OnceMorewithFeeling

OnceMorewithFeeling

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All Content by OnceMorewithFeeling

  1. Repealing ACA

    OnceMorewithFeeling posted a topic in Activism, Healthcare

    I have been closely watching both the House and Senate's efforts to repeal the ACA. As nurses, we are on the frontline of our nation's health care delivery system, and it seems to me that we have a...

  2. Open visitation in the ICU

    OnceMorewithFeeling replied to Mini2544's topic in Critical Care

    We actually recently went in the opposite direction in my unit. It used to be a free-for-all. We are now a locked Unit with an official visitor policy--three visitors at a time, visits...

  3. Why do we do codes?

    OnceMorewithFeeling replied to scrubs0204's topic in General Nursing

    I think that we need to remember that the term discharge” does not mean discharged back to home, fully functioning, baking muffins for the grandkids.” Discharged simply means discharged...

  4. Doctor's lying about telephone order

    OnceMorewithFeeling replied to Irabee's topic in General Nursing

    100% this. You must document your phone orders. If you work in a facility where the phone orders you take later get disputed, this will protect

  5. Starting in ICU

    OnceMorewithFeeling replied to Tacomaboy3's topic in Critical Care

    I was a new grad in the ICU. How did it go? Not so good at first. Orientation and the initial year after orientation was pretty terrible. For both me and my patients, honestly. I should not have...

  6. RN recovering from perfectionism burnout seeks experienced ICU advice

    OnceMorewithFeeling replied to Good_day's topic in Critical Care

    I wonder, is your perfectionism internally or externally motivated? Did you feel bad because you thought you should and could do better by your patients, or because your colleagues pursed their lips...

  7. Not taking a break

    OnceMorewithFeeling replied to Yellow90's topic in General Nursing

    So, when you don't get an uninterrupted break are you paid for that time? 30 minutes unpaid three times per week = 1.5 hours. 1.5 hours times 52 weeks per year = 78 unpaid

  8. Does this feeling ever go away?

    OnceMorewithFeeling replied to ps3114's topic in General Nursing

    I have been an RN in an ICU for over six years. I have never, once, not felt "behind." I am always anticipating. Once the "expected" anticipations are resolved, my mind wanders. Even on the rare days...

  9. Not taking a break

    OnceMorewithFeeling replied to Yellow90's topic in General Nursing

    Seriously though, I get real twitchy about the whole "lunch" break thing and what it is. If you get a free, totally uninterrupted thirty minute break from your duties, that is an unpaid lunch break....

  10. Not taking a break

    OnceMorewithFeeling replied to Yellow90's topic in General Nursing

    Breakfast break? Is this a thing? Where do nurses get

  11. School verses Real World

    OnceMorewithFeeling replied to Sage611's topic in General Nursing

    I did not find school hard, but I found it very, very time-consuming. Keep in mind, I did not have a husband and kids like you do, so it it will be different for you--it might be hard, depending on...

  12. Question about fent OD?

    OnceMorewithFeeling replied to benmca13's topic in CCU, Coronary, Cardiac

    benmca13, I hope you read all of the replies to your post and learned something new. I just wanted to the highlight one portion of your post that I thought was the most important, and the one we...

  13. New Charge Nurse

    OnceMorewithFeeling replied to Chilled1121's topic in Critical Care

    No, this is not okay behavior. Assignments should be based on what is best for the patient--who has had this patient before and therefore knows her/him, who has the skills/knowledge this patient...

  14. How do you deal with unexpected death in the ICU?

    OnceMorewithFeeling replied to YP CVSICUnurse's topic in Critical Care

    You did nothing wrong. You had an incredibly busy day by your account, and were still thoroughly attending to this patient. Even after the fact, you can account for his vitals, his gtts, his...

  15. Question about fent OD?

    OnceMorewithFeeling replied to benmca13's topic in CCU, Coronary, Cardiac

    Based on the information you have provided, I do not think a fentanyl overdose is the culprit here. But, I am concerned about the management of this

  16. Brain Death/Support

    OnceMorewithFeeling replied to critcarequeen93's topic in Critical Care

    I don't know if this will offer you any comfort, but I work in a Cardiovascular ICU. We do heart transplants, and I have worked with many patients whose lives were saved by the selfless gift that your...

  17. New to ICU. What do you hate to see a new ICU nurse do?

    OnceMorewithFeeling replied to IPMC15's topic in Critical Care

    I love all of the comments about helping your co-workers out and I agree! If you've got the spare time and you know that your neighbor is in the weeds, step in and give them a hand. I will add, try...

  18. Pacemaker failed to sense

    OnceMorewithFeeling replied to nurs1ng's topic in CCU, Coronary, Cardiac

    What was the patient's underlying rhythm (Sinus Brady, Slow A Fib, Junctional Escape)? What were the pacer settings that you tried? Did you turn the sensitivity numbers down to their minimum and...

  19. Cant believe the nurse did.....

    OnceMorewithFeeling replied to Daisy_08's topic in General Nursing

    I dunno...I feel like a lot of people are piling it on BrandonLPN when he is just being upfront and brave enough to tell it like it is. My only experience in LTC was way back in clinicals, but I...

  20. Hurrying death?

    OnceMorewithFeeling replied to lalalulu's topic in Patient Safety Issues

    The only order I see a problem with is the NPO order. If he is a Hospice Pt, and he wants a drink of water or some ice chips, he should have that. You said that the patient had been miserable. Why not...

  21. New health care laws and our jobs.

    OnceMorewithFeeling replied to roreyn02's topic in Activism, Healthcare

    I agree with Orca. This is a big, complicated change. It will take some time before it is all sorted out. Both people and businesses right now are confused and frightened by the change and are...

  22. what did you get for Christmas from your employer?

    OnceMorewithFeeling replied to AlphaPig's topic in General Nursing

    $5 cafeteria gift

  23. Who actually likes nursing??

    OnceMorewithFeeling replied to mmcnabb3's topic in General Nursing

    This is the best summation of how I feel about my profession that I have ever read. You really articulated it for me. OP, there are things that I love about nursing and moments every day that are...

  24. Nurses typical work schedule.

    OnceMorewithFeeling replied to jazon77's topic in General Nursing

    Really, I think hours are going to vary based on the institution. On my Unit most of us generally work 2 eight-hour shifts and 2 twelve-hour shifts per week, for a total of 40 hours per week. Salary...

  25. To all "medical coverage is a privilege" folks:

    OnceMorewithFeeling replied to dirtyhippiegirl's topic in Activism, Healthcare

    All right, I'll bite. I've lurked on this site for a few years and this discussion was what finally prompted me to join. Here is my anecdotal story to illustrate why we need universal coverage: About...