sckimrn

sckimrn

Cardiac, Neuroscience, LTC

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All Content by sckimrn

  1. Answered wrong on Interview Question

    If the SOB has a nurse with them, I would go to the dizziness and chest heaviness first. We were always taught airway first, but according to ACLS, perfusion is first, then airway....especially if that patient already has a nurse in the room. Then pa...
  2. The most outrageous excuses from patients.

    Patient's tox screen came back positive for cocaine..."It must have been that crack my daughter and her friends were smoking the other day...I must have inhaled some of it!!"
  3. Noc Nurse perspective...

    I feel like we are working in the same hospital, lol!! We get leftover potato salad that has been sitting out since noon...either that or no one bothered to clean up after the "party". We have one charge nurse that seems to think she is in charge of ...
  4. Being a nurse is hard

    Totally agree, nursing is a tough profession. LTC is not for everyone though, for many reasons. I did it for 4 years and thought I would do it forever. I got burnt out by all the paperwork and politics, now I am happy in my nice little med surg world...
  5. First Year Almost Over, No Magical "Ah ha" Moment Yet

    Don't be too hard on yourself. I am over 4 years in and have had a few "aha moments". For me it hasn't been just one thing that clicked. There have been several times I have thought, "ok, that's what they were talking about!". My point is, everyone i...
  6. The Disrespect Of Nurses

    If someone touches you, ie bodyslams and puts you in a chokehold, you most definitely have the right to press charges. The facility may not like it, but no one has the right to touch you, or even get in your face and yell. I am pleasant to all of my ...
  7. nurses and EMT's

    Try to remember that nurses are people with all the idiosyncrasies that go with that. Every one has a personality and not all of them are great ones. Keep your head up, you know you are more than a taxi driver. I used to work on a floor that was very...
  8. Wanting to quit orientation, new grad, please advise

    Look up the policy on terminating employment and follow it. In my facility, we have to give a written 30 day notice. In your notice, state that you are thankful for the opportunity, but have decided to take a job with XYZ facility and try to cite som...
  9. My facility used to have the rule that you had to go to medical records and sign for all the documents, but some time in the last year they changed that. We can look up anything we want on ourselves. Makes sense to me, it's not a violation of my prot...
  10. New Nurses

    All of us were new nurses at one time or another...it gets better....errr with time. Just don't let anyone put you down. You earned the right to call yourself a nurse.
  11. Weird, but missing my old state's nurses union!

    This post hits home, especially after my shift last night. I picked up a 4 hr shift to give myself 40 hrs this week. We walk in to 12 pts and they gave us 3 nurses, a tech and no unit secretary. One of the nurses was charge so she is not supposed to ...
  12. Disrespectful coworkers

    1. How old are you? Are you that much younger than they are? If so, then there is a chance a generation gap thing going on. If they are talking about issues with children then they won't value your opinion (people with children don't want to hear the...
  13. AMA Discharges

    We see our fair share of them on the floor I work on. It's usually related to them not being able to leave the floor to go smoke. It insane how mad a person who was admitted with chest pain r/o ACS can get when you tell them that they cannot leave th...
  14. As a general rule, I do not stop at accidents if the first responders are already there. They have equipment, I don't. In a case like this, I would think you are obligated to stay since you caused the accident. You would have a moral and legal obliga...
  15. You're going to think I'm nuts

    I loved nursing school as well. It was by far the hardest thing I have ever done, but would not change a thing. And BTW, we had a saying as far as grades go: C=RN
  16. Heroin addict; just for today.

    I don't have any advice on how to proceed with getting your license back, but I just wanted to post a HUGE CONGRATS to you. You have done an awesome job!! Congrats on your sobriety and I am sure things will work out for you, sounds like you really wa...
  17. Pain management

    As a general rule, if I am unsure about the effects of a drug or have never given it before (as with the morphine and dilaudid for you), I always look up the monograph. Pharmacy should provide this, but if not, find a drug book. I agree with Sun0408,...
  18. White Board Credentials

    I agree, just the name should be sufficient. Why not just put credentials on nametags? That way you don't have to write it fifty bagillion times, lol....but I am curious as to what the answer to the question is. Would RNC apply to an RN with an ACLS ...
  19. Cardizem drip?

    I agree with Morganalefey, see if your unit has a protocol for this first, if not call the doc. and ask for clarification.
  20. For those working OR who have worked in LTC

    I hate to say it, but it is pretty much par for the course in LTC. I've worked at a couple of LTC facilities and they were actually very good ones, with very good ratings. I had good CNAs and that was a big plus. But the rushing and the 100s of pills...
  21. Internal transfers- your thoughts?

    I transferred departments about 7 months ago. My old manager had a reputation for doing everything in her power to keep people on her floor. As soon as I put in for the new position, I emailed an HR rep and let her know about the application. I also ...