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DisneyNurseGal

DisneyNurseGal BSN, RN

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  1. Not true. I was 4 months pregnant with my last child before I had a positive urine test. I knew I was pregnant and did have the testing to prove it.. finally at 7 weeks we could hear the heartbeat.
  2. DisneyNurseGal

    I don't think i can be around this co-worker anymore.

    Don't victim blame. Just because the OP did not have the response you think she should have had doesn't change anything, in fact can make a person feel worse about themselves. A person can not calculate or premeditate how they will react under any circumstance, let alone someone with a history of anxiety, assault and PTSD. Also, behavior can not be changed with snap of her fingers... "oh yes... why didn't I think of that... just stop doing that". It doesn't work that way. My advice to the OP would be to have a conversation with him and your manager (or HR) to establish boundaries and what behavior you would find acceptable. In addition, I am not sure if your company has EAP (free counseling for employees) or something similar, but I think you should talk to someone, as this incident has likely brought up some old feelings. Good luck to you my friend. HUGS
  3. DisneyNurseGal

    Voiding!

    Great question! One of those conundrums that comes with working night shift. I did it for 4 years on a Step Down Med ONC unit, so i've been there. I do not think the question is cut and dry. Like many things in nursing it depends on so many other factors. First, it would depend on how much they urinated on the previous shift. We would follow the rule-of-thumb 30ml/hour (calculated Q4), but if they had had a decent bladder emptying before they went to bed, I would use my critical thinking and let them sleep. If they were running fluids 125-150ml/hour, after 5-6 hours or so, the patient is going to have a very full bladder that should be emptied in the middle of the night. Also, it is depending on the patient's diagnosis or comorbidities, if they are at risk for sepsis, I sure as heck am going to wake them up because I am watching for signs of decreased end organ perfusion (again this patient is probably on fluids so see comment above). A patient with a history of renal issues or poor kidney labs, I might be inclined to wake them. Finally, all of our patients are woken in the 5am hour either by labs or our CNAs. They are toileted at that time so if I did let them sleep, I can have some current urine charted, and so when the patient was woken for bedside shift report, they did not ask to go to the bathroom then and slow down handoff. So, as you can see, it is not a cut and dry answer. On a 12 hour shift, I wanted each of my patients to pee at least twice before I was not concerned. I understand what you were saying about how you can go all night without peeing, but I would reply with these patients are not at home, and we are tasked with keeping them safe, and unfortunately that includes an assessment of the whole person, including urinary system, even in the middle of the night. For me, it all came down to communication. I would tell all of my patients before they went to sleep, that I would be lightly waking them in the middle of the night to assess many things (Vital signs, neurological status, pain, NAMDU etc) and to ask them if they needed to pee. i've caught many a dropping blood sugar with this practice but that is a post for another day.
  4. DisneyNurseGal

    Adult med-surg to peds? Advice...

    Hi there! Congrats on the new job! Here is a link to another thread I replied on on a similar topic. The items I mentioned about how to prepare are going to be identical to your situation. https://allnurses.com/picu-nursing-pediatric/tips-for-moving-1169116.html As far as the transition goes. I was in the same boat as you having worked on a StepDown Med Surg for 4 years... and I thought I have raised three kids piece of cake. While prior children experience is helpful, it does not fully prepare you for the experience of working with kids. I was not prepared for the difficulty of having to explain everything twice (once to the parents, and once in a way the child understands), and learning to deal with parents is a skill that takes years to master. Always good to have dreams and goals, but these next two years for you will be exciting, stressful, challenging, rewarding and hard. Get a good foundation under you and you will be able to go wherever your dreams will take you.
  5. DisneyNurseGal

    Outrageous Complaints

    I NEED to add another one to the list. My unit has over 500 DVDs for kids to choose from. Mom requested the Disney movie Brave. I went to where the movies were kept and the Brave DVD was gone. I informed the mom that another child was watching it or it was missing, and the mother said "Well someone will just need to run down to the store and FETCH us a copy. Surely you have someone with nothing to do. That is my child's favorite movie and nothing else will do". We can't make this stuff up.
  6. DisneyNurseGal

    New nurse getting dumped on. Ready to switch.

    GUARANTEED, at some point or another every bedside nurse has felt dumped on. I am sorry you had a bad night, that sounds super rough. My question is a simple one... at any point did you ask for help?
  7. DisneyNurseGal

    mixing pain medications with a flush

    I worked on a unit that would detox and would also see a lot of (ahem), return patients with chronic pain issues. We decided as a unit to dilute pain meds because some of these patients LOVED the rush you get from pushing narcotics (they would often say "push it fast please"). We decided collectively that we would dilute do that these patients knew they were not going to get that experience on our unit. As someone who has been in the bed due to orthopedic surgeries, pushing narcotics even slowly can make some patients (including me) have systemic reactions, such has head rushes with lingering headaches, nausea, vertigo, tachycardia, and many others. As other posters have said pushing .5mL of Dilaudid slowly is very difficult. When I worked on the adult unit listed above, I never had a patient complain about the morphine headache side effect, I wonder if it was because we always diluted.
  8. DisneyNurseGal

    Aggressive family member

    1000% not okay. You are stripping away the comfort and security of that child. Unless the child is of the age they can make the decision if they want the parent in the room or not, the parent stays. You can use positions of comfort and distraction to occupy the parents with a task. Separating a child from a parent during a traumatic procedure, guaranteeing is harming a child (even the tiniest of humans). Trust issues, anxiety and even PTSD can happen to children while in the hospital if they are not made to feel loved and safe even through the scary stuff.
  9. DisneyNurseGal

    Aggressive family member

    Not even close to being the same thing. So based on your logic, next time I am teaching a new nurse how to insert an NG tube and she starts to hurt the child, I should push her hands away.. got it. No person should hand on another. There is no scenario or argument that you can make that will make this parents behavior acceptable.
  10. DisneyNurseGal

    Aggressive family member

    The man could have been arrested for putting his hands on the nurse. The threshold to call something an assault includes ANY unwanted physical contact. We should not be downplaying or accepting ANY act of aggression or violence against health care workers; regardless of the situation.
  11. DisneyNurseGal

    Aggressive family member

    Are you kidding me? I do things all day that hurt children. Lumbar Punctures, IVs, CPap, NasoPharengeal suctioning, I could go on and on. We do our best to mitigate pain with numbing creams, distraction, positioning for comfort, even medications; however nothing is going to take away all the pain. We explain procedures thoroughly to parents, and we also tell them that it is okay for them to step out of the room if it is too painful for them to watch (most often this happens with babies). Does not give any parent the right to lay their hands on me... ever.
  12. DisneyNurseGal

    Outrageous Complaints

    I swear, sometimes it seems I can not get through a shift without a patient or visitor complaining about something. From pain meds, to food quality to wait times, nurses hear it all! However, this past week, I had a couple strange complaints... 1) Visitor (patient's aunt) was mad that we did not have a blow dryer available to borrow. 2) Patient stated he did not like the way the sun came through his window. 3) Parent did not like that we carried Powerade, wanted staff to "go across street" to buy him Gatorade. What are some of the stranger (outrageous) complaints you've heard?
  13. DisneyNurseGal

    In the ICU, do you get a tech?

    In my facility a tech is a CNA with additional training allowed to perform certain tasks, while working under the licence of the MD. Insert foleys, IV placement, assist at bedside while the MD inserts central lines etc.
  14. DisneyNurseGal

    It wasn't funny

    Oh man sorry that happened to you! My favorite end-of-shift thing that people say when I am walking out is "SMILE". Why do people think it is okay to tell this to people?? If I want to have RNF (Resting Nurse Face), at the end of a 14 hour day, leave me alone!! Congrats on having the bravery to stick yourself out there and try for a promotion! I feel like every interview is a chance to get better the next time!
  15. DisneyNurseGal

    Oh, my aching feet!!!!

    The way I survive my plantar fasciitis is a foot roller. Do an amazon search for "foot roller" and you will see the contraption that I use and the end of my shift. 15 minutes per foot does the trick. I was experiencing the same symptoms as you, and once I started doing this intervention, I have not had any problems since! Good luck, I hope you find something that works for you! PF pain is no joke!
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