dirtyhippiegirl

dirtyhippiegirl BSN, RN

PDN; Burn; Phone triage

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All Content by dirtyhippiegirl

  1. Dietary policy- vent

    Not much that could be done without a doctor's order. Heck, I'm assuming that this was a dietary aid that came by -- and not a dietitian/nutritionist - which would make recommending or restricting...
  2. What was the longest code you have been in?

    Probably 2.5 hours out of a 3 hour span (got him back twice before someone could track down something akin to a family member). Guy was found down and burning for an unknown period of time. Probably a...
  3. I am concerned with age discrimination?

    Even in places like CA and NYC -- I think you might be catastrophizing the poor new grad job market just a
  4. Low census. . .no work. . .

    Our unit census has been low lately but hospital policy has it that you'll float first before you get called off. (I work in a Magnet, union hospital if it matters??) Hospital census has been low-ish...
  5. Has anyone had a peer interview?

    My peer interview was a lot of "classic" open-ended interview questions + a lot of scenario questions. No patho-phys or anything like
  6. When I did agency work, I was given general parameters - age, sex, location, and technicalities like gtube/vent/trach. Depending on who was scheduling, you might or might not get the "real story"...
  7. Never placed an IV!!!!!

    Damn, you've never seen a boob IV? /fat chicks with thin arm veins tend to have great boob
  8. This might mean something if it was a level playing field for CEO-type jobs. The cream doesn't "rise to the top" -- the "cream" is always at the top. There are a certain class of people who are...
  9. Aw. I work nights on a mixed burn unit (ICU, teli, floor) and we definitely do try to coordinate our calls. It's a small unit so that
  10. Kind of off topic, but I get irritated by some of my fellow day shift nurses who I don't think have ever worked nights (or haven't for years) -- who don't realize that there are certain non-emergent...
  11. Trachs/Vents - How much training?

    ^like above, definitely depends on the agency. And the family. If you're doing nights, then family should be there to assist. Nights *should* technically be fairly easy. As a new grad in the PPD...
  12. How much pain medicine is too much?

    As someone who routinely medicates patients with extremely large quantities of narcotics, my main concern for this patient (aside from signs of overdose) would be the possibility that she her altered...
  13. *The Float nurse* anyone care to share?

    Not getting into whether a new grad should be in a float pool or not (does seem like you're holding your own, OP, congrats. I couldn't do it.) but as a fairly new nurse working on a burn unit, I have...
  14. you win this thread, hands
  15. Well, to be fair, the fixating thing happened about two years ago when she broke her leg. It was 100% a control issue. She toned down her feisty-ness and seemed more at peace when she was, actually,...
  16. Your Most Maddening Patient/Patient's Family Situation

    This is going to sound really weird and specific but I hate, hate, hate those post-extubation patients who complain about how much their throat hurts and NOTHING helps. Ice water doesn't help. Throat...
  17. My mom passed away a few days ago from COPD/heart failure complications. Obviously, she had quite a few hospitalizations over the last few years of her life and - dear god! - I witnessed first hand...
  18. I Cried At Work

    I don't understand why so many people insist that nursing can't be considered a profession unless held up to some arbitrarily, impossibly high standard. I've seen doctors cry both out of frustration...
  19. Respiratory Therapy vs. Nursing

    School is only a small part of your future. I wouldn't make the decision to be a RN or a RT based on what the schooling is like -- because once school is over, you're stuck actually working in your...
  20. Great moments in bad judgement

    Not ER-ish but two of my three patients a few weeks ago were on our unit for the same reason. Welding torch to a gasoline/kerosene tank. JUST SAYIN'. Another, much more seasoned nurse, explained that...
  21. dilemma regarding antipsychotics

    I'm purely approaching this topic as a former psychiatric patient (many times over!) -- not as a psych nurse, although I have given anti-psychotics to brain damaged and acutely withdrawing (booze)...
  22. You might be right. I was tired last night and possibly confusing what is technically expected from Magnet and what was arbitrarily set by the hospital as a goal to help achieve Magnet cert/re-cert. I...
  23. In order to achieve Magnet status, a hospital has to have a certain percentage of BSN nurses. Over 50%, at the very least. (I want to say 80% of staff nurses must have a BSN but I could be making that...
  24. Shake and bake meth accidents filling burn units

    Yes, this is the general reasoning behind that line of
  25. The hospital that I work at doesn't hire ADN nurses anymore. At all. For any