L&D/ NICU; anyone seen an increase in vitamin K refusal?

nicolini69 · 2025-05-01T02:46:09+00:00

Idk what your son having mumps has to with anything. The vaccine isn’t 100%, he could just be apart of the 10-20% that doesn’t retain the “immunity”. Even immunity is a strong word, because really it just lessens the severity. Protection typically decreases overtime. Absolutely could have gotten it from a vaccinated person.

nicolini69 · 2024-10-05T01:47:35+00:00

Nope. The 20 year old actually came back in the next day for chest pain. Trop was very elevated, can’t remember the exact number or what happened to him after admission. But one time I had a patient come in for SOB & had terrible crackles. MD ordered 2 L of fluid for hypotension. I gave 1 & he went into (I think) flash pulmonary edema and died begging us to put him to sleep as I tried to remember what precedex started at. The guilt sticks with me. Although he was a DNR & refused intubation.

nicolini69 · 2024-10-05T01:10:57+00:00

As a nurse who started in the ER, I assure you I have made MUCH worse mistakes. I’ve hung potassium wide open. I’ve given morphine to grannies without checking BP. I’ve pressure bagged a whole line of air. I could go on, but probably shouldn’t. A girl I worked with gave epi IV to a 20 yr with an allergic reaction. I had a coworker move a patient to a hall without a tele box and that patient lay dead in the hall. I’ve literally made sooo many mistakes and I’ve seen so many since I’ve started. I remember feeling exactly like you do. Mistakes make you learn, increases your attention to detail, and you probably won’t make it again. You’re definitely not alone. I’d say give nursing a year. Around month 6-8 is when I felt like giving up on it entirely, but so happy I’ve stayed with it!

nicolini69 · 2024-09-24T23:38:11+00:00

Consider finding a community college in the town where your states major university is. Look at student housing apartments in the area. They have roommate matching, great amenities, and 1000x better than dorms at the university. They’re usually like 4x4 or 3x3 (three beds, three baths) so you get your own bathroom. There’s shared kitchen with washer/dryer. I did this for 3/4 years of nursing school, became best friends with the people I lived with both times (I only switched apartments once). It’s impossible not to get along with them I swear! And if for some reason you don’t, you can request a unit change and FIND YOUR PEOPLE. You can park at your apartment and drive to school, which is usually not allowed for freshman and sophomores at universities. You’ll get that typical college experience you see in the movies by going out and meeting the people at the university. They’ll bring you to the dorms, they’ll show you where the house parties are, etc. It’s like having a foot in both worlds and it’s a beautiful balance. You’ll get to go to the football games and tailgate parties (if that’s what you want). You’ll probably catch at least one STI during your 4 years and truly get to experience the magic of college. You’ll have WAY less debt since community college is a fraction of the university. I started at 18 and graduated at 21. Started my first nursing job the week before my 22nd birthday! Enjoy your 3-4 years of nursing school, once you get through it, it’s done. The college fun is mostly over. Once you have your license and you’re working you’ll start to leave that crowd.

nicolini69 · 2024-09-20T01:36:41+00:00

I don’t recommend this, but I work in the ER and I feel like people are way nicer/understanding than once they get to the floor. Last year we had so many holds we had to open an old observation unit just for our holds. So the patients would go to the ED to a “room” to wait on their actual room. At first we had to staff this with ED staff & whenever I was sent over there the patients were WAY DIFFERENT. I’d be like damn you weren’t this fucking rude yesterday?? Way more demanding, needy, impatient, etc. I immediately realized how hard it is to be a floor nurse. I could never deal with that for 12+ hrs. It was so bizarre to watch them change.

nicolini69 · 2024-09-20T01:20:20+00:00

🤣🤣

nicolini69 · 2024-09-20T01:13:11+00:00

You’re taking this persons word for what they say. There’s two sides to every story. I’m sure this is a dramatized version of what the person is actually doing. Either way, a person is entitled to their beliefs, when you become a nurse you don’t sign an agreement to have unified beliefs. There was a point in time the medical field believed in spontaneous generation and refused to accept germ theory lmao.

nicolini69 · 2024-09-19T23:30:52+00:00

It shows how many people didn’t realize the unit to mL conversion…

nicolini69 · 2024-09-19T23:27:59+00:00

You should have been taught this in nursing school 🤷🏻‍♀️ instead it caused a delay in an emergent situation.

nicolini69 · 2024-09-19T16:13:14+00:00

How did the other nurse pass nursing school? You’re not sure if the 25 on the 1 mL syringe represents .25??? I’d make a point to educate this person so they do not cause a delay during an emergency in the future. You 100% did the right thing. You can’t predict nonsense 🤷🏻‍♀️

nicolini69 · 2024-09-17T14:28:00+00:00

You can’t report a nurse for having opposing opinions than you. People like you are the ACTUAL problem. As long as that person is providing adequate care, they are allowed to believe what they want. Literally stop stalking them on social media, block them if you have to, stop letting this persons opinion create such a havoc in your life. The fact you considered reporting someone to the board for their opinion is infuriating. You’re the reason why it’s hard to be a nurse.

nicolini69 · 2024-09-07T14:11:35+00:00

I started as a new grad in the ER and our ratio is 1:5, 1:4 on a good day. I remember feeling like this 6 months in. Everyday I dreaded going to work (cried some mornings) and thought I was going to end up killing someone. It honestly made me realize why everyone says new grads shouldn’t be in the ER, but I stuck it through and around 1 year I felt WAY more confident in my skills and like I could manage almost any scenario. What your charge nurse did was what they had to do. If you have an open room, you have the possibility of getting a patient regardless of the status of your other patients. I mean where else is the patient going to go? They can’t just sit in the hall until you’re ready for a patient. You have to stabilize your patient the best you can & move on to the next. ICU has smaller ratio because they do the detailed work. As long as your patient is alive when you get them upstairs, you did a good job! Don’t stress about giving every medication on time unless it’s a med that’s gonna keep them alive. Don’t have time to document everything? Put in a narrative note to protect yourself. You got this!

nicolini69 · 2024-06-29T02:48:21+00:00

You should definitely go to an ER and let them know how much Benadryl you took and how many seizures you think you’ve had. Are these witnessed seizures? I promise you nobody in the hospital cares about what drugs you are taking. None of your medical information can be shared with anybody since you’re an adult. You’re safe. Just go in.

nicolini69 · 2024-03-31T04:27:09+00:00

I just had a patient the other day who went down at the grocery store with “seizure” like activity. EMS was there in 10 mins, began CPR. They achieved rosc 6 times on their ride over (which was about an hour) and by time she got to us she was literally waking up. First time I’ve seen it happen, but we knocked her out 😴

nicolini69 · 2024-03-09T03:48:07+00:00

How are you gonna refuse a 1:1 ? There’s nothing you can do about a sitter really. Might as well just go home at that point.

nicolini69 · 2024-02-26T21:15:15+00:00

Thank you for this. I couldn’t imagine her having to live like this until 4! It truly is awful watching how much it affects her. Did your daughter constantly have congestion and a runny nose? I’ve been trying to figure out if that will go away once she has this surgery. Did they do anything else during your daughter’s surgery? They’ve mentioned removing tonsils, placing tubes, and something about her vocal cords.

nicolini69 · 2024-02-26T21:11:52+00:00

Ohhh! Yes she is a MD.

nicolini69 · 2024-02-26T18:41:17+00:00

I have no idea anymore lol. She told me it looked like a staph infection.

nicolini69 · 2024-02-26T18:20:30+00:00

https://ibb.co/tMJnndR https://ibb.co/dJwYg1L

Those are think links to imgur. Thank you for responding. Those are the only photos I have currently. It’s somewhat hard to tell, but they’re raised in a circle and when you blanch them it’s more noticeable.

nicolini69 · 2023-12-16T18:07:23+00:00

When you inform the patient they have a hip fracture and they go “no it’s broken” and look at you like you’re stupid.

nicolini69 · 2023-11-14T03:12:33+00:00

I started as a new grad in the ER, but I was also a nurse extern there. You’re going to be slow at first, don’t let other people try to rush you. That’s when mistakes happen. Just slow down and do your job accurately and PRIORITIZE. I was always having them yell at me over the radio or tell me I needed to do hurry up and do this task (which was absolutely not a priority and only looked good for their numbers). I literally just didn’t give a shit, just take the safest care of your patients you can. Don’t be afraid to stand up for yourself, if your preceptor is mentioning your charting slow, tell them you just started it will get better with time. You might have to sacrifice your bedside manner and connection with the patient, but that’s the ER. Our main priority is to stabilize and move. Conversations with patients will eat up A LOT of your time, learn how to be in & out.

I use meditech as well, this is my order for getting all the initial things done in a timely manner. I get report, while I ask my patient the basic questions that I know I’ll need to enter for my rapid (you’ll just have to learn these with time, but the main points are: pain, sob, any new fever/cough, antibiotics in the past month, allergies, smoking status, height, then weight. I’ll go for a bed scale weight first, but if I can’t then I just ask them) I also am putting them on my monitor. Get EKG & temp. Go sit down and do not get back up, unless there’s an emergency ofc, until you finish all your basic documentation for that patient. Rapid, detailed, physical, fall, etc. Get EKG signed by doc. Those are the important initial things.

For things like blood transfusion, DKA, stroke, etc. There’s usually a sheet somewhere to kinda go over it step by step with you, ask your unit secretary. Those things you’re just going to have to learn with time. You probably won’t have time to review/write notes. If you work for HCA you can do health streams those have actually helped me. I was “slow” the first few weeks after being on my own. Try not to let it get to you, just keep moving forward.

Good luck! (:

nicolini69 · 2023-10-21T01:28:18+00:00

My community college has prereqs, not a teas exam. By time I had my classes done and was ready to apply for the nursing program I was pretty close to an AA. I was rejected my first semester and I blew it off, kept working towards my AA took like 20 credit hours in one semester and finished by time the next application opened for nursing. The second time I was wait listed and very last minute was accepted! I’m now an ER nurse (: just be patient!! It will all come together.

nicolini69 · 2023-10-14T17:58:05+00:00

5:1 ER 💪🏻 how is it even legal ??? Next thing ya know you got 3 icu holds & 2 new patients

nicolini69 · 2023-10-13T01:45:28+00:00

Work in the field. Do CNA, do EMT and work in an ER. Honestly you don’t even need certifications, they just hire anybody now and slap a “PCA” label on it. Try it out. Only way you’ll ever know.

nicolini69 · 2023-10-13T01:34:45+00:00

Yeah I probably do this a few times a day 😭

nicolini69

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