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LibraNurse27

LibraNurse27

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LibraNurse27 has 5 years experience.

LibraNurse27's Latest Activity

  1. LibraNurse27

    Exemptions

    I don’t know anything about the exemption process but just wanted to offer words of encouragement. addiction is very hard to overcome so congratulations on getting yourself out of that cycle, finishing school, having a job that wants to keep you, and being a mom! I hope this works out
  2. LibraNurse27

    Critical Care Eliticism?

    Definitely. I have a ton of respect for those who can stay in ER and ICU for the long term. The stress level is incredible and dealing with death, codes and sad or angry patients and families is intense. We need nurses of all types!
  3. LibraNurse27

    Feeling Bored

    Maybe you can move to a higher acuity within Peds if you enjoy Peds. Like progressive care, Peds ER or ICU. And if you love your job but just feel the need to do something more “impressive”, stay where you are! It’s great to find a job you love. But if you are truly feeling bored and unfulfilled, the good thing about nursing is there are so many specialties to try
  4. LibraNurse27

    Critical Care Eliticism?

    Yes sometimes workplace violence, although not physical, is nurse to nurse. I had an OR nurse scream at me that I left the cardiac leads on a patient although I didn’t know they were going straight to OR and not to pre-op where they monitor. She also screamed at me for not telling her patient needed interpreter and yelled “why do none of our patients speak English?!” turns out the patient did understand English, just not enough to sign a consent. She asked me if the nurse hated her and would do something bad to her when she was under anesthesia. No patient should feel like that! But most nurses are wonderful and caring thanks for all the great responses! P.S. although I’m sure I wouldn’t last a day in OR I wanted to ask her to come to the floor and get a patient ready for OR while another is calling for help to the bathroom, one wants pain meds, one is vomiting and one needs STAT ice cubes
  5. LibraNurse27

    Critical Care Eliticism?

    Hi all, wondering if anyone has come across an attitude from some critical care doctors and nurses that suggests critical care providers are more elite than other specialties like med/surg, postpartum, etc. I currently work in critical care but due to my mental health issue I want to transfer to a different department. I have an interview for postpartum that but when I talk to my coworkers they say I will lose all my skills, be bored, etc. one doctor said I’m “too smart” to go there, another said I will “just hold babies and pass out colace”. These are all nice people so I was surprised at the comments. I get the feeling they think critical care is the most important and challenging department where the smartest people work. I respect all specialties and they all have their challenges. The ratios, time management and assessment skills in med/surg are the most difficult things I’ve dealt with as a nurse. Is going to postpartum really that big of a “step back”? I’m excited about it and think I will learn new things. Postpartum hemorrhage and eclampsia are no joke! Any opinions? Thanks!
  6. LibraNurse27

    Restraint Free Facility?!

    P.S. I would really love to never put dementia patients in restraints... so sad. I always feel like they should get meds to calm down if they are being aggressive and just a sitter if they are pleasantly confused, fall risk, elopement risk, etc. Restraints are terrible but I still feel like sometimes necessary. I hope you will update us on what happens.
  7. LibraNurse27

    Restraint Free Facility?!

    OMG. I have never heard of this... All I can say is if my facility takes away restraints and doesn't provide a sitter for every single alcohol withdrawal patient we will have a TON of falls. Altered mental status plus ativan is a huge fall risk. It really doesn't sound safe to me. I hate putting patients in restraints and prefer to have sitters but usually we don't have enough, and some of our patients are huge strong men who are totally out of their minds on various substances. Sometimes restraints are necessary not only for staff safety but for patient safety. Is this a done deal or is there still time to give your feedback?
  8. LibraNurse27

    Least Physically demanding?

    I worked in an outpatient community health center as a new grad. Very little physical work other than walking to get patients from the waiting room, listening to lungs and performing some point of care testing. No lifting, turning, pushing beds. It paid less than a hospital job but if I wanted to transfer to a hospital based clinic after 1-2 years I could have to make more. Also phone triage, public health, research, case management, utilization review. Hopefully your LPN experience will help you get into roles that require experience. Good luck! Chronic pain is so hard to deal with
  9. LibraNurse27

    First Job

    I have only seen a few nurses be fired and I have been a nurse for six years. I do work in a union facility. In general it is much harder to be fired from a union facility as the union is there to back you up. Most of the nurses I knew were fired due to stealing and using narcotics. If someone is not doing well on their orientation we usually offer to extend the orientation. My advice is to go in with a positive attitude, because anxiety about being fired will only distract you and make you more likely to make mistakes. Ask questions! Double check all your meds. Practice skills while you have a preceptor to guide you, and ask everyone to let you jump in when their patient needs something you need to practice. It's good to be confident but of course to understand that you are not yet an expert and be open to how much there is to learn. I hope you work in a facility that supports new grads and will work with a great, welcoming team!
  10. LibraNurse27

    Bad CPR techniques- do you say something?

    I was kind of relieved to see the post about letting big strong guys do the first rounds... I am totally a feminist and believe women can do everything men can but in some cases strength really does matter. I am a small female and feel guilty asking male coworkers to help with things like turning, transfers, compressions, etc but I do want to protect patient safety... and my own back! I have never gotten a frustrated response, one guy even told me he wanted to show off his muscles to impress a coworker he had a crush on! But back to the real topic... speaking up is always worth it if it can save a patient's life! I've heard quality compressions are the most important part of a code.
  11. LibraNurse27

    Any advice for a New Nurse?

    Congrats on your first job! I agree with all above, it is always worth the awkwardness of asking a question. Even if a coworker responds with annoyance or belittles you for not knowing (which they should not!), dealing with that is better than making a bad mistake and all that comes with that. Also as a new nurse it is hard to deal with angry patients and family members. Over time you learn not to take it personally and realize that many people act out when they are in stressful situations and feel a lack of control. I wish you the best! Report back with any questions or updates
  12. LibraNurse27

    "Just a Med/Surg Nurse"

    Definitely! Med/Surg is the hardest job I’ve ever had. High ratios, patients are not monitored so your assessment has to be so good to catch any changes in condition. I find stepdown easier to be honest. I really admire med/surg nurses. I’m ashamed that I only lasted 2 years.
  13. LibraNurse27

    "Just a Med/Surg Nurse"

    Rant: I work at a county hospital with many wonderful doctors, but a few are condescending and dismissive to our population of lower income patients. One of those doctors had my patient. Pt's daughter is a Med-tele/Oncology nurse at Kaiser. She and I were concerned that the doctors were discharging the pt too soon. I let the resident and attending know about daughter's concerns. I overheard the attending tell the resident: "Well, she is just a Med/Surg nurse so she doesn't know much, just overreacting." When pt was getting dressed to go home he got short of breath. I put monitor back on, oxygen sat 83% on room air. He got to stay and got set up with home O2. Daughter overheard doctor's little comment. She is writing a letter to administration about how wonderful all the nurses were but also about the doctor's attitude and attempt to d/c her dad too early. I would love to see this doctor work one shift as a Med/Surg nurse, especially on a day with minimum staffing, no clerk and no CNAs! Guess he finally insulted someone who has the education and confidence to stand up for herself. We'll see what happens! P.S. He was annoyed that I re-checked the pt's O2. Guess he thinks Stepdown nurses are dumb too...
  14. LibraNurse27

    Would this be considered abandonment?

    120 patients for one nurse?! Oh. My. God. How do they expect things to go if there are multiple changes of condition, emergencies, etc at the same time? And that is definitely possible with 120 patients! Also, IV meds for so many patients?? You are so brave! Wherever you go next you will have great time management skills! And I hope you go soon.
  15. LibraNurse27

    HELP! transporting patients

    Wondering if I'm spoiled with my California ratios here... feel free to call me out! How do other hospitals handle transport? On my unit we transport patients everywhere: CT, X-ray, US, nuc med, take them to the car after discharge, up to the floor, take them to MRI which is in a separate building! For MRI we have to leave the hospital, get the MRI table, transfer pt to table, take them to MRI building, bring them back, and return the table. We also have to stay with unstable patients, with no one watching our other patients. Our stepdown ratio is 3:1 but we have no clerk, no CNAs, no help with transport and our charge nurse is the rapid response nurse for the entire hospital. Often our charge is off taking calls, 2 people are off dragging beds around, one person is on a break... so that leaves one nurse with ten stepdown patients who is also answering the phones and call lights =/ The ratio SOUNDs so good: charge w/ no patients, team lead with one, and 3 nurses w/ 3 each. Looks great on paper. But then take away any ancillary staff and add in tons of pts needing 2 nurses to transport them all shift. What is it like in other hospitals and it states with higher ratios? Any ancillary staff or transport team? thanks for any info!
  16. LibraNurse27

    The Science of Heartbreak

    So interesting. And makes sense that people frequently come to the hospital for physical complaints after recently experiencing emotional pain.
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