Aloe_sky

I'm at a new hospital, I love bedside nursing but we are always understaffed, 3 patients in the ICU is the norm which I really hate!! I still don't dread going into work yet, in fact I pick up extra shifts EVERY week. I use to be a helpful nurs...

I completely agree!

Thanks, I actually sold my soul for my daughter's tuition to be covered by the hospital haha.

You're right, they hired a new "charge nurse" last night was her first night. She's been a nurse a little over 1.5 years. It was my third shift in a row and I came back to a new assignment, I asked why? Her response..... she wanted the patients I had...

I agree, I also feel bad for the patients. These nurses are new and I may come off stand offish so they don't ask me questions. The sad part is, they wait till day shift comes in to ask questions when I could have answered it. Although they really sh...

OK so I just learned something today and have been an ICU/ED nurse for a few years. A coworker that is a travel nurse just told me the reasons why me and her are frustrated is because this is our first job in an open ICU. we use to complain tha...

Shouldn't you have addressed your concern in that moment to this nurse? I don't understand why nurses especially charge nurses see or hear something, sit around, say nothing, do nothing and then tell management. I was always taught the first step is ...

Thank you, the problem is all Drs will give different answers. A patients MAP goal will be 65 with an order for pressors to start, cardiology will come in the morning and say SBP goal to titrate pressors. When you verify with critical care, they say ...

I'm at a facility where start of shift I'm noticing patients don't have foam wedges under them. The nurses will say they removed it so the patient can lay on their back for 2 hours. I was taught to never leave a patient on their back with exceptions ...

I am at a new facility where the nurses clear pumps q1 and document continuous fluid intake instead of clicking in the prescribed volume in the computer. They say it's "not accurate" but this is really frustrating. I get it if a patient for example i...

We use cerner, when the medication is scanned and rate adjusted and documented, it calculates the volume infused that hour. These nurses "unchart" or clear the computer calculated volume infused. I spoke to my manager about this because I'm...

I have a question regarding dialysis catheter’s. At the facility I work at they call non tunneled triple lumen dialysis catheter a “Shiley with a pigtail” I’m use to calling this a trialysis catheter, or a doublelumen dialysis cath I call a Quinton, ...

I definitely agree, my manager admits the staff are resistant to learning new things despite the access to education. Thanks for the response.

I had a patient last night where wound care ordered “crusting”, he had a very large stage 3 pressure ulcer on his coccyx that was moderately bleeding. Wound care ordered stoma powder to be applied to the area, said that the powder would dry and form ...

I have a question for those that run NXStage CRRT regarding documentation. I’ve ran CRRT with nxstage for about 8 Years, at this new facility how I was taught to document makes absolutely zero sense to me. I reached out to the educator and asked how ...

For our charting it says at the beginning of the hour document the I&Os from the previous hour (then the computer calculates what to program the CRRT machine to). Then in the next column it says at the end of the hour document the actua...

OK thank you! I’m just trying to wrap my head around why it’s not documented on the actual hour the fluid removal and pressures were measured. Did they ever explain?

that is my point, this is why I want feedback from nurses that run CRRT with nxstage. If not, I guess to understand is if dialysis is running from 2100 to 2159 and the nurse has been removing fluid for that hour, when the total output for that hour p...

I’m becoming more and more negative when I walk into work. I love being a nurse and I love working in the ICU, the problem is my unit is INTENTIONALLY short, the whole hospital for that matter. When we want to pick up shifts there are only specific d...

Sorry for the late response, that would be nice however we have full time charge nurses and part time charge nurses. It’s not, one day the pick and choose who to be charge, even the job posting is specific to being a charge nurse so it is a whole dif...

Maybe you don’t, those aren’t requirements at my facility. Like I said, I have been asked to do charge and refuse. The charges don’t help the aides, they don’t help the nurses. They literally sit, do nothing and get paid. We are assigned 2 charts a w...

Thanks! I’m wondering what these nurses are doing for 12hrs?!? on my unit they are Doing nothing for majority of the shift but online shopping!! I can easily sit and do nothing also as one of the most experienced but I refuse because it’s not fair. ...

I am an ICU nurse and the ratio is usually 2 patients to every 1 nurse. Now it’s not uncommon to have 3 patients and they don’t care about the acuity. They have dropped the bonuses, don’t send out messages that they need help and just pile on more pa...

Next time ask the visitor to step out.

My manager gave me a paper to sign saying 2 nurses said I was sleeping at the nursing station and ignoring my patient alarms. I told him I wasn’t even at the nursing station the entire shift and was sitting at the computer on wheels in front of my pa...