kaylee.

kaylee.

Stepdown . Telemetry

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All Content by kaylee.

  1. Most Burned Out Nursing Specialties?

    There is some truth to this: i have always loved psych but did not go there when i was a naive newbie because i felt like it wasnt “real” nursing. So now after 5 years in step down and total burn...
  2. Should I feel guilty?

    One time..i .was guilted face to face by my charge to stay an extra 4 hours, and i was about to be off for two weeks! I was literally backed into a corner because i initially was not firm. Next time i...
  3. This! It makes more difference than I could have imagined! Im on tele that is basically housing all tele - neuro, cardiac, and all the rest! From my experience the “general” tele has less...
  4. Neurosurgical Nurse Transferring Out of Neuro

    No you wont be trapped in neuro. They wont be only neuro issues. They may have had brain surgery but cannot leave their heart, lung and renal conditions at the door. You will be managing these too!...
  5. Time to move on?

    Yes its ok to get the heck out! Hence the turnover! Started out in similar unit, finally left! Hindsight is 20
  6. Law School???

    Just curious on the specifics of the law that interest you. Not a lawyer, an RN but have a BIL lawyer and brother in law school. My best friend is also a lawyer. I find the law very ineresting but...
  7. Help! Pre-MSN?!?! Is there a point?

    I would definitely say go for the entry msn! I did the second bsn route, and now 5 years later want to go for np, but the msn component is alot longer of a program for a bunch of fluff leadership...
  8. Is this legal?

    Couldnt agree more. If a person goes into a store (pharmacy) and purchases merchandise (rx), that makes it THEIRS. We live in a society of capitalism and "personal property". So if one must abide by...
  9. Is this legal?

    Since you are burning it anyways, might as well get some use out it and hotbox the patient's bathroom
  10. California RN to tele PT ratios

    This is exactly what the hospital I work at in CA does. I work on the "tele" floor with a 4-1 ratio, but we house all the "step-down" patients, which in CA should be 3-1. They do this with a bogus...
  11. What do you promote high-value care?

    Are you at a for-profit hospital? I work at a so-called "non-profit" which is all about getting patients out to increase turn-around, since the money is made in the volume of patients. No matter what...
  12. Is this legal?

    This is a good question. In California also. This happened once, where a patient had some pot, not a lot, but we did not take it from him, because it is legal to own and his property. Its like if they...
  13. I see where the op is coming from. Sometimes we commit to something for so long and so hard that it takes a long time to even gain insight that we CAN move on. In terms of her not sticking it out and...
  14. New Nurse, morality question.

    If you were wondering about what is common: yes many protocols slow us down and may be altered or omitted but I have never seen this in wasting meds. No one gives their password. It is not uncommon,...
  15. Well...not pvd but diabetes! Her daughter is concerned about driving but her failing eyesight and burning in feet are secondary to the poorly managed
  16. New Nurse Anxiety

    What are your steps during this time? Right after report and before meds? You need to develop a routine which will of course deviate as things come up, but something to anchor you. Also try to think...
  17. Even if hateful bigotry were part of a person's religion, its still bigotry and is not the same as a Muslim wanting a female. Its just not. Its part of ideology. Its not something that should be...
  18. This is not what it seems according to the article. This nurse was forced to maintain accountability for the racist pt in conditions that were unsafe-while still being the primary nurse, she was not...
  19. Agree with the PPs. Most stepdown units will be for all the above, which i think is more common than 5 different units. It would be hard to break down this way because its less common for a patient to...
  20. Nursing home CNA do they drug test?

    I assume they will have a specific policy somewhere in some handbook. They either do randoms or only when indicated ie suspect for diverting or impairment. The latter is what my hosp does....
  21. What's Your Longest Lasting PIV?

    Its a fairly new consensus based on the infusion nursing association (not sure of this is the right name). But I read the consensus, this was like a year ago, and soon after, our policy changed from...
  22. Macbook Air or Macbook Pro for Nursing School?

    The first few posts suggest not to waste money on a mac for school, but i think the later posts say it all. You will spend more when you buy a pc ($700) then another pc ($700) when that one...
  23. I felt for you reading this post, as i have a similar disposition and was kindof "scarred" by words from my first job. I worked for a year with this idea of my "inherent inadequacy" in the back of my...
  24. Could I be let go because of my ADHD?

    Kindof old post but...to me if i saw a question about adhd on an application, i would have said "no", because whether or not i had the dx, red flags would pop up for me: i do not offer this type of...
  25. Meyers Brigg, Have you done it?

    Finally another INFP! Tough working in critical care - so maybe I am on the right track becuase I am planning my next move -