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MN-Nurse

MN-Nurse ASN, RN

Med Surg - Renal
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MN-Nurse is a ASN, RN and specializes in Med Surg - Renal.

MN-Nurse's Latest Activity

  1. It isn't a primary concern or goal of my union and there is no evidence of them spending any resources on the effort. The redistribution of wealth - upward - is what is actually happening and should be a concern to the country.
  2. Interesting. Disdain for the people who work for you and reverence for a single overpaid person at the top. Remember when North Memorial Hospital's CEO was caught in a prostitution sting on his wife's birthday? Did you enjoy how he trickled on you? North Memorial CEO arrested in prostitution bust | StarTribune.com Even after that episode, they simply found another overpaid lump to slide right into his position at a same or higher salary. Executive pay has gone insane in the last few decades and the skyrocketing benefits of CEOs (whose compensation is determined in boards made up of other CEOs) has NOT led to better conditions for rank and file workers.
  3. Yep. Hospital CEO salaries made a very conspicuous public run during a recent RN strike.
  4. MN-Nurse

    Feedback requested before I give 2 weeks notice!

    Do NOT send anything of the sort. Do not voice your displeasure. Do not do anything but nod and say, "I'll do my best." Then use all that energy you would have spent on the letter and protest and go find a better job. When you find that better job, resign.
  5. MN-Nurse

    How do you reward yourself after a tough shift?

    I go home. On the way, sometimes I reflect on the fact that not too many people could get through what I just did and be ready to do it again tomorrow. I know the me that existed 10 or 15 years could not have done it. I think about how the experience made me better at my job, better able to help other patients and coworkers through similar times. I think about how much I like this job.
  6. MN-Nurse

    How many hours per week (avg) do you work these days?

    Do long hours of work still exists today? Yes. How many hours per week (avg) do you work? 38 Do you see medical facilities in your area reducing or increasing hours? It fluctuates almost constantly at my facility. There is either an abundance of open shifts and overtime or there is none.
  7. The diverters get pretty good at it. I had an instructor who was duped by a coworker who kept fake med vials in her pockets and was extremely good at pocketing the real med, switching to the fake one and "wasting" it. She would then keep the "waste" for herself and give the patient a lower dose (eventually none) of the actual med. I don't use narcotics but one could easily do this if he or she saved carpujects. Just palm a carpuject vial filled with water, pull a real one out of the pyxis (right in front of a coworker if necessary) insert the palmed one into the device, spray the fake med into the trash during the waste. Usually coworkers only witness the wasting of the contents and not the actual pulling of the meds so you don't need to be Penn & Teller to fool anyone.
  8. MN-Nurse

    Your take on actors playing "nurse"...

    I am fan of the Nurse Jackie show. The show has almost nothing to do with nursing - much like MASH had nothing to do with the Korean War, but it's entertaining. The one thing I always notice is that EVERYONE on the show (EMTs, MDs, nurses) wears their stethoscopes backward. They stick way out from the actor's head every time. I remember thinking, "I know they have nurse technical advisors, why are they all doing it wrong?" I realized, well if you aren't used to handling a stethoscope and you weren't actually listening to anything in them...if you put them in correctly, they would blast your ears as you banged them into things. But if you put them in backwards, the sound is muffled. So I figured the actors were putting them in backwards on purpose. So use a stethoscope that has the acoustics killed or put the dang thing in in backwards.
  9. MN-Nurse

    How does chemistry apply to your RN position?

    I found the chemistry extremely helpful.
  10. MN-Nurse

    How does chemistry apply to your RN position?

    Look up "Basic Metabolic Panel" (blood chemistry test) and look at the levels given. Then look up the effects and treatments for ranges that are too high or low for each result and you will see a whole lot of nursing content.
  11. MN-Nurse

    Giving Narcotic After Scheduled

    I would have given it and rescheduled all subsequent administrations to start 12 hours after the time I gave it.
  12. MN-Nurse

    Misuse of insulin pens and patient safety

    I've heard of these horror stories and have some idea why the misuse of pens would occur. My hospital pharmacy is fairly bad at getting medications to the floors in a timely matter. Except when it comes to insulin pens. When we first got the pens, pharmacy took their usual sweet time getting them to us. So we used the few remaining multi-use vials we had on hand during the switchover to pens (with the correct needles, for pete's sake). However, we had to override the barcode scanner on the MAR because we were not using the prescribed pen. Multiple insulin MAR overrides got sent up the chain and management began bellowing, "WHY AREN'T YOU USING THE PENS?!?!?!" "Because we don't have them. Pharmacy takes hours to send them - or just doesn't send them at all - and patients need the freaking insulin." Someone then shook pharmacy's tree. Hard. New insulin pen orders now arrive in a timely fashion. If a pen is empty or lost - it replaced very quickly on request. I can easily imagine a scenario where another facility would remove the vials and insulin syringes and decree "Pen only" - and then NOT supply the pens needed. This would force the staff to either not give any insulin or use the same pen for different patients. The pharmacy department loves it because they don't have to fill orders, the purchasing department loves it because they buy fewer pens. The staff hates it, but they feel they have no other choice. Management (the source of the entire problem) looks the other way - until they get found out. Then when the kimchee hits the fan they do what management weenies do best - they blame the nurses and "remove" the pens. Pens that were not used properly because management, again, didn't do their freaking jobs.
  13. MN-Nurse

    How do you develop your mastery after nursing school?

    Those nurses you admire for their mastery learned a lot of their lessons the hard way. I once asked a Red Cross Nurse sticking me for a platelet donation, "How do you get so good at that?" She replied, "You screw it up."
  14. MN-Nurse

    Rule follower-how to survive

    JCAHO.
  15. MN-Nurse

    Has this ever happened to you?

    You went in to get an unnecessary round of vitals and cut the cheese while you were at it? Well done! Oh to answer your question, no, I've never done that. If I am handing someone their walking papers, I'm not taking their vitals.
  16. MN-Nurse

    Do you like being a nurse?

    For everyone out there, do you like what you do? I sure do. Second career nurse here and I really like my job. For all those people out there who dreamed of being a nurse, is it what you expected? I never dreamed of being a nurse, never had a romantic notion of it. But it is what I expected because I was a CNA for 3 years before becoming an RN. I also really want to know, how stressful is your job? It is incredibly stressful, and how the individual handles that stress is a crucial part of the job. Stress comes along with the job being demanding and challenging. After nursing school do you feel adequate enough to take care of your patients safely? Nope. That takes experience. Do you like going to work? Yep, and like anything else I liked it a whole lot more after I gained some experience and confidence. I guess I'm trying to get a grasp of what life is like as a nurse. Then get a job working alongside them in an area you want to work in. You may have to work your way to even get this type of position. I really want to be in a career helping people and no I am not trying to have an easy job, I am a very hard worker. Good. Basically I am spending a lot of time stressed with school trying to stay on top of things while trying to work and I have at least another two years of being stressed with school. Work on ways to handle the stress. Your instructors and classmates will have very good advice here. When I finally get done with school I don't want to have to worry about being stressed at work all the time. It doesn't get any easier when you get out of nursing school. It is a whole different kind of stress, but my personal experience is that I thrive on occupational stress while I simply "get through" academic demands. Good luck.
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