sandytoes

sandytoes

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All Content by sandytoes

  1. Struggling...please help

    Can you pinpoint what exactly you hate about it?? Is it the pace? The population? The hours? The unknown (aka you have so much more to learn and it is stressful being a new nurse!). No support on your unit?
  2. What do you check before a patient's discharge ?

    Discharge orders. Verify with provider they are ready to send them now. Then I take and chart a set of discharge vitals. Review discharge instructions, meds, follow up schedule/appointments. Answer any questions. Then I remove the heart monitor and I...
  3. Proactive Rounding and Family Initiated RRT

    I think the rounding sounds like an excellent idea. I work on a high acuity unit with a high proportion of RRT vs the rest of the hospital. Would be great to see the RRT and also get to know them outside of an urgent/emergent situation.
  4. Did you take a pay-cut to be a nurse? Do you regret it?

    I did. Quite a big one. Nursing is harder than I ever imagined but I'm glad every day I go to work that I made the move. I was miserable in my old career. And life is too short to be miserable. Now I'm tired. A lot. But I'm happy. The money will come...
  5. Do you always get out of work on time?

    This is something I am working on. I have a hard time finishing report on time (not for me being wordy but for report being involved and having to report to multiple people and basically having to wait my turn...). I do try my hardest to have all my ...
  6. Is this a big deal?

    I'm a new nurse so I recognize that I'm overly cautious, but I do it for the same reason. That and I feel like it's never a bad habit to get into. That way no matter where the tube is for the patient, I pause the feed out of habit. Rather over pause ...
  7. Advice Needed

    Where I work, you may be hired PT but you absolutely can work FT hours (and then some...). Before I started working as a nurse, I didn't see the value of m/s experience but now I do. It will be a good foundation for you.
  8. never seem to be getting the hard patients

    Well it's only been 4 days?! So your assignments for those days can't really tell you if there is a pattern. Maybe all of the patients in the floor are less acute? Or maybe they are trying to keep nursing assignments consistent and another nurse had ...
  9. Words You Hate

    Ha I know it! I spent 10 minutes googling it and got both answers too. So who knows! Not trying to start an argument lol bc I have no clue! It's just one of those random things that boggles me!! (And I think I may have too much free time on my hands!...
  10. Words You Hate

    Funny - it's honestly one med I always feel weird saying. Our MAR actually lists it as ce-FAZ-olin (including the capitalization!) so that's how I say it, but I want to call it cef-ahh-zolin!
  11. Words You Hate

    How does she say it?? I love that our MAR helps us with pronunciation bc I kill some med names sometimes!!
  12. Dialysis Subclavian line antibiotics.

    Just had to google more. It's apparently called a triple lumen hemodialysis catheter. I had never seen one before my current unit. They are pretty handy!
  13. Dialysis Subclavian line antibiotics.

    It's a lumen that looks like a lumen on a Picc or central line. I don't know if they have another name?! There are the 2 HD ports/accesses (usually taped off/together) and then the one lumen flopping out of there too that is used as a usual access fo...
  14. Dialysis Subclavian line antibiotics.

    My unit often sees patients with a "nurse port" off a HD cath. I'm still nervous to even use those, never mind touch the HD cath (never never never). Any advice on those? Besides the obvious of good central line care/maintenance?
  15. New Nurse "Grocery List"

    I don't like to carry a ton of stuff. My basics are Stethoscope Bandage scissors Pens Mini flashlight (on my badge!) Sharpie Hair ties Cell phone Also I bring a lunch bag every day that I keep extra snacks and a small pouch that has Tylenol and ...
  16. Sinus problems and food allergies?

    I had this problem personally. I figured it out accidentally. I used to have awful sinus problems. I cut a food group out trying to solve a different problem I was having and voila, the sinus problems were gone. I had no idea. All that to say it's no...
  17. Question about chewables

    This might be a stupid question, but I am a relatively new nurse and I figured I might as well ask! Is there any harm in swallowing chewables? Ex: I gave a Tums to a pt who just swallowed it. I realize it's more readily available when it's chewed, bu...
  18. Question about chewables

    True. I should have added the same caveat. I don't mean mouth intended items (we use those some and you definitely need to suck the troche, or swish the nystatin). And YES!! I'm constantly amazed at how many pills people can swallow at once!!
  19. I made a big mistake

    She said on the previous page "I ordered a chest X-ray and he pneumothorax had not increased."
  20. CVC dressing change

    My facility is mask for sure. Clean gloves to remove the old. Sterile gloves for the new one going on.
  21. Other forums on here

    Is there a way to get there from the App?? (Besides clicking the link above).... Not that I need another time suck lol but I can't help myself!!
  22. Clinical advice

    I think we have the same instructor! Lol my favorite CI sounds a lot like that. Available but not hovering. Demanding but not mean. She expected professional behavior but was also very encouraging and your biggest ally!! She had us do a lot of repor...
  23. Nursing School has made me a hypochondriac

    Yes!!!! I've been dying of something totally obscure and random at least 3 times lol never mind all the common things I think I have!! Lol thankfully I've survived it all so far
  24. What is the freaking deal with OB?

    I was one of those who went into it after having kids because my experience was rocky yet awesome. But then once in school discovered it was not for me and so many other things were much more exciting. The ideas of babies and happy families is alluri...
  25. Medsurg+pharm+patho=failure set up

    I am a big fan of drawing things out. Make a game plan for each condition that you are looking at. It's likely that your med/surg and patho/pharm overlap talking about conditions a lot anyway so this will be helpful. So for each condition you are lea...