LibraNurse27

LibraNurse27 BSN, RN

Community Health, Med/Surg, ICU Stepdown

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All Content by LibraNurse27

  1. Do Not Resuscitate - An Inconvenient Truth About Our Healthcare System

    LibraNurse27 replied to Skwidward's topic in General Nursing

    WOW! ? That is so depressing. I don't usually think about the amount of money spent on the futile and painful care but now I realize that money could be much better spent on preventative care to...

  2. Do Not Resuscitate - An Inconvenient Truth About Our Healthcare System

    LibraNurse27 replied to Skwidward's topic in General Nursing

    I have definitely seen the family members benefitting from a demented or brain dead patient's pension, SSI checks, etc. I always wonder if they had a bad relationship with the person before they were...

  3. Do Not Resuscitate - An Inconvenient Truth About Our Healthcare System

    LibraNurse27 replied to Skwidward's topic in General Nursing

    I do agree that in most cases if the patient has no family/advocates the unnecessary care ends sooner than when they do have family that is insisting the futile and torturous care continues. I have...

  4. Do Not Resuscitate - An Inconvenient Truth About Our Healthcare System

    LibraNurse27 replied to Skwidward's topic in General Nursing

    I almost cried reading this description. These are the types of patients that I find it most difficult to care for, because the “care” feels like torture. I wonder how we can prevent

  5. Critical Care Eliticism?

    LibraNurse27 posted a topic in General Nursing

    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,...

  6. Can you return the bedside? NYC

    LibraNurse27 replied to Birdsofprey's topic in General Nursing

    Omg! That is crazy. I work in stepdown and in CA the ratio is 3:1. I hope you can get out if there soon! The most I ever had was in Arkansas... 7 on days and 9 on nights and I was DYING. Good

  7. Can you return the bedside? NYC

    LibraNurse27 replied to Birdsofprey's topic in General Nursing

    1:12?? What kind of floor do you work on? That sounds so stressful and so unsafe for patients and for staff.

  8. Critical Care Eliticism?

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    Hi Walrus, You will definitely use your psych background in ICU! There are ICU patients with psych diagnoses, and I have (unfortunately) cared for many patients after a suicide attempt or overdose....

  9. Arrested..need advice

    LibraNurse27 replied to Shortykim4's topic in Licensure: Criminal History

    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,...

  10. Critical Care Eliticism?

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    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...

  11. Feeling Bored

    LibraNurse27 replied to jellybean570's topic in General Nursing

    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...

  12. Critical Care Eliticism?

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    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...

  13. Restraint Free Facility?!

    LibraNurse27 replied to Verygreennurse's topic in General Nursing

    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...

  14. Restraint Free Facility?!

    LibraNurse27 replied to Verygreennurse's topic in General Nursing

    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...

  15. Least Physically demanding?

    LibraNurse27 replied to freesia29's topic in General Nursing

    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...

  16. First Job

    LibraNurse27 replied to poliwag48's topic in General Nursing

    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...

  17. Bad CPR techniques- do you say something?

    LibraNurse27 replied to Peditra's topic in General Nursing

    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...

  18. Any advice for a New Nurse?

    LibraNurse27 replied to Convoy2022_TrumpSupporter's topic in General Nursing

    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...

  19. "Just a Med/Surg Nurse"

    LibraNurse27 posted a topic in General Nursing

    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...

  20. "Just a Med/Surg Nurse"

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    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...

  21. Forearm First!

    LibraNurse27 posted a topic in General Nursing

    Hi all! Just curious about some advice I got today. We have an excellent resource team who do procedures, moderate sedation, PICCs. We also call them for difficult IV starts when they have time. They...

  22. Would this be considered abandonment?

    LibraNurse27 replied to Twinkle007's topic in General Nursing

    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...

  23. Dilute Lasix before giving IV?

    LibraNurse27 replied to guest1139088's topic in General Nursing

    My instructor in nursing school taught us to flush NG with 30ml, give first med, flush with 5ml, second med, flush, etc. I still do it this way due to an irrational fear that she will show up behind...

  24. HELP! transporting patients

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    Thanks! That sounds awesome! Yes I would love to have someone making sure my patient is safe in the imaging department and I could stay with my other patients instead of leaving one or the other...

  25. HELP! transporting patients

    LibraNurse27 posted a topic in General Nursing

    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...