quazar

quazar

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All Content by quazar

  1. Too many screening questions?

    I have been surprised on a number of occasions by the most innocuous looking patients giving the most shocking answers to screening questions. Had the questions not been there, I likely wouldn't have asked, and never would have known the (in some ca...
  2. Inappropriate CNA behavior?

    Please report their behavior. Your post made my blood run cold. I have a parent with advanced dementia and Parkinson's, and the thought of my parent being "cared" for by these people is horrifying. If they treated my parent this way and I knew abo...
  3. Would You do This Commute?

    My current commute is 27 miles one way, but 45-55 minutes in rush hour traffic. I deal with the commute because the job and my coworkers are definitely worth it. I use the Waze app on my phone every time I drive in to work so that I am alerted to ...
  4. What would you think if you saw this patient?

    Ahhhhhhhhhhh, crap. IDK about preventing implantation (I would think not, but fertility is not my niche, I work with the end result of fertility treatments), and yes it can definitely grow bigger over time. Dang it, asking me hard questions. Hah...
  5. What would you think if you saw this patient?

    I do OB so this is totally out of my wheelhouse and I would probably be calling a code stroke. HOWEVER, since freaking out and calling in the calvary for backup is not a choice (I love you, rapid response/stroke team!!), then my choice is 1) send hi...
  6. Family not supportive, is nursing really that bad?

    Is anyone in your family a nurse? If so, talk to that person and seek their advice. If no one in your family is a nurse, I would take their opinions of your choice of future profession with a grain of salt, and seek the advice of a career counselor...
  7. "Nursing of the Childbearing Family" Clinical

    What would probably be most helpful for you to learn is just basic assessment of the postpartum mom, also known as the BUBBLE-HE, and basic assessment of the newborn. Learning fetal monitoring strips is pretty complicated. You can try to read up on...
  8. Feel like a horrible nurse!

    The fact alone that the physician calmly and nicely sat down with you and took time to explain things without flying off the handle says that a) he's a pretty decent fellow to work with and hopefully is a reflection of the rest of the unit and b) it ...
  9. Nursing School in Seattle

    Oops, I think you may have accidentally clicked the wrong state. Perhaps if you message one of the mods, they can move this for you. :) Best of luck!
  10. "Nursing of the Childbearing Family" Clinical

    Aww, OB was my first clinical, too. Try to stay calm and enjoy yourself somewhat!
  11. Increasing Press Gainey Scores

    LOL, shocking. I'm sure they were all distributed to the people who needed to see them, naturally.
  12. This is probably the best description of the core problem with nursing today that I have seen. Spot on, exactly correct.
  13. L&D RN w/ Herpes - Embarrassed

    Your coworkers should NOT be judgmental about HSV. Many people have it, and it can lay dormant for years, unknown until an outbreak happens that they never saw coming. To equate HSV with being "dirty" is not only small minded and ignorant, it's unp...
  14. Increasing Press Gainey Scores

    Yes, yes, yes. Here's a dumb question: do candy stripers (or some version of them, you know, high school aged volunteers) even exist any more? I know I don't see them in my hospital except maybe a handful of them. The used to be around in much gr...
  15. Keeping textbooks for reference?

    I've looked at some old OB textbooks, and omg SCARY. Of course, those were from the 1930's, so yeah.
  16. Keeping textbooks for reference?

    I'm keeping mine so that years from now I can laugh about all the crazy stuff we used to do in medicine in the dark ages. Or something like that. I paid a king's ransom for them. They make excellent doorstops and any visitors being nosy and looki...
  17. Increasing Press Gainey Scores

    See, and that SUCKS, because there is also evidence to show that urban hospitals that serve primarily low income/uninsured/underinsured patients have a much harder time with HCAHPS scores. Large Urban Hospitals at Disadvantage by Current Medicare an...
  18. Nursing school: ECU vs UNC-CH

    I would focus on where you want to end up when you graduate, honestly. The job market is thriving in RDU and it's a great place for new grads to get jobs, even in coveted specialty areas like ICU, ER and L&D. I've never seen a discrepancy betwe...
  19. Increasing Press Gainey Scores

    Ooo, adding that to my Amazon w/l.
  20. Infant Warmer

    Multiples of the following: Suction catheters in 6fr, 8fr, 10fr Pink tape, paper tape, tape to secure ET tube (can't think of the name of it now sorry) ET tubes in 2.0, 2.5. 3.0, 3.5, 4.0 Laryngoscope with 00, 0, and 1 blade (check blades to make su...
  21. What makes your job meaningful?

    Knowing, without a doubt (because I have been told so), that when my time on this earth is done, I will leave it having made a small but definite difference in a stranger's life. Yeah, corny, but true.
  22. Increasing Press Gainey Scores

    My hospital has great HCAPS scores. Our patients are satisfied and give glowing reviews. We don't AIDET. Ever. Hourly rounding happens not because it's mandated but for one quirky reason: because my hospital is WELL STAFFED and has appropriate ...
  23. Increasing Press Gainey Scores

    Great news for administrators wondering what to do about the ever present patient satisfaction question!! There is actually RESEARCH out there that shows how patient satisfaction measures cause HARM and increase bad outcomes! Patient satisfaction l...
  24. Scheduling harassment

    Just a note to the people getting upset about the "not working weekends" part. I don't work weekends either, nor do I work holidays. It's not magic or favoritism, it's what is in my signed employment contract. Not everybody HAS to work weekends an...
  25. Guilt after shifts

    Yeah, it's normal to feel upset about missing an IV. Don't stress though, you get some you miss some. Even super experienced nurses blow IVs sometimes. It happens. I limit myself to a 2 stick maximum and if I can't get someone on the first stick ...