floydnightingale

floydnightingale

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All Content by floydnightingale

  1. My Coworkers are Driving Me Nuts

    Retired two years ago, can't say I miss a lot of it. Professionalism and adult behavior is something of the distant past. Everybody had a phone and they'd take pictures of me and put it up on...
  2. Nurses are typically allowed a mistake, ex; Radonda Vaught, albeit that was bad one. I can imagine a med-surg nurse might have been unfamiliar with those meds but an ICU nurse would never confuse...
  3. The Unsung Hero of The Emergency Department: The 24G IV Catheter

    Yeh, they wouldn't even use a 20 for a chest study w/
  4. The Unsung Hero of The Emergency Department: The 24G IV Catheter

    I don't recall ever using a 24g for anything but peds. I'd often default to a 20g for easier access or to spare veins but if there was even a remote possibility of a CT w/ contrast I wouldn't go to...
  5. Double Time Pay

    Can't cite specific laws and things vary from state to state but the two hour break is effectively starting you off with a 14 hour shift, albeit 2 hours are unproductive. No, no, no, no. Your employer...
  6. Just Got Hired But Want to Go Per Diem in Order to Travel RN

    Not even off orientation and you want to quit, which is effectively your plan because per diem isn't going to happen. When I was on the committee that interviewed prospective hires, people would...
  7. Is it worth going from Paramedic to RN in Florida?

    "They both can intubate, ..." Actually, I don't believe an ICU RN can intubate
  8. What I Hate About Nursing In 2021

    Online education is largely worthless. They even went to online CPR certifications. Too cheap to pay a medic a few bucks to run a
  9. Thoughts On Eliminating Nurse Report

    Yeah, we went to the no report thing except for ICU transfers and if a patient is unstable they should be going to an ICU or at least travel with a nurse. Fact was, too many units avoided report...
  10. Nurse in Germany Convicted of Killing Patients

    You'd think somebody would've noticed after the first 90 or so. I've been an ER nurse for 20 years, work as much as 80 hours a week, and I've lost exactly 4 patients and all were DNR. Dude was
  11. Getting into the Emergency department

    I'm sure you're smart enough to do it, but my experience suggests that ICU nurses don't do well in the ED and emergency nurses don't transition easily to critical care. I'll call report and they'll...
  12. Peritoneal Dialysis in the ED?

    We don't touch that, and it's not that common at my ED. We see many hemodialysis patients daily, but I don't think I personally see as many as one peritoneal dialysis pt in a year's time. If I'm...
  13. Thinking about buying an Accuvein 300...responses?

    We bought three of these for our ED. Save your money. First off, if a patient's veins are so bad that you need this device it will likely only confirm that they have lousy veins. It's also a very poor...