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NuGuyNurse2b's Latest Activity

  1. NuGuyNurse2b

    Safe staffing vent

    yup, precisely why I hated floor nursing and went to the ED as soon as I could. Fix 'em and send 'em off.
  2. NuGuyNurse2b

    I Hope This is Not the Latest Trend

    It's a broken system. While some of the fault falls on the nurses, I know people who work in LTC and at nursing facilities who say admin at those places are content with allowing a nurse to oversee as much as 20 patients (!). There is simply no way you can effectively and safely care for that many patients, no matter how stable they are. There needs to be federal laws passed re: nurse/patient ratios, both in the acute hospital setting and in long term facilities.
  3. NuGuyNurse2b

    Nurse Charged With Homicide

    I doubt she'll actually end up in prison. She will lose her license, though. And to the person who thinks pharmacy has anything to do with this....*rolling my eyes*
  4. NuGuyNurse2b

    I'm lost. I want to quit nursing.

    Bedside/floor nursing sucks. Just my humble opinion. I'm not sure how some of these nurses do it for 2o+ years. The amount of responsibility placed on nurses on the floors is just staggering. I did it for one year and went to the ER and never looked back.
  5. NuGuyNurse2b

    Should I tell my manager I applied internally?

    Just an FYI at a lot of facilities, your manager and directors actually do know when you apply internally for another position. They're not allowed to speak on it but they know via a quick email or notice through the system whenever someone in their dept applies internally for another position.
  6. NuGuyNurse2b

    Denied from nursing school...

    ^ yup. Increased applicants and not enough instructors. And it's almost comical cause majority of the new nurses are ready to leave bedside 2-3 yrs in and want to do other things so who knows how this will all play out in the long run.
  7. I don't work there but I know people who do, and the test isn't anything tricky. If you practice using their guide, you're almost guaranteed to pass (meaning no trick questions, no items not discussed), pretty straight forward stuff.
  8. NuGuyNurse2b

    Can I please get a Parking Spot!

    We pay for parking but there are no restrictions on where we can park. Meaning if there's a prime spot in the first row aside from the handicap spots, it's anybody's to take.
  9. NuGuyNurse2b

    What would you have done

    I'm not sure why you were calling the anesthesiologist, though. Foleys are usually d/c'd in post op or within 24 hrs after post op and the pt is put on a voiding regimen. It wasn't in there for urinary retention per se, so he probably didn't need it and the surgeon was probably the better person to call and ask to get an order to remove it. You technically acted beyond your scope of practice by removing the foley without an order. Yes you charted that you did it, but you did not get an order to do so nor did the anesthesiologist know that you did it because he didn't give you the order and it was after the fact that he was made aware of it, hence you were accused of "hiding" the act from him. I don't think you're understanding that difference. It's unfortunate what happened to you but I didn't see the dilemma here. you had other avenues to find a solution and you didn't. You could've called the surgeon, you could've notified management, you could've notified the house supervisor - any of those might have been able to assist you. But you acted on your own...
  10. NuGuyNurse2b

    Infusion times....in a pickle...

    In the ER we run it over 30 mins; on the floors, it's 4 hrs. Personally I've run it within minutes. I once connected it to the wrong port, set the pump, came back a few minutes later to see the whole bag emptied and the pump still "running" the Zosyn IVPB. Likewise, I've seen the Zosyn not infusing for the 4 hours because someone forgot to release the clamp to the IVPB tubing so it didn't run, and then the nurse just ran the Zosyn in the calculated ml/hr with the remaining time so as to not interfere with the next dose.
  11. NuGuyNurse2b

    Med school drop out, now a CRNA. ask me anything...

    I have no questions, just wanted to say congrats on finding your way. Too many posts on here about people who don't make it or made it out of nursing school and hating it and wanting to leave the profession altogether. It's nice to see a positive thread once in a while.
  12. NuGuyNurse2b

    Catheter Came out. Should I reinsert it?

    I just don't understand how a medical facility can not have an on-call doctor.
  13. NuGuyNurse2b


    It'll be hard to explain to potential employers and managers even though environments like the one you describe do exist. Personally I would've stuck it out for at least 6 months and see if there was transfer opportunities within the organization. However, it's not the end of the world and you can continue to apply to positions that interest you and not dwell on the negative experience you incurred.
  14. NuGuyNurse2b

    New Grad Orientation Contracts

    At my hospital you mostly see these contracts with the ICU - what happens is that people get their ICU experience (and they're not necessarily new nurses, btw), get their NP or CNA, then bounce. So those floors have at max 2 years from those hires, which is not a very good return in investment. So it is not necessarily to do with any "desperation" to hire since the applicant pool is actually pretty competitive for the ICU but it's just they want to make sure people stay. New grad contracts are for the same reason - maybe people want ER or ICU or any other specialty but as a new grad with 0 experience, some places don't hire those, so the new grads get in where they can, get their 1 year and then move.
  15. NuGuyNurse2b

    Cardiac Monitoring/Strip Interpretation

    We print and mount Q2hrs in our ED. Well...we're supposed to, at least. It makes sense, though, cause I've had pt's who I've gotten in report that they were RSR and then I go in, look at the monitor and see brady. So if the strips were there from the prior shifts, I could see where the pt was in that RSR spectrum - was the pt borderline RSR/brady or were they absolutely just RSR like 80's and 90's and suddenly is now in the 50's. But Q2hrs is really not feasible in the work environment that is our ED. You get a pt who crashes and that pt becomes the priority, and maybe you won't get to even see your other pts in the next 2 hrs let alone print and mount their tele strips.
  16. NuGuyNurse2b

    Los Gatos ER Physician in the News

    Most of our ER pts who malinger usually walk out once we made it clear they're not getting any narcotics, they're not going to be seen any further and we're busing sick people all around them left and right and just plain ignoring them. We've had a few faking seizures on us....load up 1mL normal saline...tell them it's Ativan...administer...seizing stopped.