0.adamantite

0.adamantite

Acute Care - Adult, Med Surg, Neuro

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All Content by 0.adamantite

  1. Nursing Nightmares

    What kinds of nightmares or dreams do you have as a nurse / pca / healthcare worker? As a PCA - I used to work at a nursing home with the same group of residents. I would dream about doing a toileting...
  2. I love hearing gross stories like this. I had a patient with an ileus. When I went in the room the patient vomited and filled a few of those large basins with fecal smelling, brown liquid vomit. As...
  3. Hello all, I am a long time lurker and am joining because I am at wit's end. I have the magical year of experience in acute care after graduation, but I am not happy where I am at. I don't think acute...
  4. Nurse Corps Loan Repayment 2016 Cycle

    I had no idea about this program. We will be done paying my student loans in a few months. I work at one of only a handful (less than 5 total) of facilities that provide mental health services in my...
  5. LOL. Sadly they are the hospital supplied graham crackers. The 2 crackers in the blue packet everyone is talking about. I hadn't considered the peanut butter, but I might now .... Shame on
  6. Yes, please take away some of my responsibility. I want to be able to take a meal break and not cram 4 graham crackers in at the nurse's station so I don't
  7. Dialysis Subclavian line antibiotics.

    The subclavian line has a larger amount of heparin instilled into it (I think at my facility it is 5,000 units). This must be drawn out before use or else the patient gets a bolus of heparin. We are...
  8. I am not an American but from a European culture. I have cared for all kinds of patients and I have no problem with doing this. I have a question I have noticed about a trend I have noticed in some...
  9. African American patients - a cultural question

    Sorry if I offended someone. I was making an observation based on some things I saw in my nursing practice and was trying to be non-judgmental and understand if there was a reason for this behavior. I...
  10. "You need to speak respectfully to me." Has worked surprisingly well for me. The has startled a few patients in the their tracks and then they try to back pedal. I had one lady say, "I guess you're...
  11. Self defense and protection in a hospital.

    Okay, so on the topic of hospital shootings. We just had training on this. They told us that hospital shootings are usually targeted at one individual. Such as a patient / family member angry at a...
  12. African American patients - a cultural question

    Yes, this is the behavior I am describing. I hope it's not my approach that is eliciting this response. I speak respectfully and always use "sir" or "ma'am." It is with the younger crowd. Now that you...
  13. "I would never want you as my nurse!"

    If you are someone that says "I wouldn't want you as my nurse," I don't want you as my patient. You sound difficult to work with. It will be a relief to dump you onto another nurse ... muhahaha. No...
  14. The floor was chaotic and I was running around myself busy with a patient who had just vomited a large amount of blood and a critical hemoglobin came back (I think 5.3 or 4.7, can't remember). I was...
  15. Medication error

    I have made med errors before that have no affected the patient in any way, thankfully. I have had 1 patient who transferred from a different area where there was a major med error that happened with...
  16. Yes, I will tell the family that the patient is confused and agitated, but in a polite / discreet way. I will explain that we are doing the best we can for the
  17. For AAOx3 patients - I ask the patient why they are refusing and try to rectify the problem, reassure them, or provide education. For example if they are afraid to move due to pain I will set up a...
  18. Our units acuity is at an all time high.

    Same story here. Short staffed constantly, beds overflowing with patients. Very ill patients, too. We can barely keep up, some nights most area hospitals are full and we are sending patients to the...
  19. AMEN to this post! This happens at least several times a week. Me: (Puts in 1900 labs) 1900 comes, and the phlebotomist is blowing up my phone. Phlebotomist: Do you need those labs done on room 8 at...
  20. Cried at work today.

    Today I had a mini meltdown at work. I had a patient who was quiet ill and the earlier in the day, the family had requested a specialist consult. The nurse previous to me had checked with the...
  21. Poll: Nurse and law enforcement couples

    Nurse here with future husband in law
  22. Cried at work today.

    Thanks for the support, everyone. I am saving up for something specific and am almost done, so the OT should end in a few weeks. The patient was admitted with a GI complaint and had been having...
  23. Withheld meds

    We have a feeding tube declogging protocol. Otherwise I would have tried harder to get in touch the MD. The call centers I talk to have the MD's cell phone number and if they do not answer their pager...
  24. Engagement/Wedding Ring Question

    I have a CZ ring but nobody knows the difference. I can get it replaced whenever I want for free at the jeweler so it looks brand new. We were able to afford a much more expensive setting ($4k) with...
  25. how much do you pay on student loans per month

    46k down from 80k+ in a little less than 3 years. Our combined income (me & partner) is 70k. We pay roughly $1200 a month towards the loans, but our minimums are about