bgxyrnf

bgxyrnf MSN, RN

Med-Tele; ED; ICU

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All Content by bgxyrnf

  1. Does anyone really read all this charting?

    That's precisely my issue with clicking flowsheets... it's much too easy to inadvertently click the wrong selection without realizing it but even with the occasional typo, my intent is crystal clear...
  2. I'm a 50-sumthn guy and I can honestly say that I have never behaved this way toward women but I have in the past participated in talk with other guys which I now consider completely inappropriate and...
  3. Our Current Reality: Are You Going to Work Scared?

    I don't go to work scared nor do I live my life scared. The way I 'handle' it is by challenging statements such as this. Bombings and mass shootings are a rarity, not something "which happen daily."...
  4. What do you think of 12 hour shifts

    I prefer working 12's... especially when I roll 6-on, 8-off, 6-on... Working NOC is tough if your shifts are split; consecutive shifts are much easier to flip-flop. 8-hr shifts kind of suck because...
  5. What's your best 'Nurse Hack'?

    I've used the tongue depressor; I think I might prefer the med cup... gonna try
  6. What's your best 'Nurse Hack'?

    When removing tape or other adhesives from fragile skin, use alcohol prep pads and go very slowly and you can peel the tape off without pulling the hair or causing a skin tear (which should be a...
  7. English As A Second Language

    I don't know how heavy is the OP's accent but there are plenty of people with great written English skills whose accents are so thick as to be an impediment to being understood. I personally don't...
  8. English As A Second Language

    The same way that I endeavor to improve my Spanish pronunciation... by studying American pronunciation, listening to well-paced, well-dictioned native speakers, and practicing over and over... get...
  9. What’s in your bag/what should I have as a newbie?

    If you wear glasses, keep an extra pair handy. I can't function without mine and I once had them fly off my face and get stepped on while we were tussling with a psych
  10. Does anyone really read all this charting?

    I don't spend much time hunting through the flowsheets but I do read the narratives that people
  11. most non-caring branch of nursing

    If I'm understanding you correctly, the ED tends to fall more in this category than inpatient wards and units.The ED tends to be intervention focused: "treat 'em and street 'em," is a quip that you...
  12. What to do when your school fails you

    Dragging people through the mud, as you say, is likely to have persistent negative consequences. You need to move on and seek admittance to another program quite some distance from that one. If the...
  13. What's your best 'Nurse Hack'?

    A wound (or eye) irrigation hack: Surround the wound with one or more large adult diapers when you're starting to irrigate. You can generally soak up all of the irrigant with the diaper and makes...
  14. New ER Nurse - Feel Like Quitting Job

    It sounds like your hospital is suffering seriously from not having state-mandated ratios. An unstable ICU patient should be singled and certainly no more than 2:1. I'm not sure which I prefer more...
  15. Duty of care? Opinions please

    Experience level has no relation to one's explicit duty to
  16. What's your best 'Nurse Hack'?

    Personally, when I do it I use a pair of sharp-point scissors from a suture-removal kit and cut a small V into the base of the prongs. I can see how the problem PeakRN describes might develop if the...
  17. Duty of care? Opinions please

    If the nurse, in the performance of their job, came across a patient who was clearly in distress (as evidenced by the altered mental status and low GCS) and did nothing more than leave the patient and...
  18. Smallest gauge for blood draw?

    The gravity flow rate of a 24ga BD Insyte Autoguard is 20 mL/min... so you could let blood hang and run the whole 330mL (or thereabouts) in well under an
  19. Absolutely pathetic... Losing her license was far too lenient a penalty. I can't figure out why his being a veteran is germane to the story,
  20. What's your best 'Nurse Hack'?

    I beg to differ. When I cut them off, I actually make a "v cut" into the cannula itself... no sharp edges (seriously, who leaves sharp edges on things that can touch the skin?). I've done this at work...
  21. What's your best 'Nurse Hack'?

    To me a "hack" is a way to solve a problem in a novel fashion. Some "hacks": 1) cutting the prongs off of a nasal cannula because they're irritating the pt and they keep pulling it out 2) Putting the...
  22. Long before I was a nurse, I was a preemie dad. There's nothing in that for which games would have been helpful. I would address the basics of assessment of respiratory status and make a little card...
  23. Messed up bad.....

    I have no words of wisdom regarding the path forward as it pertains to the BoN and your license. Regarding your disease, though, I can encourage you to keep fighting the good fight every day....
  24. Confusing math question...

    Pretty straightforward: 0.5 mEq = 1 mL so by what factor must each side be multiplied to meet the problem statement? Here's an Excel sheet... the second and third columns are simply the product of...
  25. Not nasty at all... just direct. You have the freedom to respond how you'd like; extend to others the