dorimar

dorimar BSN, RN

ICU, Education

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All Content by dorimar

  1. I feel horrible

    Paleeeease! Jees, if that is the worst mistake you ever make as a nurse, then you are a super nurse. If it was only 3 am, sounds like that nurse had time to get it done in the AM before OR. Maybe...
  2. What would you do....?

    What I hate most about nursing, is that you could probably do all of it within the hour you speak, if documentation was not the issue. We are constantly assessing our patients. When your patient...
  3. Don't the state practice acts have specific mandates for what a student is allowed to do (either in the presence of the nurse instructor or the assigned nurse)? My biggest fear is the liability of...
  4. Responsibilities of a MICU/SICU nurse...

    I know a lot of nurses here talked about all the equipment, tasks, interventions,and technology, but only one (nighthynight) really mentioned the critical thinking involved. I truly believe that 99%...
  5. Nurse/Patient Ratios

    In ICU in AZ it is 1:2 and that is minimum patient ratio in ICU by law (of course exceptions apply, but it is serious if it is breeched, and it is truly only breeched in emergent situations...
  6. The whole truth and nothing but the truth..

    I have to tell you, that if a tarantula showed up under the sheets of one of my patients, i would **** my pants and run screaming out of the room. Not proud of that, but I know it for a fact to be...
  7. Post clincal conference topic ideas

    Wow, I would think case studies would make the theory more applicable and real for students. I am hoping to start teaching soon. I have worked critical care for over 20 years and just got my...
  8. Oh my gosh! I haven't read one single reply to you on this but will respond anyway. I would love to be your preceptor!!!! I cannot tell you how many new nurses I have seen that were overly...
  9. Making innocent mistakes can be learning experiences, except when my family member is a patient on the end of the caregiver making those innocent
  10. Lantus

    I have seen the 3 AM crash with Lantus often (with an HS snack and without any HS ss coverage). It used to specifically be written on our order sets NOT to hold the Lantus for NPO status!!! The...
  11. Question about MSN degree

    I just graduated from University of Phoenix with my MSN/ED (healthcare education). My entire program was online. I learned so much! The assignments taught me a great deal. However, it was a very...
  12. would like opinions on this letter please

    Many of you are missing the point here. It is the triage nurse's job to make sure patients in jeopardy are seen first. It is her job to know that sternal retractions are an emergency. "What could...
  13. Working as a stripper AND a nurse

    About 5 years ago, a husband and wife RNs got fired from my hospital because they posted nude pictures of the wife on the
  14. Liability insurance

    I have used NSO for years. It is very reasonable. I think I pay 98 dollars/year. I have never yet needed it but would never think of not having it. Don't expect your hospital to protect you. If...
  15. The Economy and your job as a nurse

    I am curious in what part of the country are you? Here in Phoenix,AZ we are having issues as well. My ICU census has not dropped but the nursing market seems suddenly saturated. AZ had one of the...
  16. Retention

    So, I guess what I'm saying is recognize and reward excellent practice, higher education, and certification in one's specialty. Recognize and discipline lousy nursing care and dangerous
  17. Retention

    I am one mostly driven by internal rewards. However, I find that when good practice is not rewarded and poor practice is not punished, this encourages poor practice by those driven by external...
  18. "And it's all going to be your fault"

    This had me laughing my ass off because it is sooooooo
  19. Quitting my job this morning to go into the medical field

    Angel337 makes some very good points. If you go into nursing, be ready to have days with no lunch for 12 hours or to eat your hot food cold and your cold food hot. Be ready to work with a full...
  20. When to quit?

    I have found that many ICU's are tough on nurses. Even with ICU experience, I have had to prove myself at every new job I took. Some places are more difficult than others, and once you have been...
  21. Nursing Rally 2/12 in Arizona

    No... The law in CA speaks to MINIMUM ratios. As I stated, accuities are considered also. If the accuity requires MORE nursing than that is mandated as well. Kindly do not quote bits and pieces of...
  22. Nursing Jobs

    Arizona does have a minimum patient ratio for ICU only which is 1:2. We are currently lobbying for minimum ratios and a required accutiy based ratio and whistle blower protection for all nurses and...
  23. Nursing Rally 2/12 in Arizona

    Unfortunately, minimum mandates are sometimes necessary, and I think this will prove more so in this economy. As we are made to feel "lucky" to have a job in this market, we will be expected to...
  24. ASSET or Accuplacer?

    I am seeing less security and less flexibility in the health care industry as well these days. I don't know if i would give up a job making $13/hour with no degree required these
  25. Drug Calculations

    Always figure out concentration first--figure out the mg, mcg, or unit you want to deliver per ml to start. If the dosage is not weight based, and is only to be delivered per hour rather than per...