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Imafloat BSN, RN

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Imafloat has 13 years experience as a BSN, RN.

Imafloat's Latest Activity

  1. Imafloat

    What do you think constitutes insubordination?

    There was a PCA on my old unit like this. I worked in a level III NICU. Once I had a surgeon call and tell me he was on his way up to do a rectal dilation on a patient in 10 minutes and to gather everything. I went to the nursing station and the PCA was standing there, talking to someone about vacation. I said, excuse me, Dr. So and so is coming up in 10 minutes to do a procedure on Baby Jones, can you please go get an open bed warmer and take it to room 24? I've called CSS for the dilators and I'm getting the Fentanyl and Versed. She looked at me and pointed to the storage room and said, "see that door right there, it leads to the storage room, and there are all the open bed warmers you need in there, what you do is get one and roll it to your room." I was a new nurse and new on the unit so I thought that somehow I was a problem or had done something terrible to this person. I was flustered because the surgeon was rude and pushy and he would be obnoxious if everything wasn't ready when he got to the unit. I looked at her with shock and another nurse overheard what happened and told her that it was her job to do it and she needed to go get it set up. She went and set it up, she later came to me and told me it was her job to help me, but if she was busy that I needed to wait for her to be done. Over time I realized that this is how this PCA was. She treated all of the new people like this. I finally sat down with her and our assistant manager and aired my concerns. Nothing changed except how I dealt with her. I learned to phrase things so that it was her choice to help me. I hated that I had to do that, but sometimes it's easier to deal with people like that than deal with their constant drama. Administration isn't doing their job by allowing that to happen, but it's not my problem anymore, I left that dysfunctional unit. I feel like the equivalent of this behavior would be a nurse telling a doctor no when they wrote an order.
  2. Imafloat

    Does anyone take Topamax for migraines?

    I was on it for migraines. It stopped the migraines, but I had to go off of it. My side effects were that I felt like I was starving all the time, numb/tingling hands and feet, mental dullness, and I couldn't find all of my words when I needed them. At that time I was in the NICU and I was so stupid I had to go off. I admitted a baby with an imperforate anus and the resident was talking about the potential level of the defect, yammering on and on with nary a breath. I looked at my student and said, I have no idea what the heck she is talking about, do you? I had to go to the resident and ask for an explanation. That was when I decided that I needed to go off, because honestly, imperforate anuses are a dime a dozen in the NICU and I should have totally known what that doc was talking about. It was a glimpse to me of what the parent experience must feel like when we bombard them with all that information.
  3. Imafloat

    Johnson & Johnson commercials

    I am pretty jaded when it comes to the negative politics and crap at work, but I love the reason I went into nursing. I love seeing those cheesy commercials, because they go through the hard walls of my heart, to the tender place and make me proud of what I do for a living. I also selfishly love when my kids see those commercials and I am in the same room. My kids are beyond the age of thinking I am all that, but they aren't old enough to appreciate me yet. They see those commercials and they look at me with a little appreciation, which usually only lasts a moment, but I like the glimpse of humanity I see.
  4. Imafloat

    liability insurance and nurse organizations

    NSO is who I use and recommend. I've read on here of nurses needing their services and they have always come through. As for associations, what is your specialty?
  5. Imafloat

    Magnet Designation

    I truly believe Magnet is a way administration can pat themselves on the back for a job well done. The patients can't even tell the difference between, housekeeping, nursing, respiratory, even doctors, do you think they understand what magnet status is.
  6. Imafloat

    Staff Satisfaction / Turnover

    Our facility was nominated for the best workplace for working mothers award. The survey for that came the week before my employee (dis)satisfaction survey. I had no idea and was leaving anyway so I was very frank in my answers. Oh my, was there pie on my face when I received an email later in the week with a link to the employee satisfaction survey. I wonder how many people made the same mistake as me.
  7. Imafloat

    Staff Satisfaction / Turnover

    Call me evil but when faced with those questions on a survey I looked to the most brown nosing, administration favorite, know it all, in your face, smug nurse on the unit and matched my demographics as closely to hers as I could.
  8. Imafloat

    Probably gonna get fired my first week...

    I don't understand why they came to urgent care if they already had themselves diagnosed and knew what they needed before they got there. They could have better spent their time online at a Canadian Pharmacy getting the meds they felt they needed. I think you did an excellent job, and your decisions and rationale are right on. People drive me batty with their Google MDs.
  9. Imafloat

    What's your nursing kryptonite?

  10. Imafloat

    Magnet Designation

    They will say that all the women who were forced back into the nursing field to support their families are now able to become stay at home moms again. They will say that the older ones were able to finally retire.
  11. Imafloat

    I love it ALL

    Peds is where it's at! I love kids. I worked in a NICU for years and loved it, but I decided to stretch my wings and am working general peds now. I, like you have a knack for kids. I don't know where it came from or how it works, but kids respond well to me. These kids crack me up. I've been working in peds oncology and I think this is my favorite. Most kids have good outcomes with pediatric cancer. It's such a well funded field that it is always changing, there's always a new challenge and the OCD parts of my personality are well served with the Chemo schedule and refiguring up every single dose. I took a little girl for a walk to the snack machine and she put her hand out for me to hold and told me I was her new BFF because I like bubble guppies and helped her clean her room. How awesome was that, I got to watch a really cute show with a really cute kid while her mom got a much needed break, and I got paid for it. I get annoyed with the politics at work, but I won't leave because of the rewards I get from the patients. That little girl made my week when she reached for my hand. Peds is pretty rewarding, and I think part of the reason is that kids are so pure and honest, they let you know when you do a good job.
  12. Imafloat

    Magnet Designation

    My facility is pursuing magnet status right now. The magnet committee is all rainbows and unicorn poop, they are so far removed from bedside nursing and the lack of satisfaction it's pathetic. We have shared governance now, so we all have unit councils. The unit council meetings are used to address stupid things, whenever they bring up the staffing problems, they are told the same old song and dance number. Our biggest achievement at the unit council meeting was to get a pair of scissors at the hopper to cut the IV bags open so we didn't have to sit and wait for the IVF to drip out of the spike hole. This was even brought up in a staff meeting it was so earth shattering. Hmmm, we also got permission to do a group order of a certain holiday print scrub top. It's a joke and I feel like the unit council is for looks only. When we bring up safety issues, the educator and management argue with us. The turnover numbers look fabulous. In the beginning of the recession, our hospital cut 50 FTE nursing positions. Jobs are hard to come by in my area and you would be a fool to leave a job where you got paid every week. So, we all suck it up and put up with it because we are just happy to have a job.
  13. Imafloat

    Defining nursing with a single word...

  14. Imafloat

    Heartbroken. Ball was dropped BIG TIME. Advice?

    I'm sorry for your loss. I hope you can get your questions answered and find some peace.
  15. Imafloat

    popping and squeezing boils

    Ewww. What if pus shot out, eww, yucko, gross. I've never been tempted to pop a nasty pus filled anything.
  16. Imafloat

    Kangaroo Care

    We use the Infant Star 950.