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AnnieOaklyRN, BSN, RN, EMT-P 29,284 Views

Joined: Oct 24, '06; Posts: 2,281 (36% Liked) ; Likes: 2,878

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  • May 25

    Baton Rouge, Louisiana

  • May 24

    Closed as the moodiness epidemic has spred - lol.

    To the OP - best wishes with your pregnancy

  • May 18

    Quote from AnnieOaklyRN
    Hi, this urgent care is VERY well staffed. They have 8 rooms total, one tech that does most of the labs, rooms patients, VS, sets up suture trays etc. A secretary that does all the phone calls etc., and two RNs. One doctor and one PA on every day. Housekeeping does every bed once the patient's leave so even that is done for you.

    I don't mind the fast pace, it's just as I said, I don't feel like nurse working there.

    They have housekeeping? Wow, every urgent care that I did clinicals in during my LPN program had nowhere near this amount of staff. I can see your point now.

  • May 17

    Just help to your ability and what you are comfortable with. Know your limits and dont go doing any ball point pen crics on people.

  • May 14

    I am surprised you found an UC that hired RNs! I think that is a rarity in some areas. I worked in a freestanding ED in Virginia, I loved it. We had no RT or pharmacy support there, we had to do it all.

  • May 14

    I work pool in a busy pedi Urgent Care, for over 10 years now. We have phlebotomists, usually, but otherwise we do everything else. I don't hate the job but I hate how the Medicaid system has evolved into being abused by the parents and by the facility. No one can have Medicaid without a PCP. Ninety five percent of our patients have Medicaid, 95% of our visits should be appointments made with the PCP; siblings x 4, cough/congestion for two weeks, for example, a single visit which generates a cost to the taxpayers of about 2000.00. The abuse is rampant and there is no oversight regarding the insured or no oversight regarding the facility laughing all the way to the bank as a result. That's what I hate.

  • May 14

    I work at a Freestanding ER which has no RT and no phlebotomists. I love it here. It can be challenging at times when train wrecks walk through the door, (STEMI's, Strokes, Gunshots, stabbings, Cardiac/Respiratory arrests) since we are not informed ahead of time (these patients are usually walk-ins brought in by family, friends, or strangers). For the 1st 6 months it was a hate/love thing as I had so much to learn but as I got comfortable I slowly enjoyed working here. I work nights and love it when 7am comes around and there's almost always no patient and no report to give the morning crew.

  • May 14

    Quote from Mayred18
    Good morning and thank you all for you input. My company has agreed to allow me to step into a less time consuming role when the time comes.
    I do greatly appreciate your input.
    Get that in WRITING

  • May 14

    Good morning and thank you all for you input. My company has agreed to allow me to step into a less time consuming role when the time comes.
    I do greatly appreciate your input.

  • May 12

    Welcome to nursing, is about all I have to say.

  • May 12

    Quote from nursingstudent_12kp
    I believe eve I am wasting money by constantly paying for an exam that I am obviously not passing for whatever reason, and the remediation course didn't help me pass either. I'm tired of wasting my time, my families time and money on this.
    I am saying this with the best of intentions, so please take it in the spirit to which it was intended. Being a nurse is not only about passing the NCLEX, it is about learning how to take care of human beings at their most vulnerable. You are studying very hard, and not grasping the lessons enough to pass the NCLEX multiple times. The test exists for a reason. Perhaps you should go meet with a school counselor and think about another career choice, rather than pursing what ultimately seems to be a bad fit for you. Best of luck to you whatever you decide.

  • May 12

    Try to 'treat the patient in front of you' and pick your delivery device based on their sat and how short of breath they appear.

    A pt's O2 sat alone shouldn't always be how you decide your treatment. Their history, their chief complaint, and their work of breathing are all interwoven. A COPD/asthmatic pt with hypoxia and a silent chest needs nebs and/or bipap, but not necessarily very much O2. A pt with cirrhosis and 4L in their belly may be taking shallow breaths and satting at 70%, but they may only need 1-2L NC to tide them over. An otherwise healthy young person may OD, aspirate and require 70L NRB just to maintain a crappy sat while you get set up to intubate them.

  • Apr 29

    All I can say is.. I remember those days and clinicals suck. You're always struggling to find your way, while someone is watching over you, wanting for you to do it THEIR way. This can be a struggle for many.

    I had a similar 'come to Jesus' talk with my clinical tutor in my one of my med clinicals. I was absolutely heartbroken with her assessment of me and literally cried for 24 hours. I, like you, like to ask questions. Many questions. Many many questions. It was my way of making sure I knew what I was doing - more looking for confirmation that I was heading in the right direction than not actually knowing what to do. My instructor apparently took this as utter incompetence and was worried about my ability to move forward. After sitting back and actually listening to what she said, I realized that, yes, the questions I was asking could make it seem like I didn't know what I was doing. I used that feedback and instead of asking questions I would regularly check in and say "This is what I am doing now"... not "what should I be doing now?". For example if I was giving an IM injection instead of asking "What angle should I use to inject?" I would say "I am going to inject it at a 90 degree angle" (and then look for confirmation). After a shift or two of this the instructor pulled me aside and said she was impressed at my 'suddenly found' confidence. I chuckled to myself that I wasn't anymore confident, I was just changing the way I approached the situation.

    So I guess... all this to say: do what you are doing... keep reflecting on your practice and become aware of how your behaviour can be received by other staff. Be humble and take the crap that is heaped on you with humility and know that as long as you pass, clinical will soon be over. Once you are out of school you will have the freedom to practice the way that works for you.

    .. and for the love of all things holy - never be late again!!

  • Apr 18

    My department, because the nurses have a super faboo ultra cool boss.

  • Apr 10

    Quote from AnnieOaklyRN
    So I got it done today! I have to say I had an awesome oral surgeon, barely felt the shots, although I was a bit buzzed on the nitrous

    Minimal pain or bleeding too, which is wonderful! What I was anticipating was far worse than reality!! So glad I did not get sedation, as tomorrow I am hoping I can get out of the house! Thanks again everyone for your advise!!

    So glad to hear Annie!! Now make sure NOT to suck, spit, or use any straws. ICE ICE ICE (You don't want to develop dry sockets, it is extremely painful)

    Best wishes to heal quickly!