SaltySarcasticSally

SaltySarcasticSally LPN, RN

Member

All Content by SaltySarcasticSally

  1. IV Placement Hacks

    Thanks all!! Great advice that I will be
  2. IV Placement Hacks

    These are great tips! I'm struggling with advancing the catheter into the vein. I was an LPN prior to being an RN and drew blood often so I'm confident about the initial stick. But having to advance...
  3. Tele

    1.) I don't know if it's a legal matter but on my Tele unit, patients that are stable can come off for baths, etc for a short amount of time. If they need it off longer than 15ish minutes to go to MRI...
  4. OCD about central line infections - need perspective!

    I think we all have that one thing in nursing we are more than normally paranoid about. Mine is pulling meds. I used to be an LPN in LTC, we did not have scanners or the pyxis like we do in the...
  5. Make It STOP!

    I'm guilty of one. When I was an LPN in LTC I used to think RNs in the hospital were turds about complaining about having 5 patients vs. My 25 in LTC. How hard can 5 be?! I've been an RN on a Tele...
  6. Make It STOP!

    The only one that annoys me is the "I want to be a nurse but I don't want to work weekends/holidays". To be fair, it annoys me in real life too lol. It's really not a big deal to work every third...
  7. Annoying Employee

    Being told by "others" isn't a reliable source. Go straight to the source. A simple "Hey, lets talk about what happened last week and clear away any concerns or misconceptions" may be all that you...
  8. Can't handle certain surgery.

    Bad ortho stuff makes me quesy. Mostly bones sticking out or even non ortho related wounds where you can see down to bone....gets me!! Its gotten better over the years but I certainly will not ever...
  9. New facility no med cart allowed

    Ah yes, the new trend in LTC of "This is a medical facility but needs to look like a person's home". Insert eyeroll. I loved my residents in LTC and feel they deserve a comfortable surrounding but...
  10. What to do when there is too much to do...

    I am a new grad RN on a telemetry floor, prior LPN experience x 7 years, which has made my transition into an RN role somewhat easier. I feel 60% decent about going on my own but I am still stumped...
  11. Your FAVORITE job

    I just started as an RN 2 months ago but my favorite jobs as an LPN were urgent care and occ
  12. 16 month shots, improper way given!?

    I've worked in many clinics and I find the practice you described odd. I used the steel trays just to carry all the shots but once the needle was uncapped it went straight into the patient then into...
  13. Mom suing nurse after suffocation accident

    Hmmm I don't work in L&D so I don't know what the rules are surrounding mom being on pain meds and holding baby especially in the middle of the night. I've had 3 kids, after the third my post...
  14. What to do when there is too much to do...

    I sure hope so! Yes, I am big on safety. I made a medication error in my first 6 months as an LPN years ago so I think I am being perhaps overly cautious now since your more apt to make mistakes in a...
  15. What to do when there is too much to do...

    We do have a charge but they too take 5 patients so I am not sure how they quite manage a full patient load + charge tasks. Thank you for your tips, I think the predicting how long I may be in a...
  16. What to do when there is too much to do...

    Mostly occupational health and urgent care with a little LTC thrown in there. While I am used to a high patient volume, I do not have much experience with unstable patients. I think that's throwing...
  17. Needlestick injury

    While I wouldn't compare it to rape, the charge nurse reacted rather silly. I had a needle stick a few years back while pregnant. It was definitely my fault but at that moment I needed a plan of...
  18. Medication errors, advice.

    I know it can be difficult to have people interrupt you during a med pass but you can't let that be your excuse for med errors. You could always say "Do you mind to wait just one minute while I finish...
  19. I want to quit during orientation?

    Do you have another position lined up? LTC/AL/SNF can be a really challenging work environment. The PCAs are paid far too low and the nurses, like many healthcare settings, are burnt out. The...
  20. Medication errors, advice.

    Are you on paper still or on an EMR? I have done both types of charting in LTC and both come with their own challenges. If you are doing an EMR, which one? You should be able to avoid missing certain...
  21. All Hail ICU Nurses

    I am a new RN, former LPN, now doing Tele/MS. Dear Lord I've never worked so hard! And I used to be an LTC nurse. We take 5 patients each and it is full force go the whole 12.5 hrs every. single....
  22. I am not an NP but experienced PPD and complications after the birth of my third child so trust me, I know how defeating it is. But you cannot afford not to do this review if you haven't passed the...
  23. Are We Still Holding Back Baby's Head?

    I was just reading that lol. My 2 year old came really fast, unit super busy, and since he was my third, it was go time. The nurses absolutely did not hold the baby's head in, they did tell me to try...
  24. Research patient or see patient first?

    We do bedside report as well so that's my initial look at the patient. I was digging into the chart before starting my med pass but it was taking way too much time. Plus we aren't allowed to access...
  25. Heartbroken (long winded-sorry!)

    It makes no sense to me why that happens, I have seen it happen multiple times myself. You would think an employer would jump at a chance to hire a new grad that has several years of PCA experience on...