LibraNurse27

LibraNurse27 BSN, RN

Community Health, Med/Surg, ICU Stepdown

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All Content by LibraNurse27

  1. Sitting down - New nurse looking for advice

    I think working in a community clinic would be great for you. I did it for 3 years after injuring my back in a SNF and it did involve a lot of sitting while answering triage phone calls, talking to...
  2. My first big med error

    I understand insulin drips are serious it luckily it doesn’t sound like the patient suffered any long term consequences. I’m so sorry to hear about your dad and I can’t imagine returning to work...
  3. I'm not sure if "sexism towards men" actually exists, just as "racism against white people" for sure doesn't exist. You can't be discriminated if you are in the position of the most power. For...
  4. Mistake

    I’m pretty sure if something bad happened to the patient you would have heard about it but I guess if you don’t remember the patient’s name there is no way to know for sure, which I’m sure is...
  5. Safe staffing vent

    Ahhh hate that horrible transfer that always seems to happen at change of shift and requires all the staff from both shifts to run to the room to settle the patient! And then do report super late,...
  6. 12 patients for a new grad to much?

    I have only worked as a CNA in a nursing home and was already super overwhelmed by the ratios, especially when someone called in and they never found a replacement! Only lasted 6 months! I can’t...
  7. Would you be insulted?

    To me it sounds like there could be a racial component to this, unfortunately. Maybe I am hypersensitive because I am married to a black person and have done a lot of research on implicit bias but...
  8. Hospitals paying for your stay?

    I was hired over the phone when I was a new grad at a hospital in Arkansas and givena $2,500 relocation bonus which actually went pretty far because things were so cheap there. But I would say beware...
  9. I used to work in a community health clinic doing a mix of phone triage and walk-in patient triage as well as quick scheduled "nurse visits" like for injections, TB tests/reads, newborn weight/bili...
  10. Anyone else regret becoming a nurse?

    Overall I don’t regret becoming a nurse but there are definitely constant ups and downs; during each shift sometimes! I have helped people recover from serious conditions and watched them walk out...
  11. Won't say real name ? I became a nurse because my dad wouldn't let me major in Latin American Literature due to no job prospects with this major... for which I am eternally grateful. 5 years as a...
  12. Nurse Charged With Homicide

    I agree she most likely did not know that midazolam was the generic name for Versed and also did not know much about the effects of Versed or monitoring usually associated with it. However since it...
  13. In and Out Privileges

    Wow, Daisy4RN, that sounds crazy! I'm glad you got a new job! Thanks for
  14. In and Out Privileges

    Hi all, Just wondering what the policy is at other facilities about admitted patients leaving the hospital and coming back in. Because I work at a county hospital, in addition to our acute patients we...
  15. I work in IMCU and Davey Do described it perfectly! Some conditions I commonly see are severe asthma and COPD exacerbations and pneumonia. Sepsis from many different causes, CHF exacerbations, alcohol...
  16. Any facilities actually using an AccuVein? Any thoughts?

    I agree with above sometimes the light shows small superficial veins not really suitable for access that needs to last a few days. Sometimes I'll find a good vein but often I've used it in a pinch...
  17. Most Burned Out Nursing Specialties?

    I am not surprised that Med/Surg has high turnover due to high nurse to patient ratios that make it difficult to feel like you are doing a good job. I work in Stepdown and would think the high...
  18. In and Out Privileges

    sleepingquietly that sounds like exactly what we
  19. In and Out Privileges

    The Med/Surg floors do tend to have a high turnover but surprisingly there are many nurses who have been there for years. The staff is wonderful and I think that is why people stay, as well as the...
  20. In and Out Privileges

    We have had a patient overdose by injecting heroin into her PICC. Her consequence was removal of the picc (because it also got infected) but our consequence was a CLABSI counted against our unit and...
  21. You must watch me!

    It is! If you don’t watch and someone is diverting narcotics and you signed a waste for them you can be liable as
  22. In and Out Privileges

    Oh gosh I didn’t realize that these things are not happening frequently at other hospitals... maybe time to look for a new job, haha. Well many of our upper admin have never worked as floor nurses...
  23. In and Out Privileges

    Sometimes they are admitted for actual medical diagnoses and then when those have been treated they become a placement issue if they came from the streets or if their families say they are no longer...
  24. Any facilities actually using an AccuVein? Any thoughts?

    I really like it but it definitely doesn’t guarantee 100% success. It has definitely improved my success though. As stated above you still have to palpate the veins and it doesn’t show deep veins...
  25. In and Out Privileges

    Thanks for the replies! I will definitely document when patients do things that go against medical advice... for example shooting meth into a picc line! I will document that I educated them and they...