gonzo1 ASN, RN

ED, ICU, PSYCH, PP, CEN

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All Content by gonzo1

  1. gonzo1

    At scene of fatal accident yesterday...

    I am an ICU/ER and trauma trained nurse. You did everything exactly right. The first and most important thing is to call 911. You checked for pulse and didn't find one. It is best to not move or...
  2. Blood culture, blue top, red top, green, lavender, then the last blood culture, or preferably the last blood culture from a different site. Most nurses don't know the order, but after not doing it...
  3. I was a PTA before I was a nurse. I was always very mindful of telling everyone I was a PTA and not a PT. After a while I gave up, because no matter how many times I corrected my patients they would...
  4. It is called press ganey. Press ganey rules the hospital world and takes precedence over all else. When my diabetic patient demands a second helping of chocolate cake I make an elaborate note that...
  5. gonzo1

    Shift Swap Vent

    As you can see, this is a very common problem. I very rarely swap with anyone because of
  6. gonzo1

    How to handle a situation

    I made a big mistake and did not report these types of things to my manager and ended up getting fired for non-performance. Once I was gone the real culprit did end up getting fired about six months...
  7. You are right. Baths are important. It does seem like they are being pushed out of the way in exchange for more testing, blah, blah, blah. Some days my patients are not even on the unit for most of...
  8. gonzo1

    What is your window to complete your q4h assessments?

    I work 7p-7a. I take report, then pop in and say hi and introduce myself to each pt. ICU, we have2, maybe 3. This is to make sure that both are breathing, on the monitor etc. Then I usually start...
  9. gonzo1

    Terminated at end of orientation.

    Not sure about your instance. But in my case it was easy. I had been recruited to be a new grad in the ER. It did not work out. So when I interviewed for med/surg I was able to say that I realized...
  10. gonzo1

    Terminated at end of orientation.

    I was fired from my first nursing job during orientation to ER. I went to med/surg for a little over a year at a different hospital and then transferred to ER. Was there for about 5 years. Went...
  11. gonzo1

    CNAs "making up" vitals.

    One night on an ER shift it was kinda slow and the ER director was looking through charts of the patients in the ER and I happened to be sitting next to him. I heard him say "why does every damn ER...
  12. gonzo1

    Letter to State board of nursing.

    I would not do anything without the advice of an attorney. You can google nurse attorneys on the internet and find one that is experienced in taking care of nursing issues. I would never deal with...
  13. gonzo1

    Impostor Syndrome: A Source Of Stress

    I suffer from this, and am still working on conquering
  14. I was switching from diprivan to versed drip on a vented patient a few days ago because his blood pressure was down. The diprivan ran out and I turned on the versed. The patient kind of came awake...
  15. gonzo1

    I'd kill you

    The meeting went well. Fortunately I have a very wise and kind ICU director. I think we may be making progress. You guys always have great insight. I love allnurses. Would be lost without
  16. gonzo1

    I'd kill you

    I have been called in to a meeting tonight to address this situation. Apparently I don't understand Texas guns and ammo culture and am too sensitive. The ICU director is bringing in the charge that...
  17. gonzo1

    "If you don't pass the exam you're fired"

    Practice you EKGs on Skillstat.com. You will love this
  18. gonzo1

    Is this badge holder too morose?

    After you have been out working in the nursing world for a while you will understand why most of us say keep it simple and plain. I started out will all kinds of cutesy stuff and little by little I...
  19. gonzo1

    5 twelve hour shifts in a row?? Is it safe??

    I once worked 9 12hour shifts in a row. By the middle of the ninth shift I was feeling homicidal. Loved that paycheck though. For the most part whether you can do this or not depends on your mind...
  20. I have been in nursing for almost a decade now. And I have to say "It was the best of times, it was the worst of times". Am very glad I did it as a second career. So rewarding and educational. But...
  21. In most of the hospitals I have worked in there is a pretty distinct separation. My favorite ER most of the docs were not afraid to take a quick break in the break room and chatting it up with the...
  22. gonzo1

    Is this sneaky?

    The proper way to list is the most relevent, or highest degree first. So in your case it would be Betty Boop, RN, BS due to you applying for RN jobs RN first, then you can post your degrees such as...
  23. gonzo1

    Reasons Hospitals Will Not Have Traveler Back?

    Don't take it personally. This is no doubt a case of who ever gets to choose which nurses are used decided against you. You will probably never know why. I have traveled and have several friends...
  24. I have been a nurse for about 10 years. I have been both staff, travel and per diem. I have been bullied and seen others bullied. I can tell you beyond the shadow of a doubt that everyone,...
  25. gonzo1

    For Those Considering A Career In Nursing

    Beautifully written. It made me laugh and cry. Nursing is hard, but I love