Miss.LeoRN

Miss.LeoRN

Cardiac Stepdown, PCU

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All Content by Miss.LeoRN

  1. I apologize, this is long. I feel that the more I explain and the bigger picture I paint, the more someone will be able to share with me. I realize that some of this might identify me if my coworkers are here on this board, but... honestly, I want he...
  2. Another Tragedy at Vanderbilt

    Did the surgical team and the surgeon PURPOSEFULLY decide not to do a time out, and ignore all other checks and safety measures that were in place to prevent this sort of "event"? Did he just look at the patient and the chart and go "Forget the bad k...
  3. I was slapped by a patient

    Okay, so like someone else asked... and you did what? Informed your manager or charge nurse? Called security? Just stood there? This is actually more than assault, it's assault and battery. I'm not sure I understand the perception that you just stoo...
  4. 2 year night shifter thinking about days need help!!

    We recently lost three of our night shifters to the cruel,evil sun that conquers this thing they call day shift. One was excited, loved the move. Took him a while to settle in because he made the change while treating day shift like it was night shif...
  5. Working on weekends!

    The only real advice I have is to be sure you find out what the specific weekend requirements are to whatever hospital or unit you are applying to, when you apply. Don't go by what is on the job posting. When I applied to the place I am now, it liste...
  6. Adjusting to NIGHT SHIFTS advice??

    Honestly, everyone is different. What works for some won't work for you, but you may find some good tips. Biggest question is... are you a day person or a night person? I am a night person. Even on my nights off, I am up at 3 am. I have a difficult ...
  7. bedside report

    I don't mind bedside report, in general. My primary concern is that currently only isolation rooms are private rooms at our facility. We're moving to a new facility next year in which all the rooms will be private, which will be nice. If there isn't ...
  8. Save yourself; get out of medicine.

    Yeah sorry.. I don't have any of the problems you've claimed to experience in any of the nursing jobs I've held.
  9. Destined to Be a Flight Nurse

    At my hospital ER is a world apart from Tele and ICU. Granted we have two different Tele floors. Step-down with Tele and acute with Tele. I work step-down/Tele. Only our floor can be pulled to the ICU, and only Tele/step-down nurses are trained for ...
  10. Nurses Call the Governor of Tennessee

    Reading these threads have caused some serious conflicts within me. Homicide charges seem extreme, but I do believe this woman should, as someone else said, have to stand before a Judge and explain herself. I see a lot of people question so many oth...
  11. Sometimes I feel like the persons who write these "checklists" never have actually worked on a floor. What is the rationale behind a head to toe prior to giving medication? I can't imagine having to head to toe my patients any time I give them their ...
  12. At what point should I be worried?

    When I was hired at the hospital I work at now, I interviewed in mid February, was Offered the Job on March 15th, and was "enrolled" into general orientation on April 18th. I was on the floor in orientation the end of May. I'm sure you're timeline wi...
  13. ATI med-surg proctored exam

    You need to specifically study ATI material. So, if it's an ATI med/surge test, study from the ATI med/surge book. You should have access to that, if not, they're like $5 on ebay or amazon. It's all in the way information is presented and questions a...
  14. Did this patient overreact?!

    YOU SAID THAT TO THE PATIENT?! WTF IS WRONG WITH YOU. Seriously! So her being uncomfortable with a male nurse that close to her genitalia is HER fault for not wearing panties? It's her fault because she had a couple kids she should just be used to p...
  15. Pts who insult you?

    Synthroid is an easy fix. Ask to give it at night. When I worked rehab/long term many residents (because in long term, that is their home. They aren't patients, they are residents) wanted certain meds at certain times. If a patient didn't want it at ...
  16. Pts who insult you?

    What med? Ive had plenty of patients who don't want to be woken up for meds. That's fine. You work with them and the MD to move the med to another time.
  17. Cared for MRSA patient without PPE

    We break out the isolation for a mention of MRSA, like it's a plague, at my hospital. Want a private room? Just mention MRSA. Even a "history of MRSA" will get you in isolation. Precautions or not, as long as you were wearing gloves and washed your h...
  18. First day of clinical...physical assessment issues.

    We had this massive paper chart assessment to fill out for our clinical too. A lot of it was repeat info. I basically broke it all down and made my own brain sheet/assessment tool. Clinical is the time to start perfecting your assessment skills. Simp...
  19. Unsure if this is right for me...

    I was in a similar situation to yours, granted, I worked 8 hour shifts, 5 days a week and my days off were never guaranteed. It was never a surprise if I ended up on the schedule on what was supposed to be my day off because they couldn't find someon...
  20. Peer Review at work...advice please!!

    The first issue is... identify what mistakes you are making, then define how you're making them. Without that information you're going to keep making mistakes. We can't give you much help since you're not elaborating on what mistakes you've made or y...
  21. Blew a vein during clinical

    I'm sure this won't be the last time you blow a vein. You sound like you were already nervous and your instructor embarrassed you. Just apologize to the patient or next time, don't even stick a patient if you're unsure or not comfortable. Not all ve...
  22. "My pain is about an eight and a half"

    I had one patient while I worked SAR always tell me 13.9. Every. Single. Time.
  23. withholding medications ethical dilemma

    Theres a whole lot of all of wrong with this. A medsurg nurse in the ICU? Only critical care certified (AACNs ECCO, not necessarily CCRN or PCRN) can go to the icu in our facility. If we have to pull someone from PCU/stepdown then that medsurg goes ...
  24. Should prn get weekend or holiday diff???

    Not illegal. Employers don't even have to pay you differential or holiday pay. I think it would depend on the facility tho. At my facility per diem do not get differential or holiday pay. They are paid at a rate much higher than a full or part time ...
  25. Is this a fair holiday schedule

    My unit has unofficial holidays that rotate with our holidays. Halloween being the only not actually included. Thanksgiving isn't an official holiday but we still rotate it. When it cubes to Christmas Eve/Day and New Years Eve/ Day we rotate both as ...