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Here.I.Stand BSN, RN

SICU, trauma, neuro
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Here.I.Stand has 16 years experience as a BSN, RN and specializes in SICU, trauma, neuro.

Here.I.Stand's Latest Activity

  1. Here.I.Stand

    Teambuilding coaching

    What, trust falls aren’t a solution for issues?
  2. Here.I.Stand

    What does the floor really think of nursing students?

    I would expect the CI to be watching his/her students closely enough to notice themselves I keep reading that clinical placements are competitive, and that schools need to be on their best behavior etc.... how are facilities ok with absentee CIs??
  3. Here.I.Stand

    Depression + Anxiety as a Nurse

    This behavior should be reported to your school’s disabilities office. That is unacceptable.
  4. Here.I.Stand

    Is Nursing a Profession?

    Nurses can be sued for malpractice and publish journals, so I would argue “yes”
  5. Here.I.Stand

    Depression + Anxiety as a Nurse

    Please, PLEASE get some help... I am concerned that you say some days you don’t want to be alive. Sometimes meds need to be changed or adjusted... for me personally Zoloft gave my life back, after trying 3 or 4 other antidepressants over the years.). I HAVE needed the dose increased twice though. Your body and brain are unique though. I want to address a couple more things though. 1) “what gives you the right” to care for people? You say that like there is something morally or ethically wrong with you. You have an ILLNESS. You have every bit as much to give patients as a nurse with diabetes or asthma. 2) Your teacher said you “have to be ‘normal’ to be a nurse?” What does that even MEAN? I honestly don’t know what that means. If she is saying that one must be free of any issues whatsoever, she is—to use the technical term—FOS. CNAs do very honorable work; I was one for five years and absolutely loved it. If working as a CNA is the right thing for you right now, that’s ok. But if you want to be a nurse, there are plenty of people who believe in you.
  6. Here.I.Stand

    Correcting Name Labels on Lab specimens of Stroke Patients

    The lab would never accept a tube that was mislabeled—especially when the chain of custody was broken like that. Life and death decisions can be dependent on accurate lab information.... not the least of which is a type and screen. The lab would require a properly labeled tube.
  7. Here.I.Stand

    Medication order correct or no

    I would read that as two 500mg tablets. Every single prescription bottle you see, states the mg PER TAB and the number and frequency to be taken. Not a total mg to be taken with a mystery dose per tab. (I say mystery bc you don’t say how much is in each tab, if the 500mg refers to the total.) Are 500 mg tabs supplied? How do you give 500mg AND two tabs?
  8. Here.I.Stand

    Setting the Precedent: Nurses Fired for Being Sick

    You won’t... their loss. I’m sorry this is happening
  9. Here.I.Stand

    Why do RNs choose to work in nursing homes?

    I think I love you.
  10. Here.I.Stand

    Teaching Your Patient How to Reduce Their Sodium Intake

    I admittedly don’t know as much about nutrition as some nurses do... it just isn’t my professional focus. But as a neuro/trauma ICU RN I routinely infuse 2%, 3%, 23% NaCl directly into the bloodstream of TBI pts. Usually the neurosurg team gives us a goal for the serum Na+ to be ELEVATED, often 145-155. It doesn’t have any noticeable effect on BP. How high can too many chips REALLY make your serum Na+? Am I missing something?
  11. Here.I.Stand

    Is this weird? New employee occupational health.

    No.... that sounds like an epic invasion of privacy
  12. They only turn into 16 hours when I agree to stay over, which is rare. Occasionally if my shift was a show and I don’t have time to chart, it turns into 13 hours. That said, I prefer nurses to have the choice. I have actually been with a hospital for 6 years which has both 12’s and 8’s available.... I did 8’s for over 5 years and loved it. Now at a different place in life and 12’s work better for me. One perk of having both is because of the overlap, there are all sorts of opportunities to pick up princess shifts lol... which benefit both myself (as I wouldn’t pick up a full shift as easily) and the hospital (they have coverage that they may not have otherwise had.)
  13. Here.I.Stand

    Work asking all the time if I can work extra At work and home

    You are already a “team player” — you “play” three days on, and another four days on with your days off in between. If they can’t cover the shifts with their existing team they need to hire more players — and be a good enough company that free agents will want to “play” for them.
  14. Here.I.Stand

    Jury Duty

    In my state our jury duty terms are two weeks long; we had to call in every evening to see if we had to report in the morning. I told my manager and scheduler my dates as soon as I got my summons, so they could plan for my coverage accordingly. The schedule was unchanged; if I had needed all of my hours (at the time a pay cut wasn’t a hardship) I would have planned to pick up extra shifts on the days I wasn’t needed. In the end I was chosen for a one-day trial on a scheduled day off.
  15. Here.I.Stand

    To vaccinate or not to vaccinate, that is the question

    My fear is polio, tetanus etc. infecting children who didn’t choose to be ignorant about vaccines
  16. Here.I.Stand

    I feel like I'm going nowhere

    I’m curious how you’re selling your LTACH experience; it is absolutely acute care (hence the “A”). I feel like it’s also very misunderstood... .actually I didn’t know what it actually is at all, until I applied for a position and needed to learn about the facility prior to my interview. I had heard of one of the LTACHs in my area, but thought it was like subacute rehab. In reality, the LTACH pts I cared for are more acute than most of the step down pts at my level 1 trauma center, and BY FAR more acute than med-surg pts. They were vented (working on weaning — not home vents) they were on tele, sometimes on drips, receiving blood transfusions... suffering the effects of long-term critical illness..... I could go on and on. Come to think about it, I don’t think mine even hired new grads. These are people who a few decades ago would never have survived their illness/injury. My LTACH experience got me back into ICU nursing after years of subacute. L&D and NICU are notoriously difficult to get into.... but I would really evaluate how you can use your experience to more of an advantage, vs wonder if it’s holding you back.
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