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canoehead BSN, RN

ER
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canoehead has 30 years experience as a BSN, RN and specializes in ER.

canoehead's Latest Activity

  1. canoehead

    A day in the life of Infection Control

    Every infection control nurse on the planet has had a breakdown in the bathroom in the last few months. That just means you care, and youre doing a good job. Hang in there.
  2. I hate floating, you just get on top of your assignment, and they move you to another floor for four hours to figure out their pit of hell patients. I want to know where I'm going and know that that's my group for the shift. Can you negotiate one unit per shift... none of the four hours each on there units? You might have your own hot buttons...see if you can make it better.
  3. canoehead

    New Grad offered ER Position!

    You are going to be amazing!! Congratulations!!
  4. I've had two jobs where I doubted my ability to be a nurse, and it was a job environment issue. When I moved to my next job, all my flaws (not ALL, but most) melted away, and I felt like a better person. Criticism can snowball, you can doubt yourself so much that you cant deal with your work responsibilities effectively. Don't give up on yourself.
  5. canoehead

    Too strong of a personality?

    I've also gotten the "strong personality" label, and in fact have been fired for those traits. I didn't comply when asked to practice unsafely, and I came up with some out of the box but safe solutions that I didn't run by the boss. (I work nights) Some hospital policies are ridiculous... "you must print out this report, but then you can throw it in the garbage" Insane. I went years trying to come up with a solution without compromising safe care. I finally got better by approaching people with the assumption that they were doing their best, not that they were lazy or unknowledgeable. Yes, sometimes the negative characteristics were true, sometimes they were just doing what everyone else was, and sometimes they had a good reason. So approach them in an inquiring way, even if your frustrated or angry. Do it after the initial (aw you tit!) feeling has passed. If you think things need to change, print out the policy or recent research and give them the FYI. But move forward with the attitude that they are doing the best they can, and treat them that way. It's made a huge difference in my work relationships. Be the person that passes on positive comments about your coworkers to the boss as well, and your concerns will be better received.
  6. The first year ( and sometimes more) is brutal. Just one person can make you doubt your own worth, even if you are doing perfectly fine. Yelling down a hallway is rude behavior except in a life threatening emergency, If you don't respond, folks need to assume you are occupied, not that you are goofing off. Take a message, or walk up politely and interrupt. I see that situation as her mistake, not yours. If you are depressed you need to speak to a physician. And most first year nurses could really, really use a therapist. Get someone you can unload on. Your coworkers could have been saying "she's the new grad that dealt with that burned toddler, and got the parents to be honest" in other words you did well, and their expression is about the situation, not you. Don't assume the worst of them! I think you are probably doing an exceptional job, and it will get easier with time (and some coaching for that ward clerk) but if you need to go elsewhere, be proud of yourself for recognizing what you need. It's not failure, it's just moving on with your life.
  7. Asthmatics are wearing masks all the time in our ER, even when they are sick enough to need oxygen. They seem to prefer the masking to getting COVID.
  8. canoehead

    Complaints of Complaining

    If you have a concern about patient care, how is that going to be addressed? They must have a process available.
  9. canoehead

    Nurses and narcotics

    I would write down the situation as you have in your post. Express your concerns to your supervisor, though there's no proof you don't want to be caught up in the mess when things go missing from a drawer you both have the keys to. Ask for guidance, and keep noting situations that make you uncomfortable. I doubt she'll last long at that job.
  10. canoehead

    Ethics question, risky nurse, reckless behavior

    Email the manager with your concerns, be very objective and specific, with dates. Tell him/her how you responded ("I went down the hall and did and immediate visual check on everyone")so they have the opportunity to correct your response. Then they can't come back and say you should have done something different. Make sure you say this has happened repeatedly, and you will leave it with them, but you are available if they need more information. So now you have covered yourself. If anyone says you caused an unsafe situation or didn't respond to it appropriately you can pull out that email. It's an unsafe situation, but not one you caused, and you handled it as best you could. Unfortunately, I bet there's more going on, and you won't want to stay there. Get another job, but don't give up this one until you are ready. You don't need to panic about someone going after your license though, because this is not your fault.
  11. Doing all those jobs would make you a shoo in for night supervisor, if that job comes up. You'll know all the players and policies.
  12. canoehead

    PICC line removal

    If they are expecting the platelet count to recover within a week or so, I'd leave it there (unless it was infected). You could get the bleeding stopped and have it restart later. Look for petechiae and ask about spontaneous nosebleeds, rectal bleeding too.
  13. canoehead

    How to handle patient’s threats

    RE pain meds "It's not my decision, but I passed on what you said to the doctor." Repeat. Repeat. Keep coming up with simple comfort measures so they know you are on their side, but "I told the physician, they know." is always on repeat. You only have to notify the doc once, unless you think he's really forgotten about them. If they threaten to complain or sue, "That's your right," and continue with your care. Don't ever reward them when they do this, suddenly being more attentive will make things worse. Make sure you check on them at least hourly and chart it. Some of our chronic pain patients respond well to Haldol or buscopan, depending on the situation.
  14. canoehead

    Guns at the Bedside

    Nope. If there's a gun in the room it needs to be locked up before I will enter. If you're sick enough, you'll let security take it, otherwise I will wait until you pass out and take it then. This is a dealbreaker for me.
  15. canoehead

    New protocol - No report from ER to floor...

    I work in the ER and I think you should get an hours notice. JMHO.
  16. canoehead

    Upset Colleague? (UK)

    Maybe it would be helpful to take her aside and ask about the emails. one point you can bring up is that ccing the boss everytime is really pressuring. If she wants to cover her butt she will still have the emails she sent you, no need to bring the boss into it. She might be genuinely trying to help, and if you get that sense from her you can take the emails as intended and not be as worried.
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