Ioreth BSN, RN

Oncology (Prior: Ortho-Neuro, Metabolic Surgery)

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All Content by Ioreth

  1. Ioreth

    How To Properly Clean Your Stethoscope

    I keep my stethoscope in a Bat Clip (check it out on Amazon, awesome product) on my waist so it is never around my neck. After each use I wipe the bell and tubing with an alcohol wipe. I generally do...
  2. Ioreth

    Music Tempo in Chest Compressions

    If I remember right, our defibrillators all have an audible metronome on them that start up as soon as we turn it on. Your facility might have some like that too. But yes, the app is a good
  3. Ioreth

    What I Hate About Nursing In 2021

    Only once a week? I get them every day, promptly at 430
  4. Ioreth

    A Fracture from a Fall: What's Going on Here?

    Red flags that I'm seeing: "I'm so clumsy." Truly clumsy people don't say this. I've only known people to say this when they are trying to hide the source of their injuries. "I was stupid to...
  5. Ioreth

    I don't want to be Charge!

    I wasn't aware that I was beating myself up until you pointed it out. I am blaming myself for lack of experience, but I see now that experience isn't the problem. I've been observing the difficulty...
  6. Ioreth

    What I Hate About Nursing In 2021

    Unsafe staffing levels Lack of experienced nurses Exhausted PAs/NPs/Physicians that don't hear what we are telling them No/minimal vacation due to lack of staff Most CNAs pulled...
  7. Ioreth

    Longest Shift You've Worked

    This is not a contest I ever want to win. About a month ago I had a day from hell. 2 rapid responses back to back, different patients. The second one required a trip down to CT and teleconsults...
  8. Ioreth

    Nurses, invent what you want.

    I've looong been saying I want this! We use Alaris pumps that can be programmed from within our charting system (EPIC). They already "talk" to the computer and report on the rate. Making a pump...
  9. Ioreth

    Every Nurse Should Know Martial Arts

    I have taken several self-defense classes over the years and they have given me the reflexes to protect myself. I can see out of the corner of my eye a patient wind up to hit or kick and I've usually...
  10. A noc ED nurse at my hospital told me that she regularly has 30 patients to herself after the midshifters leave. This ED can accommodate 90 patients, but there has often been only 3 nurses on nights....
  11. Ioreth

    Music Tempo in Chest Compressions

    Bad Romance by Lady Gaga was used in my last ACLS
  12. Generally yes, most breakthrough infections are still infectious. However, my understanding is the Covid vaccines are different. The viral load is much lower for Covid after vaccination and often...
  13. We can't keep nurses on my unit. Almost all left the beside. Here's where they are going after leaving my unit: Hospice Public Health Non-bedside hospital nursing Military Wound Care...
  14. Ioreth

    I don't want to be Charge!

    Truly I agree with you. It is weird to float and see this done elsewhere. I try to ask around if anyone else needs to talk to Dr. H when I make a call. With so few CNAs, yes this is frequent....
  15. Ioreth

    Share Policies That Have Not Saved One Life

    That tape reminds me of another courtesy of the fire department's inspection this month. Nothing can be taped to the doors unless it is laminated. Bare paper is a fire
  16. Ioreth

    Applying to hospital after 2 years in public

    2 years ago you would have had a rougher time, but right now we need nurses. Your experiences outside the hospital will be useful in the hospital too. We sometimes forget about what happens when our...
  17. Ioreth

    G-tube - Medication Administration

    Some G-tubes have 2 ports (1 for the feed and 1 for meds), but some just have 1 port. A 2 port G-tube will have a 3 way stopper. I haven't seen enough 1 port g-tubes to remember the arrangement on...
  18. CalicoKitty has provided some excellent information regarding the Covid vaccine. I discussed vaccine hesitancy with a hospitalist recently in small talk and he noted that because it is so...
  19. Ioreth

    I don't want to be Charge!

    That was another thing that every nurse present at that roundtable asked: Take charge out of staff, ie. no patient assignments for charge. In our ICU, the charge nurse is also the Rapid Response...
  20. Ioreth

    I don't want to be Charge!

    Very good points. Right now there is very little support from charge to the rest of the floor staff and mostly because they also have a full assignment. I try to keep my charge nurse in the loop as...
  21. Ioreth

    I don't want to be Charge!

    Thank you all for the responses. Most of the responses in person that I've gotten is from experienced nurses that say "that's the way everyone becomes charge, it sucks, carry on". Or from nurses just...
  22. Ioreth

    Nurses, invent what you want.

    There is such a thing! It is called an iSTAT and it is used in my hospital in ICU and ED. However it is pretty expensive and each test requires specialized cartridges which are also rather expensive....
  23. Ioreth

    Nurses, invent what you want.

    We have PIVO in my hospital. The peripheral IVs have a tiny hub next to the skin in line with the catheter in the vein and we use a device to access through the peripheral IV to the vein to draw blood...
  24. Ioreth

    Nurses, invent what you want.

    Wireless blood sugar monitoring patches already exist. Why not make something like that for the hospital? Anyone who is diabetic, just slap a patch and Tegaderm on the back of their arm. Since...
  25. Ioreth

    Nurses, invent what you want.

    I'd love to have a hospital room designed by nurses. My hospital is ancient and has been through many ineffective retrofits to maintain building code, but it is a horrible place to actually provide...