bgxyrnf

bgxyrnf MSN, RN

Med-Tele; ED; ICU

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All Content by bgxyrnf

  1. First week- will I die of boredom?

    bgxyrnf replied to gypsierose's topic in General Students

    No, no, no!Handshakes are foul and disgusting. Secret fist bumps or forearm bumps

  2. Nurses smoking weed?

    bgxyrnf replied to bunnynurse's topic in General Nursing

    Smoking pot doesn't put your patients at risk, being intoxicated does. My personal experience was that the intoxication lasted for a few hours. I do make fun of the 'gateway drug' theory because it...

  3. Nurses smoking weed?

    bgxyrnf replied to bunnynurse's topic in General Nursing

    Until the Feds make it legal, it isn't legal regardless of what any state says. And given that you administer meds under federal authority, I wouldn't presume to start sparking up unless your employer...

  4. IO + Lab work

    bgxyrnf replied to applesxoranges's topic in Emergency

    As I said, I've never seen it appropriate to have a patient in the ED for any length of time and not obtain and IV of some sort and I'd certainly not be comfortable "making it a floor problem." You've...

  5. IO + Lab work

    bgxyrnf replied to applesxoranges's topic in Emergency

    Agreed, if you have no access and need it immediately, and a PIV site isn't readily available, then an IO is absolutely the way to go. In six years of ED nursing, I can only recall a handful of times...

  6. First week- will I die of boredom?

    bgxyrnf replied to gypsierose's topic in General Students

    I feel the need to point out the foolishness of drawing any sorts of conclusions based on such a small sample size as the first week. You might want to brush up on your probability and

  7. Kicked off unit when Joint Commission arrives

    bgxyrnf replied to Skittles767's topic in General Students

    Missing a couple of clinical days in nursing school won't amount to anything when it comes to the transition to

  8. IM/IV med administration

    bgxyrnf replied to wordrm's topic in General Students

    Heck yeah! Hands hurt like h-e-double-dog-legs. I let students and newbies practice lines on me without reservation but with one condition... no hands. I rarely start lines in the hand unless I just...

  9. Calling report to the floor.

    bgxyrnf replied to CardiacDork's topic in General Nursing

    Right... which is why voice-to-voice is unnecessary unless you've got urgent questions in which case you can call. My last gig was one of those... it sure seemed to work ok. In my current job, it's...

  10. Calling report to the floor.

    bgxyrnf replied to CardiacDork's topic in General Nursing

    The collective 'we' gets to triage but that doesn't change the fact that we're under pressure to fill rooms as fast as we can... and the triage nurse doesn't much care about how hard the bedside...

  11. Calling report to the floor.

    bgxyrnf replied to CardiacDork's topic in General Nursing

    Just as I don't like taking an assignment in which I'm about to send one patient upstairs (saying, "I don't really know this patient") and discharging one and hearing, "that one just got here and I...

  12. Calling report to the floor.

    bgxyrnf replied to CardiacDork's topic in General Nursing

    I won't do the sandwich but I will administer PRN meds if I have them because I know that it may be awhile before the floor nurses get to it.I'm not sure what you mean by we "also get to triage." Yes,...

  13. Calling report to the floor.

    bgxyrnf replied to CardiacDork's topic in General Nursing

    The probability of transitioning during transport is pretty low. Of course, *low* probability doesn't mean *no* probability but that's no reason to occupy an ICU bed with a patient who will derive no...

  14. Calling report to the floor.

    bgxyrnf replied to CardiacDork's topic in General Nursing

    What I find ironic is when a floor nurse gives me attitude about successive admits we're sending up while I've got a waiting room full of people, multiple ambulances inbound, and patients laying/lying...

  15. Calling report to the floor.

    bgxyrnf replied to CardiacDork's topic in General Nursing

    Yeah, paper charts SUCK.And now I understand why you were flustered. My first thought at the outset of your post was, "Didn't you look at the chart before or at least during

  16. Calling report to the floor.

    bgxyrnf replied to CardiacDork's topic in General Nursing

    What do you mean, WTH?Futile cases don't need to be in the ICU to complete their transitions. Why would you raise hell if your loved one were to transition outside of the ICU? The ICU is the last...

  17. Got chewed out by my clinical instructor

    bgxyrnf replied to MQ Edna's topic in General Students

    Uh oh, NETY alert. "I posted about my instructor's inappropriate behavior and then they all ganged up on me..." I don't see the humor or inside joke, either. When we were at sim lab -- and even when...

  18. Is it normal that my school doesn't teach us IVs?

    bgxyrnf replied to Annie_1101's topic in General Students

    I don't find the hand mechanics to be identical at all.Nice to hear that some do find it helpful,

  19. Is it normal that my school doesn't teach us IVs?

    bgxyrnf replied to Annie_1101's topic in General Students

    Having learnt and taught both urinary and venous catheterization using mannequins, I don't consider them to be terribly useful because plastics and elastomers are very unlike human tissue, especially...

  20. Is nursing school REALLY that hard?

    bgxyrnf replied to Courtney M's topic in General Students

    Nothing special about that. The first-time pass rate for US-educated student is more than 85%. It's just not that

  21. I&D...sterile procedure?

    bgxyrnf replied to deefizzle's topic in General Nursing

    Considering the regularity with which gloves tear or develop holes, I don't personally consider them good enough for C. difficile or blood. If I consider there to be a significant likelihood of coming...

  22. Is nursing school REALLY that hard?

    bgxyrnf replied to Courtney M's topic in General Students

    As a degreed engineer, that sounds absurd to me. Much of engineering studies require the students to work as teams because (a) real-world projects are generally much too large and complex to be done...

  23. Combative Patients/Body cams/Walkie talkies

    bgxyrnf replied to Beldar_the_Cenobite's topic in Patient, Colleague Relations

    So Stig, I really don't understand what you're asking or fretting about. I answered your question about "how you deal with combative patients" very succinctly and I was not being facetious in the...

  24. Combative Patients/Body cams/Walkie talkies

    bgxyrnf replied to Beldar_the_Cenobite's topic in Patient, Colleague Relations

    With overwhelming force-in-numbers and restraints, both physical and chemical.The number one goal is to ensure that no staff are injured. Goal number 1A is to ensure that the patient is not

  25. New ED nurse

    bgxyrnf replied to jv713's topic in Emergency

    Learning to be an ED nurse is intimidating because sometimes seconds or minutes matter and you need to be able to multitask and continually reprioritize. It is not an easy thing to do, even for expert...