All Content by FloatRN19
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Being Pulled into the Office for calling CAT
I probably would not have stopped paging the doctor and documented with quotes his refusal to see the patient in a timely manor. And then pages his supervisor or attending and apologize for calling them, but said resident isn't responding.
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BP cuff over a PICC line
Maybe sit down with a picc nurse and talk about the ins and outs.
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Is money everything in this profession?
Money is everything. I need a specific date off that coincides with our rotating already scheduled for us weekends. Well our incentive program changes before the date. Someone said they totally would cover for me, but because they won't get their extra incentive to do so they won't pick it up...it's cool I didn't need to go to my sisters wedding.
- Man problems
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How did you decide your specialty?
I adapt quickly and I ware on people the longer I'm with them. Having just one home unit would not end well.
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Magnet status...yay?
I worked at two magnet hospitals as a cna before I graduated. Both are ranked number one and two in staff turnover. One of the floor directors found it to be such a headache that he left the hospital and the system for a floor job.
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Nurse forced to work as a CNA
I pick up 4 hour shifts all the time hoping I just get to task.
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Ah poo....JCAHO
Well hopefully you work at my hospital because I'm off for the next three nights. I had a 8 day lay off a few weeks ago and I came back to an email describing what they found. Was excited that I missed it...nope was I missed were the words from another facility in the system.
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Shoes
I wore some nike shox that we're all where with grey shox. All white shoes are idiotic. I know rock pretty much any pair of pearl Izumi or mizuno.
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Nurse's Week Gifts from Employers
They bought everyone a new cardio III stethoscope.
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Pay cut worth it?
Personally I feel, never take a pay cut if you don't have too.
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New Nurse IV Struggles
Starting IV's is all about getting a comfortable routine that you can replicate. Getting comfortable with almost perfect conditions to get to the point where you'll be successful in less-than-perfect situations. Know your landmarks, finding a vein is easier when you're looking in the right area. Get as many attempts as you can, 2 per patient, but as many patients as you can. Working in a trauma hospital it is a little easier to get opportunities. Follow facility guidelines but rotating iv sites(don't remove old access until new access is in). Starting a second IV on patient going down for surgery, procedures, or patients on multiple iv meds. Also if I'm in the icu/ccu etc I'll discuss starting a second IV with them as a precaution. Kind of rare for them too only have one. But I feels it's unsafe. Try and anchor the vein a little lower and to the left or right depending upon which handed you are. When you do this watch how the vein moves to account for the slight variation. Gives you a little clearer point of entry. Just random thoughts. I typed a few thousand words on the matter for a nursing student budy of mine and orientee that are with me.
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What are your views on male nurses
I'm alright with myself. I prefer the term murse.
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Doctors answering services
Residents, fellows, and attendings always in the building. Never had to use one.
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Books?!
Borrow a classmates book for a day, scan every page, give it back too them.
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Picc line care/flushing
Sounds like the nurse was cath-floing their picc.
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Meaning of your username?
I float.
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CPR on the floors
I work in a level one trauma center, we code frequently and we don't have a code team. The first time doing compressions on a person, it was weird for the first couple seconds, but then that disappears quickly. Just remember to throw your stethoscope down and take anything off your collar and out of your breast pocket. I always throw my watch timer on so we can get a good rotation going. Last one I was in we actually coded the patient three times that night. Left that night extremely sore and tired...also sweaty.
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Unprofessional charting
Worry about your own charting.
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New grads precepting???
Some of the units I float to literally have new grads fresh of orientation, few weeks up to 4 months orienting new grads. It's truly bonkers. There is literally one who is orienting a classmate. And we're talking nurses who don't understand that just because the iv module says empty means that they shouldn't check bag. 9/10 they'll tell me the pump said it was complete so they shut it off, only to walk in and find half the bag still hanging there. not much you can do about it though, just have to take the opportunity to teach everyone.
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Career Advice: which job should I take?
Floating makes you more attractive to future employers. Shows you're flexible, adaptable, experienced in several different areas giving you multiple points of view. Someone who might not always know the answer, but knows how to find it. Never afraid to ask questions and you're excited to always learn new things. Floating isn't socially like lonely. You always get the big hello. Assuming your competent and helpful, everyone is always happy to see you. And in so me cases units will get your number and beg you to pick up. The real downside of floating is that if a certain unit loses staff, has a higher than normal census you might get stuck there for a few weeks. Which is bad if that unit can't keep staff for a reason or they have a few patients living on the floor.
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What have you learned in nursing school that was utter nonsense?
I'd say 60% of what I learned.
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New nurse, two job offers
For the 2 years I worked as a cna etc in a hospital change in my chosen state you could always find me making a crack about how crappy one hospital was. Without fail, you don't like it here imagine working at that hospital etc. So when that hospitals that I spend cracking wise on was my first offer I was so desperate I jumped on it. This hospital has such a negative perception in the community it serves that they call it killer (insert hospital name). Taking that job is the best thing that has ever Happen too me. I've learned so much, I've grown so much, and i can truly save I've changed lives. Wouldn't have it any other way. That said if you adapt quickly and learn/understand things almost instantly take the icu job. If you take a little longer to accept change and learn, take the med surg job. My choice was floating at a hospital, that I worked at as an aide, six minutes from my house or driving 30 minutes to the hospital with the negative rep as a float pool nurse. That said, I'm a big supporter of app new grads starting out as a floater.
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How in this world do you ever get 1 year experience?
You can come float at my level one trauma center if you'd like.
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Need to interview a BSN ASAP.
Sure.