nynursey_

nynursey_

Med/Surg/ICU/Stepdown

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All Content by nynursey_

  1. Bedside report - hate it? Like it? Love it?

    nynursey_ replied to ixchel's topic in General Nursing

    I agree. All medical history is shared during SBAR, not just things that are family friendly to be said during bedside report. Especially if that patient is on an infectious disease unit or admitted...

  2. Bedside report - hate it? Like it? Love it?

    nynursey_ replied to ixchel's topic in General Nursing

    Well, that was a rather harsh, judgmental, and unnecessary response. But since you seem to believe that I'm "lying," I'll bite. I have participated in many a report whereby the patient has not been...

  3. Scripting?

    nynursey_ replied to meg0620's topic in General Nursing

    I was told today by my superior that nursing involves a large amount of acting. This person actually compared our jobs to "being on stage" (and yes, that is a direct

  4. Profession for some...attempted by many..

    nynursey_ replied to jdruds's topic in General Nursing

    I assure you on many a MedSurg unit, this exact thing is happening. My former sister unit has 2 vent beds available. As a result, all nurses must now attend vent training, and subsequently be...

  5. I think I've had enough

    nynursey_ replied to LightMyFire's topic in General Nursing

    I have been holding on at my job for a year now. Up until a month ago, I had an amazing manager that made all the stress worth it. Once the first week of November passed and Amazing Manager quit,...

  6. Profession for some...attempted by many..

    nynursey_ replied to jdruds's topic in General Nursing

    The rapid responses were not called due to "inexperience" or not knowing what's going on, although to be fair, should a Med/Surg nurse with no bedside monitor and no ICU experience be expected to be...

  7. Profession for some...attempted by many..

    nynursey_ replied to jdruds's topic in General Nursing

    I (stupidly) attempted to explain this to the MICU fellow who refused to accept the patient. He looked at me like I had 10 heads. It isn't just patients and families that don't get it, but physicians...

  8. Are we "semi-professionals"

    nynursey_ replied to GastroAwesome's topic in General Nursing

    New York State (as seen above) is one state that refers to their RNs as Registered Professional Nurses. My ID badge at work actually has that title beneath my name and RN

  9. 12 hr shift makeup routine

    nynursey_ replied to RN_srs's topic in General Nursing

    Before I realized that chemical SPFs do not agree with my skin, MAC Pro Longwear was my holy grail. I wear Makeup Forever Mat Velvet + now and it definitely holds up on long

  10. 12 hr shift makeup routine

    nynursey_ replied to RN_srs's topic in General Nursing

    If you're blessed to not need it, then you're my hero! I couldn't ever get up and head in without makeup on unless I wanted some serious side-eyes and to scare the living daylights out of my patients....

  11. Profession for some...attempted by many..

    nynursey_ replied to jdruds's topic in General Nursing

    "not appropriate for med/surg" is very vague. It depends on a lot of different factors and it is largely facility dependent. At my first hospital, IV chemotherapy, insulin drips, CAPD, and CBI were...

  12. Bedside report - hate it? Like it? Love it?

    nynursey_ replied to ixchel's topic in General Nursing

    I hate bedside report. I feel that in 90% of cases, it's highly inappropriate. It's a sure fire way to ensure the patient actually has MORE questions and it takes up to 50% longer to actually give...

  13. 12 hr shift makeup routine

    nynursey_ replied to RN_srs's topic in General Nursing

    Long wear foundations are your friend: the thicker, drier the formula, the better. Always, always prime, but if you're oily, stay away from silicone based formulas. Gel or liquid liners will be...

  14. How much trouble am I in?

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

    I'm sure you understand just how poorly you handled the situation. And in some ways, I believe you knew this might be the outcome. Might be prepared to be fired at the

  15. Profession for some...attempted by many..

    nynursey_ replied to jdruds's topic in General Nursing

    I'd like to kindly remind everyone that Medical-Surgical Nursing *is* a specialty. And there are those of us that choose to continue to specialize in

  16. Are we "semi-professionals"

    nynursey_ replied to GastroAwesome's topic in General Nursing

    Starting off a post with the phrase "calm down" really isn't a good way to go. But I'll let that one slide. It does have prerequisites. Sometimes it has coreqs. It depends on what you've taken prior...

  17. Experienced nurses help- heparin subq question....

    nynursey_ replied to IHeartPeds87's topic in Medical-Surgical

    It depends on what the patient is on SQ Heparin for. Many are on for VTE prophylaxis and thus also have TED stockings and SCDs. Holding one dose of SQ Heparin for VTE prophylaxis isn't going to hurt...

  18. How do you scan insulin?

    nynursey_ replied to Ann.E's topic in Medical-Surgical

    Novolog is provided as a Novolog Flexpen; each patient has their own individual flexpen and it is scanned each time a patient has a due dose of insulin, whether it is prandial, or supplemental....

  19. Can you recommend a medication?

    nynursey_ replied to russianbear's topic in Patient Medications

    The "R" portion of SBAR stands for "recommendation" (or at least it continues to stand for that in my facility) and that often involves suggesting or "recommending" a medication, a diagnostic test, or...

  20. Are we "semi-professionals"

    nynursey_ replied to GastroAwesome's topic in General Nursing

    What does having done an RN-BSN program have to do with an actual BSN program being harder to get into? The course load is the exact same; RN-BSN's simply are allowed to skip the clinical component...

  21. Compassionate Connected Care (C3)

    nynursey_ replied to calivianya's topic in General Nursing

    No one listens to how stupid it sounds, and that's the problem. The people that create the unrealistic scripting have no idea what bedside nursing is like, much less what the patient experiences while...

  22. Compassionate Connected Care (C3)

    nynursey_ replied to calivianya's topic in General Nursing

    Irony at its finest, because this is *me*. I'm the nurse with 2-years experience on the floor AND the most senior

  23. Compassionate Connected Care (C3)

    nynursey_ replied to calivianya's topic in General Nursing

    Oh, man. If I used that phrase with any of our hospitalists, they'd eat me with a fork, knife, and

  24. Compassionate Connected Care (C3)

    nynursey_ replied to calivianya's topic in General Nursing

    It's a nice sentiment. The "talking up" concept is supposed to reinforce the nurses' ability to care for the patient in front of them, per our in-service. I skip that part. I introduce the nurse and...

  25. Compassionate Connected Care (C3)

    nynursey_ replied to calivianya's topic in General Nursing

    Exactly. Which presents an interesting conundrum: lie and instill a false sense of confidence or tell the truth and completely scare the pants off the patient?