LibraNurse27

LibraNurse27 BSN, RN

Community Health, Med/Surg, ICU Stepdown

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All Content by LibraNurse27

  1. What is up with the level of entitlement?

    LibraNurse27 replied to sofla98's topic in General Nursing

    When I started as a nurse I got a reality check that nursing is not holding elderly people's hands and handing out meds while looking perfect in your Figs. I quickly learned that not all patients are...

  2. How much experience does your manager/assistant manager have?

    LibraNurse27 replied to DownstreamOcclusion's topic in General Nursing

    I think it's good for a manager to have the direct experience, but I'd MUCH rather have a manager who does these things than someone with tons of experience who has distanced themself from the front...

  3. A Staffing Perfect Storm

    LibraNurse27 replied to J.Adderton's topic in Disaster Preparation

    LOL yoga in a covid room!! Sometimes it does feel like we're bending and stretching trying to do our job plus the housekeeper's when he refuses to take out the trash, plus the RTs when they tell us to...

  4. Should I Quit or Give up? Glucometer Failure ?

    LibraNurse27 replied to cj_94's topic in General Nursing

    Warm the hand, hang arm down below heart level so gravity is your friend, and just keep "milking" the finger downward, firmly. Sometimes a tiny drop becomes a big one after a little effort and...

  5. How much experience does your manager/assistant manager have?

    LibraNurse27 replied to DownstreamOcclusion's topic in General Nursing

    My manager has 20 years ICU experience. She manages ICU and Stepdown units. My previous manager had experience in NICU but managed our Med/Surg unit. she was very stressed =( like you said she had the...

  6. Last Question! I Swear

    LibraNurse27 posted a topic in General Nursing

    2 questions in one day... but my job is driving me nuts. Other than staff exposing staff to covid, our hospital is trying to suspend our ratios so we can take as many covid pts as they want. Yesterday...

  7. Last Question! I Swear

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    Thanks! Unfortunately, we are the rapid response team (Stepdown nurses). ICU is the code blue team. Basically both units are just so overrun with covid that we are starting to kind of do team nursing,...

  8. New Grad ICU Burnout from COVID

    LibraNurse27 replied to IcuRN359's topic in Disaster Preparation

    I can't imagine starting your nursing career right when this pandemic started, and in ICU no less. Thank you for your hard work. I agree with avoiding social media. I quit facebook and I'm so much...

  9. Last Question! I Swear

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    Trust me, I never leave the unit without notifying someone and a brief handoff. But in this situation we were so short staffed that all the other nurses were in their own covid rooms while my pt...

  10. A Staffing Perfect Storm

    LibraNurse27 replied to J.Adderton's topic in Disaster Preparation

    My manager tried desperately to hire travelers and asks for an extra nurse or a CNA or a clerk or tele tech (preferably all of those) for our floor. Upper admin responds by canceling per diem staff...

  11. Should I Quit or Give up? Glucometer Failure ?

    LibraNurse27 replied to cj_94's topic in General Nursing

    Everything feels a little clumsy when you're new. It will get better, practice is everything. I know it can be intimidating to practice on real people though! I like the suggestions about practicing...

  12. How to handle covid exposures from other staff

    LibraNurse27 replied to LibraNurse27's topic in Disaster Preparation

    Thanks! I knew what the infection control dept said was wrong. I think they're under pressure from admin not to let people who've been exposed but are asymptomatic stay home and quarantine or even get...

  13. Help! Needle stick injury/ worker’s comp

    LibraNurse27 replied to ChicagoRN721's topic in General Nursing

    I've never seen a blood test for marijuana. Only urine. I don't think marijuana stays in your bloodstream for long so it wouldn't really tell them much unless you smoked right before. And I don't...

  14. How to handle covid exposures from other staff

    LibraNurse27 replied to LibraNurse27's topic in Disaster Preparation

    That asymptomatic testing system sounds wonderful! We do have restrictions but not always followed =( that's why I plan to eat in my car. Tired of being near people with no masks in a small indoor...

  15. Who should call family during ICU transfer? (did I goof up?)

    LibraNurse27 replied to Ioreth's topic in General Nursing

    Yes, and talk to your charge nurse. They can always take a message and phone # and you can call the family back if appropriate and at a safe time to do so, or ask the MD to call if that is more...

  16. Last Question! I Swear

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    Those are all good points! I have never had this experience before, but we are so overrun with covid and so short staffed it was a difficult situation. My ICU pt was very unstable and only one ICU...

  17. Who should call family during ICU transfer? (did I goof up?)

    LibraNurse27 replied to Ioreth's topic in General Nursing

    Sounds very distracting to have to answer any call that comes through while you're in a patient room. Do you have a clerk? I don't think calls from another pt's family member should be sent to you...

  18. Last Question! I Swear

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    My charge nurse was with me and the patient because the doctors were preparing for possible intubation. We don't have any CNAs or any clerk or break nurse, everyone else has an assignment. No one to...

  19. Who should call family during ICU transfer? (did I goof up?)

    LibraNurse27 replied to Ioreth's topic in General Nursing

    Clinical Institute Withdrawal Assessment. Checklist to determine the severity of an alcohol withdrawal pt, usually asks about mental status, hallucinations, nausea and vomiting, tremors, tactile...

  20. Urgent: Need advice please?

    LibraNurse27 replied to FutRNRock's topic in General Nursing

    My unit is mostly covid and we have access to N95s at all times, no limit, can wear even if not taking care of covid. Supposed to be one per shift but no one really regulates it. On the floors that...

  21. Who should call family during ICU transfer? (did I goof up?)

    LibraNurse27 replied to Ioreth's topic in General Nursing

    I've called just to notify of transfer, especially when family only speaks Spanish since I speak Spanish. I let them know MD is assessing the pt and will call when available for a more thorough...

  22. Do you ever feel undeserving to be called a nurse?

    LibraNurse27 replied to mtanner's topic in General Nursing

    I've been taking care of covid patients since the beginning of the pandemic, and I'm so burnt out. I'm leaving for outpatient PACU but I'm so guilty about ditching the team during this time and...

  23. Does it feel to everyone else that many newer nurses glamourize the ER and ICU?

    LibraNurse27 replied to The0Walrus's topic in General Nursing

    Med/Surg is a great place to learn, but it can be stressful because of the bad ratios. Some alert and oriented patients are wonderful, but others are demanding, and are stable enough they can walk out...

  24. Paperwork or punches?

    LibraNurse27 posted a topic in General Nursing

    Hi all, looking for feedback on any who have left a difficult job for a job that is not their "dream job" but felt it was worth it. I've made posts about the violence on my Stepdown unit, mostly due...

  25. Does it feel to everyone else that many newer nurses glamourize the ER and ICU?

    LibraNurse27 replied to The0Walrus's topic in General Nursing

    I stumbled into a Stepdown job after working per diem in Med/Surg because I needed benefits stat and that was the first full time job I found. I was amazed at how people immediately started...