DookieMeisterRN

DookieMeisterRN

Cardiac, PCU, Surg/Onc, LTC, Peds

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All Content by DookieMeisterRN

  1. Torn

    Please stick to your guns...don't buy into their guilt trip. I would bet if you stayed you'd be pi&@ at yourself, the same ol' s%*t will resume, you'll now have more projects (AKA work) for the...
  2. Fed up with poor management

    Yes I work per diem in such a facility. Management told me 'they have my back' and give me permission to 'counsel' assistive personnel. What happened to accountability such as write-ups and suspension...
  3. Portland RN agencies?

    I've signed up with 2 agencies and have yet to work any shifts out of 10 I signed up for. Is there that many agency nurses, low census in Portland area hospitals, and/or I signed up with the crummier...
  4. Taking pain medications while working?

    I've had many root canals and they shouldn't cause so much pain that requires norco the next day. I would find a new dentist IMHO. You really think your BON would approve of taking pain pills at work...
  5. Will the stress of nursing be too much for me?

    I personally thought NS was much more stressful than the job itself. NS can be full of gossip, politics and self-inflicted anxiety on all the what ifs that may never happen. I tuned out everyone...
  6. EHRs stink!

    What specifically is keeping you from charting until the end of your shift? Using the EMR is way quicker than paper charting on 2 billion different forms. You HAVE to learn to chart as you go about...
  7. Terminated and need advice

    So you just made up your own sliding scale for the HS insulin dose? If you did do that, that's kinda scary administering meds without an order and I could understand why you were let go. Sorry it...
  8. Ok..vent..advise...dunno

    Seriously this sounds typical of a LTC facility. And you wonder why they're short staffed? I would personally invite those who came up with your brilliant schedule to try it themselves for 2weeks....
  9. Things you "should" be taught in nursing school

    In A & P we did 3 lead EKGs and actually I did learn 12 lead EKGs in my LPN program I attended. We spent time performing them on classmates and we learned to read 5 lead strips. Did I remember it...
  10. Summer 2012 Nurse Externship Program

    I've never heard of anything like this. Maybe there's positions like that in your area but the only externships here are through your NS and you pay for it through your tuition. Paid housing? Our...
  11. IV antibiotics compatible with D5W ?

    Consult your pharmacist or drug book.....ASAP! Relly? How is anyone supposed to answer your question if you don't even know the names of the meds? It surprises me how some make it through NS and pass...
  12. Explaining why I want a certain job.

    I know the acuity will be lower in urgent care but I don't think it is less stressful, just a different type. I definitely wouldn't mention that. You may get to spend a little more time with patients...
  13. stepdown tele nurses x2yr now what?

    Have you been charge nurse on this unit? If not I suggest pursuing that before moving on to a new department. It will give you a good challenge, look awesome on your resume and will put you ahead of...
  14. advice for new cardiac nurse

    this is very helpful for orientation. my unit, a cardiology/respiratory stepdown has a great orientation with time spent observing procedures in the cath lab and post-procedure, shadow in icu and...
  15. Need Tips or Tricks on Remembering IV Stop Times

    I've worked for a hospital system that has the same procedure, to document IV stop times claiming they won't be reimbursed. In my current position at a different facility, this has never been mandated...
  16. Is it me or is hiring at Kaiser Permanente a joke?

    Consider yourself lucky that they did not hire you. There are better companies out there and I wouldn't take my dog to a Kaiser
  17. Need a new perspective here....

    I agree, as a new nurse you wouldn't exactly know what labs are most likely standard protocol for heparin gtts. The PTT is important to keep track of and make sure it's drawn to titrate your hep gtt....
  18. Really does it matter? If you were to not say anything when having knowledge of errors you'd be seen just as guilty as the nurse making the errors. Would you want that nurse in question taking care of...
  19. This is a terrible situation. Harm to this patient has occurred, possibly long term consequences, due to several med errors, omissions and lies. What is incredible to me is that people are thinking...
  20. Your thoughts/reasons patient is in pain or addicted or what...?

    1. Another thing to consider is that fentanyl patches don't relieve all types of pain. 2. A major side effect with all narcotics is drowsiness for most people. Despite being drowsy though you can...
  21. Why are ICU nurses so rude?

    And there we go assuming again. If what you had said was true I would have stated as such. And I didn't say it happened everywhere, I said it's what I have personally
  22. Disappointed in myself and feel like a failure in nursing.

    You do need to learn to be more assertive and toughen up but you're not going to change the gossipy nurses, just your reaction to it. If you absolutely can't handle the culture of your unit I would...
  23. Can you renew your RN license if you cant find a job?

    Not in my state, we have to have some umpteen hours of paid practice since last renewal but we have no CEU requirements. For new grads with under 2 years on their first renewal the hours are...
  24. Why are ICU nurses so rude?

    Aw geez, everyone is misinterpreting and taking words sooo out of context. No wonder everyone complains about different departments acting *itchy to each other, look at your responses, everyone is...
  25. What is with a second interview? What that all about?

    My second interview was usually a peer