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ClaraRedheart BSN, RN

Med-Surg
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ClaraRedheart has 5 years experience as a BSN, RN and specializes in Med-Surg.

Daughter of a nurse, wife of a military veteran. I work on the best unit in the best hospital in Texas! Med-surg can be rough sometimes, but I love it!

ClaraRedheart's Latest Activity

  1. ClaraRedheart

    I Was Fired...for Being Abrasive and Having Attitude

    I love how compassionate the advice here is! I appreciate that no one is jumping down OP's throat, but rather are giving helpful advice. I'm probably the polar opposite from OP. I don't say what I should say because I don't want to hurt anyones feelings. Of course, if a patient is at risk, I speak up. But when it comes to group EBP projects, unit based council, I'm not as assertive as I should be and it limits my productive and creative potential. I could say "that's just me", or I could realize it for what it is: a character flaw. If I don't identify character flaws, I can't work on them. No filter is definitely a character flaw. Learn to develop a filter. You can give an honest answer in a kind way. When you are corrected as a preceptee, you can talk about it with your preceptor AFTER you leave the patients room rather than argueing at the bedside. As a charge nurse, I have had to change staffing because a nurse or a PCT with no filter was fired from a patients room. That wastes time and resources. The same people tend to get fired frequently. I really can't say that I blame the manager. That's a headache that they really don't need. You can work with that though! As someone suggested, maybe get a psychologist that you can talk through this with and work on developing a filter. You can be honest with a filter! You just must consider how the other people around you will feel about your words and temper them appropriately. It's nice to be considerate of others
  2. ClaraRedheart

    Classism in the Hospital-MD vs. RN

    I will call a doctor "Dr ____" Unless they expressly ask me to do otherwise. I've had patients that are doctors and I will refer to them by the doctor pronoun if they seem to prefer it. Most do. I had one guy say "You can call me Larry or Dr. Smith". I called him Dr. Smith. Fact is, they had 10 intense years to earn the title. Their work entails a LOT more responsibility than mine does. When they leave, they are often on call. I do NOT want to be a doctor and I respect the hell out of them. I've had patients ask me if I plan to go back to school to become a doctor. No. No, I don't. I enjoy having a life. I enjoy going home and forgetting about my day. Doctors have earned their sleeping room, salary, buffets and title.
  3. ClaraRedheart

    Cook Childrens Winter Plan 2019

    Hi all! I am a Med-Surg/tele nurse with 5 years of experience. Currently, I work part time at a wonderful unit that I have no interest in leaving at this time. I work exclusively Friday/Saturdays (although I might could switch this to some other days, possibly). My husband is self-emplyed and his work slows down considerably in the winter, so I was thinking of some options to kind of pick up the slack. I've heard of the Cooks winter plan, and I was able to find an old job listing for it from a few years ago, and it looks like it would work well for us, except that it doesn't start until October, at least the listing that I saw. I just have a few questions for those that have done this: When is the earliest that you can begin and how long does it last? Do you have to work weekends? Or would they accept a Monday/Tuesday? Is switching from adults to pediatrics doable? Or was it really stressful for you?
  4. ClaraRedheart

    IV Vaso-Vagal HELP

    I do the sonogram IV's on our unit... I might have seen something like this once maybe? Sometimes veins actually disappear, but if the person is actually in distress, you really shouldn't be sticking them again. Wait for them to calm down, give them some juice and send them on their way. Now, if they actually needed an IV in a hospital, I'd suggest something PO for anxiety and then try again.
  5. ClaraRedheart

    Do you have a side hustle?

    Not really. I've gone part-time and I make as much now as I did as a new nurse working full time. I don't work that many extra hours. Most weeks, my hours are less than 30, but my organization really rewards you if you try to better your unit/workforce, and my manager has a keen eye at plugging us in where we're needed. Most side-hustles, including photography (which I had done professionally prior to nursing) couldn't afford me. If I want extra hours, I'll ask for an extra shift at work and make more than I'd ever make at photography or multi-level-marketing. I had a family member who wanted to hire me for a wedding photography gig. I almost said yes, because I felt bad, but truth is.. I'm not qualified anymore. My equipment and skills are outdated. I would have had to take two days of 12 hour shifts off to shoot the wedding, and that would have been way more than they could have paid me. Not to mention the time (and stress) that it would have taken to edit the photos. I'd have rather picked up an extra shift and given them the money to hire a real wedding photographer. I mentioned that it was just not feasible for me to do so, they understood. We're distant cousins. They found someone else who did a wonderful job.
  6. ClaraRedheart

    Your most bonehead moment in nursing. Or 2. Or 3.

    This one is truly awful. I was in a patients room, as a new preceptee/versant nurse giving medication to a patient that I had temporarily forgotten was a cancer patient with a hat to cover her hairless head. She and her guest were watching a TV show that was going over a recent news story where a "chupacabra" washed up on a beach of Mexico. It turned out to be a hairless something-or-another. I commented "Wow, animals almost look like aliens without their hair. After I walked out of the room, it hit me that I had just made that comment to a hairless patient. I felt like a jerk, and went back in and apologized to the patient, who might have been feeling a bit like an alien without her hair already and didn't need that. She said she didn't notice a thing... which was nice. I've always tried to be more careful of my comments since.
  7. ClaraRedheart

    Mini Rant

    I'm sorry OP Sounds frustrating. You know what they say... hindsight's 20/20. I think the ladder approach, when done CORRECTLY for your area can be a great idea, and save a LOT of money. While, I went straight for BSN, and don't regret my decision at all, because I wouldn't be where I am, on the unit that I am very happy at without it, I counsil others to do differently. In our area, I'd be a pay to be a PCT first, get a job at a hospital and let them pay for a BSN. Or, if you want to make it a LITTLE more quickly, go for an RN and let them pay for the BSN. I'll be paying for my BSN for quite awhile.
  8. ClaraRedheart

    What's your favorite nursing task?

    This is a fun topic! I love starting sono IV's on hard stick patients. My favorites are larger patients that actually HAVE veins, just deep ones. I do get a bit anxious when I have a patient that doesn't seem to have any good veins and I'm searching both arms while my patients are getting backed up and needing things.
  9. ClaraRedheart

    Simple Solutions to Everyday Problems

    I have a pen on a badge reel attached to a key ring and carabiner that I wear on my right waistband. Perfect for labeling IV tubing or signing a document without searching for a pen. On the same carabiner, I also keep scissors (on a reel, but detachable) tape on a keyring, a penlight and an inexpensive pulse ox. It's much better than keeping all of that stuff in your pockets and fumbling around. Also easy to detach each and saniwipe. I'm Nurse Gadget
  10. ClaraRedheart

    Alcohol withdrawal unit?

    In the last 5 years, I've taken care of 6 alcohol withdrawal patients that I can think of that actually were in withdrawal. I've done CIWA and had negatives on far more. Out of the 6 patients, 4 were men. And out of the 4 men, 3 were extremely inappropriate and made gross remarks. Is this par for the course? Or am I just unlucky? I've not encountered that level of poor behavior in the general patient population that we normally get.
  11. ClaraRedheart

    Safe staffing vent

    Maybe with they could get rid of the genius that thinks up the expensive frou frou and use the extra money from his salary and the nonsense aesthetics to hire another nurse. That would be cool. Will never happen though until safe staffing ratios are mandated by law.
  12. ClaraRedheart

    Was I wrong?

    If it is a patient that generally takes their pain medication as soon as it's available, it's polite to assess the patient prior to your leaving to see if they need the medication.
  13. ClaraRedheart

    Nights vs. Days

    This is an older post... but I've worked both nights and days on the same unit. Here's what I've noticed. On nights, you hit the ground running. People want to get their last walk in. You have one more patient than the day shifters have, so you still have to medicate and assess 6 patients within two hours. Not really possible to do a thorough job and chart in the room, so usually I assessed, then charted later when the lull came (assuming you have no gremlins). Ah, the lull... that's nice. You can catch up on charting, power walk around the hallway and get your steps in early, review charts.. that DOESN'T happen during the day. If you don't chart as you go, you're behind and will be hanging out for two hours after shift is over. Mornings also (usually) start out slower on days. You have time to get report, review your charts, then get started on med pass where you chart as you go. Just don't expect things to slow down, because many doctors will waltz through, sometimes multiple on one patient and place orders... more orders. Better not miss any in the onslaught or lab will be calling you or night shift will be asking why you missed that CBC that was due. You also have discharges, admits, transfers. Overall, I think days are a lot more busy, but I've never felt the need to come in early and review charts on days. Nights start faster, and you need to know whats going on BEFORE you hit the ground running or things could get dangerous real fast, so I always came in an hour early to look at charts. Probably depends on your unit what the differences are, but this is what I've observed on my unit.
  14. ClaraRedheart

    Repositioning end stage of life hospice pts

    Thank you! Good to hear this from a hospice patient! I am not a hospice nurse, but I had a patient that would be transferring to hospice the next day. The patient would scream any time you tried to turn her from side to side and would not stop until you returned her to her back. I had asked "since the patient will not be going until tomorrow, do you think it would be wise if I obtained a pressure relief mattress so that her skin doesn't break down? The nurse replied something to the effect of "Well, when she goes to hospice, they're not going to reposition her anyways. She's not eating anything, so she's going to get pressure sores, and if the natural death process doesn't kill her first, she'll get an infection in her pressure sore and die from that". He seemed like a nice guy, but I was kind of horrified at the honesty.
  15. https://www.cnn.com/2019/01/30/health/ohio-fentanyl-death-employees-on-leave/ A quick summary: Several employees are on leave for giving lethal and potentially lethal doses of medication to dying patients. Just curious what hospice nurses think of this! I thought that large doses and morphine drips were fairly common for dying patients. It's not something that I feel comfortable with, I'm med-surg and not hospice, so a bit out of my familiarity and have to seek advice when I get a hospice patient... but thought that it happens fairly frequently. What do you guys think?
  16. ClaraRedheart

    Med-Surg Certification

    I waltzed in there thinking that I had already ran into it all, and should know it by now. I passed... but not with an amazing grade. Kind of barely. I had a few questions each on erectile disfunction and insulin drips. We deal with neither of those things.
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