bgxyrnf

bgxyrnf MSN, RN

Med-Tele; ED; ICU

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All Content by bgxyrnf

  1. Pain Scale

    bgxyrnf replied to 5228shamrock's topic in General Nursing

    Here's an example... Very early in my career I had a patient whose pain was *always* 10/10... no matter what. She would set her alarm clock to wake her up so that she could ask for more pain...

  2. Pain Scale

    bgxyrnf replied to 5228shamrock's topic in General Nursing

    Personally, if the provider places the order and it's safe to give the med, I'll give 'em whatever they want. That doesn't mean that I consider the 1-10 scale a valid pain assessment tool given the...

  3. When will everyone understand things are different in the ER

    bgxyrnf replied to ClayH's topic in Emergency

    Unless the patient is boarding in the ED, I do not review the patient's admit orders beyond the level of care. If the floor nurse sees deficiencies in the floor orders, it's on them to contact the...

  4. No rehire !!!!!!!!!!

    bgxyrnf replied to Yorker's topic in General Nursing

    First off, there is no "right of employment," only a right to be free of discrimination based on being a member of a protected class. As far as being "someone who deserves it," the one who deserves it...

  5. No rehire !!!!!!!!!!

    bgxyrnf replied to Yorker's topic in General Nursing

    Tangential to this

  6. No rehire !!!!!!!!!!

    bgxyrnf replied to Yorker's topic in General Nursing

    The nurse in your hypothetical had their opportunity at employment and ultimately severed it. Equal opportunity was clearly given.In this case, it wouldn't be the hospital being unfair but rather the...

  7. Floor nurse moving to ER? Lots of questions?

    bgxyrnf replied to tsm007's topic in Emergency

    Even as an experienced nurse, there's never been a shortage of people to help out in codes... in fact, traffic control can become a legitimate issue because every nurse in a 3-county area will...

  8. Pain Scale

    bgxyrnf replied to 5228shamrock's topic in General Nursing

    I personally find the whole 1-10 scale to be largely meaningless and I don't accept that "pain is what the patient says it is" because so many people jump straight to 10 (or 15 or 40). I don't mind if...

  9. "Overhire"

    bgxyrnf replied to nurseee24's topic in General Nursing

    Regardless of anything else, you're getting valuable experience and training which, after some time, will facilitate you getting another position if you so choose. Work hard, be helpful to all, and...

  10. Guilt after shifts

    bgxyrnf replied to Pedsnurse1026's topic in General Nursing

    Our Phillips monitors with automatic BP have a venipuncture mode which works the charm... though sometimes it will time-out before I finish drawing all of my blood tubes if it was a particularly...

  11. Flight gear and tips

    bgxyrnf replied to jjphoenix's topic in Flight, Surface Transport

    I'm not a flight nurse but regarding shears, I've tried a ton of 'em in a busy trauma center, from the cheapo freebies all the way up to Big Shears (bigshears.com) and have found the Leatherman...

  12. When will everyone understand things are different in the ER

    bgxyrnf replied to ClayH's topic in Emergency

    And you, my friend, would be a delight to report off

  13. When will everyone understand things are different in the ER

    bgxyrnf replied to ClayH's topic in Emergency

    It's helpful but it doesn't preclude the patient from clearing the ED for the next one. They can stay on the gurney in their room until they can locate a

  14. When will everyone understand things are different in the ER

    bgxyrnf replied to ClayH's topic in Emergency

    Very well stated. In the inevitable occurrence that the nurse's hand written notes differs from the electronic chart and orders, to which will the nurse be held accountable? And would it be...

  15. E-books in Nursing Programs

    bgxyrnf replied to Find's topic in General Students

    eBooks are the best though I'm not too fond of the Elsevier reader by comparison to ePub. If you're into that sort of thing, there are ample resources to be found via

  16. Jobs during nursing school?

    bgxyrnf replied to marisa.m's topic in General Students

    Neither... you go to their website and search there. Unless you know somebody on the inside, it's quite unlikely that you'll get anything useful by showing up in person. Even if you do know somebody,...

  17. Glutton for Punishment?

    bgxyrnf replied to OrganizedChaos's topic in General Nursing

    Stupid isn't a choice but ignorance most certainly

  18. Glutton for Punishment?

    bgxyrnf replied to OrganizedChaos's topic in General Nursing

    Not much to say after they drop foolish comments like this. It's exceptionally rare for nurses to kill people in their care. Don't mud wrestle with a pig... the pig enjoys it and you just get

  19. Why are ADN programs fading.

    bgxyrnf replied to katie2017's topic in Pre-Nursing Students

    Into Google, type "Institute of Medicine BSN prepared nurses" and you will easily understand what Rose_Queen

  20. eBooks for RN school?

    bgxyrnf replied to Jyotirachel's topic in General Students

    I greatly prefer eBooks to those 10-lb behemoths. In addition to portability, they're searchable, and can be made available via DropBox, Google Drive, etc, depending on DRM and/or one's willingness...

  21. case of discrimination (hearing impaired)?

    bgxyrnf replied to ralfs's topic in Australia, New Zealand

    That is unreasonable, IMO. First off, any BP is often not repeatable within 10mm on successive measurements, whether done manually or automatically. Further, two different people are likely not to get...

  22. ESI practice thread

    bgxyrnf replied to Lev's topic in Emergency

    Walk-in pt: 55 YO guy with a history of chronic problems controlled by meds (htn, dm, etc) arrives saying, "I need a new scrip for Norco. I lost mine and I can't get another one for 8 days. I have...

  23. When will everyone understand things are different in the ER

    bgxyrnf replied to ClayH's topic in Emergency

    I don't butt heads over questions that I can't answer... I just say, "I don't know" and leave it at that.What I find frustrating is the refusal to answer the phone to take report followed by...

  24. UC Davis RN Residency Summer/Fall 2017

    bgxyrnf replied to NursKam's topic in California Nursing

    They

  25. Calling off :-(

    bgxyrnf replied to gaby19's topic in General Nursing

    There is a reason why everybody up the nursing chain of command, all the way to the CNO, has an RN after their name... ultimately, it's on them to cover the shift. It's not best for the patient, of...