suanna

suanna

Post Anesthesia

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All Content by suanna

  1. Cvicu

    suanna replied to Special31's topic in CCU, Coronary, Cardiac

    I tell the nurses I orient to expect 6mos before they are not ready to quit every day, a year before they feel competent, and 2 years before they are competent. It will vary greatly between...

  2. Need Help with a Situation/ST depression

    suanna replied to Babs0512's topic in CCU, Coronary, Cardiac

    I've never seem "chronic" ST depression on a 12 lead. Often, with older people with chronic EKG changes- BBB, old MI... on Tele you can get false ST depression due to increasing the gain - but not on...

  3. Jury Duty vs Duty to Hospital

    suanna replied to transkat's topic in General Nursing

    Do your civic duty. Dodging jury duty is a bit flakey for a health care professional. Your leadership skills and judgment abilities may be crucial to a just handling of the case. It's a week or two-...

  4. Why are nurses discriminated

    suanna replied to macgyver16's topic in General Nursing

    The root cause is that MDs (and DOs) bring income to the hospital. Offend a senior nurse and you get someone with a high pay scale and high benifit costs to quit and be replaced with a younger cheeper...

  5. Are you scared of a dead person?

    suanna replied to gwapalicious's topic in First Year After Licensure

    The only dead people I'm afraid of are the ones I may have missed something while they weren't dead that lead them to thier current state of deadness. I don't mind dead bodies, I just try hard not to...

  6. Novolog Flexpen

    suanna replied to widi96's topic in General Nursing

    We have used the pens for about a year now. Better than half the staff draw up the insulin into a syringe out of the pen. I'm sure the dose delivered is more accurate but time and again you see the...

  7. oh and just a suggestion if you don't want to get written up do this!

    suanna replied to gt4everpn's topic in First Year After Licensure

    Sure, they can insist you come in 15min, an hour, 2hrs earily- as long as they pay you for it. Checking meds is part of what we were educated to do. They are paying you for the skills and knolwedge of...

  8. LONG - Incompetent, me? Nah - just inept

    suanna replied to RiverNurse's topic in First Year After Licensure

    Your assignment was ungodly!! I think you are right, you are not cut out for this work- You seem to be a competent caring nurse with above average clinical skills for you experience who cares about...

  9. Charting Issues that Really Bug Me!!!

    suanna replied to al7139's topic in General Nursing

    We have another nurse who charts the quality of her chest tube drainage as "cherry". Not sanguineous or serosanguineous or even bloody. I wonder if she charts her infected wound drainage as...

  10. Charting Issues that Really Bug Me!!!

    suanna replied to al7139's topic in General Nursing

    We have a nurse who routinely charts the patient performs thier Incentive Spirometer X10 with every hours documentation- Even the intubated patients. NOW THAT'S DEDICATION to affix the I.S. to the...

  11. Liability and giving opinions

    suanna replied to nowinsituation's topic in Geriatric, LTC

    Your comments may have resulted in an escalation of the daughters anxiety but they were not unfounded or unsolicited. The daughter asked your professional opinion about the need to see a ENT- you gave...

  12. What to do with a crying patient

    suanna replied to LH1212's topic in First Year After Licensure

    Night time is a lonely depressing time for patients suffering from pain and illness. Many of our patients feel the isolation and fear most acutely at night with visiting hours over and no distraction...

  13. Men can't give complete baths?

    suanna replied to stelon's topic in General Nursing

    Every time I think the practice of nursing has finally grown up I find a thread like this one. Welcone to the 1890s! As a man in nursing this type of question has come up off and on most of my 25...

  14. What would make you feel appreciated on the job?

    suanna replied to LumpyLooRN's topic in General Nursing

    Keep the thanks, include my in the daily decisions that effect my patient care. Going computer with our charting- ask our opinion; Capital expense time- ask us what we need most to improve patient...

  15. AMAZED at what some students get away with!!!

    suanna replied to nervousnurse's topic in General Nursing

    Just another thought... For you instructors out there, please supervise your students. I love to teach when the opportunity arises but I hate it when an instructor drops off the student herd at 8am...

  16. Night Nurses?

    suanna replied to medgen's topic in General Nursing

    If you haven't adapted in 1 1/2 years I don't see much hope for you on nights. Usually a new night staff person adapts in 6mos to a year. Everyone I work with on nights does thier schedule a little...

  17. VENT... beware- not a happy post

    suanna replied to Sue Damones's topic in General Nursing

    Such an accurate description of nursing as it stands today. It's no wonder I have often posted that I would NEVER want to have someone I care about pursue a career in nursing. I think a scrapbook of...

  18. termination

    suanna replied to susan5864's topic in General Nursing

    Unemployment compensation- for a nurse? To my understanding if there is a "nursing" job you could take anywhere within 50 miles of your home you have to accept it- no matter how crappy the position....

  19. What happens if.....

    suanna replied to dmkm2001's topic in Travel

    Every time I read an ER post I'm so thankful to be working in CVSICU!!! Give me a sundownie 80y/o with 5 drips over a 15y/o possible abuse/sexual assault ANYDAY. Sorry I have little input on your...

  20. Missed orders!

    suanna replied to KyPinkRN's topic in General Nursing

    At our hospital we have to sign the order sheet "EOS (end of shift) review" with the on comming and off going nurse with change of shift hand off. That way there is no excuse for missed

  21. Narcotic discrepancy

    suanna replied to catlynLPN's topic in General Nursing

    I would most certainly tell the vet- the potential for this med being diverted is high and you weren't missing 1 but a third of the Rx. It may be nothing but he should be aware so he can keep an eye...

  22. Scary Story

    suanna replied to BlueEyedRN's topic in MICU, SICU

    That's why when you do your "mega code" in ACLS almost always you will have an O2 tank run dry or a tubing pop off causing profound hypoxia and its related problems.. Checking the little things is a...

  23. My Master Cardio stethoscope grew legs and walked out on me :(

    suanna replied to student456's topic in General Nursing

    That's why I never buy more stethoscope than I need. That cool $300. littman is a lot more tempting target for attendings, residents, and other nurses than a cheap $19 sprague. Even if they only ment...

  24. terminated

    suanna replied to lynn0808's topic in General Nursing

    Things may really have been getting better but someone up the chain of command may have forced her actions. It sounds like you and she were establishing a good professional working relationship based...

  25. Input please on acuity and total care

    suanna replied to Mudwoman's topic in General Nursing

    For one, I'm not a big fan of "primary care" or "total care" nursing. It would be one thing if the instatution staffed with only RNs but the job of an LPN and RN have differences. Whenever I've been...