littlespitfire

littlespitfire

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All Content by littlespitfire

  1. Crap! Am I a crusty old bat nurse?? Carrying pens...

    littlespitfire replied to klone's topic in General Nursing

    I'm a millennial and I carry minimum 4 pens, a sharpie, a highlighter and a dry erase... most of which I lose and re- find over a 12 hour shift, no less than hourly. I buy my inkjoy pens in bulk boxes...

  2. Doctors Say the Darnedest Things

    littlespitfire replied to allnurses's topic in General Nursing

    OH!!! and another- doc has stethoscope on pt's chest, right over heart, turns to look at me and says "can you get a pulse for

  3. Doctors Say the Darnedest Things

    littlespitfire replied to allnurses's topic in General Nursing

    oh another! on call doc paged about combative pt- gave IM orders, then started laughing and said "good luck with

  4. Doctors Say the Darnedest Things

    littlespitfire replied to allnurses's topic in General Nursing

    Doc: *peers over desk to see what we are all looking at* "how do you read that? It's horrible!" Nurses: *all look at him, stunned* one nurse said "well, you wrote it, so..." same doc after his...

  5. New Grad RN Alone in Rehab at Night??

    littlespitfire replied to LanaEl's topic in Rehabilitation

    Our night shift new grad hires get 3 weeks on days and 3 weeks on nights after they complete a classroom portion of orientation... we are a mix of both RN and LPN... The only 5 things so far I've not...

  6. Typical Staffing for a SNF/Rehab Wing

    littlespitfire replied to NurseQT's topic in Rehabilitation

    60 bed unit here- subacute/ rehab... days theres 4 floor nurses, 7 CNAs, 1 nurse assistant (cbg, helps with admits, daily weights etc) 1 admissions nurse, and in house wound care and NP. we also have...

  7. What are you an "expert" in on your unit? Becoming the "go-to" guy/gal for ...

    littlespitfire replied to cjcsoon2bnp's topic in General Nursing

    blood draws! if I can feel it, I can hit it. And... poop. I have long skinny alien fingers, and have been dubbed the "poop whisperer". Suppositories and digging people out. I don't suggest becoming...

  8. Tb skin test

    littlespitfire replied to roses616's topic in LPN, LVN Corner

    I'm right handed... I hold the syringe in my right hand, bevel up, between thumb and forefinger. I always stabilize my hand with my other fingers on pt's arm. My left hand I use to hold pt's arm...

  9. Michigan LPN Scope of Practice

    littlespitfire replied to rianbell1's topic in LPN, LVN Corner

    I work in MI... We most certainly take phone orders. I can't hang blood, or do IV push meds. I frequently deal with PICC lines, ports, and drains/ostomies coming out of body parts. I am trained to run...

  10. Typical Staffing for a SNF/Rehab Wing

    littlespitfire replied to NurseQT's topic in Rehabilitation

    I've been in rehab for 5 years, our unit has 60 beds. Days has 4 nurses, 8 CNA's and in house wound care. When we are full we have a 5th nurse to help with treatments. We also have an in house NP, a...

  11. For The Love Of All That Is Holy . . . .

    littlespitfire replied to Ruby Vee's topic in General Nursing

    Pet peeve- poor grammar or spelling in a fax to a physician. I've seen them so bad, doc circled the phrase and wrote "what?" Sometimes I feel like people try to over "professionalize" their...

  12. Yacker Tracker in the NICU ???

    littlespitfire replied to Bezoars's topic in General Nursing

    Oh yes, we have had that and also a microphone that records sound levels. At the nurses stations. We had to remind management that 1, our bed alarms set off the yacker tracker. As did med cart...

  13. How do you feel about having other nurses as patients?

    littlespitfire replied to purplegal's topic in Patient, Colleague Relations

    I've had the pleasure of dealing with quite a few docs and nurses as patients... We recently also had a police chief and a catholic priest. And a professional psychic. My favorite so far was a retired...

  14. Being Ordered to Give Whiskey

    littlespitfire replied to purplegal's topic in General Nursing

    I have had quite a few patients with liquor orders... I worked in a rural retirement home for a bit, and many of the doctors had written orders for "1 pleasure beverage of choice at hs" and one doctor...

  15. Is adequate rest the most important factor in enjoying night shift?

    littlespitfire replied to Hmfog's topic in General Nursing

    Habitual night walker here. I have been on night shifts or late shifts since I was a teen... Hell hath no fury like me in the morning if I am awakened. Even as a kid I would stay up late and preferred...

  16. How much do you make 2016

    littlespitfire replied to soon2bnurse5's topic in LPN, LVN Corner

    First job in 2009 I made $18/hr, now I'm at a different skilled facility doing sub acute care in MI making $22/hr on midnights. part time so no benefits for me. Our facility also doesn't offer shift...

  17. What's your definition of orientation?

    littlespitfire replied to Sparkle9212's topic in LPN, LVN Corner

    my first orientation lasted 3 weeks on day shift, working 24 hrs a week. That included the hr stuff and mandatory online courses. My second orientation was about 2 weeks on midnights, about 3 years...

  18. What to do in critical patient situations?

    littlespitfire replied to nurse_shelly's topic in Rehabilitation

    Old post but maybe someone will read this and get some reassurance. I'm a midnight nurse, on rehab and we take very acute people. We are no strangers to codes, complications, and crashing. Wd work...

  19. Second Career Nurse Roll Call

    littlespitfire replied to NotYourMamasRN's topic in General Nursing

    Coast Guard for 4 years

  20. 5/14 WILTW: Healthcare Gymnastics and Revolving Doors

    littlespitfire replied to LadyFree28's topic in General Nursing

    I learned to count my rooms! 47 patients, 3 nurses and I had 19 of them because I'm a dingbat and walked in and got report on my usual group. 1 empty bed in my 20, were a 60 bed rehab unit. Didn't...

  21. Nurse's Week Gifts from Employers

    littlespitfire replied to twss2323's topic in Patient, Colleague Relations

    We had state here too lol! Happy nurses week, we got you a

  22. Nurse's Week Gifts from Employers

    littlespitfire replied to twss2323's topic in Patient, Colleague Relations

    We all got light blue t shirts with the facility logo, and on the back they say "nurses are angels in comfy shoes". We get to wear them as part of our uniforms. Last year we got stainless steel travel...

  23. Lpn & asn are are being phased out.

    littlespitfire replied to shermainenevels's topic in Diploma, ADN, BSN

    I am a U.S. trained LPN working in Michigan but living in ontario... Our local ontario hospital tried to phase out RPNs. Now they're laying off hordes of BSNs and forcing retirement to hire them back...

  24. Sending res to hospital- did I make the right call?

    littlespitfire replied to suzw's topic in Geriatric, LTC

    We we too have this battle on in house management and I had a nursing supervisor question shipping a resident. I looked at her and said "doc says pt needs to go, he wants pt direct admitted. If you...

  25. LPN needs advice/tips PLEASE =)

    littlespitfire replied to lpn92211's topic in Geriatric, LTC

    1. Keep that enthusiasm! If you think it'll suck, it will. It can ALWAYS get worse. 2. Don't get your CNAs mad at you... Trust me. I've seen how much help they give the nurses who bark orders and...