You know that feeling. Something’s not right. You've done a thorough patient assessment, and checked and rechecked the vitals and the labs. Maybe you even have a “hunch.” But you need orders. You have to go through the steps of preparing yourself and ultimately paging a doctor. Sooner or later, your nursing judgment will tell you that your patient has a need beyond your scope of practice. That’s when you need to be a patient advocate and call the doctor - even if it’s the middle of the night! … [Read more...] about The New Nurse’s Guide to Paging a Doctor at Night
While we love Apple TV, we wanted to explore new technologies and help answer the question: Is the Google Chromecast HDMI Streaming Media Player worth it? Admittedly, I am not as gushing as many of the Apple fan girls and boys, but I totally dig my iPhone, iPad, and even my Apple TV. But these are just a few examples of how much we full on Nerdgasm over all things Apple. So when a product is released that throws a beat down on one our Apple products we figured we owe it to you to let you … [Read more...] about Is the Google Chromecast HDMI Streaming Media Player Worth it?
Many new night shift nurses ask the question "How do I stay awake on night shift?" The body isn't meant to be up at those hours, and there are seriously physiological and psychological forces working against you. Your body releases chemicals at night that encourage you to go to sleep. So if you find you’re having trouble staying awake at night, it’s just because you’re human. Even so it, it can be done, and many nurses thrive on the night shift and would even tell you that they would never go … [Read more...] about 7 Tips to Stay Awake on Night Shift
A patient told me "They made me put my socks on with a stick," and what happened next changed my life forever. I find it interesting how the most grumpy, disgruntled people react to kind gestures. It's been my experience that usually someone with an attitude has a pretty good reason for it. There are the occasional unhappy people who are just rude and condescending for no reason. But usually I find there is some sort root cause for most meaness I've experience in my nursing … [Read more...] about They Made Me Put My Socks On With a Stick
What does a low census mean? For us it means high acuity patients, low staffing, and horribly busy nights. I must say, I am a bit apprehensive about my impending shift. Apparently the less patients you have, your patient to nurse ratio increases, and you don’t get a tech to help do vital signs. Once I’ve finally gotten everyone settled, its been 4 hours, I have to go around, wake everybody up, and start the process all over again. I try my very best to chart as I go. It is the the best … [Read more...] about Nurse Staffing Math Doesn’t Make Cents
One of most terrible nights as a nurse was early in my career. It was shortly after I moved to night shift becoming the night nurse I always swore I wouldn't be. My patients were all high acuity patients. It was a night full tubes, drains, fall risks, confusion, decubitus ulcer, vascular wounds, PICC lines, central lines, shunts, stents, pacers, OG tubes, family conflicts, blood transfusions, fresh post-ops, spina bifida, and sadness. In addition to the loads of problems the fact that nearly … [Read more...] about The Hardest Shift I’ve Ever Had – A long, eventful, tearful, and stressful journey as a night nurse