nynursey_

nynursey_

Med/Surg/ICU/Stepdown

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All Content by nynursey_

  1. Are physicians that thick?

    nynursey_ replied to nynursey_'s topic in Patient, Colleague Relations

    I was honestly dumbfounded. The conversation literally went like this: Uro Attending: Can you tell me a bit about Patient X? Me: Well, he's just returned from [insert procedure here] on [insert...

  2. Are physicians that thick?

    nynursey_ replied to nynursey_'s topic in Patient, Colleague Relations

    The primary MD was made aware after I tried twice to get the patient and failed. Maybe 15 minutes after the draw was late? Our attendings are stationed on the floor. I didn't feel the need to notify...

  3. Are physicians that thick?

    nynursey_ replied to nynursey_'s topic in Patient, Colleague Relations

    I'll clarify even further: The q6hr draws had been ordered since the patient had been admitted (24-hours prior). The patient went for a scheduled procedure after 2-units of PRBC's and the q6hr draws...

  4. Are physicians that thick?

    nynursey_ replied to nynursey_'s topic in Patient, Colleague Relations

    Au contraire ... I care very much. The patient was made a "lab draw" when the order was first entered. At 1403, when phlebotomy had not shown up, the lab was placed as "STAT" (by myself, I may add)...

  5. Are physicians that thick?

    nynursey_ replied to nynursey_'s topic in Patient, Colleague Relations

    If you re-read my original post, I stated that I had tried twice myself, and no one else was available. And by no one else, I mean the charge was in assignment, and the other nurses' were occupied. I...

  6. Ever Been Recognized?

    nynursey_ replied to laKrugRN's topic in Patient, Colleague Relations

    I haven't *personally* been recognized, but I have recognized someone else. She ended up in my orientation class for a job I recently accepted. I knew who she was because she posted in a state...

  7. Potassium Rates

    nynursey_ replied to bear14's topic in Medical-Surgical

    There is typically a protocol that says not to run K+ at a rate greater than 10mEq/hr. There isn't really any "minimum" at which you should run it unless an order specifies over a period of time....

  8. Nurses not prepared for report

    nynursey_ replied to KatePasa's topic in Medical-Surgical

    Ugh, nothing aggravates me more. IF I get to work 20-30 minutes early, then I'll spend time checking in on CC, PMH, diagnostic testing, labs, etc. However, if I'm running behind, clock in right at...

  9. Pearson Vue: Bullies?

    nynursey_ replied to wooh's topic in General Nursing

    Regardless, at least in the great state of NY, the BON has your license number listed before 48 hours after you've taken/passed the NCLEX. That's why, not only did I not pay the $8, I didn't even use...

  10. who does the blood draws in your hospital?

    nynursey_ replied to annieboo444's topic in General Nursing

    We have phlebotomists that do the scheduled draws and occasionally stat draws if the primary nurse doesn't have the time or the patient is a tough stick. If someone's a harder stick than phlebotomy...

  11. We are Looking for Talented Nurse Writers

    nynursey_ replied to tnbutterfly - Mary's topic in General Nursing

    I'd love to do this. I've never formally had any work published, so unfortunately I wouldn't be able to provided a link to any of that, but I know I have the ability to add humor, technicality, and my...

  12. leaving first RN job after 6 months.

    nynursey_ replied to annieboo444's topic in General Nursing

    I'll offer you another perspective: I don't think you're making a mistake. I worked on a medical inpatient floor for approximately 7 months. The pace was incredibly quick, the acuities high, the...

  13. No Good Deed Goes Unpunished

    nynursey_ replied to OCNRN63's topic in General Nursing

    I'd like to share a thought shared with me by another nurse that can be helpful in dealing with less than desirable responses to AN posts. "It starts and ends with me." You're the one to put the idea...

  14. How important is your 'look' as a nurse

    nynursey_ replied to Nola009's topic in Nursing Professionalism

    It's important in the sense that I want to appear clean and well-groomed as it sends a message of professionalism, but beyond that, my "look" is more for me. I remember being in nursing school and...

  15. Blood pressure medication / checking blood pressure

    nynursey_ replied to abeautifulmind's topic in Medical-Surgical

    I check the most recent recorded BP, especially if it has been done within an hour of the scheduled medication. If it appears low, or borderline low, I grab a dynamap and recheck the pressure to...

  16. Insulin Administration: Standing and Sliding Scales

    nynursey_ replied to blackdiamond407's topic in Patient Medications

    Of note, I've seen a few physicians lately writing orders for carb counting insulin as opposed to a standing order. For example, I had a patient last week who was ordered a sliding scale dependent...

  17. Nurses are Not Doctors

    nynursey_ replied to Brian's topic in General Nursing

    I think an issue that has failed to be addressed (or maybe it has and I’ve neglected to find it among the pages of comments this thread has generated) is that Nurse Practitioners and Physicians have...

  18. What's considered "Job-Hopping" in nursing?

    nynursey_ replied to Nola009's topic in Nursing Professionalism

    ​I'd tend to agree with Esme. Since prospective employers are likely to look for experience in a particular setting, whether that be LTC or a speciality, longevity is more appreciated than the...

  19. No more glucose checks by CNAs/PCTs

    nynursey_ replied to Paws2people's topic in Patient, Colleague Relations

    I also practice in NY and our PCA's are still very much allowed to check FSBG. It could be your facility's

  20. Portal cath

    nynursey_ replied to Avu00's topic in General Nursing

    You need at least a 10mL syringe to flush a port-a-cath and/or a

  21. Portal cath

    nynursey_ replied to Avu00's topic in General Nursing

    I'd like to clarify that if you're asking if an order is required to access a newly implanted port-a-cath, then the answer is most certainly yes. X-ray will confirm placement (much like a PICC) and...

  22. Living With Dysthymia

    nynursey_ posted a topic in Nurse Disabilities

    I made it through two years of nursing school and a year of my BSN degree, until it hit again ... overwhelming sadness. I've been diagnosed as having dysthymic disorder for years, and some days, it's...

  23. Living With Dysthymia

    nynursey_ replied to nynursey_'s topic in Nurse Disabilities

    ​I've been in therapy on/off for about 10 years total. Some of it included CBT, and some of it just talk-therapy directed. Presently, I'm on Nortriptyline (Pamelor) and Sertraline (Zoloft) as...

  24. Portal cath

    nynursey_ replied to Avu00's topic in General Nursing

    ​This can be facility dependent, but typically, an order is required to access a port-a-cath just as an order is usually required to place a peripheral IV. Check your facility's

  25. Fainting Nurses

    nynursey_ replied to SScott2809's topic in Patient, Colleague Relations

    Having a bought or two of a weak stomach doesn't mean you're not cut out for nursing. I've found that nearly every single nurse has one or two things they're just not able to stomach. In those cases,...