suanna

suanna

Post Anesthesia

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All Content by suanna

  1. Am I in trouble?

    you could be in trouble- not so much from the administration but the nurse to whom you gave report. It's her responsibility to review the orders and administer the T.F. per order. Make no mistake if...
  2. I do not know much about other hospitals but at mine we do not hire new grads to CVSICU but do selectively to ICU. The difference being the CVSICU requires a greater degree of judgement and critical...
  3. Nurses writing up nurses?

    I've posted this before and will probably post it again. If I make a mistake I expect to be written up. I'm not talking about being 2 hrs late giving a daily multivitamin but an error that could had...
  4. I can't imagine starting at a LTC facillity as a new grad. I would see if you can find a acute care based job. You will have a much larger support system and get a chance to learn with a smaller...
  5. Experienced RN help finding work

    It seems the nursing shortage is over in a lot of places. Not around here-Northeast Ohio. Jobs aren't as plentiful as they were a few years ago but I bet I could find a new postion is less than a day...
  6. You didn't say what career you are in at the moment. The biggest drawback in nursing as a career (for me) is an almost total lack of respect- from patients, doctors, administrators, and even my...
  7. They called the cops!

    yep- this sems to be something they teach in management school. I had a set schedule for a year and a half- not that it couldn't change, it just didn't so I never realy looked at the schedule. Guess...
  8. How to become organized as a new nurse

    I agree with teleRNer suggestion. Short term goals lead to long term gains. When I'm getting report I make a note of that labs and proceedures I need to accomplish with each patient. Then I set...
  9. Performance Appraisal

    Performance appraisals are almost always a waste of time and effort. You actualy got one that offered an honest opinion of a something that may be a problem you want to work on. In the future this...
  10. To some extent you can thank our Uncle Sam and his ugly sister JCAHO. The documentation for restraints and justification for thier use is overwhelming,- not to mention the liability if a patient...
  11. Do you think this was un-professional?

    I couldn't agree more. I have experienced this as a patient/family and as a staff nurse. It always shocks me that staff members will go down the hall laughing, horseplaying and joking around- right...
  12. Do you enjoy nursing?

    I think 3. I've had root canals with less than adequate anesthesia so I sure nursing isn't a 1. 2 seems too close to 1 - so it's got to be 3 for
  13. i feel like a horrible nurse

    I'm not so sure leaving the dressing wasn't the best thing to do. Surgeons (esp CV surgeons) are notorious for thier denial skills. A dry dressing despite reports to the contrary means the incision is...
  14. New nurse wanting to know how to deal with co-workers

    You are new, and that makes everyone nervous. Give it some time and get a chance to prove yourself and the nit picking should go away. "Why is NS hanging when LR is ordered " may actualy be "if you...
  15. I'm curious about something

    The CNA is in competition with other organizations to be the representative body for unionized nurses across the country. I have never worked with them but I'm sure they would be more than willing to...
  16. Code Gone Wrong

    You are a traveler- in my experience any hospital that uses traveling nurse contracts has enough problems with staffing and standards of care that they can't recruit and retain a stable nursing staff....
  17. new orders at end of shift

    Almost without exception I leave the orders for the next shift. We do a mandatory order review at each change of shift so new orders aren't missed. I'm not lazy but for most orders it's the next nurse...
  18. Icky Situation

    Your little one sounds like a future hospital administrator to me. You know what they say "S***
  19. dnrs in icu

    Just a little story: My mother was a DNR for her last 4 or 5 admissions to the hospital. End stage COPD, S/P CVA, Hip Fx, largely bed-fast--up to chair with asst of 2. None the less when she was...
  20. Rough but educational night shift

    Sound like you have a handle on the general flow on the floor. My only question was if your patient was going down the tubes for an hour how is it possible you didn't notice something was "amiss" on...
  21. AAAGGHHHHH! What knd of a nursing program are you going to. I hope for your sake it all turns out OK. Advise-don't be defensive but don't admit fault. "I'm sorry the patient had that complaint but...
  22. New nurse made a mistake!

    "....even though I was extremely careful" Apparently not careful enough. I would have most likely given you "the look" when you told me that in report. Sorry but a half an inch is a lot- stop...
  23. What would YOU Do?

    You haven't started the job yet- "I've reconsidered the position and have decided to accept an offer elswhere" is all that is required, but be warned, there may be a reason the other hospital is...
  24. TLC removal,....what the highest,..

    Policy or best practice? I have never seen a serious complication from removing a TLC or other central line reguardless of HOB position. No doubt flat is best but I have removed hundreds many with HOB...
  25. Should I give up?

    Hi, Welcome aboard! I've been a CVSICU nurse for>20 years so I think I qualify as an expert. The main problem I see is that you are focusing on what "tasks" need to get done on your shift not...