07302003

07302003 ASN, RN

Tele, Med-Surg, MICU

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All Content by 07302003

  1. NOC with kids home for summer break?

    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 working the actual shift and the balance in my life.
  2. Nursing Salary Survey 2014

    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 certification do you have? BSN How many years of expe...
  3. Worst Medication Error of my life

    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, reversible, and most importantly, you owned up to it. I ...
  4. What do ICU nurses do with ventilators in USA?

    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 cannot take verbal orders from a doc, so the RN does. A...
  5. Fluid bolus for patient with end stage renal disease?

    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 to breathing, that they don't get fluid overloaded...
  6. Dealing with family so draining

    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. Your job is the safety of the other patients, and if ...
  7. Feedback requested before I give 2 weeks notice!

    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, because I want to do a great job taking care of my pa...
  8. 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, history, etc, and make a plan. Do you want to be g...
  9. 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 take a more entry level management salary to get nurs...
  10. Different Piggyback Antibiotics, Same IV Tubing??

    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 doesn't work with D5 or 0.9 NS (pharmacy always labels...
  11. What's the BEST nursing shoes?

    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, figure out your size, and buy a used pair on ebay. I pr...
  12. Nursing gear passed on from older generation

    I have my Grandma's scissors... she was a WWII RN (and after).
  13. How to save my hands

    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 WONDERS!
  14. What's it really like to be a nurse?

    Think about working as a CNA. Seriously. It's great training for prioritization, and interactions with patients and families. And these days, it's one of the best ways to get a nursing job in a hospital. You will have the good chance of getting a RN...
  15. Angry Nurse here!

    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 healthcare setting? That's what makes me puke....
  16. 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 anything else, go into each room, eyeball each patient...
  17. The Slow Code: Justified?

    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 is rare) Then the doctor writes a DNR order. Usual...
  18. Yet another burned-out nurse question...

    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 ability to do it...
  19. This is how much ER doctors are making

    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 MD!!!
  20. Patience with the New Doctor

    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 people, CNA's, the lab, RT's, etc. Set a tone and e...
  21. 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 phoned report, ICU-floor is phoned. The key is t...
  22. Sodium bicarbonate

    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 their ABG's indicate respiratory acidosis, they most...
  23. Hypoxia and High flow NC

    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. Period.
  24. Hypoxia and High flow NC

    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 issue is that the patient on NRB is circling the ...
  25. Sedation in ICU... your opinions/ experiences?

    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 for a continuous fentanyl + versed gtt or propofo...