dirtyhippiegirl

dirtyhippiegirl BSN, RN

PDN; Burn; Phone triage

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All Content by dirtyhippiegirl

  1. Total Disregard for Visiting Hours

    dirtyhippiegirl replied to DYLANB's topic in Patient, Colleague Relations

    I can see both sides of the coin. My mother spent her last few months in and out of tiny country hospital ICUs that had very strict visiting hours -- hugely inconvenient when you have to drive several...

  2. Diagnoses you never thought you'd see?

    dirtyhippiegirl replied to KarafromPhilly's topic in General Nursing

    There's a book called The Family That Couldn't Sleep. It's a great book that covers FFS in depth, as well as the history and research of other prion-related diseases to a lesser

  3. Do you have to be certified to debride wounds in a hospital?

    dirtyhippiegirl replied to ohmeowzer RN's topic in Wound, Ostomy, Continence

    It sounds like the doc might have wanted a sharps debridement from the way the order was written but what the actual nurse did certainly wouldn't be considered as such on the burn unit where I work....

  4. I feel so dumb... I got flustered - about a patient in respiratory distress

    dirtyhippiegirl replied to LalaJJB's topic in Emergency

    Feh! I know this is totally off-topic but, I work in burn and we do a lot of foot sticks/IVs. "Throwing" a 20g in a foot can be about as easy as throwing a 20g in a AC. When you really need it, it...

  5. Discipline for low pain reassessment scores

    dirtyhippiegirl replied to saraaileen76's topic in General Nursing

    Our charting gets audited quite a bit for pain reassessment. It's very annoying. I could assess and re-assess indefinitely with some of our more chronic

  6. Diagnoses you never thought you'd see?

    dirtyhippiegirl replied to KarafromPhilly's topic in General Nursing

    We have someone on leech therapy probably once or twice a month; maggot therapy is rare, but also done. Had a Munchhausen's by proxy. Finally dx'd after several of the kid's line cultures came back...

  7. New RN, first med error. I need advice!

    dirtyhippiegirl replied to jordana888's topic in First Year After Licensure

    Aw. It's posts like these that I wish I could have taped the conversation I had with a loooooong-time nurse the other night. Had a nurse who floated up to our unit to do ICU stuffs. She's been a...

  8. IV pain meds standards??????

    dirtyhippiegirl replied to jbluehorseh's topic in Patient Medications

    Agree. I've seen some of my fellow coworkers get so incredibly worked up over pts who are probably drug seeking and getting waaaaay too much IVP pain medication. It's just not worth the

  9. Low saO2, normal sO2?

    dirtyhippiegirl replied to dirtyhippiegirl's topic in Critical Care

    Pt has a condition called Methemoglobinemia. Question

  10. I've decided to go into nursing at 32. Is this a good choice?

    dirtyhippiegirl replied to violetrays's topic in Nursing Student Assistance

    I really can't imagine that you'll be able to support yourself and your five children on a nurse's wages, especially after having to pay off the student loan debt that you'll have to incur. Nursing is...

  11. Low saO2, normal sO2?

    dirtyhippiegirl replied to dirtyhippiegirl's topic in Critical Care

    Yes, and it was very low. But a +carboxy level leads to artificially *high* saO2 readings. I'm wondering if maybe he had a shunt? Talked to my father who is a doc and he said that could be a...

  12. What would you say to this shocking patient statement?

    dirtyhippiegirl replied to aboucherrn's topic in Patient, Colleague Relations

    Our service has quite a few brown skinned docs with hard to pronounce names. However, they are all American born and speak impeccable English. So it always boggles my mind a little bit when we get a...

  13. Am I Irresponsible?

    dirtyhippiegirl replied to my_purpose's topic in General Nursing

    Basically, do what Jory said. I had a no call/no show early into my current (and first) RN job. Basically, I was on the paper schedule (which I didn't have) but not on the online/electronic schedule...

  14. Funniest Things Doctors say!

    dirtyhippiegirl replied to RNdiva505's topic in Nursing Humor

    The docs on our unit take call from home. We're coding a guy who has thrown bilateral PEs. I call the resident, then the attending. The attending, after I explain what exactly is going on: "Do I...

  15. What is it with nurses and cell phones? Just a vent.

    dirtyhippiegirl replied to fakebee's topic in Nursing Professionalism

    Eh. I don't see what the big deal is with having your phone on silent/vibrate and then checking it once you're out of a patient care area -- as long as you're not rushing through patient care to...

  16. Self injury scars on arms and patient questions.

    dirtyhippiegirl replied to dirtyhippiegirl's topic in Nurse Disabilities

    After mucho testing of various brands on my part, I've finally decided that 100% cotton does the trick of covering without being too stifling in the heat. I've also invested in some Grey's Anatomy...

  17. Self injury scars on arms and patient questions.

    dirtyhippiegirl posted a topic in Nurse Disabilities

    Just curious as to whether anyone else on here who is also a former self-injurer has ever had to deal with questions from patients about your scars? What do you say? I work mostly with adults and thus...

  18. Avoiding inadvertent IV injection of oral liquids

    dirtyhippiegirl replied to NRSKarenRN's topic in Patient Safety Issues

    I can kind of see how this might be an issue if you're drawing up two similarly colored liquids into identical syringes and then not labeling which is the IVP and which is the oral agent. The quoted...

  19. Pregnancy Discrimination - Interview

    dirtyhippiegirl replied to Art_Vandelay's topic in Job Search, Interview, Resume

    Didn't you get the memo? Having a baby is the most important thing that you will ever do as a woman and protecting it from womb to tomb is sacrosanct. Jeez. After my mom died, literally the first...

  20. Only Charting "The Good Vitals"?

    dirtyhippiegirl replied to whitecat5000's topic in Patient Safety Issues

    Are the "good vitals" the ACCURATE vitals? For instance, if a CNA was taking an automatic b/p on a patient and that patient happened to start thrashing his arm around wildly, I would assume that they...

  21. Pregnancy Discrimination - Interview

    dirtyhippiegirl replied to Art_Vandelay's topic in Job Search, Interview, Resume

    Eh. Why get pregnant when you know that you'll be job hunting soon/now? Is getting pregnant when you can't afford to pay your bills a good idea, really? Biggest problem my unit has had when hiring...

  22. What patients/behaviors/illnesses/injuries do you HATE the most?

    dirtyhippiegirl replied to JZ_RN's topic in Patient, Colleague Relations

    Try managing three cats with c-dif.

  23. What patients/behaviors/illnesses/injuries do you HATE the most?

    dirtyhippiegirl replied to JZ_RN's topic in Patient, Colleague Relations

    I don't mind ours. The patients themselves have usually burnt so many bridges that we don't have to deal with family. And they're usually so out of it that they can't complain to PR or will even...

  24. New grad, passed NCLEX...what steps do I need to take to become a burn nurse?

    dirtyhippiegirl replied to MidLifeRN2012's topic in Burn

    We seem to only hire new grads on the burn unit that I work on.

  25. does anyone regret this career?

    dirtyhippiegirl replied to cantdoit's topic in General Nursing

    No offense (lol, I know, right? gonna be offensive) but I don't know whether I should find these sorts of replies to be disingenuous or whether I simply live in the wrong part of the country r/t...