Anagray BSN

Anagray has 17 years experience as a BSN and specializes in ER,Neurology, Endocrinology, Pulmonology.

Latest Activity

1. New Jersey friends: I have questions

   Anagray posted a topic in Advanced

   Hello, dear friends. I am Planning to leave NY state, as I ve had enough of it already. I am in adult/Gerry NP Program and it has been horrific. We are expected to find our own clinical rotations sites, starting with ADN degrees. The quality of e...

2. Moving to NJ, advice please

   Anagray posted a topic in New Jersey

   Hello everyone! I currently live in NY state and work for the department of veteran affairs as RN care coordinator, I have 17 years of experience. I am currently enrolled in Adult NP Program in NY. I will be moving to Cranford,NY and will be try...

3. Advice on how to handle a situation at work.

   Anagray replied to PrettyNerd's topic in Professionalism

   I think I have an idea who your employer is because I work in “ specialty clinics “ also. This particular employer fostered the culture of punitive measures against nurses for decades. When employees do not finish work and make mistakes, it is large...

4. Do I have rights against workplace harassment from patients?

   Anagray replied to Anagray's topic in Professionalism

   Thank you all so much for compassion! I considered going back to the ER. At this point they have me by the balls because they paid for a part of my BSN and I owe 2.5 years of service. I had a meltdown at work today and ended up taking sick leave an...

5. Do I have rights against workplace harassment from patients?

   Anagray posted a topic in Professionalism

   2.5 years ago I transferred from acute are into a multispeciality office in the same hospital. My old boss assignment me to a very busy area and I basically began managing my own area. Before I arrived they had 2 RNs, now I am by myself. My area has ...

6. IV Magnesium Sulfate in office???

   Anagray replied to Anagray's topic in Medications

   I feel that office and hospital are completely different settings as far as patient safety goes.

7. IV Magnesium Sulfate in office???

   Anagray replied to Anagray's topic in Medications

   My biggest concern is that this high alert drug is administered in an office setting without a protocol in place, no baseline labs and only with a blood pressure cuff and a manual pulse recordings. My co-workers and I had a meeting about this with o...

8. IV Magnesium Sulfate in office???

   Anagray posted a topic in Medications

   Is it safe to administer 1 gram IV over 30 minutes to migraine patients with no monitoring and no baseline levels? Having a meeting today with our supervisor to disuss this. If you know of any documentation I can present to defend our point of vi...

9. Aspiring ER nurse with a few questions. :-)

   Anagray replied to FaithGurl93's topic in Emergency

   I'm not sure what the requirements are in your facility, but in NYS where i am it is not easy to find and retain a good ER nurse. Many of my co-workers just have AS. In my hospital it was much preferred that an aspiring ER nurse has at least 6 months...

10. RN counseling guidelines

    Anagray replied to Anagray's topic in Addictions

    This is a neurosurgery patient. Typically PATs want LFTs addressed before the surgery happens because of anesthesia and the amount of drugs that will be given to patient pre, intra and post op, and most commonly primary docs will order a liver ultras...

11. RN counseling guidelines

    Anagray replied to Anagray's topic in Addictions

    Thanks for replying ! 24 pack per DAY. The appointment I made was not necessarily for the substance abuse but as part of his pre op physical. I am anticipating a liver ultrasound, so I wanted to get it taken care of before he was booked. Then, of co...

12. RN counseling guidelines

    Anagray posted a topic in Addictions

    Is it in the scope of nursing practice to counsel a patient on substance abuse? I have incidentally identified a patient with a substance abuse problem ( habitual 24 pr more pack of beer) and elevated LFTs, interviewed him about his drinking habits, ...

13. I know I have no buisness being there, but I need the Money

    Anagray replied to grateful2010's topic in Home Health

    It could be really good for you to have a goto person, a friend you can call with questions before calling the doc. I know that we should be able to call a doctor any time we feel like it, but sometimes they are just jerks and there is nothing yo...

14. Admissions RN position. Advice please!

    Anagray posted a topic in Home Health

    I have an interview for admissions RN position with VNA. I have almost 6 hears of acute RN experience - med surg, ER, dialysis, hospice, LTC, psych and amb surg. I am wondering how long does a typical assessment take, is 80$ a good pay per as...

15. Advice needed on first shift in Detox

    Anagray replied to Anagray's topic in Addictions

    Thank you so much, it was very helpful! a lot of what you are talking about is familiar and I agree, most people have a story behind their addiction. Thank you again and I am glad that patients have such a patient and caring nurse as you are.