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Spritenurse1210 BSN, RN

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Spritenurse1210 is a BSN, RN and specializes in Med/Surg.

Fun loving and Charismatic. I get along with a variety of people. Drop me a line sometime!!!

Spritenurse1210's Latest Activity

  1. Spritenurse1210

    Lots of young people on disability?

    I am not an er nurse but I see my share of free loaders who think we owe them something. I am sick of being ordered to wait on them hand and foot and not tell them what I think about their manipulative maladaptive patterns of behavior. I have see a little old lady with a decubitus the size of Texas whine less than some of these twenty- something Meth heads with a splinter in their finger. Such is life so I bite my tongue and keep doing my job. I really hate how our society has come to condone this. I was taught that pain is what a patient says it is but if the person is telling me they are having 10 out of 10 pain with a blood pressure of 70/38 and is falling asleep after everyother word, I can bet money the patient is to stoned to remember why they hit the call light in the first place. Therefore they can NOT possibly be having that much pain. MHO
  2. Spritenurse1210

    Anyone feel like their hospital/agency/employer is out to get them?

    I got a verbal counseling for not hanging blood in a timely manner. The kicker? I am not legally allowed to hang blood in my state. I had to hunt down an RN that was free to start the blood for me. The charge nurse had 4 people getting blood at once so my transfusion was late. It even went on my performance evaluation. My supervisor even had the audacity to say that I'm the only one who has a problem with getting blood hung. I was livid. The nurse manager is very crass and has no problem with chewing staff members out in the nurse's station within hearing distance of doctors, other nurses, patients and family members. One guy RN I work with got yelled at by her because some medications weren't given and as a GRADUATE nurse he couldn't give the medications or get access to the Pyxis. You know, because he lacked the RN license to pass them! Talk about asinine! She won't last long as nurse manager with the enemies she's making amongst the hospital administration as well as the staff members on our unit. I just do my job and hope for the best.
  3. Spritenurse1210

    What do you pack in your lunch box?

    I have a hard time eating while at work because of stress, so I've taken to packing finger foods. They are usually light and easy to prepare . I also am a BIG fan of chocolate flavored Boost. Talk about a healthy chocolate fix! If it is a slow night or I have a really easy group, I eat one of the lean cuisine frozen entrées plus some of the finger foods I have brought with me. My lunch box has the following items in it: Cut up veggies and something to dip them in Greek yogurt dried fruit and nuts mixture whole grain crackers light buttered popcornw cut up resh fruit, soup at hand (my favorite is chicken and mini stars) reusable water bottle crystal light iced tea mix whatever lean cuisine I feel like eating.
  4. Spritenurse1210

    Hyperkalemia and order of meds

    I agree. If the K+ is high, and there is no arrythmias to correct, then you many not need the calcium and bicarb at all. Always look at your patient. I would do all of the above.
  5. Spritenurse1210

    Sex in a LTC...is this ok?

    Hehehe. When I read this post I immediately thought of Chris Rock saying "there is NO sex in the Champaign Room!" All joking aside, In the LTC setting, you're basically working in their home. Sex is healthy, and if they are able to give consent I say let them have fun. It will save you having to give them anxiety medications later on in the shift. You may have to give them something for pain, though! It's best just to turn around, walk out, and shut the door. The good thing about LTC is you'll know the residents well after awhile, and you'll know who is capable of giving consent.
  6. Spritenurse1210

    School should help with boy's insulin pump, mom says

    dont they have a school nurse?
  7. Spritenurse1210

    Do give up your seat for a doctor?

    I only give my seat to a doctor if I happened to be sitting in the dictation area of the nurse's station or to answer a call light. > I wouldn't have been very well liked in the old school days!!! The way I see it, I work harder.
  8. Spritenurse1210

    verbal abuse from patient

    I had a guy like this before. He actually said that I wasn't doing what he wanted because he was black. (I'm white) I told him that I was following the doctor's orders and the facility's policy as well as the nurse state practice act. I told him that he could have been Martian green for all I cared and that his skin color had no bearing on my standard of care. If he wasn't happy with the doctor's orders that he would have to tell him in the morning (this guy was a known frequent flier who had control issues and I had been calling the hospitalist all night. At one point he said, I'm not changing any more of his orders.) Don't let patients or families push you around like that. Be professional and respectful always. I'd see if the doctor could do a psych consult for him as well. Sounds like he's got a few screws loose anyway. You don't deserve that abuse. Just keep documenting everything and make sure you have someone in the room with you at all times.
  9. Spritenurse1210

    Legitimate Pain or no?

    You're in the right, but there are also many factors to look at. She may very well be experiencing breakthrough pain. As you said, she has MS and Cancer. Since you're just a student at the moment, let this be a lesson to you in the future about advocating for your patients and listening to/meeting their needs. Everywhere you go you're going to have to wade through the political swimming pool throughout your career from the director of nursing all the way down to the staff nurses you're working alongside. Pick and choose your battles wisely and when it comes your turn to take care of patients without supervision (once you graduate), you will be able to make your own clinical decisions. As one of my favorite mentors said, "Do what they (preceptor) want while they're sitting on top of you, and when you are on your own, do what you know is right."
  10. Spritenurse1210

    Burned Out.

    The important thing is you applied yourself! Try the veterans association or usajobs.com
  11. Spritenurse1210

    Things you'd LOVE to be able to tell patients, and get away with it.

  12. Spritenurse1210

    How I learned compassion.

    "When he saw him, he was moved with compassion, came to him, and bound up his wounds, pouring on oil and wine. He set him on his own animal, and brought him to an inn, and took care of him." The parable of the good Samaritan, Luke 10:34 There comes a time in every nurse's life when they must go against society's social norms and care for what I call "society's undesirables." My definition of society's undesirables is the homeless, the mentally infirmed, the physically handicapped as well as criminals. In short, the kind of people that every day Americans would consider beneath them. In the course of my short career I have cared for all of the above. One patient had particularly touched my life both personally and professionally. Her name was Reva and she was a convicted felon. She lived for a year after she was paroled in her 17th year of a life sentence for the murder of her infant daughter. Reva came to my unit after being admitted for pyrexia, low white blood cell count and end stage lung cancer. Her emaciated cancer-ridden frame barely even made a dent in the hospital bed when my fellow nurses and I helped her off the gurney. Her husband, a formidable man with an air of arrogance loomed in the doorway as we helped her get settled in. "Do you know who I am? I am a pastor at the state penitentiary." He stated, "I'm a man of God. Don't think you can mess with me because God will punish you for persecuting me." I looked over at my patient, who by this time had began to clutch her side and gasp softly, "Reva, enough of that, you're not getting anything for pain. The nurse is here to make sure I'm comfortable. You need to just be quiet." Calmly I stated "Sir, I'm here to make sure she is taken care of. She is my patient. If you insist on preventing me from caring for her then I will have you escorted out of the hospital by security." He slammed his massive hand on my shoulder and yanked me closer to him by my scrub shirt. "You better not talk back to me you little heathen, or I will show you how God deals with disobedient women." I quickly pressed the staff emergency button located on the tracking device that was issued to me at the start of my shift. The sound of thudding sneakers became louder and louder as he threw me into the wall. Three security guards stormed in with our house supervisor and my charge nurse in tow. The charge nurse helped me up as security escorted the screaming husband out of the room. I dusted myself off and with only minor bruises I continued with my assessment. "You're the first one to actually stand up to him" Reva said, teary-eyed. Her unkempt appearance and strong body odor as well as bruises in various stages of healing explained everything. "I suppose I deserve it, because of what I had done in my life. I'm just not worth anything to anyone." Placing my hand in hers I continued to listen to the confessions of a dying woman. "I killed my baby girl. She was just so beautiful. I never imagined anything so beautiful would come from me. After years of hooking, cocaine and heroin, I had been given a gift from heaven, and I destroyed her!" Huge tears rolled down her cheeks as she described to me how in a drug induced stupor she killed her daughter. Hysterically crying she looked at me, "I was afraid I would corrupt her, and sentence her to a life of drugs and prostitution. I am so sorry, I'm so sorry! Forgive me Father, oh sweet Jesus forgive me!" Wiping her tears, I told her that I would care for her, and that I am not here to judge. After medicating her for pain, anxiety and starting her IV fluids, I stroked her hair while she drifted off to sleep. Later that night she became unresponsive. Searching through her chart I found her DNR orders and living will that stated she only wanted care and comfort measures. I closed her chart and shut myself in the staff bathroom to have a good cry and talk to God on her behalf. "Please dear Lord, forgive this poor woman, who I'm sure that was shown no kindness in her lifetime. Please show her what a loving Father you are. Greet her with open arms, give her peace. Amen." After washing my face and hands I continued on with the rest of my shift. About 0400 Reva began Cheyne-Stoking. Sitting at her bedside after finishing my rounding I brushed her forehead with the back of my hand. She fixed her eyes on the ceiling and raising her arms up she whispered, "Oh Jesus, Jesus!" Her face softened and she had passed with her lips curved upwards in a slight smile. My prayer had been answered. I called her husband to tell him that she'd passed. "I'm not coming back up there after how you people humiliated me. You just do whatever you have to do with her. I will have your job by the way." He continued on, "Why don't you call her scum-bag mother, maybe she will have more sympathy for her." Her mother was just as devastated by her death. "Oh she's finally dead, is she? Send her to Degraff Funeral Home. I will identify her body there. Do you know if it's expensive to cremate someone?" Disgusted, I hung up the phone. Bryan and I bagged and tagged her and sent her down to the morgue. The rest of the shift continued on without incident. After giving report I made my way down to the cafeteria for a much deserved breakfast and hot cup of tea. I learned that night that no matter what, it is my duty as a nurse to provide holistic, unbiased and professional care to all members of the human race. I'll save the judgment for God. Name changed
  13. Spritenurse1210

    Things you'd LOVE to be able to tell patients, and get away with it.

    Of course!!!!! One family with an inherited allergy to soap and water had been holing up on our unit for weeks, while "Granny" was dying of end stage COPD. Well, one of them grabbed our crash cart when she had passed, attached her to the monitor and broke into the cart in order to try to save her. Never said a thing to the nurse who had granny. (who was by the way care and comfort only (HER WISHES) . I had asked to be switched to another group for that shift, because I couldn't take the drama of who was sleeping with who, who was trying to get Granny's money....on and on and on ) You could hear the "whaling" all over the unit as people were throwing themselves on her in a vain attempt to prove to us that they were really distraught. Meanwhile most of them were sucking down our coffee and eating our food while sitting in our family room planning how to spend the woman's money and her body wasn't even cold yet . Some days I really, really wished I would have gone to school to become a medical laboratory technician.
  14. Spritenurse1210

    Things you'd LOVE to be able to tell patients, and get away with it.

    I have a code so either shut up and get out of my way or I will whistle with glee while I run you over with my crash cart. Your loved one is DEAD. There is no sense in taking our crash cart and running a code yourself.
  15. Spritenurse1210

    How do you relax after a hectic shift?

    I know you're kidding, but NOT a bad idea!
  16. Spritenurse1210

    Chancellor's/Regent College for RN?

    I'm doing the ADN program through Excelsior College. They gave me credit for having a valid LPN license in my state and knocked off one of the required tests, so I only had to take 7 tests instead of 8.