Here.I.Stand BSN, RN

SICU, trauma, neuro

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All Content by Here.I.Stand

  1. Here.I.Stand

    Hospitals That Hurt Good Staff's Morale

    Dang... I’m glad you have an exit plan! It’s in our union contract that ICU nurses don’t staff the floors; after all the floor nurses aren’t able to float to the ICUs when WE are short. We...
  2. Here.I.Stand

    Vocera Easter Eggs

    I once apparently logged in as a Forrest Gump. I have no idea how it happened... I was walking into a ?storm, said my name and didn’t pay further attention. A while later after calling my charge...
  3. Here.I.Stand

    Write Up's and Potential Termination for Pain Reassessments

    Exactly.
  4. Here.I.Stand

    ICU approach vs Floor nurse

    And just to be clear — I don’t deny a man-child pain control or try to “punish” him. However I have said “You didn’t get shot in your ARM” if one whines “I need someone to feed
  5. Here.I.Stand

    ICU approach vs Floor nurse

  6. Here.I.Stand

    ICU approach vs Floor nurse

    Dang... like NICU Guy said that is dangerous! Plus I personally would NOT want to have the inevitable “conversation” as to why I woke somebody up by jamming a needle into them. I am an ICU...
  7. Here.I.Stand

    Nursing Intervention

    I’m sure there are several here willing to help you — just not DO it for you. Tell us what your thoughts are and we can maybe help tweak them. Looking at the case study, what data stands out as...
  8. Here.I.Stand

    Need some advice. Asked to do pedi nursing.

    I would probably thank her for her trust, but you’re not looking to add a second job/add to your caseload at this point. I wonder if there would be conflict of interest issues with your agency too,...
  9. Here.I.Stand

    What are your perspective on Mandate Fairness?

    Who the **** thought that was a good thing to put in a union contract?? Sorry, that wasn’t your question. I don’t work anywhere that thinks mandatory OT is a reasonable staffing practice....
  10. For anything even remotely assessment or medical related, we MUST use our facility’s interpreter services options. We have in-person, iPad, and telephone language line options — I list those in...
  11. Here.I.Stand

    Write Up's and Potential Termination for Pain Reassessments

    I’ve never seen it for scheduled neuroleptics though, or ASA which usually isn’t even given for pain. That seems like the kind of foolishness that takes us away from pt care... including actual...
  12. Here.I.Stand

    I was slapped by a patient

    I am really sorry that happened to you... truly. (((Hugs))) Not reporting however, will guarantee that nothing will be done, and will continue to send the message that this is acceptable behavior—...
  13. Here.I.Stand

    Please tell me what to do

    On the chance you are for real... Sure it can be ignored... quit spying on your neighbors. You have really watched her closely enough to have counted 90 people? How
  14. Here.I.Stand

    I was slapped by a patient

    It
  15. Here.I.Stand

    Do I have to disclose mental illness

    But, if your MEDICAL diagnoses — be they DM or lupus or PTSD — don’t make you a danger to yourself or others, it’s really none of their damn business. It’s ridiculous that we push for...
  16. Here.I.Stand

    I was slapped by a patient

    As long as we continue to allow this behavior, it will continue to
  17. Here.I.Stand

    I was slapped by a patient

    Here’s a virtual hug... now go report this to law enforcement! What he did was called assault and
  18. Little problem with advocating for hallucinogenics... they’re illegal. It’s not even in our scope of practice to recommend legal drugs... no way would I ever consider recommending illegal ones....
  19. Here.I.Stand

    Nurses Are So Bossy...

    “You screwed up putting an iv in and when questioned you get pissy.” I missed this part the first time reading through... If a spouse is interfering in patient care, heck...
  20. Here.I.Stand

    DNR? details please

    Well the ACLS drugs are useless without compressions/defib.... even defib needs to be paired with compressions — the brain needs that blood circulation until the heart can provide it. Years back I...
  21. Here.I.Stand

    Nurses Are So Bossy...

    Bossier than Florence Nightengale?
  22. Here.I.Stand

    bedside report

    The problem I had pre-ICU, was it was impossible to do in 30 minutes. It was an LTACH where we typically had 4-5 pts on days and 6-7 on nocs, and LTAC pts are typically very complex. We routinely...
  23. Here.I.Stand

    Interesting case of the spilled pills

    What the actual what?? Just following orders isn’t a defense true... and it’s disgusting true... but why is anyone willing to risk their own safety like that?? The sharps container is a one-way...
  24. Here.I.Stand

    Vaccination for clinical

    Whaaaaaa??? Unless he’s at a private school maybe... But years ago I had my nieces and nephew at my house, while their missionary parents were fundraising (speaking at churches and taking donations...
  25. I’m all for autonomy — so long as the physician has the autonomy to refuse said assistance. I’m also all for opting for comfort care. But euthanizing someone who isn’t able to make the...