Latest Comments by Rose_Queen

Rose_Queen, MSN, RN Guide 82,993 Views

Joined Mar 1, '06 - from 'Out of my mind'. Rose_Queen is a CVOR RN. She has 'Enough to know what I don't know' year(s) of experience and specializes in 'OR, education'. Posts: 12,578 (54% Liked) Likes: 29,207

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  • 1
    Christy1019 likes this.

    Quote from Christy1019
    I'm not sure what role house supervisors play at other facilities, but in my role I have a constantly ringing phone, the responsibility to evaluate admissions and assign them to inpatient beds, as well as do the staffing for all of the inpatient units and ER. I also work in an area that tends to have a lot of patients brought into the ER accompanied by police, as well as for police blood draws. If I was responsible for handling every single police interaction for the ER, none of my other responsibilities would be taken care of. I was a charge nurse in the ER prior to this role and we always had great working relationships with the officers that came in. I would hate to see that relationship damaged because of a knee-jerk reaction, assuming that all officers would behave as this one did.
    In my facility, we have one nursing supervisor whose sole responsibility is beds and assigning patients. Then there's a second nursing supervisor who would handle all other issues.

  • 2
    Julius Seizure and brownbook like this.

    Yep, we've gotten creative in cardiac surgery since we need access to the full chest. Same with thoracic when we need access to front and back of one side. It's possible to work around.

  • 0

    Do you have a care planning book? You can never go wrong with going directly to the source and getting the book published by NANDA. Additionally, medical diagnoses shouldn't be used in your nursing diagnoses.

    Remember, nursing diagnoses (with the exception of "risk for") require 3 parts: the diagnosis, the related to, and the as evidenced by. Your second diagnosis doesn't follow that format- due to isn't nursing diagnosis terminology. The third and fourth don't contain the as evidenced by portion. And your first one includes the medical diagnoses.

    Even more important, your nursing diagnoses are based on the nursing assessment of the patient. While the medical diagnosis may influence the type of nursing assessment (such as q4hour neuro checks), the primary nursing diagnosis may not be related to the medical diagnosis at all.

  • 2
    VivaLasViejas and ponymom like this.

    Every nurse has something(s) that he or she has difficulty dealing with. Personally, I hate respiratory secretions, hence why you will never see me aspiring to become a CRNA. And there's a big difference between dissecting cadavers and working with a real live human being with emotions who can feel pain. Don't let one incident make you think you aren't cut out for nursing.

  • 1
    TriciaJ likes this.

    Were you able to shadow as part of the interview process? Shadowing would be the best option to gain insight into that particular unit. Other facilities and even other units at that facility can be completely different.

  • 0

    I have an MSN in nursing education. I am currently one of several staff educators for all perioperative employees in my hospital system- we cover around 900 staff between perianesthesia and intraoperative staff as well as our procedural areas like endoscopy.

  • 0

    That's truly a question for the program. With as many programs as there are in existence, it would be impossible but anyone who works at the school in admissions/academics to be able to accurately answer your question.

  • 17
    poppycat, ivyleaf, Nurse Leigh, and 14 others like this.

    Error in judgement? No, this is blatant willful forgery.

  • 3

    Quote from FranEMTnurse
    Spidey's Mom is still a member, and often posts in the DAILY DIARY thread located on the Break Room page. She now uses the name, "Dianah."
    No, Spidey's Mom and dianah are different members.

  • 1
    brownbook likes this.

    Part of the path you take may also depend on the requirements of the country where you work- your use of the term ward makes me think it's possible you aren't in the US. Have you looked into the requirements of OR nurses in your country? I know there are some that require additional education beyond nursing school.

  • 1
    sevensonnets likes this.

    DRN seems to be terminology specific to the role in MD. Perhaps try using case management instead when searching.

  • 2
    cleback and Pdev like this.

    What does the job market look like in your area? Will you take any job to be working or hold out for one in acute care? Are employers looking for those nurses who already have a BSN? It would behoove you to research these things and take the answers into consideration.

  • 0

    NPs can function in the role of a first assistant in the OR. However, their duties also frequently include rounding on patients, seeing patients in the office, and other actions that would fall under the scope of practice. It would be exceptionally rare to find an NP who only works within the walls of the OR.

  • 2
    TriciaJ and JKL33 like this.

    Well, it would seem best practice would be to have the patient go somewhere private. As for it being a HIPAA violation, I'll leave that to someone more knowledgeable than I. Additionally, if you are working to pass medications at the time, the patient becomes a distraction which could increase the likelihood of a med error. Safe and prudent practice would indicate the conversation should take place somewhere other than at the med cart when meds aren't being passed.

  • 0

    You can take the NCLEX anywhere it is offered. What matters is where you apply for licensure. If you are definitely planning to work and live in CA, it wouldn't make much sense to apply for licensure in TX if you have no plans to work in TX.