Loving-and-Learning 1,345 Views
Joined: Apr 2, '10;
Posts: 10 (20% Liked)
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I would echo the above comments--don't torture yourself over this because it can become an obstacle to your practice. However, even though an abnormal lab should get addressed by the nurse on whose shift the value is reported and the MD is responsible for ordering treatment according to abnormal values, I would contribute 2 takeaways here: 1) If you are given the responsibility of taking care of the patient, and you saw the lab, follow up. It's irrelevant that previous nurses didn't pick it up. Unless you're given in report that there is a reason for inaction, you should follow up. It's not uncommon that something gets missed by one nurse after another, shift after shift and part of that is a nurse assuming that the previous nurse would've done something about it if it mattered. Also we as nurses are with a small number of patients for the entire day (versus physicians who have to think about many patients). Physicians count on us to keep our eyes open and our brains working and alert them as needed. That's what makes us a team. Patient care is a collaboration. Always have that in mind. So. Apart from where the responsibility falls ultimately, go forth with the mindset that you should take action as needed. 2) Try not to get stuck in the mindset of labeling each patient as "cardiac" or " GI" etc. That closes your brain to the creative and critical thinking you need to be a great nurse and it sounds like possibly this is what got in your way this time. As previous posters stated, cardiac patient or not, cardiac issues can still develop. Big picture.
I'm looking to get my advanced certification in cardiac vascular nursing and I'm trying to find appropriate materials to prepare. I see the test content outline on the ANCC website but I don't see specific prep books. Any review courses or texts that you found helpful would be appreciated. Any other tips--how much time did you give yourself-would be appreciated as well.
I read some other threads on this topic but there wasn't a lot of specific information on CV cert. I've been a nurse 1.5 years on a cardiac and stroke/step-down unit and 2 years in a cath lab.
I don't know if things have changed or if it just depends on the school. I don't know if students are even allowed to go the clinical site without their instructor, so they are at the mercy of the schedule given to them by the school.
It's only been 5 years since I graduated and we always had to go the night before to research our patient assignments and then do an extensive nursing care plan before we could attend the clinicial..at which point we were exhausted and had barely enough neurons firing to absorb whatever was happening on the floor.
Some nurses get overwhelmed with the stress of their own work and having a student to think about is too much stress. Their stress is not your fault. The best you can do is go in with the best attitude possible. Expect that your nurse might be upset (whether they are just snobby, overwhelmed or have other things on their mind). That's ok. Be as nice as you, learn as much as you can and move on. Don't take it personally and don't let it ruin your experience or get in the way of learning so you can be a great nurse.
Like you said, there are some nurses that are great so know that some days you will get a nurse who can work and teach and some days you won't. Just do your part and be nice.
When I was a student, I tried to see what I could do to help the nurse out in the beginning of the shift and that helped create calmer moments later so she had time to answer my questions. This created a positive relationship with my nurse, gave me confidence because I was getting my hands dirty and led to a better experience overall.
Also, I don't think your tone was rude. I am amazed by the sensitivity of some on this site..some people get offended very easily.
that's what we use for our lead, but the fabric just takes the moisture in.."wet time" is a different story there so I'm not sure if the process is happening appropriately. I was actually wondering if there is any evidence-based practice of how often to clean them? Also, doesn't the Sani Wipe degrade the material more quickly? There might be a manufacture-approved cleaning product so I would check that first and then check with your infection control department about that prouct.
Lived in California, working in a state that is one of the lowest-paying for nurses. I'll give y'all one guess how I felt. Fortunately, I LOVE my job.
I second that. It's not a guarantee that you won't get a job, but unless you have connections, the odds are heavily against you as a new grad (especially without a BSN) in California--southern California at least. Even travel nursing agencies require 1-2 years experience now.
I'm looking at relocating and looking for nursing positions in my new locale. There are needs for bilingual nurses, but I don't know how to..get qualified to fill those needs. I took some Spanish courses in school, but never got the chance to practice enough so I'm rusty. However, I hesitate to re-take the regular Spanish courses because I need something healthcare related, with medical terminology. Any idea where to access such courses and if such courses would be satisfactory to potential employers?
Thanks in advance for any help you can give me!
These are all great suggestions! Thank you all! As for an example I was given, here's one: I had a patient who started to have some oxygenation issues. I kept trying to get an accurate O2 read on the pt--I had no problem doing so at the start of the shift but now it was almost impossible and I couldn't keep it going so that I could keep continuous track of it. I enlisted the help of my charge nurse to get a reading. The patient was not in any overt distress at the time. At the shift went on, I noticed that she was behaving differently. Coordination wasn't good, the patient had hand tremors that were new..overall I didn't like the pt's look. I called the doctor a couple of times. The pt had gotten some Lasix in the ED but no output for me. I checked with ED and they didn't have anything out for the pt either, so I figured Lasix again might not be the answer. My charge nurse didn't seem too concerned, but looking back I should have called the doctor to come see the patient. I ended up putting in a catheter (I bladder scanned the patient and the patient was retaining in a big way) and got a lot out. Pt seemed a bit better after that but I still wasn't happy. I asked the charge if I should do an ABG and he said that probably wasn't needed yet. Anyway, we made it through the night and at the start of the next shift patient was transferred to the ICU.
I'm a relatively new nurse; I've been working for almost a year. My most recent performance review concludes that I am sorely deficient in the critical thinking area. This is obviously both incredibly discouraging and alarming. Is critical thinking in nursing something a person either has or doesn't? I have a BSN and yet I haven't come out qualified enough to do the job well. I know some of it will grow with experience, but I am below where I need to be right now. What can I do, if anything, to develop this skill? I need to address this ASAP!
Any help please!
I've been looking for work for a while now so I'm not totally fresh on my material. A review should get me where I need to be, but that's where the problem lies. I'm thrilled to have gotten this interview, but I am quite nervous. 1) What questions should I expect and what should I have for my interviewer? 2) I want to do some review of medical knowledge, because I'm going to be nervous as it is and..well anyway. What should I review? That's a big question, I know, but if the interviewer asks me med knowledge-related questions, is there anything I can do to be prepared?
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