exp626

exp626

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All Content by exp626

  1. Outed by my manager and wondering if I should transfer

    exp626 posted a topic in Nurses Recovery

    I've worked in the same hospital for almost 30 years, and for my current manager for a large part of that time. This is the same manager who helped me keep my job and supported me during my recovery...

  2. You Guessed It! Coworker Probs...

    exp626 replied to Nursing_Mamacita's topic in Patient, Colleague Relations

    I look at it this way: when I'm a bedside nurse, I work for the patient. When I'm a charge nurse, I work for my coworkers...my job is to help them take care of their patients. Obviously I have other...

  3. Tylenol contraindication with GI bleed?

    exp626 posted a topic in Patient Medications

    The other day I was taking care of a patient admitted for rectal bleeding. He had a history of chronic pain and took an opiate and a separate dose of Tylenol. I called the doctor for orders for his...

  4. Chest Pain protocols

    exp626 replied to Lev's topic in Patient Medications

    If they have a pacemaker or preexisting left bundle branch block the EKG won't reveal anything. Several years ago a cardiologist admonished me for ordering an EKG on a pt with a pacer, saying he...

  5. Chest Pain protocols

    exp626 replied to Lev's topic in Patient Medications

    I work on a cardiac unit, so we don't have rapid response for CP. My manager gets annoyed when we call a rapid response for anything though, which I think is an unsupportive and unsafe culture. He...

  6. Did I commit career suicide?

    exp626 replied to catmom1's topic in Nurses Recovery

    ...What Earthmama said. But to give you hope, let me share this: I diverted. I was able to keep my job, thank goodness. Now I've completed a contract with IPN, and I'm working in a new and...

  7. Back to a hospital, y'all!!!

    exp626 replied to carrimarie1010's topic in Nurses Recovery

    Congratulations! I believe that if we're going to disclose our story, it's important to share what we've learned and how we've changed as a result. I'm so happy for

  8. Positive drug test letter from BON

    exp626 replied to Sandsponge's topic in Nurses Recovery

    Surrendering your license is a drastic move you may come to regret. I would imagine getting it back will be more difficult than keeping it, and you're making the decision based on assumptions. Why...

  9. Can you test while on vaca?

    exp626 replied to FORTHELOVEOF!!!!'s topic in Nurses Recovery

    COC stands for "chain of custody". It's a form that you may have to take to the lab when you test. I've completed a 5-year monitoring program and never once had to use one. I know someone who went...

  10. Finally!

    exp626 replied to Twoyearnurse's topic in Nurses Recovery

    Don't forget, each step of this journey is your choice. And congratulations on reaching this next step! Best

  11. If we had a conservative nurses forum

    exp626 replied to FLmomof5's topic in Activism, Healthcare

    I assume you refer to political leanings, as I don't know what else it would be! If so, it's probably more related to your location than anything else. I'm a liberal, but I live in a very red...

  12. If you could just pick up and leave, where would you go?

    exp626 replied to JNursee's topic in General Nursing

    I'd go to Asheville NC. Close to the Appalachian Trail and demographically they're my people...liberal hippie-types. I live in a very conservative "red" area. That, and it's not too far from my...

  13. If you could just pick up and leave, where would you go?

    exp626 replied to JNursee's topic in General Nursing

    There's a saying, "Home is where your family is". Those ties are

  14. How a stethoscope can get stolen?

    exp626 replied to osi2011's topic in General Students

    My stethoscope is always either in my pocket or my bag, I don't like to wear it around my neck. No one borrows my stethoscope. No one. I don't care if it offends anyone, having my scope in someone...

  15. Alcohol screening?

    exp626 replied to Studentnursedgm's topic in Nurses Recovery

    Here's how it works in my state: If you're being monitored for drugs, you're being monitored for anything that can be mood altering. This includes alcohol, Benadryl, NyQuil, the kind of...

  16. Caring for broken nurses

    exp626 replied to Emergent's topic in Patient, Colleague Relations

    Addiction among nurses is a quiet epidemic. Very little attention is paid to this by nursing schools, so stigmas flourish. Our culture is to abandon addicted nurses. Not so many know about the mental...

  17. Not using an Alcohol swab before injections

    exp626 replied to newgrad1988's topic in Patient Medications

    ...and if all the comments from the previous posters didn't make you feel better, then think of this: the needle you touched the skin with was probably sterile, or at worse had the baby's own flora on...

  18. Inspirational words, encouragment needed

    exp626 replied to Hispanik RN's topic in Patient, Colleague Relations

    That's a sweet and sad story. I'm sorry you have to move on. Sometimes it makes us feel better to help others, and maybe the comfort your patient provided you at that moment also gave her something...

  19. Most challenging nursing department

    exp626 replied to rose89's topic in General Nursing

    The ECC was the most stressful place I've ever worked. I prefer a more controlled environment. All the drama, drama, drama...Yeeeccchhhhh! (It didn't help that it was weekend

  20. Catheter Care

    exp626 replied to kay-nurse's topic in General Nursing

    Besides the tubing being kinked or a clogged catheter, more specifically, if it's a male with bleeding, it could be a clot and may need flushing. If the catheter has been there for a while, there...

  21. RNs to do glucose checks on patients without DM

    exp626 replied to sistrmoon's topic in General Nursing

    I've read the statement linked above. Are you licensed by the NY Dept of Education? In my state, RN's by licensed by the Dept of Health. Besides that, it's a crazy regulation. Among other...

  22. Letter to BON

    exp626 replied to JustfortodayRN's topic in Nurses Recovery

    Congratulations on graduating with your MSN, and best of luck with your NP! That sounds like terrific advice from twoyearnurse, I'm sure everything will go

  23. Has any nurses travelled far for school?

    exp626 replied to Mosher.bri's topic in LPN, LVN Corner

    I traveled an hour for school and clinicals, and it wasn't bad at all. We had to be at clinicals at 0630, so I'd leave the house at 0515 or so to get there on time. I'd do it

  24. Student monitoring

    exp626 replied to Studentnursedgm's topic in Nurses Recovery

    The one question that I can answer is that while you're being monitored and undergoing any type of random urine drug screen (UDS) you cannot drink alcohol. I even avoid things that are made with...

  25. Is Trendelenburg Truly Best Practice for Hypotension?

    exp626 replied to caramela's topic in General Nursing

    AHA doesn't teach it as part of the ACLS curriculum. Trendelenberg is an old sacred cow that's not supported by evidence, and aside from fooling the baroreceptors, it only succeeds in making patients...