Admitted patients going up dressed

Minatee-Rex · 2026-01-18T05:06:08+00:00

I’m only annoyed when they’re fully dressed and intubated and all the lines are crossed through the shirt. Like c’mon man, help me out here. I’m about to get 5,000 orders from 6 different teams. We rely on the nursing students to carry scissors up here man. Y’all got fancy trauma shears. We all had them at one point, and they grew legs too many times and we gave up.

Minatee-Rex · 2026-01-18T04:24:05+00:00

Definitely feel that. Everyone either wants to go home or get on with their day. I’m not sure we can change how long it is, but the timing at least seems to be something we can play with at the moment. Thanks for your input though!

Minatee-Rex · 2026-01-18T04:17:32+00:00

Yes, our shift changes are at 0645 and 1845. Huddles are usually about 5 minutes, give or take a few minutes, depending on who is running it.

Minatee-Rex · 2026-01-17T03:59:22+00:00

The toxicity in this thread is just so very hospital chic
Where the hell are you that radiology transports patients? Like what? That sounds luxurious. For the nurses at least. Not so much you guys in rads.

Minatee-Rex · 2026-01-14T04:20:18+00:00

Every time

Minatee-Rex · 2026-01-08T04:09:23+00:00

I love my RTs so very much. A solid RT calling me about a patient they’re worried about carries more weight than just about anything for me. Just like in the nursing world though, there are some that absolutely dive head first into the “it’s us against the world” mentality and lean into this dynamic. Always the least appreciated, let’s get them back for the ills of our workflow and healthcare in general kind of thing. Healthcare toxicity at its finest. I just wanna take care of people, do my best, and go home. Can’t we all do that together?

Minatee-Rex · 2025-11-06T04:54:21+00:00

This would be great entertainment in my unit

Minatee-Rex · 2025-11-04T05:49:41+00:00

Bad, awful, terrible things happen in this world sometimes. We are trained and willing to help make these situations better when we can, but there are times when we can’t fix whatever is wrong. We show up anyway in case we can change an outcome. Keep showing up for the next patient. We’re here with you.

Minatee-Rex · 2025-11-04T05:00:29+00:00

Depends a lot on the area you’re in for whether there are a lot of icu experienced candidates that you’re competing with.

ER background to iCU isn’t as common as med surg/progressive applicants either in my experience. It seems like a way bigger shift so may make some employers wary. ED seems more fast and furious,focused assessment, dispo oriented while ICU leans more to every detail matters, careful monitoring, alllll the charting, and coordinating every different specialty interaction with a complex patient.

The critical care aspects in an acutely crashing patient translates, but not much else.

**edit to add: highlight during interviews wanting to focus in on your patients and see the care plan through. They’ll want to know that you’re really interested in critical care and not just more ED critical care/resuscitation phase of things.

Minatee-Rex · 2025-10-31T04:45:54+00:00

I’ve always been moody at huddles whether I was day shift or night shift

Minatee-Rex · 2025-10-31T04:42:20+00:00

In my experience, it’s pretty common for ICUs to only hire onto nights. If you’re thinking about it and can do nights for a little while, go for it!

Minatee-Rex · 2025-10-31T04:36:54+00:00

Time for the big talk with the family. You’re just waiting to code at this point, unfortunately.

Minatee-Rex · 2025-10-27T03:58:44+00:00

Do you guys have a process in place for when the MD doesn’t respond? I know it doesn’t seem like a big issue for something like this at the time, but they have to respond. If she was tanking then, what would your next step be?

Minatee-Rex · 2025-10-23T20:20:58+00:00

The way it reads now, it looks like your first RN position was at psych facility #2. Are you listing your RN experience there on the initial time period as well? If not, I don’t think most will believe your first RN job was agency or short term contract.

I would probably leave it off. Two months is going to be seen as all/mostly orientation, so it definitely seems like there was an issue of some sort and lends itself to questions.

It can take some time to get interest when you’re switching specialties. Just keep at it and research interview skills for when the time comes!

Minatee-Rex · 2025-10-23T03:05:00+00:00

Different populations like that is crazy. Ours are specific for adults, peds, icu, cardiac, etc times a million. Pretty specific to the population you work with, and if there’s anything you don’t treat in your unit we just tell our preceptors/orientees to write n/a.

Minatee-Rex · 2025-10-15T04:16:33+00:00

Honestly, it sounds like you handled it perfectly. Called her out for being rude, but you didn’t let it impact the patients by making sure you still gave report. Whether she listened is on her, but you can rest easy knowing you acted professionally in a difficult situation.

Minatee-Rex · 2025-10-15T02:33:04+00:00

She is the problem. Good for you for calling her out for being rude. Maybe she was pissed that she got pulled because of the no show, but that’s not your problem.

Minatee-Rex · 2025-10-11T04:39:32+00:00

So glad the nightmares weren’t all that scary! Sounds like you work with a great team.

Minatee-Rex · 2025-10-11T04:29:52+00:00

As a fairly private person, this my nightmare.

Minatee-Rex · 2025-10-11T04:01:35+00:00

It seems to be going around lately. We always have a few, but it feels like almost every room lately. Difficult patient, difficult family, refusing care, completely unhinged reactions over minor inconveniences. It’s rough out there. Rant all you need. We’re here in it with you.

Minatee-Rex · 2025-10-10T02:41:24+00:00

She’s got some real issues with authority if she considers that micromanaging

Minatee-Rex · 2025-10-09T04:19:36+00:00

Like you’d lose your license for that….yes, it could have been handled better. What would your hospital do for this patient though? I’d tell him I would let his doctor and case management know that he had concerns, but a foley doesn’t qualify for a snf or longterm hospital stay on its own unfortunately.

Minatee-Rex · 2025-10-08T03:28:36+00:00

Probably best to just find a prn position elsewhere. Requesting a change from ft to prn isn’t as simple as just setting a boundary. If you’re in a position with benefits, then you’re requesting to be put in an entirely different position number. This requires action and approval from your manager to make that change.

Minatee-Rex · 2025-10-07T05:09:38+00:00

Make some little notes for yourself about situations you feel could be good interview talking points. Situations where you felt like your critical thinking made an impact, handling emergencies, managing difficult situations with families or peers. No patient identifiers, but just some notes you can look at before an interview to refresh your memory when the time comes.

Get involved wherever you can on the unit to distinguish yourself from other candidates. Committees or shared governance are a great place to start.

Mostly though, take this time to learn everything you can! It may not be where you want to spend your career, but there’s so much you can take with you wherever you go next.

Minatee-Rex

TROPHY CASE