07302003

07302003 ASN, RN

Tele, Med-Surg, MICU

Member
  • Content

    142
  • Visitors

    4,655
  • Followers

    0
  • Likes

    7

All Content by 07302003

  1. Morphine and End Of Life

    From the point of view of a med-surg or critical care RN, where we are focused on saving lives and patient safety, it is hard to switch to hospice-care frame of mind when we are assigned an in-patient...
  2. Morphine and End Of Life

    OK Hospice RN's, Chappy had a good point... If a patient is experiencing progressive, end of life hepatorenal dysfunction, does this change the need for ATC morphine, if the body isn't able to...
  3. And yes, I had several NCLEX questions on renal diet when I took
  4. Very important - I see the need in ICU a lot. Patient with chronic kidney disease, liver disease, lung disease - poor nutritional status and intake exacerbate their disease process, as well as the...
  5. Single Mom and Night Nurse??

    As someone else said, focus on taking some good vacations if you want to travel. Finding childcare for 12 hour shifts is just about impossible. I can't even imagine finding childcare for a special...
  6. Night Shift For Newbies

    Don't worry new grads - night shift is awesome. I started out on evenings, went to days, then nights because I wanted to switch to ICU. Barely any families like on days, to distract you. No...
  7. Ca RN possibly relocating to MI, need help!

    With your experience you should have no problem finding a contingent job within a hospital system - and that's what I'd reccomend. All of the major hospital systems are good employers, but you'll have...
  8. I don't like dead people

    After I graduated nursing school I was still on my orientation and had the chance to do post mortem care with another RN and orientee. That helped get over the initial shock of being up close and...
  9. IV training for new nurse

    When you're on orientation you and your preceptor should be given the chance to start every IV on the unit that needs starting - other nurses are glad to hand this over. Make it a priority. Time in...
  10. Best Night shift schedule for single mom?

    When you're working 12 hour you're mostly gone from your kids lives, just about impossible to make dinner. Forget about laundry, school projects, homework, keeping the house neat.... SO it's great...
  11. Oh yea, and life after nursing school is GREAT! Especially if you work 3 12's. Very easy to compartmentalize life into "4 days off outside of work" and "the three days I work where I don't expect...
  12. I've worked evenings 1500-2330, days 0700-1930, and now midnights, and with a 7 year old, I'm loving the quality of life on 3x 1900-0730 midnights, believe it or not. I drive him to school when I get...
  13. Forced Flu Shots

    Major hospital system in the rustbelt announced this year that you get the shot, or you wear a mask when working within 6 feet of patients. This is new this
  14. Pacifying a difficult family that will not listen to reason??

    In situations like that I tend to cover my a$$ by getting the patient advocate or nursing supervisor in there to diffuse the situation. I have learned the hard way to keep my mouth shut in ugly...
  15. As someone already mentioned, try to snag an NA or nurse tech job at one of your clinical sites (of course this is if you like the atmosphere on the floor). Talk to the nurse manager. Work hard, don't...
  16. "I am sorry - I refuse to float to Peds!"

    That's crazy. Safety for the patient and your license means that you stay in your own area of expertise, I am an adult med surg nurse and would NEVER feel comfortable caring for infants and kids... I...
  17. My Patient Died today

    The only advice I would give you for the future, is that it gives the family peace to speak with the honestly about their loved one's last moments... you have to get up the gumption to say whether...
  18. Children's Hospital of MI has an amazing new grad
  19. Which BP meds do not affect heart rate?

    In my experience, hydralzine is HR sparing, while lowering
  20. Sinai Grace Working Conditions

    You need to protect yourself by finding out what is the acuity of the patients on the floor, and what the nursing-patient-CNA ratios are. What types of diagnoses, procedures, etc. Post here for...
  21. Take-home pay

    1200-1300 bi-weekly with health insurance, tuition reimbursement. Midwest, day shift. No overtime, 36
  22. Do Nurses Use Abdominal Percussion in the Field?

    I watched a pulmonologist do a 3L pleural drain at bedside based on percussion... amazing. From what I hear, NP's and MD's serving the uninsured use percussion to diagnose, since expensive testing for...
  23. Quick Patient Assessment in Morning: Tips Please

    I have learned that a quick, 2 minute head to toe is a must in order to not totally fall behind, and for patient safety. I typically assess wounds, skin, surgical incisions, etc. later in the shift. I...
  24. Abortion in nursing school rotations?

    No abortions - the hospital was in a poor area. Lots of teen pregnancies, drug addicted mom's and fetal demises. I could never do OB based on this rotation. For me, the most traumatic part of the...
  25. Telemetry overuse = ED overflow...Can anyone relate?

    I work at a small community hospital - tele IS overused. We get lots of DNR DNI's on our tele floor, CHF frequent flyers, admissions for pneumonia (with tachycardia in the 120's) We have an automatic...