JustKeepSmiling ADN, BSN, RN

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About JustKeepSmiling

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  1. JustKeepSmiling

    FPMHNP vs. PMHNP?

    Yep reviving an old post because I know I cannot be the only nurse to now discover the PMHNP and FMHNP difference. now if I could make sense of why PC has been added to some FNP programs, it seems a bit redundant PCFNP. or maybe I’m just pa...
  2. JustKeepSmiling

    Herzing FNP Program

    Hey there yayFNP2018, did you go to Herzing?
  3. JustKeepSmiling

    ICU to ER nurse = HELP ME PLEASE

    I landed a job in the ER at a rural-ish hospital very close to home, best pay of my nursing career, like the facility/staff/job itself. But I'm in ICU to EM transition HELL. I googled & reached out to some online posters in various forums who pos...
  4. JustKeepSmiling

    Can you recommend a medication?

    I have always utilized SBAR. From working in a community non-teaching hospital full of seasoned doctors to a huge teaching hospital full of residents. Never once got ripped by a provider or coworker. I once even called a very seasoned doc and said I ...
  5. JustKeepSmiling

    Lines not being sutured?

    Going to look into that! We have statlocks for PICCs, but they aren't compatible with other lines. It wasn't a permacath. It was an IJ trialysis. Now if we could find something to keep the cordis/swan from flopping around and aggravating patients we...
  6. JustKeepSmiling

    Lines not being sutured?

    They will come suture it in when we ask. I just don't like that sometimes they think the sutures are optional and want to promote a policy for it.
  7. JustKeepSmiling

    Lucky he was constipated, or he'd be dead

    I don't recall the specifics of the story but remember a patient who came in with stroke like symptoms. Was actively having a massive stroke but also had urosepsis and didn't know it. She died of sepsis. Family felt it was not coincidental and the de...
  8. JustKeepSmiling

    Grumpy at change of shift (11-7)

    I get like that. More with new grads than experienced nurses. When I tell you about the rapid response patient I got then intubated, dropped every tube and line known to earth and started gtts then went for a stat CT. Then the other patient had an a...
  9. JustKeepSmiling

    Lines not being sutured?

    I get it if it was dropped in emergently but still there are ways to secure it without taking time to tie a neat bow. I don't think we have a policy on this, going to bring it up to the powers that be. For a sick ICU patient to lose a good line just...
  10. JustKeepSmiling

    Lines not being sutured?

    Do you encounter a lot of lines not being sutured? Central, dialysis, alines? I did a dressing change yesterday on a trialysis that had not one suture and no securement device. No apparent reason either. I was pretty mad! Curious what others encounte...
  11. JustKeepSmiling

    Which stethoscope color to choose?

    Get whatever color you like! I love purple, so I went with that.
  12. JustKeepSmiling

    Help w Littman stethoscope colors!!

    Purple Master Cardiology. Comfortable on neck. Incredible acoustics.
  13. JustKeepSmiling

    UA Butter Soft

    Thanks! Think I'll try a pair.
  14. JustKeepSmiling

    Butter Soft - regular vs. stretch

    When I tried the on the stretch was more fitted. I liked the stretch better.
  15. JustKeepSmiling

    Scrubs

    They don't shrink at all. Or at least never have for me. The Butter Soft brand has a lot of cotton, so I'm expecting that to shrink a bit. Depends on your laundry habits too. I use cold water wash and quick cycle dryer.