Billy_Ruben

Billy_Ruben

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All Content by Billy_Ruben

  1. Social Anxiety as a male in Nursing School

    Billy_Ruben replied to fcp4life's topic in General Nursing

    I have what I call performance anxiety. I'm definitely introverted but I can manage social interactions just fine. It's giving a speech, or skills day, or speaking at post conference in clinical when...

  2. Am I dreaming or could this happen?

    Billy_Ruben replied to glenlorie's topic in General Nursing

    I'm pretty sure that's a bit low for acceptance to an NP

  3. How to handle this charge nurse dilemma

    Billy_Ruben posted a topic in Patient, Colleague Relations

    I'm charge on my unit at night. Been a nurse for almost 2.5 years and there are other nurses who are far more experienced than myself that I work with. Some were asked to be charge but declined, one...

  4. Esme Needs Your Prayers and Well Wishes

    Billy_Ruben replied to tnbutterfly - Mary's topic in General Nursing

    I lurk more than I post. Esme is one of my favorites. Get well soon,

  5. Allergic to hand sanitizer

    Billy_Ruben replied to ama3t's topic in General Nursing

    Also, if they relent and agree to the bar soap (Aveeno) and you can't find it in liquid there are ways to make bar soap liquid. A quick google search will show you

  6. Nicotine Test for new employment

    Billy_Ruben replied to hls0810's topic in General Nursing

    Maybe. My employer only screens for nicotinewhen hiring. I've since been drug tested and had nicotine in my system. I usually just vape but occasionally have a real cig. I never go into work smelling...

  7. Calling patients and/or co-workers "honey" or "hon"

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

    Again. This just seems so odd to me. All I can think when I read some of these responses is: Geez, get over yourself. Unless someone calls you something truly rude you have nothing to be offended by....

  8. How to be a polite patient/family member

    Billy_Ruben replied to Semolina's topic in Patient, Colleague Relations

    I always explain to my patients when I admit them that by using the call light their request will be paged out to the appropriate person and should result in a quicker handling of their

  9. Calling patients and/or co-workers "honey" or "hon"

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

    I can't fathom how so many people find this disrespectful. It's really weird to

  10. Nicotine Test for new employment

    Billy_Ruben replied to hls0810's topic in General Nursing

    Female age 32 at testing. Tested for continine. Light smoker, smoked maybe 1/2 pack a day if that. I got a home test and checked myself prior to the employment screen. Three days and it was out of my...

  11. Train wrecks!

    Billy_Ruben replied to SHGR's topic in Patient, Colleague Relations

    I think you're being really uptight and I'm glad I don't work with uptight

  12. Can I Get a head start in my nursing career at an early age?

    Billy_Ruben replied to emilyanncarter123's topic in General Nursing

    My daughter is your age. You sound a lot like her. She volunteers her summer at our large teaching hospital. She's also taking some of the classes now that she'll need in college such as anatomy and...

  13. What are the little things you do to help the next shift?

    Billy_Ruben replied to kristandrews's topic in Patient, Colleague Relations

    I try to have my peeps ties up with a nice bow. That doesn't always get to happen. I've considered pulling the first set of meds for them but I figure some may not like it as I prefer to pull my own....

  14. How many 12 hour shifts per week

    Billy_Ruben replied to Bouncyball's topic in General Nursing

    I do five a lot. Right now I'm scheduled six in a row on, two off, eight on. I work nights. I have two older kids (16 & 12) and I'm married. It's exhausting but something I need to do for now. I...

  15. What day does 3rd shift start?

    Billy_Ruben replied to melmacrn's topic in General Nursing

    You go on Monday the 4th at

  16. Evaluate this situation. What did I miss?

    Billy_Ruben posted a topic in General Nursing

    Several nights back I admitted a patient that had a temp of 105. Blood cultures were drawn and they were positive. The patient was put on IV vanc. They also removed his port-cath two days ago because...

  17. Evaluate this situation. What did I miss?

    Billy_Ruben replied to Billy_Ruben's topic in General Nursing

    I think that's the key thing I missed here. I mistakenly thought since we had cultures a call wasn't necessarily needed. It's a mistake I won't make again. I feel pretty bad about

  18. Evaluate this situation. What did I miss?

    Billy_Ruben replied to Billy_Ruben's topic in General Nursing

    Thanks for the replies. I guess my reasoning wasn't too far off base but I probably should have called. I hate making poor judgement calls. It makes me feel so

  19. Doctor's attitudes

    Billy_Ruben replied to Soliloquy's topic in Patient, Colleague Relations

    I called a doctor just the other night regarding out heparin drip protocol. Protocol states call the MD before starting the drip if baseline PTT is less then 50 (it was 25) or if INR is less then 2...

  20. Policy on pain medications and patients leaving the floor?

    Billy_Ruben posted a topic in General Nursing

    What is the policy regarding this where you work? We have a patient that is a regular. When she is with us she always signs "the form" that allows her to leave the floor. She's a smoker. It's never...

  21. Length of orientation or preceptorship for new RN grad

    Billy_Ruben replied to funkyRN's topic in First Year After Licensure

    I wouldn't do it. You are being set up to fail. You have to protect your license. If it came down to it, I would leave and find something else. It's not safe for you or your

  22. D50 for blood glucose protocol vs juice/snacks, your thoughts

    Billy_Ruben posted a topic in General Nursing

    I had a pt, who I had taken care of for a few days and was familiar with, that had a low blood sugar when I was coming onto my shift. His reading was 63 and he has a habit of getting low but being...

  23. coping with sadness

    Billy_Ruben replied to fancysocks's topic in General Nursing

    I recently had the same sort of experience. Had been this patients nurse for three nights and he went form joking and kidding with me and asking to sit in his chair on the 3rd morning, to eyes fixed...

  24. D50 for blood glucose protocol vs juice/snacks, your thoughts

    Billy_Ruben replied to Billy_Ruben's topic in General Nursing

    He did have peanut butter with

  25. D50 for blood glucose protocol vs juice/snacks, your thoughts

    Billy_Ruben replied to Billy_Ruben's topic in General Nursing

    I feel like I made a bad choice now. It bugs me that I felt confident in my decision until it was