nynursey_

nynursey_

Med/Surg/ICU/Stepdown

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All Content by nynursey_

  1. Compassionate Connected Care (C3)

    I think the intention is to expand upon the therapeutic communication model, but let's be honest: how much of therapeutic communication is actually effective? I reach for therapeutic communication...
  2. Compassionate Connected Care (C3)

    This is exactly what I meant by my first comment. If people truly believe the script that comes out of nurses' mouths, then they're idiots. I'd much rather have an RN with an actual personality and...
  3. Compassionate Connected Care (C3)

    I also simply resent the fact that I'm forced to endorse the oncoming nurse, as if to give my stamp of approval. If you want honesty, I trust some of my coworkers so little, I don't even ask them to...
  4. Compassionate Connected Care (C3)

    It's part of the bedside shift report scripting. We also have to assure them we want them to have the "best hospital experience possible." It's all so beyond
  5. Compassionate Connected Care (C3)

    If this works, it just proves how stupid people *really* are. If it doesn't, it also proves just how stupid people *really* are. "How may I meet your expectations today?" "I HAVE the time." And,...
  6. Are we "semi-professionals"

    [emoji122]🏻 Thank you. This was another one of my points. Hospitals employ different types of professionals, not just nurses (and yes, I intentionally referred to nurses as "professionals") and...
  7. Are we "semi-professionals"

    Med-Surg patients are at an all time high acuity in my opinion. I work at a large Level 1 trauma/teaching hospital, and the complexity of the patients I deal with on a daily basis as a Med/Surg RN is...
  8. Are we "semi-professionals"

    Skilled trade? Do you feel this way because you're held accountable to clock in and out? If so, my heart breaks for you, because clocking in and out should not be the determining factor on whether or...
  9. Are we "semi-professionals"

    Not rocket science, but definitely beyond basic math. Titrating pressors based upon the protocol may be "basic math," but the pre-, intra-, and post-assessments are not. There is more to titrating a...
  10. I Don't Get the Anxiety Part of Nursing

    I agree with this wholeheartedly. Whenever I see one of my colleagues yawning with a bored expression and their cell phone in their hand while I'm drowning in a patient assignment, I want to scream....
  11. Careplan Psychosocial

    Does your care plan have to include psychosocial nursing specific dx if they aren't really relevant? Is this a hospital patient? Nursing home? Home health? It helps to have perspective on the setting....
  12. My former unit manager was this exact type of manager, and it absolutely broke my heart to lose him earlier this month. Managers could do well to learn from this type of leadership. Nurses feel more...
  13. I Don't Get the Anxiety Part of Nursing

    On another note, consider this, OP: When you have to call a Code Blue on a patient because they've stopped breathing/gone pulseless, and despite your best efforts (along with an extremely...
  14. Patient Bathing...or Not.

    Large, Level 1, acute care RN here. My perspective: If a patient is AAOx3 and independent, they are asked if they'd like to take a shower today. If they say yes, I make it a point to schedule them...
  15. I learned that this week is neverending. As if it wasn't enough to work on Friday the 13th, I'm also on for the
  16. I really want to know?

    Couldn't agree more. I chart "patient behavior .... " and "patient states 10/10." I chart what I see. I take the pain report subjectively. I medicate, but I refuse to medicate to a level where it's...
  17. I really want to know?

    I haven't indicated that I believe all patients are. What I said was that there are specific instances where utilizing your clinical judgment to question "pain is what the patient says it is" is...
  18. I really want to know?

    I s'pose I'll bite and be mildly controversial. Pain, as we're taught, is subjective. But there's an objective element that needs to be utilized for safety purposes, as well. For example, I had a...
  19. Honestly, monitoring wouldn't have saved these individuals one way or the other. They both were on remote telemetry (the 3rd one was not). No calls were received for days prior to the code, and...
  20. I Don't Get the Anxiety Part of Nursing

    If you're as short-in on the nursing world as I've been garnering, then I'll cut you a little slack here... In my first year to year and a half of nursing, I didn't *get* the anxiety either....
  21. How long is your commute?

    Currently? 50-55 minutes door-to-door (including shuttle time). At my first job? 1 hour and 5 minutes in the summer/fall and 1 hour and 20 minutes in the spring/winter. It's not unheard of to travel...
  22. I haven't read any of the prior posters' suggestions, but this is just my input: Hourly wages, like every other salary/compensation, depends on a variety of factors. In nursing, much of it depends...
  23. I think I should learn to be okay to take a mental health day. Perhaps if I had, work may not have been so unbearable this
  24. I learned that every code I have been involved in throughout my career has no discoverable cause and always ends in the patient dying. I learned that I can still hear the screams of my patient's...
  25. I Don't Get the Anxiety Part of Nursing

    Agree! My anxiety over my nursing position is *just* starting to catch up with me. This could, of course be, related to the THREE codes (all ending in the patient expiring) I have had in one week, and...