Tephra

Tephra

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All Content by Tephra

  1. Any hints for organization?

    Did you have some sort of daily task checksheet you worked off in school? If that was helpful to you, you can modify that to help guide your work. If not, maybe you can make up a form that includes typical tasks/assessments needed for your shift and ...
  2. Night-shift in ICU

    Hi Charmed -- welcome to allnurses. :) I loooooooove my ICU night shift job. You don't say how long you've been doing this... is this new and you're just adjusting? Or has it been a long time? Now for the hints (nothing you prob don't already know, j...
  3. Does you hospital have magnet status?

    I was very impressed with the "Magnet Hospital" concept when the first few hospitals were announced. But...... ..since then, the concept seems to have been "diluted". My hospital was named this year. Woo. Hoo. Although I will say my hospital is one o...
  4. How many mistakes have you made?

    Listen, hon, my nursing instructors told me (first semester), "If you meet a nurse who tells you she/he has never made a med error, they're either brand-new or they're lying." Been there, done that, got the t-shirt (LOL! or is it a hair shirt...becau...
  5. Is this insane or what?

    32 weeks... holy carp!!! Sheepers, I've heard of training your replacements/filling a schedule but you're being YANKED. Most units that realize you're burnt on them, will be willing to let you out to another area w/in a month- 6 weeks. Speaks volume...
  6. Things Patients Have Taught Me NOT To Do

    LOL I am LOVING this thread! :) Hmmm... Don't show up intoxicated on alcohol, cocaine, or other detectable drug, when you finally get "the call" for your solid-organ transplant.
  7. Welp, it's coming. There was an announcement on our computer system today "inviting" (it'll be required attendance) all nurses to town hall meetings on "excellence in care" or something similar. I asked my supe about this excellence thingy and told h...
  8. Thanks again for everyone's response. :) NRSKaren, appreciate your response too, as someone with a positive experience (and I did check out your links). Just a thought (NOT an attack!) :) : If someone said, "Sorry we did not EXCEED your expectatio...
  9. Oops, forgot the link to the old threads on scripting (I'm not sure what form ours will take yet):: https://allnurses.com/forums/search.php?s=&action=showresults&searchid=540470&sortby=&sortorder=
  10. Appreciate y'all's thoughts. And I agree, we sure spend a lot of time apologizing for other departments (or the imagined slights that patients/families feel have been inflicted), or doing their job ("Why didn't I get X on my tray?" "That lab tech bru...
  11. Hospital Acuities.........or NOT!!!

    We have an acuity system in place. It's mostly a *retrospective* classification, used annually to justify staffing. Although it generates numbers that are used to determine "load" in M/S, i.e., "Susan's patient crew is a total of 58 points, while Jen...
  12. bring in the clowns!, er i mean residents!

    Pardon, didn't reference properly, CSNY there... always a lovely song and a great reminder. :) Crosby Stills Nash & Young - Teach Your Children The baby docs will be what we help them become.
  13. bring in the clowns!, er i mean residents!

    LOL @ this thread! Doncha know, the other day I looked at the calendar, laughed, and said to the hubby, "Hey, July 1st is coming!" He grinned, and said, "Yeah, should we go out for dinner or something?" I looked at him in confusion, then remembered.....
  14. Nurse, what's your number?

    Ooooh I had a phone when I worked Med-surg at my hospital. I hated hated HATED it. The desk clerk would ring calls through -- didn't matter if you were in deep isolation garb in an MRSA room, or elbow-deep in poopoolito elsewhere. And goodness forbi...
  15. When to give up?

    Hey nrs-jlm, hope things are smoothing out for you. Sounds like you've got a good plan! The experience you're getting will be invaluable anywhere. And thanks for the reminder of how tough it can be. We've got a couple of raw new grads on out ICU and ...
  16. Organ donation question!

    Hey gizzy... good question! Here's the deal... you don't really need *anything* signed *as long as* your loved ones know your wishes, and agree to abide by them. One of our "donor moms" gave her teenage son's organs for transplant as a result of a ...
  17. LPN's are Nurses Too? Aren't they?

    Congrats JustJenn! Don't let anyone sneer at ya... time to edjumicate them as to what an LPN is. A thought... get through your program, get some experience, and get an employer who'll pay tuition to get an RN... why? Payscale. I know it's already bee...
  18. Another organ dilemma so soon....

    Just wanted to add a little bit here -- I lurk more than post but I always appreciate the wide variety of folks and thoughts on here. :^) I'm in Tranplant ICU (liver/kidney/pancreas). More of our liver patients are Hep C than ETOH, but many suffer fr...
  19. I should have known better

    Poor kid, I hear ya... I switched to weekday days for one weekend last month because they were short... I hate days, LOL! I don't mind helping a little... so no guilt for another 4-6 months for me now, heheheh. Melatonin works for me. 1.5 mg (I cut t...
  20. nclex..... worried

    Ah, man...been there. I shut off at 75. Everyone else in my class got their results (by phone) 3-4 days before I did! I was *sweating*. All I can say, is just keep moving, keep breathing, that's all I could do. Let us know how it works out. Thinkin' ...
  21. New! Chat room testing

    Well, that worked smoothly for me... cable modem though. Dialup folks may not like it/be able to participate easily (??been a while since I did dialup, and I'm NOT goin' back baby!). Looks like fun!
  22. Hi Liz -- First, you're never too old for anything if your heart's in it. So go girl! But.. second, be prepared. We joke that I'm the "unit hag" (at 37!) on my shift in ICU. I love it (I'm very immature, LOL!)! But there are a few 20-somethings with ...
  23. Responding to Doctors

    Nice work above y'all. My script goes approx as follows: "Hey, this is Tephra... thanks for calling back so quick. I'm calling on Mr. Johnson, GI bleeder of Dr. Allgood.. are you familiar with him? Good. His crit's down to 23 from 29, 6 hours ago, he...
  24. Anyone else addicted?

    Addicted? Fuggedaboutit. I'm just gonna check one more thread....... LOL!
  25. Is this possible?

    Hey Jessjoy -- isn't it great to be interested in everything!!! But I think others above are right, starting two (very different) jobs at once will likley pull you in two! ER will give some broad experience, and you can choose to specialize from ther...