strength4unityRN

critical care, PCU, PACU, LTC, HHC, AFC

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All Content by strength4unityRN

  1. strength4unityRN

    Hearing Impaired Nurse

    Hi Everyone. I was born with a hearing loss of 25-30% & I wear hearing aids. I can hear without them but they do help me hear 'everything' alot better. On my yearly work review I received good marks and that they were happy to have me on ...
  2. strength4unityRN

    Fluid Med Error

    Scanning meds can catch errors & has helped prevent med errors but scanning isn't always 100% going to catch all errors. I have had computers go down, barcode won't scan, scanner stop working, EMR decided to reboot. Very annoying. Especiall...
  3. strength4unityRN

    Am I overreacting?

    You have a right to be uncomfortable if you weren’t I would be worried. I am afraid this is happening to hospitals all over. They are doing the same thing in my hospital. They are combining PCU/ICU together (basically there is no more PCU at this ti...
  4. strength4unityRN

    ICU charge RN - how are you organizing yourself with COVID-19 crisis

    Yes I completely understand & empathize with you. You cannot train anyone to do this in 2-3 weeks let alone 2-3 months CC training, we just don’t have enough experienced nurses at the bedside anymore, let alone CC. Thanks for the reply & stay...
  5. Hi Nurses! With all the changes & sicker patients in ICU d/t COVID 19, I am overwhelmed as most of you are, I am also the charge RN. My unit was a mix of ICU/Stepdown pts, most of the staff I work with our not use to 1 pt this acute let alone th...
  6. strength4unityRN

    Am I too stupid to be a nurse?

    You can’t compare yourself to your co-workers, some people may be good at hiding their anxiety, meaning they are anxious too, just not exhibiting. Till this day I still have some anxiety and ‘oh crap’ moments, but working through them is how ‘we lear...
  7. strength4unityRN

    Feeling like I'm not making a difference

    Nursing overall is a tough field! The problems you describe our everywhere, everyplace has its problems. I was an aide too before I was a nurse, overall I have worked in the hospital for 15 years I also traveled for a few years and have worked in ov...
  8. strength4unityRN

    Really, is this real?!?!

    You had a lot of points I wanted to address but I wanted to respond to a few. I think you have a right to how you feel and even though this is the 'norm at some facilities' not all but majority operate at this ratio. Your doing the best you can and ...
  9. strength4unityRN

    New to ER, coworker makes me feel stupid.

    I can understand your frustration and agree with the other poster quote by Eleanor Roosevelt. As difficult as it may be being in a new work environment and your 'go to person' difficult to approach for questions, you cant beat yourself up for her att...
  10. strength4unityRN

    Pet peeve, bad practice, or overly critical?

    It depends on the patient/situation. Use your nursing judgement. I agree it's a great way to assess the skin etc. Plus a CHG bath and doing a quick turn doesn't take long at all in most cases. However it depends on patient and situation, if drips (pr...
  11. strength4unityRN

    Should i give references even if i'm still at my current job?

    Exactly. I understand. Just let them know, so no one is surprised. Also some travel companies like to know once you complete a contract if you can provide a reference from someone at that facility. So keep that in mind while out on assignments.
  12. strength4unityRN

    Should i give references even if i'm still at my current job?

    I don't see why not, you will eventually have to give a notice to your employer you are going to be leaving. That 1 month will fly by before you know it. I would first let your manager know, then inquire for references as you feel comfortable. Howeve...
  13. strength4unityRN

    CNA License

    There is a state board test you do or 'did' have to take. When I was a CNA, I received a certificate from my school that I completed the course. Then became eligible to take the state test, which consisted of a lab/skills assessment. Then if you pass...
  14. strength4unityRN

    Would you hold Metformin fot a BS level of 149

    I personally wouldn't hold it. Do you know why your supervisor requested you hold it? Does the patient have a diet ordered? Are they NPO for a procedure? Have they been having problems with hypoglycemia?
  15. strength4unityRN

    Teamwork: A Recipe for Positive Patient Outcome and Self Satisfaction

    i love this article, teamwork AND a good work ethic go hand in hand. I do however believe in the fine balance of work and family life, however I have no problem helping out my co-workers if my assignment has been lightened due to discharges or etc (d...
  16. strength4unityRN

    Why did you pick your username?

    I picked my username because I believe that strength unifies us as people. In a whole to me a nurse is a strong person, you are the backbone, the one people look to for help and most of all support. I am a big believer in the energy you project to ot...
  17. strength4unityRN

    IVPB Question

    I would hang it with a NS as a primary and infuse the Flagyl as a secondary. Just due to the logic of wanting to get all that antibiotic infused to my patient. I am not sure what kind of IV access you had, such as PICC, PIV, central line, etc. Usuall...
  18. strength4unityRN

    Nurses eating and drinking at the nurses station

    I agree with you, it's sad we don't always have enough time to walk away for a few minutes to sip a beverage. The whole eating at the nurses station is not allowed at my hospital, but it still happens. I personally don't feel comfortable eating at th...
  19. strength4unityRN

    So unhappy with my career

    Oh no no no, stop right there. Don't be so hard on yourself. I know you are a driven person I mean you were evidently a mom during school, and we all know nursing school is no easy walk in the park, let alone being a parent while in school. They say...
  20. strength4unityRN

    Advice for an EMT in Nursing school

    The reason I strongly suggest a NCLEX book is to help prepare you for the test you take in nursing school. A good nursing school will give NCLEX type questions on the test. For those of us who are in or have completed a nursing program we know how di...
  21. strength4unityRN

    Advice for an EMT in Nursing school

    There is a definitely a difference between the emergency side of healthcare vs. bedside care in the hospital setting. However I think any experience in medical will be a big plus. However I admired the paramedics in my class, and the LPN's too, when ...
  22. strength4unityRN

    Are we overworking the CNA's or are we lacking teamwork?

    I agree with you! The CNA's work just as hard as the nurse if not harder. The way I look at my job as a nurse is I have a bunch of different duties to do, and I need to pull my team together and delegate each task according based on who can do what. ...
  23. strength4unityRN

    How to prepare for tele floor test

    I agree you should know all the rhythms. I would take a systematic approach to each rhythm as they present it to you. 1. Is it reg or irregular? 2. Count the ventricular and atrial rate. 3. Are there P waves? and do they look normal? 4. What is the ...
  24. strength4unityRN

    hourly rounding

    In my facility we are expected to fill out a hourly rounding sheet, checking with the time we enter the room, assess for pain, noise, make sure the call light is in place, etc. I personally feel this sheets are a waste of time, just because I sign a...
  25. strength4unityRN

    Ativan...do i hold or give?

    I think this is a great question and alot of the other posters added great points. I also wanted to point out that depending on how lethargic your patient is, giving them something to swallow isn't a great idea (not sure if this person has a peg tube...