LibraNurse27

LibraNurse27 BSN, RN

Community Health, Med/Surg, ICU Stepdown

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All Content by LibraNurse27

  1. New to critical care. Not new graduate. Need advice?

    LibraNurse27 replied to alyssainthesky's topic in General Nursing

    Sounds like a great training program! It can feel weird to be more closely managed if you're coming from an environment without much formal training, supervision, etc but from my experience it's great...

  2. Help :(

    LibraNurse27 replied to CardiacDork's topic in General Nursing

    This post is really interesting to me as an LGBT nurse working in a small community hospital in a relatively rural area. I agree with above posters that you can learn and see a lot in a community...

  3. I don't think I want to do nursing anymore...

    LibraNurse27 replied to kathy6023's topic in General Students

    Just my 2 cents but I felt very similar during my clinicals and I now feel very confident in a hospital environment (I have been a nurse for 5 years). It is healthy to have some fear when learning how...

  4. Hoping for a miracle

    LibraNurse27 replied to Feinhawk's topic in General Nursing

    Just my two cents but I was hired into a community health clinic as a new nurse and it was not a physically demanding job (phone triage, in person assessments, wound care, but no turning/lifting/etc)....

  5. Dose angio catherter size matter angiopain when potassium fluid injected via IV?

    LibraNurse27 replied to Ironprostate's topic in General Nursing

    I am also curious about the absorption of PO potassium vs IV. We have standing orders in my stepdown unit for prn replacement of potassium based on labs but due to the painful IV administration of IV...

  6. How long to work in one place?

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    Thanks for your reply and I definitely think the accumulated benefits are a pro for staying somewhere long term. I'm sorry to here about your complications and glad to hear you are able to get...

  7. How long to work in one place?

    LibraNurse27 posted a topic in General Nursing

    Hi AllNurses, I am hoping to get opinions on if there is any recommended amount of time to work in one facility. I have older coworkers who have worked at our hospital for 20, 30, even 40 years and I...

  8. How long to work in one place?

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    Thanks for the input! I am sad that finding a supportive environment does seem to be rare and SUPER grateful for my awesome coworkers. I'll definitely take into consideration finding a prn job at...

  9. Downstaffing

    LibraNurse27 replied to KSjo88's topic in General Nursing

    This sounds crazy and dangerous! It's difficult to get a good picture of so many different patients in one day and try to provide comprehensive care in only 2 hours! I really hope you can find a new...

  10. New Nurse Blues

    LibraNurse27 replied to Miss-Hanabira's topic in Health, Stress Management

    The first year is tough! It sounds like you really care about doing a good job for your patients and that's the most important thing. And I agree it is better to take your time and go slower rather...

  11. Treatment of vulnerable patients

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    Thanks again everyone for your input and kind words! I had the same patient today and IV infiltrated again (patient with Guillen Barre getting IVIG and that stuff is so frothy!) This time re-started...

  12. Treatment of vulnerable patients

    LibraNurse27 posted a topic in General Nursing

    Hi All nurses! I have been a nurse for almost 5 years and have previously felt that I am great at making connections with patients, making them feel cared for and treating all my patients very well. I...

  13. Treatment of vulnerable patients

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    Thanks everyone for the reassurance! I really appreciate your feedback and

  14. Patient Ratio 1:8 and no tech!

    LibraNurse27 replied to newgradamy's topic in Travel

    That sounds really tough and I totally admire you for sticking it out. I am from CA where we are spoiled with our legalized ratios... 4:1 for tele, I currently have 3:1 in ICU Stepdown. But I have...

  15. Mandated Nurse-Patient Ratios

    LibraNurse27 replied to Nurse Beth's topic in General Nursing

    Keep up the fight! Even here in CA facilities have been resistant to change. As mentioned above my hospital went to the total care model so CNAs are only used as 1:1 sitters and although Med/Surg...

  16. Med/Surg vs PreOp/PACU

    LibraNurse27 posted a topic in General Nursing

    Hi all, this is another annoying "choose between 2 jobs" thread. I have been a nurse for 4 years. I worked in community health for the first 3 and in Med/Surg for a year. My Med/Surg job gave me 10...

  17. Med/Surg vs PreOp/PACU

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    Thank you both for your thoughtful responses! I didn't think of working prn at the med/surg job and I think I will do that! Hoping for nice coworkers in the new job as well í

  18. Needle stick from urine collection cup.. Patient HepC positive...

    LibraNurse27 replied to Leeleeboo7's topic in General Nursing

    I worked in community health for a long time with many Hep C positive patients and was taught that is is only transmittable through blood, so I doubt the needle in the patient's urine cup would...

  19. Is all nursing experience treated the same?

    LibraNurse27 replied to guest17's topic in General Nursing

    Hello! It is definitely possible to transition into acute care with another type of nursing experience. I live in the Bay Area in CA where it is super hard to get a new grad job (lots of experienced...

  20. Any Hope for the ER... and how soon?

    LibraNurse27 replied to LibraNurse27's topic in General Nursing

    Thank you both for your

  21. Any Hope for the ER... and how soon?

    LibraNurse27 posted a topic in General Nursing

    Hi all, I have been a nurse for about 3.5 years (almost time to change my username!) mostly in a community health clinic. For the past 8 months I have been working on a Medical/Surgical floor at the...

  22. Did I do the right thing??

    LibraNurse27 posted a topic in Gastroenterology

    Hello GI nurses! I work on a general med/surg floor but often care for GI pts. One pt came in with nausea and failure to thrive. He was on a clear liquid diet, had normal bowel sounds, no abd pain but...

  23. Did I do the right thing??

    LibraNurse27 replied to LibraNurse27's topic in Gastroenterology

    Good point! The nurses who had him the day and night shifts on the day that he passed said they felt it was a big change in condition that day and MD didn't take their concerns seriously. They...

  24. Did I do the right thing??

    LibraNurse27 replied to LibraNurse27's topic in Gastroenterology

    Great advice! And if I have a situation where I think I may know what the pt needs I won't hesitate to recommend it to the MD (or NP of course!!) Thanks so much

  25. Did I do the right thing??

    LibraNurse27 replied to LibraNurse27's topic in Gastroenterology

    Thanks for your help! I did see in MD's notes a KUB was ordered and he was waiting for result. I guess things progressed before he was able to get the result. =( The other nurses were wondering why he...