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10-28-2014, 08:53 PM #4111
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10-28-2014, 09:00 PM #4112
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10-28-2014, 09:02 PM #4113
No. I worked the floor for 6 months with no CNA's and no RT's. Just RN's. It was a respiratory step down/tele that gave us 4 pts each. **** the floor.
I felt like a waitress at Hooters during the Superbowl but without the tips.
Yes you can, but it won't help like an A will. I say that nursing classes were easier, tbh.August 2023:
BW: 194
B: 315 x 3, 225 x 14 (PR: 335)
S: 315 x 2, 225 x 18 (PR's)
DL: 405 x 1 (PR); Trap Bar DL: 405 x 1
OHP: 185 x 3 (PR), 135 x 16
Chins: 22(PR) Pushups: 83 (PR: 101)
1 Mile: 6:45 (PR: 5:52)
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10-28-2014, 09:07 PM #4114
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10-28-2014, 09:34 PM #4115
I certainly hope not all of nursing school is harder. I took evert bit of my phys and anatomy, both one and two in one semester and it dang near killed me.
BRB learning clot ting factors, hepatic veins and brachial plexus all in the same weekend
Even the pathophys class I'm in now seems like a cinch.NASM CPT
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10-28-2014, 11:41 PM #4116
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10-29-2014, 12:16 AM #4117
It won't hit you for a while. Just grit your teeth when you get treated like a slave by some junkie for 12 straight hours who later complains about you. When you remember the amount of chit you put up with on that shift from your other 3-4 pts, and your boss is giving you a "coaching" on patient satisfaction, just remember that it's temporary. Some people are afraid to be so closely responsible for the life of another, others are afraid to be in the aforementioned scenario for years on end. Be #2.
August 2023:
BW: 194
B: 315 x 3, 225 x 14 (PR: 335)
S: 315 x 2, 225 x 18 (PR's)
DL: 405 x 1 (PR); Trap Bar DL: 405 x 1
OHP: 185 x 3 (PR), 135 x 16
Chins: 22(PR) Pushups: 83 (PR: 101)
1 Mile: 6:45 (PR: 5:52)
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10-29-2014, 03:10 AM #4118
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10-29-2014, 04:04 AM #4119
- Join Date: Apr 2013
- Location: San Diego, California, United States
- Posts: 3,642
- Rep Power: 10498
6 months in, I honestly like being a bedside nurse. I like the family interactions and psychosocial care and being able to alter their POC. I also like taking care of a dying patient and their family.
I do see alot of dumb **** from bedside nurses like the 10ml flush syringe will blow the site vs a 2.5ml flush.
Like doing bull**** assessments, everyone wants to do a full head to toe x 6 people on a night when people are half asleep, crawling out of bed, and ****. Bed alarms going off and what not. I wish I worked on a full oncology floor and if that was the case I Wouldnt have to deal with all the bull**** on medical. I like stroke patients, but some of this other bull**** is annoying. I am not the best with confused patients, but I am getting better.Last edited by DatMurse; 10-29-2014 at 04:10 AM.
From Houston, now I am in San Diego
Registered Nurse? Or work in the healthcare? Come join
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10-29-2014, 04:30 AM #4120
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10-29-2014, 06:45 AM #4121
Were you working my for last night? batchitcray/10 trying to escape....not sure how one can confuse cancer care with psych, but hey lets just go with it and send them upstairs anyway. ..bert stare
sitter confusion
tech disappeared
patient crying and really making a big fuss
pain meds that if you dont deliver on time...pepper for the wrath of the patient
complicated potty breaks for patients to the bedside commode
glad that shift is overThe girl on the right:
-Chihuahua crew-
-1/2 white 1/2 mexiCAN crew-
-Dub Step crew-
"When I die I want to be buried face down so the world can kiss my a$$"
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10-29-2014, 08:12 AM #4122
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10-29-2014, 09:42 AM #4123
haha, the exact stuff I strongly dislike.
I do see alot of dumb **** from bedside nurses like the 10ml flush syringe will blow the site vs a 2.5ml flush.
Like doing bull**** assessments, everyone wants to do a full head to toe x 6 people on a night when people are half asleep, crawling out of bed, and ****. Bed alarms going off and what not. I wish I worked on a full oncology floor and if that was the case I Wouldnt have to deal with all the bull**** on medical. I like stroke patients, but some of this other bull**** is annoying. I am not the best with confused patients, but I am getting better.August 2023:
BW: 194
B: 315 x 3, 225 x 14 (PR: 335)
S: 315 x 2, 225 x 18 (PR's)
DL: 405 x 1 (PR); Trap Bar DL: 405 x 1
OHP: 185 x 3 (PR), 135 x 16
Chins: 22(PR) Pushups: 83 (PR: 101)
1 Mile: 6:45 (PR: 5:52)
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10-29-2014, 11:06 AM #4124
B in AP classes, currently in RN program, and I definitely find nursing school harder because its just a different way of teaching/learning than I'm used to. Or I just have intense instructors, but I'm loved at clinicals its all good. GL dude.
Disclaimer: im a red *******I get plenty of greens. Only red because of one mod, who happens to be a huge *******. You know who you are.
Hey vegetarians, my food chits on your food, literally.
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10-29-2014, 11:16 AM #4125
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10-29-2014, 12:18 PM #4126
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10-29-2014, 02:55 PM #4127
3liter bolus is a bizarre order. 60/40? What was going on with this patient? Completely inappropriate for patient not to get an immediate bolus (pressure bag), MD should have been at the bedside. Not your fault, but wtf.
There are lots of ways to describe these patients, I often call them "Pcl" I.e. Pre-code looking. They require immediate, aggressive intervention.CRNA Crew
Used to be super skinny and now slightly better crew
Chronic back pain for years, but now better crew
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10-29-2014, 05:09 PM #4128
Hospital policy. The only place where this is an exception at my hospital is the ER.
Thank nursing school/ NCLEX for this one. You are told that there is a 4L maximum for COPD patients because they retain CO2 and they will lose the drive to breathe. What you aren't told in nursing school is that not all COPD patients are retainers because COPD isn't one disease.-Miscs from phone 99% of time.
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10-29-2014, 05:25 PM #4129
This is dogma, yet people still perpetuate this. Thats why I shake my head when I hear people say it.
Here is a 30 year old study disproving this: http://www.ncbi.nlm.nih.gov/pubmed/6778278 . It is absolutely retarded to withhold O2 from a COPDer for fear of knocking out their respiratory drive.I don't gang bang, ho, I just gang bang these hoes.
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10-29-2014, 05:47 PM #4130
While I think most people agree that the simple concept of hypoxic drive in COPDers (taught in many nursing programs), is not valid, there are still good reasons not to just blast copders with O2. This articles touches on some of the issues ( in the pre-hosptial setting), but the reality is that this stuff is just not fully understood at this time.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2564043/CRNA Crew
Used to be super skinny and now slightly better crew
Chronic back pain for years, but now better crew
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10-29-2014, 06:06 PM #4131
Nobody is talking about "blasting" people with O2, as EMS typically does. You give them as much as they need and obviously accept their ****ty metrics (Sa02 90ish, PO2 60ish, CO2 60ish, etc).
The situation I referenced happens all too often: COPDer huffing and puffing with a Sa02 in the 70s. Some nurse flips her **** when you want to put them on a Venturi/NRB, because "that's too much 02, they'll stop breathing".I don't gang bang, ho, I just gang bang these hoes.
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10-29-2014, 06:36 PM #4132
You don't run into RNs slapping 02 on A COPD whose sat is 90%? I see that all the time.
Honestly, when I care for copders, the main number I care about is the pH - if it's normal, they are in their normal state, all is well.
There are certainly reasonable people that think, in some patients a sat of 85% is ok.
Oxygen hurts these patients, just not fur the reasons lots of RNs are taught.CRNA Crew
Used to be super skinny and now slightly better crew
Chronic back pain for years, but now better crew
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10-30-2014, 02:46 AM #4133
Patient was a rapid response from ED (???), where she received 4L of NS. When she got to me, BP was in the 70s - low 80s. She had diarrhea for four days, but I don't think that would bring the BP down that low. She's been discharged since. CC doctor was with me most of the time. He ordered an additional 1L x 2, along with the 1L bolus ordered by the admitting, but I'm not sure why the pressure bag wasn't ordered. Aware me on why the 3L bolus shouldn't have been done. Just curious.
Last edited by guyman123; 10-30-2014 at 10:41 AM.
Student Registered Nurse Anesthetist c/o '21
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10-30-2014, 10:32 AM #4134
- Join Date: Apr 2013
- Location: San Diego, California, United States
- Posts: 3,642
- Rep Power: 10498
I go out with some people that relocated to an LTAC(VIBRA/kindred). I constantly hear them say "I am getting great experience" or "I am a master and wound care".
It gets to a point where I am pretty sure they are in denial. I hate doing dressing changes on bed sores and **** that shouldn't be there. They take care of the people that nobody wants to care for in the hospital. We transfer them there because they are status quo and nothing changes. I know I am going on a long rant but its BS exp because its long term care that we push out of the hospital.From Houston, now I am in San Diego
Registered Nurse? Or work in the healthcare? Come join
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10-30-2014, 10:37 AM #4135
- Join Date: Apr 2013
- Location: San Diego, California, United States
- Posts: 3,642
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Lol @ o2 when sat is 90%. I dont give a **** about oxygen. just as long as sats are 90%+.(obv chest pain is different)
I had a nurse who I do like cause she is smart but we differ in regards to palliative care. A guy with lung Ca and maybe 3-12 months to live and she wants to try to wean him off oxygen. he was wondering why we were being stingy with oxygen. I Went in the room and told him I dont care how much oxygen he gets. Whatever he wants, ill give him that oxygen.From Houston, now I am in San Diego
Registered Nurse? Or work in the healthcare? Come join
http://forum.bodybuilding.com/showthread.php?t=147557373
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10-30-2014, 04:22 PM #4136
7 liters is just a massive amount of fluid for a non-bleeding patient to receive. 4l and a BP still in the 70s probably means she's not just dehydrated and something else is going (septic? Perfed bowel, etc?)
Think about it, entire blood volume is only 5l. If you give a non-bleeding patient 4l and his or her BP is still super low, the answer is certainly not to give 3 more liters. The tank is full, time to start pressors and figure out what is going on.
Not getting an echo at that point is ridiculous. Invasive hemodynamics monitoring is also called for...you are going by the cuff?CRNA Crew
Used to be super skinny and now slightly better crew
Chronic back pain for years, but now better crew
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10-30-2014, 06:14 PM #4137
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10-31-2014, 07:55 AM #4138
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11-01-2014, 09:49 PM #4139
Ok, brahs. I was just awared that one of the patients I had last night died tonight, so my question is, what is the process following the patient's death? Does the hospital check through all the charting to see if anyone made a potential mistake? The patient's family was very anal about everything and kept asking tons of questions and thought we weren't doing enough for her. I don't think I messed up with anything, but she was very confused/agitated and did pull her newly placed Dobhoff out on my shift, but I don't think that's relevant at all.
Last edited by guyman123; 11-01-2014 at 09:55 PM.
Student Registered Nurse Anesthetist c/o '21
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11-01-2014, 10:13 PM #4140
Nah man. In most cases the hospital has to have a reason to go back and look at your charting, ie the family tries to sue the hospital. Even if that happens, they generally go after the hospital as a whole because it has a lot more $$$ than a single nurse will. So unless you effed up pretty bad (like made a huge med error, was practicing medicine, etc) then you should be good.
Worst case scenario they fire you if you messed up and you can just get a job elsewhere. We had a nurse at my hospital that recieved a patient that had just had a chest tube placed. It was believed that the patient arrived to the floor with the chest tube clamped (of course this cant be proven). Anyways, the RN didnt check the CT and left it clamped for several hours. The patient eventually had a tension pnuemo and died. The RN was fired and I heard that a few weeks later she had a job at another hospital. It was a simple mistake really.....the RN was just busy and missed something small and it cost someone their life. But she had a job a few days later. **** happens
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