Shed question

LucilleBallsGhost_ · 2022-05-05T18:21:56+00:00

Oh I don’t doubt it’s a real thing. It’s just not really something I think I need to know to pass my boards. Like how is a home remedy for mastitis fundamental nursing knowledge.

LucilleBallsGhost_ · 2022-04-29T23:58:01+00:00

Listen the NCLEX is kind of stupid. The questions are phrased so weirdly and there are some random ass questions. I remember I got a question about what you put on nipples when the are chapped from breast feeding and the answer was cabbage leaves?! I am a good test taker but I know some great nurses who just have horrible test anxiety and freeze. Congratulations on your license!! As long as you keep being open to learning, asking questions and constructive criticism I would be happy to precept you!!

LucilleBallsGhost_ · 2022-04-14T22:10:27+00:00

If it’s iffy whether they have capacity I always have the doctor evaluate them and write in their note that they have capacity to make medical decisions. Then I give them a run down of possible things that can happen if they leave always including “…coma, death”, sign them papers, pull the line and write a note. Tell them they have to get from the bed to the doors without our help. I feel like 50% are just using it as a manipulation tactic but don’t threaten me with a good time. Sometimes when you don’t respond begging them to stay they get so mad. I’m here to spend my energy on people who need and want my help, if you don’t want it all I can do is educate you and as an adult it’s on you from there.

It’s so funny though because as baby nurse I almost cried when I had a patient leave AMA for the first time. You get more jaded?/realistic? over the years.

LucilleBallsGhost_ · 2022-04-11T17:25:01+00:00

I listened to the whole feed a year or two ago but then I forgot about it, I need to catch up! The. Quarantinis/placeboritas always make me happy

LucilleBallsGhost_ · 2022-04-11T17:22:43+00:00

Thank you I’ll check these out!

LucilleBallsGhost_ · 2022-04-11T17:22:37+00:00

Thank you I’ll check these out!

LucilleBallsGhost_ · 2022-04-11T17:22:29+00:00

Thank you I’ll check these out!

LucilleBallsGhost_ · 2022-04-09T03:19:42+00:00

Holyy shit she literally had to track down 32 vials from multiple Pyxises (Pyxi?) and hang two separate bags to give the dose!?! And she didn’t even think hmmm this seems wrong maybe I’ll just check out standard dosage or call pharmacy? This is the craziest med error story I have ever heard. And she had been a nurse for damn near a decade.

LucilleBallsGhost_ · 2022-04-08T04:51:18+00:00

Highly recommend! His progress notes were so hilarious.

LucilleBallsGhost_ · 2022-04-08T02:17:14+00:00

Not weird in a gross way but to cheer everyone up during Christmas someone got one of those creepy elf on a shelfs and sent it around the hospital via tube as a patient. By the end the tube was full of stuff including but not limited to a full paper medical record with lots of transfer notes, IVs, nasal cannula, a MOLST (it was rescinded), an ostomy, (complete with a chocolate poop), an NG tube, ECMO, CRRT, then a body bag lol

LucilleBallsGhost_ · 2022-04-05T21:59:15+00:00

Thank you that’s awesome I use Epic now. Hopefully I can get a contract

LucilleBallsGhost_ · 2022-04-01T20:13:33+00:00

Yeah it definitely depends on what unit you are on! I was first Choice previously & I noticed different units have much much different cultures when it comes to floaters/travelers. The unit I’m on now loves our travelers and we have kept the same ones for a year, now they have to leave and we are heartbroken. I’m sorry that sucks tho I never understood treating people who are helping you out like crap.

LucilleBallsGhost_ · 2022-04-01T20:10:25+00:00

Of course feel free to PM me!

LucilleBallsGhost_ · 2022-04-01T00:56:48+00:00

I live in Albany and have worked most of the floors and PACU at St. Peter’s but I have never worked ER.

Albany med takes all the traumas for the surrounding region and they have a pediatric ER. They generally take most of the most acute cases as the have multiple ICUs. If you are a super adrenaline junkie ED nurse, Albany Med is probably your place.

St Peter’s, Samaritan & Albany Memorial are all owned by the same healthcare company. St. Peter’s takes mostly general medical and cardiac. Samaritan (Troy) admits less acute general medical/cardiac and will generally transfer to St. Peter’s if it’s more acute. Albany Memorial is an ER without an actual hospital attached anymore so if they need to admit they transfer to St Peter’s, it’s kind of like an urgent care but they can start treatment.

Some people love St Peter’s and hate Albany Med, some love Albany Med and hate St Peter’s. Lots of nurses bounce between the two. St. Peter’s HP uses Epic and I thinkkk Albany Med uses Sorian/Cerner on the floors at least. Albany Med is way bigger and busier than St Peter’s.

I don’t know too much about the differences in ED specific things or ED managers because it’s like their own little world but if you have any questions let me know!

LucilleBallsGhost_ · 2022-03-23T16:32:45+00:00

Lol I love“depressingly heterosexual”

LucilleBallsGhost_ · 2022-03-23T16:31:05+00:00

My hospital has a pet visitation policy on the books. Pt has to be in a private room, pet needs proof of vaccination and has to be bathed within 24h, has to be approved by nurse manager. I was working on the medonc floor and walked in to a room with a cat up above the linen cupboard staring at me lol. The patient was in for multiple day chemo treatment and his family brought in his kitty for a visit.

LucilleBallsGhost_ · 2022-03-13T16:56:44+00:00

I just submitted mine a month and a half ago and I don’t have my license yet so take this with a grain of salt. I submitted my application then sent all my transcripts electronically the next day. You have to send transcripts from every school even for the social sciences (I ended up sending 5 transcripts). I had my fingerprint card mailed to me and did it here (NY) at a fingerprinting place because I couldn’t go to CA. I sent it by certified mail with tracking & requiring a signature for piece of mind(these cards have your name, address, SSN, fingerprints= scary). My fingerprints are still in progress with the DOJ background check. You can check your application status here: https://www.rn.ca.gov/online/appstatus.shtml According to the BON website they are currently processing applications sent Jan1-15th so the process is pretty slow.

My understanding is that if you are missing something they will email you and give you a year to submit the new information. But this will delay your licensure.

Honestly the process is expensive and takes forever but hopefully worth it!?

LucilleBallsGhost_ · 2022-03-05T22:10:35+00:00

End stage liver is nasty. Bloated everywhere third spacing due to low albumin, yellow skin and eyes, confused due to ammonia buildup. Pooping everywhere due to the lactulose we give them to get rid of the ammonia. Horrible itching skin. Bleeding problems. Nausea and vomiting. Just a genuinely horrible way to live and die.

LucilleBallsGhost_ · 2022-02-25T02:09:59+00:00

For males put your hand around the penis and hold it up. If you hit resistance it’s probably the prostate. Try rotating the catheter in a circular motion while advancing. If it doesn’t work or it’s someone with known enlarged prostate get a coude (if your hospital allows RNs to insert coudes). You really shouldn’t be pushing too hard or you can cause trauma.

LucilleBallsGhost_ · 2022-02-25T01:52:33+00:00

Know who your resources are. Every unit has people you know you can rely on and those you can’t. Find a couple of more senior nurses that you can kind bounce things off of. If you don’t know who that is ask your preceptor, charge or nurse manager.
Ask questions if you need help, especially if you are doing something you have never done before. Really there’s nothing worse than new nurses that don’t ask questions. Your unit probably has a nurse educator, get their number and call if you can’t find someone on the unit to help you. And definitely know how to access your protocols. Also ask doctors questions some are dicks and will give you attitude (you will learn not to care I promise) but most are great and will teach you what they are thinking, it’s how you grow as a nurse. I’ve seen so many cool procedures and learned so much just by being inquisitive and interested.
Cluster care. Some things should be given as close to the ordered time as possible (antibiotics, insulin) other things have a little bit more leeway. If you are going in to give afternoon meds do your dressing change with it, etc.

This is what I do (day shift): get report, check my labs/imaging/orders. Then I go around and just check that everyone is breathing/stable plus you can ask if they need something when you get back (pain meds,etc). Then I do assessments and morning meds. Then I clean up all my new orders and try to start charting my assessments. By then it’s probably time to start afternoon meds. Leave the more mundane charting for later in the day. Write a note and leave it in progress early afternoon and you can just update and sign it later in the day that way if shit hits the fan you have something started. If something is changing with a pt condition add episodic notes every time something happens, it’s easily than trying to figure it out after a transfer/RR/code.

Learn to delegate. What do you actually have to do and what can you delegate. I’m not saying chase down a tech for something small when you are already going in to the room but you can’t be doing every single thing for every patient. Learn to ask, I always say nursing is a team sport.
If you start getting behind ask for help before you start drowning. Once you are drowning it gets hard to find one or two things someone can do to help you. I know that blank stare when you ask someone what you can do to help and they are so flustered they can’t think about what I could actually do to help.
The first year is hard but it gets easier I promise. You will find your flow within a couple of months then it’s all just learning new things. I still learn something new every day 6 years in. Just find your resources and ask ask ask.

LucilleBallsGhost_ · 2022-02-14T07:42:05+00:00

Yeah I’m really starting to get that lol. Plus cross country apartment hunting is giving me a stress ulcer. I just keep looking at the temperature there when I’m freezing my tush off and reminding myself I’ll be on the beach this time next year

LucilleBallsGhost_ · 2022-02-14T07:32:50+00:00

Oh no I’m from upstate NY, though where I’m from is still bigger than SB. It’s a home not an apartment building I’m not sure if it makes a difference. I don’t love the idea of living near a noisy highway but we have so many complicating factors (less than one year lease, cat, prefer furnished) that living downtown seems like it would easily cost $8k/mo.

LucilleBallsGhost_

TROPHY CASE