real important stuff...like pt care. JMO (hope all that made sense. It was an insomniac/medicated post...i need to go to bed)
  3. xx--RN--xx

    whinny nurses

    I am shocked that an educated person such as yourself would even be aware of the aforementioned redline feature. JK BTW --im typing this from a playstation using a playstation controller because my wife dumped white wine all over the PC keyboard ....gawd help me
  4. xx--RN--xx

    Visiting hours for acutely ill neuro pts.

    We are open for 2 visitors at a time all day and night except for 3 hours for shift change AM and PM. We allow more visitors and no restriction on time if the pt is actively dying.
  5. xx--RN--xx

    Tips for new grad working Neuro ICU

    Lots of great tips already here. I'll make my advice very simple: 1. Establish a neurological baseline at the begging of shift with bedside report. 2. Do neuro checks. If unchanged from #1 then repeat #2 in 1-2 hours. If changed, go to step 3. 3. Do something about it. (quickly ask a coworker to double check if you are not sure, call doctor, CT of head etc) Once CT is done and no surgical intervention then start at number 1 again.
  6. xx--RN--xx

    Rude Nurses

    I’ve seen this play out on my unit with some of the nursing staff but I wouldn’t say it is the norm for where I work. I think its useful to ask “what can I do to make this situation better?”. All too often, students (not the majority) are not assertive enough with their education. This is mostly true with first semester nursing students. IMO, they are scared/lazy/don’t know what they don’t know and don’t know how to ask and are usually found in the break room working on care plans or studying for the next test. I speak from experience from when I was a first semester student nurse. I then realized that I would get out of clinicals as much as I put into it and by the second semester I was actively seeking learning opportunities. I approached every nurse on the floor at the beginning of the day and offered to do any skill related work and made myself available for whatever other help they might need. Once the nurses saw that I was serious, the attitude towards teaching changed. This won’t work on all nurses but it will work on enough of them to improve your overall nursing school experience. Best wishes.
  7. xx--RN--xx

    Is it okay for a CNA to call herself a nurse?

    I don't know you and I'm new to this site but I hate to see someone storm off fuming from any conversation. I've done CNA work during my "summers off" from nursing school. CNA work is in many ways, more physically challenging than nursing work and my hats off to all the CNA's who deliver excellent pt care without punctilious exactitude and with a heart for those in need. I'm certain the hospital would be in a frenzied and precarious state without CNA contributions and devotion and therefore I got nuttin but luv for the CNA's. For one to say “its NOT ok for a CNA to call herself a nurse" is less about the CNA and more about the effort, training and sacrifice one has to go through to be an LPN/LVN or RN. Anyone coming along and asserting the title of “nurse" without aforementioned education and YEARS invested into achieving a nursing license is seen as a slap in the face and disrespectful to the entire profession. I, as a RN, couldn't/wouldn't go through the years and years of crap it takes to be a Doctor. That's why; I would never call myself a “Doctor”. Doing so devalues all the accomplishment and triumph earned through the long thorny passageway of medical school, internship and residency to achieve the title of “MD”. I hope I've added clarity versus twisting a knife in a wound. The former was the purpose of this post. Edit to add: Not to mention the legal ramifications previously mentioned several times up thread.
  8. xx--RN--xx

    LPN Scope of practice/Picc lines-just moved to Indiana

    1st, I don't think the RN will get mad. If she does, what a b*&$#. 2nd, I'm sure you will dazzle them with your other skills enough to make up for the fact that you need to be taught in this one area. 3rd, its better to swallow your pride and speak up and ask for help vs harm the pt or clot up the PICC line etc. Like most hospitals, you will be oriented and work with a nurse for at least 3 shifts to get the system down. Mention you need extra orientation in this area on day one so you can get the training before you go solo. You will do great.
  9. xx--RN--xx

    Is it okay for a CNA to call herself a nurse?

    Short answer: No. It's never OK. I would never call myself "Doctor xx--RN--xx" on facebook, in the hospital or even the bedroom...(ok, maybe the bedroom).
  10. xx--RN--xx

    Nursing School

    (Note: when I say "nursing school", I'm not talking about prerequisite courses) I'm wrapping up a preceptorship with a student this week and felt inspired to start a thread for nursing students. Nursing school is terrible. It sucks. I hated it. I hated the stress. I hated being made to feel stupid. I hated the uniforms and all white shoes. I hated the care plans. I hated the paperwork. I hated when I felt like I was bothering nurses in hospitals during clinical rotations. I hated feeling like the dumbest person in the class (turned out, everyone is "dumb" and no one really understands what is going on). I hated that OB was the most difficult semester while as a male nurse I KNEW there wasn't a snowballs chance in hell that I'd EVER be an OB nurse. I hated buying EXPENSIVE books and carrying them with me every where I went. I hated making straight A's on my prerequisite courses then making a C's and a rare B in the program. I hated the tests and the possible 3/4 right answers. I hated the skills check offs and stupid nursing school protocols that had no real world application. (Example: everytime we entered the room, we would have to introduce ourselves by full name and title and check the pt's ID. I assume they thought we were all going to work in an Alzheimer's ward. ) I hated that my wife had to work 2 jobs to cover my 2 years of unemployment while going through the nursing program. I hated post conference and being kept an extra 30 minutes so the class know it all could hear herself/himself talk. I could go on...but you get the idea. Thats why, I go out of my way to make sure the nursing students at my hospital have an authentic nursing experience. Under close supervision I let/make them do every aspect of my job from emptying sharp containers to vent care. I truly believe that one does not learn to be a nurse from nursing school. One learns to be a nurse by being a nurse. In summation: Nursing school sucks but nursing as a proffesion does not. Nursing school is not nursing. Nursing school is a 2 year kick in the nuts. It gets better. BTW, don't stress too much about your license exam; turns out, you have spent the last 2 years studying for it.
  11. xx--RN--xx

    Who HATES the term MURSE?

    I hate the term "nurse". "Nurse" is something a mother does with her breasts to an infant. I'd like to see a change to something more gender neutral sort of like "flight attendant" vs "stewardess".
  12. xx--RN--xx

    Male Nurses/female Patients

    (I work in an urban hospital) It's a give and take. I'm a big dude and I look like a bouncer at a biker bar. I work in an ICU and I get the lion's share of the requests to help pull patients up/ turn patients or move them to bedside chair/commode. Also, they usually give me all the sexist male, uncooperative or combative patients. I never bathe a female without another female in the room. I never do gyno exams and I've never put a foley in a female. (I'm actually proud of that last one...what a streak). When cleaning up after a BM, I always have my fellow female nurse clean the vaginal area. I will help a female pt to the toilet and stay in the room for high fall risk, adjust/apply cardiac leads, help on and off bedpan, dc a foley ...(anything without any direct vaginal contact). All the female nurses on my unit know that there is a standing offer from me for care of their male patients in the same way that I ask them to care for my female patients. Luckily for me, most a/ox3 females prefer a female nurse to perform my "hands off" list above. However, even if the patient had a 21st century view on male nurses I probably wouldn't anyway. Why open myself to potential accusations? I have too much to lose and it isn't worth it to me.
  13. xx--RN--xx

    Silly family members, Trix are for kids!

    Parents are the #1 reason I won't work with kids. Its a shame too because I like kids and really think I could make a positive impact with that particular demographic. My hat is off to whomever can work with overbearing parents. The problem with the passive aggressive approach is that it doesn't solve the problem. It only sweeps it under the rug. The parent remains ignorant regarding the care of the child while thinking they know what is best. This will be passed on to the next shift's nurse etc. Perhaps explaining the medical rationale for doing it "your way" would be much wiser investment over the long term. JMO (BTW, take my advice with a grain of salt. This from a nurse who won't even go near a children's hospital BECAUSE of the parents and I'm suggesting that YOU be up front and honest with the parents...tee hee...hypocrite much?)
  14. xx--RN--xx

    Silly family members, Trix are for kids!

  15. xx--RN--xx

    Nurse suicide follows infant tragedy

    gawd...how terrible. It could be any of us in her situation at any time.... One f&% up and your life and the life of the pt (and pt's family in this case) is changed forever. Sad for everyone involved.
  16. xx--RN--xx

    How do you measure temperatures?

    LOL.. ...or 0.2 degrees higher or lower from the last temp recorded....that way, you don't have to actually go in the room. JK