caffeinatednurse BSN, RN

Med-surg, telemetry, oncology

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All Content by caffeinatednurse

  1. caffeinatednurse

    Starting over

    I was in a similar position a year ago. I started out in med-surg, left before my year was up, spent some time unemployed (due to the superior job market in my area), ended up in LTC for a year,...
  2. caffeinatednurse

    Patients & Pet Peeves

    Families that act like their loved ones are the only pt I'm taking care of. Families that ask questions that I cannot answer because, quite frankly, they were meant for the doctor to answer....
  3. caffeinatednurse

    Hours of sleep before work

    6. But I have a long commute. I'm pretty sure I would get 7-8 hours if I lived closer to the
  4. caffeinatednurse

    Do 3, 12 hr shifts for weekdays only exist?

    Yes, they exist. We have several NAs and RNs on our unit that work a variance of this
  5. caffeinatednurse

    Dr makes me feel so incompetent?

    Was it a scheduled dose or a PRN dose? I understand checking the BP prior to a scheduled dose, but we don't commonly recheck the BP a certain time after the dose. What usually happens on my unit is:...
  6. caffeinatednurse

    Help!! New nurse that hates Med/Surg!

    A couple of things: 1. I find it hard to believe that you hate everything about med-surg nursing. Even though it's the dreaded med-surg nursing that no new grad wants to go into, it's still nursing,...
  7. caffeinatednurse

    Help!! New nurse that hates Med/Surg!

    Maybe in the job market that you live in/near it hasn't been a bad thing for you. In the area that I live in, nursing job openings are scarce. I left my 1st nursing job before the year was up, and I...
  8. caffeinatednurse

    New Grad Orientation Contracts

    I should clarify: I was not a new grad, but an experienced nurse when I started working at my current hospital. I worked as a nursing supervisor in LTC before accepting this job. To me, the OP's post...
  9. caffeinatednurse

    New Grad LTC Med Pass Problems

    Do not pass meds in that manner. You're correct in that it is unsafe and a fast track to creating
  10. caffeinatednurse

    New Grad Orientation Contracts

    Sounds like a rather bleak interpretation of my contract. I signed a 2 year contract in exchange for a $10,000 sign on bonus. If I leave before the 2 years are up, I am responsible for paying back the...
  11. caffeinatednurse

    Thinking of switching from pcu to med/surg

    I work med-surg (7p-7a). I have to say, Med-Surg (days) is a completely different beast from Med-Surg (nights). The nurses and NAs are expected to care for the same amount of patients as we do on...
  12. caffeinatednurse

    Is this considered bullying?

    I don't know about you, but I would like be told when I'm doing something wrong, so that I have a chance to fix it. I certainly would not like to be lied to during orientation, which would inevitably...
  13. caffeinatednurse

    Med-Surg v. Telemetry/Step-down

    Our med-surg unit has remote tele. We take basically anything and everything - those awaiting SNF placement, pts needing IV ABX, insulin drips, heparin drips, PCA pumps, BIPAP, CPAP, traches, central...
  14. caffeinatednurse

    Coping with a difficult shift

    I should also say, it gets easier with time and
  15. caffeinatednurse

    Coping with a difficult shift

    I have a close relationship with one of my coworkers. We process the night together during our walk from the elevator to the parking garage. After that, I do some more processing on the way home, have...
  16. caffeinatednurse

    Safety Tips for New Grad Nurses

    Any time your medication bar coding system fails, that should serve as a red flag for you. Go through the five rights of medication administration, and if you still feel unsure after that, call...
  17. caffeinatednurse

    Nursing Home Supervisor challenges with WOUND CARE

    I worked in a supervisory role (meaning I was the only RN in the building during the 3-11p shift most nights) in LTC, prior to switching back to acute care. More often than not, I was the one making...
  18. caffeinatednurse

    Did you contract anything from a patient?

    I contracted Type A influenza from a patient. I've met plenty of nurses who contracted influenza, strep, norovirus, etc. from patients. I also knew a nurse who contracted
  19. caffeinatednurse

    Recently quit due to stress - I have some questions

    They can't "get you for neglect" as long as you've held up your end of the bargain by doing your job well while you've been there. They can, however, blacklist you as "ineligible for rehire" which...
  20. caffeinatednurse

    Advice For The New Nurse Entering Med-Surg

    Learn how to take and give report quickly and efficiently. You don't have to write down everything that your coworker tells you when they give you report, but you should always have on hand: when the...
  21. caffeinatednurse

    What To Expect During State Survey

    I was present for last year's survey at my old facility. It was rough. I normally work 3-11pm but I was called in at 11am to help out. The surveyors went through all of our med rooms and med carts....
  22. caffeinatednurse

    How Working the Night Shift Can Be A Death Sentence

    I'm one of those people that will be awake at night and asleep during the day, even when I'm not working. I might as well be working with my natural circadian rhythm. Most of my fellow night shift...
  23. We have the same problem at my hospital. We have enough nurses for core staffing needs, but when flu season hits and staff end up being out sick, we're short. We've been floating nurses from other...
  24. caffeinatednurse

    Hate My Job - LTC

    Find someone in your workplace that seems to be excelling at their job, and do two things: 1. Ask them for feedback, but be prepared for brute honesty. 2. Mimic their work ethic and habits. I got...
  25. caffeinatednurse

    HIPPA violation concern

    If discussing situations or patients (without using PHI) were considered a violation, then your nursing professors couldn't do their job. Ignore some of the more negative comments