Nonyvole BSN, RN

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All Content by Nonyvole

  1. Nonyvole

    That nagging feeling...

    Doctor was debating intubating a patient before transferring to the unit. I said yes, that the versed drip had been ordered from pharmacy, the intubation kit was out, and I just needed to call...
  2. If they can ambulate and don't have an IV in, I don't care. If they're a known patient and I trust them? I might let them go outside even with an IV. (I routinely see patients sitting outside, IV...
  3. Nonyvole

    ER New Grad RN - Previously Paramedic

    Hey, it helped me.
  4. Nonyvole

    Adequacy of orientation

    Personally, yes. Because in the ER, we don't know what we're getting into at any point in time. The abdominal pain that EMS is bringing in could be a STEMI that codes as they're walking through the...
  5. Nonyvole

    Adequacy of orientation

    Was pretty much forced to jump in the deep end, then was pulled off orientation early and dumped in the deep end - again. The first shift I was shown where everything was, the next shift I had a...
  6. Nonyvole

    Clearing lines for pump.

    There's a stretch of tubing that's...stretchy. It goes into the pump and there are rollers inside to manage the drip rates. I prime them the same way as you prime. Fill the drip chamber halfway,...
  7. Nonyvole

    decision making

    So let's think this through. In your hospital, if a patient refuses something, you educate and use additional resources, and if they continue to refuse, you don't continue on with the treatment....
  8. Nonyvole

    How to prove nurse looked up my medical record

    Part of being an employee in a hospital is signing a piece of paper saying that you will not access anybody's records unless and until you are assigned their care. (One notable exception is for...
  9. Nonyvole

    To tell or not to tell!

    That should have been "I SAW a nurse..." Yeesh. No more posting while trying to keep the cat from beating up the dog,
  10. Nonyvole

    What can I afford as a beginning independent nurse?

    Also in your budgeting, don't forget to put a few dollars aside from each paycheck for something just for you. It doesn't have to be anything fancy...massage schools offer massages by students for...
  11. Nonyvole

    To tell or not to tell!

    "I saw X walk away from the computer once without logging out" sounds like an attempt to get X in trouble. "I have observed over the past few months that nobody will log out from their computer" is...
  12. Nonyvole

    Does your facility pay a differential for ED?

    Only the standard night/weekend/charge differentials at my
  13. Nonyvole

    Manging stress in workplace

    Because of staffing on my unit, it's hard for me to leave - we actually take our breaks and lunches at the nurses station. So what do we do? Once we've finished everything that needs to be done, we...
  14. Nonyvole

    Problems with ER

    Then there are patients that are put on tele by the admitting doctor because of the patient's age. The patient that has been up ad lib and not on tele in the ER, being admitted for an overnight stay...
  15. Do I work with you? Because that sounds like a few of my shifts recently... Another important skill in the ER is delegation. Is the tech busy? Can I ask them to get a 12-lead and line and lab my...
  16. Nonyvole

    Black Humour

    Once I heard that the song "Stayin Alive" was the correct rate for chest compressions, I always hear it in the back of my head during codes. And naturally, the vast majority of the codes don't make...
  17. Nonyvole

    Just a Nurse

    I'll use that phrase all the time. Or I'll modify it. "I am but a nurse, so let me ask the doctor about more Dilaudid..." "I may be just a nurse, but I'm going to guess that it's a UTI. Let me go...
  18. Nonyvole

    VENT WARNING Nights: Just Need encouragement I guess

    Like has been said, don't try to swap between days and nights. At least, not until you are fully acclimated to working nights. (Weekends off in my house consist of me joining my husband in bed and...
  19. I haven't seen my twenties in a while, but patients still think that I'm in the 18-24 range. So it's quite possible that some of them are older than they look. Can't say anything as to the hair...
  20. If I want an adrenaline rush, I'll pay to go on a roller coaster. I hate roller coasters. No, I love the ER because it requires so many skills that I have , and I'm not talking about just the...
  21. Nonyvole

    Am I in violation of code of ethics?

    Nursey, people here aren't deliberately being mean. But that's the problem with communicating on forums - all of our non-verbal communication skills have been taken away, so we're lacking the full...
  22. Nonyvole

    Am I in violation of code of ethics?

    Sadly, they wouldn't. It's hard to separate work from, well, everything else. But while it's obviously part of your work culture to purchase needed things for the clients, driving them around and...
  23. It...certainly put a few things into perspective for me. However. That experience also made it so that I can better handle unexpected deaths and talking with/breaking the news to families. Death is...
  24. Nonyvole

    preceptorship program

    What do you mean by a "'specific' preceptorship
  25. Abcesses from IM heroin. It's amazing how much pus can build up in there, and then you start squeezing it all out. Abcess that was nearly the size of the patient's abdomen. Hey, my hospital isn't a...