07302003

07302003 ASN, RN

Tele, Med-Surg, MICU

Member

  • Content

    142

  • Visitors

    4,655

  • Followers

    0

  • Likes

    7

All Content by 07302003

  1. NOC with kids home for summer break?

    07302003 replied to 4boysmama's topic in First Year After Licensure

    I found that midnights gave me good balance as a mom: could see them in the AM, and before I went to work. It was just that I felt so exhausted all the time I couldn't stick with it.... But I loved...

  2. Nursing Salary Survey 2014

    07302003 replied to TheCommuter's topic in General Nursing

    Geographic location - Midwest large metro area Pay rate: $30/hour In which area / specialty do you work? Transplant What type of license do you have (RN or LPN)? RN, BSN What type of degree and/or...

  3. Worst Medication Error of my life

    07302003 replied to xaf7232's topic in Cardiac

    So if asked, what med would you give to reverse the Versed? What s/s would you be looking for that the patient is in trouble? The med error, in the scheme of things, is not a big deal - minor,...

  4. What do ICU nurses do with ventilators in USA?

    07302003 replied to StevenSwife's topic in MICU, SICU

    Where I was (and it may depend on state / hospital) RN's don't touch the vent except for oxygen breaths, however, there is a lot of collaboration if the patient needs settings changed, etc. RT's...

  5. Fluid bolus for patient with end stage renal disease?

    07302003 replied to lovin's topic in Dialysis, Renal, Urology

    As others have said, there is no way to fix this patient without a liver transplant, and if they're non-compliant it's unlikely they are listed or will be listed. With the boluses just pay attention...

  6. Dealing with family so draining

    07302003 replied to amzyRN's topic in First Year After Licensure

    Turf it, to the charge nurse, the unit manager, the house manager, especially complaints. That is why they are there, and they often have the time and patience and people skills to deal with it....

  7. Feedback requested before I give 2 weeks notice!

    07302003 replied to Nurse-E Girl's topic in Patient, Colleague Relations

    If you value your job and career, suck it up and smile. Meet with the manager, thank her for her concern, "as you know I'm a new nurse and I appreciate your time. I do feel overwhelmed at times,...

  8. You make the decisions on YOUR shift and I'll make the decisions on MINE

    07302003 replied to CrazierThanYou's topic in Patient, Colleague Relations

    As I've gotten older and wiser I've found that it is NOT worth a power struggle, or judgement. I sit down with the patient with pain issues at the start of my shift, talk to them, assess their pain,...

  9. Two VERY low ball job offers in the last month...(management and leadership!)

    07302003 replied to SweettartRN's topic in Nurse Management

    I've found that unless your previous work experience was *in nursing*, those who hire don't count it as experience. So they're looking at you as having no management experience. So you may have to...

  10. Different Piggyback Antibiotics, Same IV Tubing??

    07302003 replied to Pinky89's topic in Medical-Surgical

    I always use the same secondary tubing for antibiotics and electrolyte replacements, unless the secondary is something that has major incompatibility issues, like dilantin or some antibiotic that...

  11. What's the BEST nursing shoes?

    07302003 replied to BigCSN's topic in Scrubs, Uniforms, Gear

    Danskos hands down! They last over 5 years (if you don't get patent leather or prints) and get me through 12 hour shifts. If you're not sure about plunking down $125 for a pair, go into a store,...

  12. Nursing gear passed on from older generation

    07302003 replied to Brian's topic in Nurses Rock

    I have my Grandma's scissors... she was a WWII RN (and

  13. How to save my hands

    07302003 replied to caughtbuckinoff's topic in Health, Stress Management

    Mine wouldn't get better this winter, saw my primary care doctor who wrote a prescription for extra strength hydrocortisone cream once daily, it's worked

  14. Angry Nurse here!

    07302003 replied to beeker's topic in Patient, Colleague Relations

    This guy is a sociopath, who would want him as a co-worker, but for the big picture.... would you want someone with this LACK of morals or honor to be taking care of your mother or father in a...

  15. Was reprimanded and told to resign. Advice or thoughts would be appreciated.

    07302003 replied to nurse20011's topic in General Nursing

    I'm so sorry that happened to you. Med surg is very hard. My only thought, which hindsight is 20/20, and it comes with experience, is that when working med-surg I would, before I get involved in...

  16. The Slow Code: Justified?

    07302003 replied to TheCommuter's topic in Patient Safety Issues

    I have seen doctors involve the ethics committee to make patient's a DNR when they are terminal and there is nothing more to be done but prolong suffering and the family insists on a full code. (This...

  17. Yet another burned-out nurse question...

    07302003 replied to Gabrielle33's topic in General Nursing

    DO IT!!! And then maybe you'll find that your burning passion is making enough money to do it again in 2 years, which is fine! Life is too short, don't let any dream go unrealized when you have the...

  18. This is how much ER doctors are making

    07302003 replied to nursetim's topic in Nurse Practitioners, NP

    Hey, if they can make that kind of money, with the risks to their license in ER, and with that much student loan debt, all the power to them! I'm not complaining, or else I would have gone for

  19. Patience with the New Doctor

    07302003 replied to SaoirseRN's topic in Patient, Colleague Relations

    I have seen nurses exhibit ugly behavior towards residents... it sickens me. We are all here to take care of the patient! And doctors are people too, and deserve professional respect, as do cleaning...

  20. How can we make the process of report from ER to floor better?

    07302003 replied to nrsang97's topic in Emergency

    Last hospital - SBAR written report faxed from ER - floor, ICU - floor. ER / ICU RN calls to confirm they got it and answer questions. Patient is shipped out. ER-ICU is phoned report. Now - ER-ICU is...

  21. Sodium bicarbonate

    07302003 replied to RNbethy's topic in Nursing Student Assistance

    Respiratory acidosis is often caused by CO2 retention - excess CO2 = respiratory acidosis. Ventilator settings can be adjusted to "blow off" CO2. When these patients are in respiratory distress and...

  22. Hypoxia and High flow NC

    07302003 replied to 9Bennett6's topic in MICU, SICU

    And I also work at a major teaching hospital (>800 beds) - no more step downs there - they needed the ICU beds. So it's either ICU (medical, cardiac, neuro, surgical) or the floor.

  23. Hypoxia and High flow NC

    07302003 replied to 9Bennett6's topic in MICU, SICU

    I get it, boy do I get it. As a nurse, I always think, if that was my family member on the bed what would I want done? And what about my license, by the way? Having worked Tele with 4-6 patients, the...

  24. Sedation in ICU... your opinions/ experiences?

    07302003 replied to IheartICUnursing's topic in MICU, SICU

    95% of patients where I work are intermittent sedation - Morphine 2-4 and Ativan 2-4 Q 15min-2 hours prn MAAS (very nurse driven). Of course, if the patient is hard to sedate it's easy to get an order...

  25. Nursing Shoes??

    07302003 replied to KLBatchelor's topic in Scrubs, Uniforms, Gear

    Danskos or Sanitas are totally worth it! If you know what size you are for each brand, buy a pair on ebay or at clog outlet. I have bought slightly used clogs to wear to work. They're expensive, but...