bgxyrnf

bgxyrnf MSN, RN

Med-Tele; ED; ICU

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All Content by bgxyrnf

  1. Is your ICU staffed with mostly New Grads?

    bgxyrnf replied to Morguein's topic in Critical Care

    I think a preponderance of new grads is a recipe for disaster as well as an indication of a terribly dysfunctional unit as evidenced by their apparent inability to retain experienced staff. A nurse...

  2. Survey for school!

    bgxyrnf replied to Sdwyer043014's topic in Nursing Student Assistance

    The one piece of data that is generally disregarded in these surveys and data collection is is the respective genders of the perpetrator and the victim. how old are you? { 51 } how long have you been...

  3. Is nursing school REALLY that hard?

    bgxyrnf replied to Courtney M's topic in General Students

    That's ridiculous... for many reasons, not the least of which is the lack of any standardized definition of

  4. Is nursing school REALLY that hard?

    bgxyrnf replied to Courtney M's topic in General Students

    Surely you already knew that, right? I'm getting to be an old geezer (I'm a guy... we become geezers... the gals become bats... that makes me a COG, i guess) and I will share with you that your...

  5. Changing professions after age 50

    bgxyrnf replied to martymoose's topic in General Nursing

    Almost

  6. Changing professions after age 50

    bgxyrnf replied to martymoose's topic in General Nursing

    In my case, I did -- at age 45... and came *into* nursing precisely in order to have a reasonable chance of remaining employed long enough to retire. And I'm finding it to have been a terrific...

  7. I hate nursing school (and it is not because it is hard)

    bgxyrnf replied to baleen's topic in General Students

    I had some similar feelings about nursing school... and in retrospect, I still do. It all changed when I started working at an academic medical center. Docs and pharmacists and RTs galore, and all...

  8. Verbal Hand-off Reports - Are they no longer necessary?

    bgxyrnf replied to yr.pedsnurse's topic in General Nursing

    But that has *nothing* to do with verbal report as opposed to a standardized handoff report in EMR... nothing at

  9. Is nursing school REALLY that hard?

    bgxyrnf replied to Courtney M's topic in General Students

    Well for me, yes it was just as hard as I expected... which wasn't all that difficult. The only real challenges in nursing school were (1) the unrelenting pace and (2) the high-stakes nature of each...

  10. The sloppy image of nurses today

    bgxyrnf replied to RNdynamic's topic in Nursing Professionalism

    Geez, short hair equates to "bulldyke" or military? Just

  11. Verbal Hand-off Reports - Are they no longer necessary?

    bgxyrnf replied to yr.pedsnurse's topic in General Nursing

    Until you accept the patient, you are not accountable from a nursing perspective. Now the hospital might hold you accountable for not accepting the patient but from a nursing vantage, if you haven't...

  12. Verbal Hand-off Reports - Are they no longer necessary?

    bgxyrnf replied to yr.pedsnurse's topic in General Nursing

    From that vantage, you're arguing for mandatory verbal report as a way to put the brakes on the admission and that's totally inappropriate. The proper manner to delay an arrival is for the charge...

  13. A&P and Microbiology concurrently?

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

    I have no clue whether they do or not but I'd hope that admission committees are on the lookout for students who are trying to space their classes so that they take only one challenging class at a...

  14. ICU pointers?

    bgxyrnf replied to aeris99's topic in Nursing Student Assistance

    Basics of hemodynamics, respiratory mechanics, and vasoactive/cardioactive

  15. Verbal Hand-off Reports - Are they no longer necessary?

    bgxyrnf replied to yr.pedsnurse's topic in General Nursing

    Pretty sure it was in the EMR, though... either way, would it have made any

  16. The sloppy image of nurses today

    bgxyrnf replied to RNdynamic's topic in Nursing Professionalism

    I, for one, look just like George Clooney in ER... Honestly, it's not all it's cracked up to be. I am such a distraction to the staff and the patients. At least three needle sticks are directly...

  17. Please Help, I'm new & made a huge med error, I'm devastated.

    bgxyrnf replied to MasonDixieChic's topic in Patient Medications

    Or... they don't realize that they made the

  18. Verbal Hand-off Reports - Are they no longer necessary?

    bgxyrnf replied to yr.pedsnurse's topic in General Nursing

    Your issue isn't about reporting, it's about not documenting narcotics. That's a big deal and *that* is the issue, not verbal reporting (which may or may not have revealed the issue). So what's the...

  19. Why no IM injections??

    bgxyrnf replied to kistigirl84's topic in General Students

    I routinely use US to start superficial IVs; I only go deep in emergent cases or if I don't have the time to search. Capillaries and venules, sure... veins? "Everywhere?" I guess you're looking at...

  20. Verbal Hand-off Reports - Are they no longer necessary?

    bgxyrnf replied to yr.pedsnurse's topic in General Nursing

    Right?What the Joint Commission is pushing is a "standardized approach" which, from what I've experienced isn't close to what's happening with verbal report. Having a standardized handoff report in...

  21. Verbal Hand-off Reports - Are they no longer necessary?

    bgxyrnf replied to yr.pedsnurse's topic in General Nursing

    That's the point... it's *not* compromising patient

  22. Verbal Hand-off Reports - Are they no longer necessary?

    bgxyrnf replied to yr.pedsnurse's topic in General Nursing

    My personal belief is that many nurses are not comfortable finding information in Epic. Sure, it may take wrenching in a report or two, and perhaps even working with the EMR team to have a new one...

  23. Why no IM injections??

    bgxyrnf replied to kistigirl84's topic in General Students

    Sorry, BUT there is relatively little subcutaneous vasculature by comparison to the total volume of subcutaneous tissue.Take a look with an ultrasound and see how few veins of any size there

  24. Verbal Hand-off Reports - Are they no longer necessary?

    bgxyrnf replied to yr.pedsnurse's topic in General Nursing

    I work in a large academic medical center and this has been the policy for years and, while some nurses complain about it, it hasn't resulted in any documented adverse outcomes. A customized handoff...

  25. Is it possible to pass med-surg 2?

    bgxyrnf replied to Student2017555's topic in Nursing Student Assistance

    I've found that bad reputations are often more a reflection on the opinionator than on the subject. Yeah, upper classmen love to torment the newbies. Probably need to troubleshoot that in a hurry...