optimis

optimis

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About optimis

Latest Activity

  1. CNAs starting IVs

    Certain techs at my hospital are allowed to start IVs and most are excellent at them. I am good at IVs and I do not consider myself a fool or lazy for delegating that task. We do have an IV therapy team, but they are for PICCs, midlines, central li...
  2. PCU or ER as a new grad

    I’m an ER nurse, so I’m a little biased towards the ER job. Lots of my coworkers have an hour commute. Does it suck? Yes. Are they used to it? Also yes. You have been at that other hospital for TWELVE years and they haven’t given you a FT off...
  3. Dweller on a med error

    I’m sorry that happened, but you did all the right things. I bet that you will obsessively check the route from now on. You can’t change what happened, but you can make sure it never happens again.
  4. Checking consciousness by touching the patient?

    Go ahead and call the police. Please tell them you were in the ER, not responding (voluntarily or involuntarily) and now you want to file assault charges because someone tried to wake you up. See how that goes for you, buddy. You came to the ER. ...
  5. Your ER policy on giving rides home

    I’m at an inner city ED and I refuse to give taxi vouchers but I will give you a bus pass to get you out of the room (this is especially useful with our large homeless population). I figure that the $2 bus pass is cheaper than them holding up a roo...
  6. PLEASE HELP!!

    This is a great problem to have! Congratulations! The shorter commute and lower ratios are definitely appealing and I have been in smaller hospitals that have a much more relaxed feel, which is nice. Personally, I like the bigger hospital because yo...
  7. Should I have accessed her port?

    I agree with your rationale. I will always try to get a PIV in the ED before accessing a port. Risking a CLABSI for a better high is ridiculous. I dare management to write me up for that.
  8. Needing Advice Please

    I agree to take a CNA course and work as a tech. Techs make the best nurses!!
  9. Have you argued against a Clinical Warning?

    Did your instructor tell you why you received a warning? As in, what was it that your instructor says you did wrong?
  10. Mixing Medications

    As nurses at my facility, we do not do any compounding. That is what pharmacy is for. I also NEVER mix meds in a syringe. I cannot tell you the amount of times I have told people what I am giving them and they suddenly remember a bad reaction or th...
  11. Stroke/ER Nurses' Input Needed

    My hospital has IR, but I don't think we do mechanical thrombectomies. At least none of my patients or patients I have heard about have had them. As an ER nurse, what exactly do you plan on doing to help me? Help with transport to CT is great, bu...
  12. First jobs as nurse?

    You are asking a few different questions. It seems that you know that the hands down best way to get your foot in the door as an RN is to be a tech, but you also know the pay cut is not feasible. Understandable. I will tell you that nursing school ...
  13. Thoughts on Nashville State CC Nursing Program

    The program is set up so that everyone takes the same classes together. It isn't like you can just take one class at a time. You are only ever taking 2-3 classes at a time and generally have either class or clinicals 3 days a week. There is no flex...
  14. New Grad

    I think this absolutely depends on where you are. I'm in Nashville and just finished an Associates program. Most of my class had jobs lined up before we graduated. Some of us are doing residency programs, some are working on the unit where they ha...
  15. New grad positions/residency options in Nashville

    The St Thomas Nurse Residency program does accept ASNs.