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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

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    ^ she was careless and also not familiar with Versed. Even if she did get Versed and not the Vecuronium, she should've known that the patient getting Versed needs to be monitored. That's how the pt deteriorated....because no one was monitoring her until it was too late.
  5. NuGuyNurse2b

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    That's just simply not a realistic expectation for the ED. If the ED is short a nurse the ED needs an ED nurse to handle the patient load, not a "runner" floor nurse who would "help" an ED nurse because regardless of what extra help that floor nurse does, the ED nurse is ultimately responsible for those patients since that floor nurse cannot be independent. Instead of getting an additional ED nurse to split the assignment, getting a helper nurse to do tasks will not benefit anyone. That is why the nurse who protested getting sent to the ED was within her rights to do so. It's also why (safe) ED's go on divert mode when there's staffing issues instead of plucking from the float pool or pulling from any of the other med surg floors because their level of training and education are not the same as the skillset required of an ED nurse. I'll give you an example - when I worked med surg, we did not draw labs - phlebotomy did that. If I had been floated down to the ED, I wouldn't have been able to "help" the ED nurse with that. Furthermore, my med surg mindset would go looking for a pump to hang IV antibiotics, never knowing that in the ED, with the exception of Vanco, everything is hung by gravity. if someone told me to go get "Bair Hugger" I wouldn't even know where to begin cause I wouldn't even know what it was since we don't use it on the floor. And would you really expect a floor nurse, who goes to work every day to the same floor, know where MRI/CT scan/XR/etc are to even transport patients? So the assumption that a nurse is a nurse is a nurse is not safe, and downright wrong, even if it's just as a helper nurse to a specialized floor, which the ED is. And that's pretty much what happened in this case with the Versed. That nurse who gave it had no idea what she was giving. And she too was "helping".
  6. NuGuyNurse2b

    When you thought it was patients you needed to watch...

    ^ the "move along, nothing to see here" part wasn't mean to be taken literally. It's a trope used to identify that things like this are common and no change will come from it. Jesus...
  7. 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.
  8. 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.
  9. 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.
  10. 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.
  11. 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.
  12. 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...
  13. 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.
  14. 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.
  15. NuGuyNurse2b

    Catheter Came out. Should I reinsert it?

    I just don't understand how a medical facility can not have an on-call doctor.
  16. 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.