exp626

exp626

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All Content by exp626

  1. Positive drug test letter from BON

    Given the information you've provided, I doubt you'll be arrested for anything. This is what I think will happen: your license will be suspended and/or have conditions. If the state(s) in which...
  2. Found New Job, Lost My Groove!

    Sounds like you've already made up your mind. I understand being affected by being out of one's element, and that ER's are tough places with a culture that engenders bullying. With that thought, it...
  3. In trouble with the BON

    What kind of misogynist quack of a shrink is that? So what if you didn't seek therapy after being raped (even though you did)...I fail to understand how this is some sort of requirement victims must...
  4. LOL on diuretics who has to void very 15 minutes, but it takes 15 minutes just to get them to the BSC for a 1 minute void, and can't be left there because she's a fall risk. I wouldn't mind if I...
  5. CABG in am and on Plavix? I don't get it

    On a side note, I recently had a pt on Plavix & ASA, and scheduled for a valve replacement in a couple of days. I checked with the surgeon about this, and he said to continue it because the pt had...
  6. rant

    It's so frustrating when I'm trying to do heart failure education to a medical conspiracy theorist. Invariably it's a patient with 4+ pitting weeping edema and rehospitalizations for heart failure,...
  7. How do you unwind...

    Shower, snack, a little TV or Internet, sleep within 2 hours. On days off we go to Disney World. A
  8. Completed my 5 year contract successfully!

    Congratulations!
  9. Question for the cardiac guru's out there

    Based on the meds and AICD, I'm guessing he has heart failure. Assuming this is true, while both of those drugs slow the heart rate, that's not why they're given in this case, and a decrease in HR is...
  10. We ask our patients what they prefer to be called, so there's always a first name on the dry-erase board in the room. I was raised in the south and am not comfortable calling elders by the first...
  11. Ideas for FL nurses in IPN

    What SouthernPoint said. Apply everywhere, don't be surprised by rejection when you reveal that you're in IPN, but don't let being in IPN stop you from applying, either. That said, the no key...
  12. Did you work while in LPN school?

    I was an LPN then an RN. I worked full time as a pharmacy tech while I was in LPN school, then worked full time while I was in school for my RN. I decided to go the LPN route first in case I didn't...
  13. I Need some kind of RN Career Counselor

    Real Nurse Jackie, you're going to be just fine. It sounds like you just have to learn to curb your frustrations around your coworkers until they get a chance to know you. On orientation people...
  14. I Need some kind of RN Career Counselor

    I've had very good success explaining to patients and their families that I'm very sorry if they have to wait a few extra moments, but I'm tied up with someone who's having an emergency, and I'm sure...
  15. On-Call Pay Survey

    We don't get anything for being on call. Typically it's someone who wants the day off anyway, so being on call increases their chances of being off so they're okay with it. Also the call time is...
  16. aaaaand I'm done!

    Very wise to share your feelings (I'm sure you're sharing this in meetings, too). Also very wise to do 90 in 90. As soon as we know no one is looking, we think we can get away with something and "do...
  17. I would have kicked Milton out. Dog killer/abusive husband. He'd be lucky that's all I did. Screw the
  18. Nurses Who Talk Too Darned Much

    There's always going to be at least one motormouth, and then there's the supervisor's pets who will also tell. There are going to be errors, we're only human. Your best bet is to be transparent,...
  19. Just a bad shift...

    Seriously???!!! The code button to get food heated?! I'm going to assume she thought it was the nurse call light. Because she needs to understand that this dispatches the code team from across the...
  20. Air vs. Oxygen for breathing trt

    Yes you
  21. What to do if you are going to need narcotics to work?

    You should check not only with your BON, but your employee health department. My hospital requires employees taking medications which may cause impairment to check with them and sometimes provide a...
  22. I can only imagine how not feeling like you're heard coupled with frustration and sleep deprivation would affect you. It sounds to me like you just need to get out of there. You've given it a year,...
  23. Air vs. Oxygen for breathing trt

    All people with COPD are not retainers, but they should be treated as such until proven otherwise with an ABG. (Ideally you can find a baseline ABG from earlier in the admission or from previous...
  24. Denied a job, what would you do?

    It is a kick in the pants that they used you as a relief charge for four years then didn't give you a charge position, but once you get over the ego-blow, do you think maybe it's for the best? I'll...
  25. Air vs. Oxygen for breathing trt

    Typically you give a breathing treatment on air (yellow). The exception is if the patient keeps removing their O2 and they're desatting, you can put the treatment on oxygen (green) as an alternate...