misschelei

misschelei

Picu, ICU, Burn

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All Content by misschelei

  1. Charting for behaviors

    misschelei replied to not now's topic in General Nursing

    True but is it necessary to be objective in this case? What more CYA is happening if you write in the chart exactly how you were verbally abused or threatened? If there is an actual incident then an...

  2. Charting for behaviors

    misschelei replied to not now's topic in General Nursing

    Be aware that assaulting a medical professional is a crime just as it would be on the street. You don't have to take it! Don't let anyone tell you different. Also any family member threatening or...

  3. Charting for behaviors

    misschelei replied to not now's topic in General Nursing

    :) This is what I would chart: pt verbally abusive-behavior inappropriate-threatening in nature-informed pt of need for staff safety in order to provide quality care-will notify security as...

  4. If you could no longer be a nurse?...

    misschelei replied to NurCrystal22's topic in General Nursing

    Write my heart out! I hear one can actually make a good living writing for publications. Then I would stack up the novels until someone

  5. Looking for...

    misschelei replied to scoley's topic in General Nursing

    The book mentioned above is great. It's a wonderful tension breaker while still squeezing some studying

  6. Smoking among Nurses is hypocritical.

    misschelei replied to thomasgbsn's topic in General Nursing

    I would hope nurses who smoke don't go out and scold patients for a life of smoking and then go light up. That would be hypocritical. When we perform teaching with patients we inform them that due...

  7. Baby nursery

    misschelei replied to Sweetiepie1497's topic in Ob/Gyn

    If you are working in nursery for healthy newborns you will get height, weight , and length before the baby goes on a warmer with a temp probe. The rest will vary depending on the type of unit. Some...

  8. Is change in pay fair?

    misschelei posted a topic in Agency Nurses

    Here's one for you. I have been taking shifts off and on for 1.5 years at hospital with a pediatric unit that is mixed peds/picu. I have used 2 different agencies and have always been paid picu rates...

  9. ? and vent re: agency and hospital changing my focus area

    misschelei replied to ljds's topic in Agency Nurses

    I don't think it's a really bad sign about the agency. They may turn out to be a bad one still but this sounds like someone just made a mistake. Make sure they know you are suffering for it and not...

  10. Just how many nurses from IL do we have here at allnurses?

    misschelei replied to jadednurse's topic in Illinois Nursing

    Go SOX!!!! (sorry couldn't

  11. Required to work as PCA instead of being cancelled!

    misschelei replied to Lovemyjobrn's topic in Agency Nurses

    I guess this happens a lot. I have never heard of it probably cuz I do mostly ICU. I would be very uncomfortable and think I would probably refuse

  12. Blood draws through infusing central lines

    misschelei replied to misschelei's topic in CCU, Coronary, Cardiac

    You are so right guys but this a small community hospital and a weak excuse for a CCU, so weak that it may have been more appropriate if I posted this on the med-surg icu forum. Alines are not...

  13. Blood draws through infusing central lines

    misschelei posted a topic in CCU, Coronary, Cardiac

    Is it standard practice in adult ICU's to stop a pressor drip, flush the line, draw morning labs, and then turn the drip back on? Flushing the line would bolus the patient then leave them with nothing...

  14. Is change in pay fair?

    misschelei replied to misschelei's topic in Agency Nurses

    Thanks for the great advice everyone. Update: I couldn't resist.... I fought it and won. They pay me the same rate they always have no matter the kid's acuity. I am vested in the hospital and knew...

  15. Are they out to get me or WHAT????

    misschelei replied to Haunted's topic in Agency Nurses

    This is why many agency nurses burn out and stop doing it. Are you registry there already or just thinking about it because I bet once you're registry things will get worse since they know they got...

  16. info re:All about Staffing Agency, Orlando, fla.

    misschelei replied to ann86's topic in Agency Nurses

    I have heard a lot of complaints by people in the Denver area. When we move back there I plan to avoid

  17. Blood draws through infusing central lines

    misschelei replied to misschelei's topic in CCU, Coronary, Cardiac

    As I've had a few days to mull this over and read your replies I believe this is a bad idea no matter how you slice it. I almost got into it with the charge RN because I wasn't gonna do it. She even...

  18. Post resuscitation gtts

    misschelei replied to 2rntish's topic in PICU, Pediatric

    JACHO is obsessed with eliminating med errors so they give thier suggestions. But each hospitals do things differently. There's nothing wrong with using the 1600mcg/ml. Just check and recheck you...

  19. Post resuscitation gtts

    misschelei replied to 2rntish's topic in PICU, Pediatric

    I think the point is to avoid calculation errors. Standard Concentration for Peds Dope drips is 800mcg/ml (200mg/250ml). Double concentrations should really only be used for kids with fluid...

  20. Is it just colorado?

    misschelei replied to USAF0625's topic in General Nursing

    I've said this in other posts but I don't mind repeating it. Colorado is really bad with the waiting lists! My husband decided he wants to be a nurse and he did the prereqs in Colo but we had to move...

  21. NICU to PICU

    misschelei replied to wensday's topic in PICU, Pediatric

    I think you will be fine. You will be continually learning. You will see all kinds of things you haven't encountered before. I've seen 30 year veteran nurses look at a patient chart and say they've...

  22. Preparation for Psych Clinical

    misschelei replied to Califlower's topic in Psychiatric

    Stay safe! Some Psych patients change from docile to not so docile with little warning. When I was in my Psych rotation one woman suddenly accused me of staring at her because I thought I was prettier...

  23. Why do nurese sign up with agencies?

    misschelei replied to browsing's topic in Agency Nurses

    Collective bargaining with the welfare of humans makes no sense to me. I got into this profession to take care of people not stack them up at other hospitals and create more unsafe loads for other...

  24. choosing a specialty and personality type?

    misschelei replied to TRousse's topic in Nursing Career

    INFJ...I was INTJ when i took it 10 years ago in an office setting, interestingly. Guess I picked the right profession.

  25. To tattle tale or not tattle tale... that is the question.

    misschelei replied to bluesky's topic in General Nursing

    UNBELIEVABLE!!!!!!!!!!!!!!!!! Get out of there quick I smell a set