x4livin

x4livin ADN

ICU, MS, BHU, Flight RN, Admin

I've been across the nursing spectrum, I think I'll just settle down here in medsurg and retire in a few years.

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All Content by x4livin

  1. Behavioral home health help!

    It's great until the HH begins to care more about numbers than the CMs safety, and you begin to have to jump through hoops and feel like you are having to defend yourself when you have to leave an unsafe environment or decline an unsafe patient, or e...
  2. A few years ago, we were talking about how cool it would be to have a way to hook suction up to a patient's genitals and simply vacuum away the urine, and then someone invented the primafit. Years ago, we were talking about how the docs were prescrib...
  3. Nurses, invent what you want.

    THIS is genius. I wonder if a bladder scanner would pick up a liquid volume on a stomach. I am going to try that for kicks at work and see if it picks up anything.
  4. Nurses, invent what you want.

    I have been trying to get someone to invent aerosol valium (in a spray can...like fly spray or air freshener) for years. I think it could be good for the staff, patients, families. make it a nice, light berry scented spray. They make valium suckers f...
  5. I'm the worst CNA they ever had

    I notice a lot of folks are believing that the CNA flipped the lights on...I got that the patient was the only one flipping lights. The CNA stated that she could see, the pt insisted, then changed her mind and flipped them back off.
  6. How happy are you as a rural nurse

    Yeah, I'm pretty happy with it, but like above poster, I can't vote in the poll. I have worked in large hospitals, in every possible department(med/surg, ICU, CCU, ER, House sup, rehab, behavioral, oncology, Pedi, OB/post partum, Home health..I have ...
  7. What's the weirdest thing management has said to you?

    I am lucky to be working for(for 10 years now) a hopsital that doesn't much do this stuff. If we ask for supplies, it is the time it takes to get it delivered that we wait. The PTO is pretty straight forward. You get your breaks if you want them and ...
  8. I think I'm in over my head :/

    Only you can answer that. Ask yourself these questions, then be ok with your answers. How much do you want it? Do you want it now? Which do you value more? Is it ok to stay where you are? Achieving that goal, or having calm peace of mind and confide...
  9. Leaking blood during transfusion

    Awesome reference! Thank you!
  10. Leaking blood during transfusion

    If itching at the site was the only complaint, I would stop the blood for a sec, flush fast with 10 or 20 of NS..."That hurt?"..if IV bad..new IV and resume. If not, continue and watch, closely. I might even just start a new site at the complaint of ...
  11. Leaking blood during transfusion

    I have given blood many times through a 22. No problem. Just stay on it and watch for pump beeping showing you that it needs to be flushed. Flush at the closest port with NS. Let 'er run some more. If the patient is getting multiple units, though, wh...
  12. Texting while doing patient care?

    It depends. I work at two hospitals. One large, one small. At the larger one, cell phones are supposed to be in lockers for the whole shift, never on you. Most don't lock them in lockers, but checking for messages is kept to personal areas, and at un...
  13. I was called upon to assist in making a decision as to who can give informed consent for blood. This was the information I was given at the time of the call: Pt was admitted through ER to OR, was given narcan so that she could sign her own informed ...
  14. Nursing Superstitions?

    This is actually written in the policy at a very small rural hospital that I work PRN at. It has been around since hospitals hve existed.
  15. How long did you stay at your 1st job?

    1 month, the place was horrendous. Beyond that, mostly several years each.
  16. Something I Wanted to Share

    Aids make the best nurses. They make the best bosses too. They've been there and they willingly jump in and do things other nurses concider benieth them. Kudos!
  17. Worked with a little LVN at a rural hosp, new nurse, who also had never cooked for herself(brought potted ham when asked to bring canned ham to thanksgiving night potluck at wk) She would go clean her dishes each time she brought food down the hall i...
  18. Nope..doesn't matter. Are you licensed to practice with good references? Yes? Well, then I'll be making you that job offer.
  19. How does it make you feel?

    I kind of get the feeling that maybe you cared for this patient thinking that she was a layman and maybe didn't give 'perfect' care and now you are wondering how much she caught you on. If my patient is a medical professional, and it makes any diff...
  20. How does it make you feel?

    I would not feel decieved. I have had this happen, and I react with "Cool! That makes explaining your plan of care a whole lot easier".
  21. Freaking Out a Bit....

    Ok, I do get why she is in this position. In AL, the patient is responsible for themselves. They are concidered competant and oriented, although maybe a bit forgetful. Technically, the poster is not administering meds. They SHOULD be doing the equiva...
  22. Religion

    I work float pool at a larger hospital, and 2 days a week I have been in acute care rehab(mostly ortho). I have a patient who began to ask multiple questions about myself and evey other nurse here as soon as she got here. eg where are you from? what ...
  23. Religion

    Thank you all for your ideas and thoughts and stories relating to this. I actually come from a Southern Baptist background, this is why I mentioned that. There was nothing that she was saying that I hadn't heard. I went from that to studying world re...
  24. Religion

    Because she KEPT ON....this subject began while I was admitting her on her first night there.....this morning, the other nurses there in report discussed this, and she didn't do this to anyone else. She told me that I should "let someone read the bib...
  25. You Know You're a Nurse When...

    You laugh or you cry. Dealers choice.