LovingLife123

LovingLife123

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All Content by LovingLife123

  1. Hope for bullying?

    OP, what answer are you looking for here??? Bullying is subjective. I’ve seen a couple of instances of true bullying. That’s it. It’s not bullying to disagree with your opinion OR when a...
  2. New pregnant nurse

    I thought this was federal training each employee had to train on each year. I feel like my old facility called it U-800 hazardous meds. I had to do a new one at my new facility last year but...
  3. New pregnant nurse

    There should be an actual handbook on your unit that tells you what you can and cannot handle. It’s mandatory requirement to know about this manual and the info it provides. Each facility can call...
  4. Surgical floor to PACU pay decrease?

    And it’s a level 1 trauma?? How is the work life balance better? I work more hours in pacu especially with call than I did in ICU. After 5 years in the ICU, I was working 36/week and that was...
  5. Surgical floor to PACU pay decrease?

    I’m a little confused. They currently work in this hospital and are being asked to take a pay cut? Could it be because they have no critical care experience? It’s hard to tell with the...
  6. Hiding Discharges

    That has to be so aggravating for you. I honestly think there needs to be a class in orientation about hospital flow. I know in my hospital floor nurses hide discharges. And I get they...
  7. Bedside Report

    They aren’t. When you work 3 12 hour shifts that’s 36 hours. Say you are 7-1930 and the next shift is 1900-0730 that’s thirty minutes for report. Even if your report takes 90 minutes each...
  8. Going from 3 12s to M-F 5 8s

    I miss my 3 twelves! I’m currently 4 tens and I’m struggling. I go in later than before but I miss that extra day off during the week. I feel like with that one day off I’m constantly going...
  9. NaCl 23.4% for hyponatremia?

    I would think you would need 2q sodiums and a central line. That’s how 3% is done. I can’t imagine 23%. For a sodium of 129 I’ve only ever used NS. You don’t want to raise the...
  10. Staying late after change of shift, what am I doing wrong?

    How long is it taking you to assess and pass meds on each patient? 5 patients on PCU is a lot, to begin with, but it seems like that’s not changing. Soooooo, unfortunately, you have to find ways...
  11. How do you re-prime primary tubing?

    All of my abx at my old facility were primary. You hang a 25mL flush bag behind and add 25mL for the flush. You end up with about 5mL left in the bag. There should never be huge amounts of air...
  12. Medsurg to outpatient PACU?

    I guess we will have to agree to disagree. You still need to be proficient at maintaining an airway and 2 weeks orientation is awful short for
  13. IV starts and blood draws?

    I draw labs all the time in pacu. Sometimes, a patient rips out their IV or the one they came with is not good so I start another. That’s rare though. But say I have a thyroidectomy,...
  14. Medsurg to outpatient PACU?

    With a 2 week orientation? I’m going to disagree with you 100%. Managing airways is a large part of what we do. I’m glad you had a supportive environment but not all are that way and with only...
  15. Medication Charting Errors

    Honestly, I’d be concerned more about the charting errors. I mean it’s not even just one type of drug. It’s insulin, an inhaler, and a narc. So while I fully believing a charting error can...
  16. I have several disagreements here. First of all, midlines are terrible and should not be used. They are a PIV with a much longer catheter. You cannot tell if they have infiltrated. Second,...
  17. My old job had a tracking device. It stayed in my purse until I quit. Then I handed it back. I saw zero reason to track me in the ICU. Each pod was small, we could physically see every call...
  18. Terminated

    Did you document your BP and passing of meds? If you documented everything there should be no question. If you didn’t document it, it didn’t happen. It’s that simple. Learn from this...
  19. IV Push Ativan

    I push Ativan multiple times a day in pacu. I also pushed it often in ICU, especially in comfort care situations. That nurse had to have misunderstood you, I know they push it often in the ED....
  20. Judgmental rant about time off

    I feel the like call out culture has really taken hold this past year. I very rarely call in. I think in the past 3 years I’ve called in for my bout with covid and this past April when I was...
  21. Challenge of Diaper Change Timeliness

    So, for diarrhea in the ICU you didn’t use a
  22. VA Hospital Med-Surg vs Private Hospital Telemetry?

    I would never work at the VA. The care there is crappy. Yes, they have great benefits including a pension. I’ve seen one too many horrific things come out of there that has had to be cleaned up...
  23. Challenge of Diaper Change Timeliness

    The problem becomes that skin breakdown and infection occur if the resident is allowed to sit in soiled briefs. Of course families should be allowed to help toilet their family member, but many...
  24. Nurse Extern

    It honestly depends on the pacu. It looks like you may have already started, but there are vast differences in pacus. Smaller, rural hospitals may not even have a general surgeon in house...
  25. Career over family?

    This is disheartening to hear. If I may give you some words of wisdom, don’t ever depend on a man for anything. Not just financially but emotionally as well. You never answered if he actually...