Julius Seizure

Pediatric Critical Care

Member

All Content by Julius Seizure

  1. My nursing school had some good professors, and some that were rather manipulative and controlling. Unfortunately, they were the ones with the most power there. At the beginning of the program, I...
  2. I would say that it is somewhat more nuanced than this. If my patient was complaining of pain and asking for their PRN pain med...I MIGHT (depending on the circumstance) offer some non-pharmacologic...
  3. Julius Seizure

    Cleaning up lines

    IF making your own, do use caution and check frequently that they do not become disconnected (lots of places to come loose when you make your own manifold). You can easily have your dopa gtt running...
  4. Julius Seizure

    Forgetting to prime peripheral IV line...

    It definitely should prompt a discussion on this. In fact, that is exactly what the incident report process is meant to do. Hopefully an incident report (as well as physician notification) was done...
  5. I have heard this point used a lot, not only in relationship to this topic, but others as well. I think the elderly arent given enough credit. Yes, of course, there are some who suffer from...
  6. Julius Seizure

    Do the elderly even have bowel sounds?

    This is a good question. Are you listening for long enough? For example, you cant officially say bowel sounds are absent unless you have listened for like 3-5 minutes in EACH quadrant. Lets be...
  7. Julius Seizure

    Nurses forced to work as aides

    Let me start by saying that I work in ICU and for most of my career I have done total care with no aides on the unit. So, no, I don't mind or find myself above doing what some call "aide work". But...
  8. Julius Seizure

    Would you have called out?

    I once requested a day off, and my manager literally said no and then told me that if I really needed it off, I should call in that day. So I did. She then tried to use it as cause for giving me a...
  9. Julius Seizure

    Would you have called out?

    Nope, would not have called out. Would have been irritated with my family, though, for thinking my previous commitments were apparently not
  10. Julius Seizure

    Help! I look young!

    My favorite reply to those questions is, "No of course not! They make you practice first. Its my second
  11. Julius Seizure

    Help! I look young!

    I can relate to this! I've gotten the subtle line of questioning many times.... "so how long have you been a nurse? and how long were you in nursing school? hmm and did you start right after high...
  12. Julius Seizure

    Being an individual

    I've worked in hospitals where one could wear anything the wanted (with common decency applying), didn't even have to be scrubs actually. I've also worked in hospitals where you had to wear scrubs...
  13. Julius Seizure

    IV bolus ordered because pt hypertensive

    Same thought that I had. CVICU nurse here too, and unless its a cardiac patient, in any other kind of shock, dont you give fluids pretty
  14. Julius Seizure

    The Nightingale Pledge - Still relevant today?

    It seems a lot of people were giving the option of participating or not. I had no idea that was so common. All I knew was MY nursing school....and mine was not an option. In fact, I didn't buy a pin...
  15. Julius Seizure

    The Nightingale Pledge - Still relevant today?

    I have no idea who would write a new one. It will probably never happen, and maybe the original will stick around or get phased out. Who knows. This is definitely not the biggest fish to fry, I agree....
  16. This happened to me a lot as a new nurse. Really, for years, because I look kind of young. I would always say "I've been at this hospital for however much time". If they probed, I would play up the...
  17. This is so true. :) Gosh I love cardiac surgical ICU,
  18. Julius Seizure

    The Nightingale Pledge - Still relevant today?

    Yes, my class took the pledge too, in 2003! I totally agree that its not ALL bad. I don't want to trash it all....just update
  19. Julius Seizure

    Nurses as Costs for Hospitals

    I think this would be how it could work with RNs too. Still paid hourly or whatever per contract, but there is a bill specifically for nursing
  20. Julius Seizure

    Nurses as Costs for Hospitals

    But we essentially do this already. When you chart a central line dressing change, it is not JUST to document the care that the patient received. It is also to show that a dressing change happened...
  21. Julius Seizure

    Nurses as Costs for Hospitals

    Its true. And if PT can't get to all their patients on Monday, some get moved to Tuesday, etc. Some patients only get seen 2x/week instead of 3x. They bill per visit, and they fit in what they can,...
  22. Julius Seizure

    Nurses as Costs for Hospitals

    Yes! Physicians and mid-levels bill for their services. If RN hours were billable, that would be a big
  23. It rattled my confidence the first time that this happened to me, too :) And I wasn't even a new grad, so don't worry! Seriously, her reason was that you didn't "connect"? It wasn't a date! From...
  24. Hi, Im trying to narrow down my list of school options. Ive been looking at cost, location, length of program, etc. But its hard to find a lot of info (especially for acute care PNP) on the...
  25. Julius Seizure

    PCT jobs harder than they once were?

    This was an interesting comment, to me. I don't know that I've seen it in my experience that techs kiss the RNs butts. Many techs are friendly and helpful, but I wouldn't call it butt-kissing. And...