Latest Comments by Double-Helix

Double-Helix, BSN 27,256 Views

Joined Apr 5, '11 - from 'New Jersey'. Double-Helix is a Nurse, Children's Hospital. Posts: 2,767 (50% Liked) Likes: 4,837

Sorted By Last Comment (Max 500)
  • 0

    If you bring along your own supply of OTC medications, giving them to your fellow adult travelers who request them would be no different than giving them a piece of candy or a bottle of water.

  • 7

    If you don't want or don't intend to fulfill the obligations in the contract, then don't sign it and look elsewhere for a job.

    Contracts are common in nurse extern/nurse residency programs. It helps the hospital ensure that they are getting a return on their investment. New hires, particularly new graduate nurses, require a lot of resources (cost a lot of money) to train. If those nurses go through orientation only to turn around and leave, the hospital would be continually losing money. A contractual obligation for X years of service means that the hospital is minimizing their potential financial losses, and you get the benefit of a job as a new graduate (which, depending on your geographical location, may not be too easy to find).

  • 0

    It depends on the repercussions. What are you requirements for working? A per diem position should have a minimum commitment. For example: you must work at least one shift per month and one holiday per year. It sounds like they have been accommodating of your school schedule but they not not remain so understanding if they feel like you are shirking your responsibilities. If you tell them you aren't returning at all, they may consider you to have resigned without notice. Likewise, if you don't work at all this holiday season, they may terminate you for failing to fulfill your minimum requirements. Both of these situations may make you ineligible for rehire. If you ever plan on listing this employment on a resume, it may negatively affect you if a prospective employer learns that you were terminated or are not eligible to be rehired.

    If you no longer care to be employed there or don't want to work the minimum required hours, the most prudent and professional thing to do is to hand in a resignation with notice and work whatever you are required to work until your resignation takes affect.

  • 0

    I'm assuming you're looking for online courses? If not, what geographic area?

    If you can't find a review course, I think you'll be just fine using the online resources offered through cpancapa.org. I found the practice tests most helpful.

  • 0

    It depends on what kind of cap you have on the line. If it's a neutral pressure cap, it doesn't really matter. Since I'm not so well versed in the terminology, I'm going to quote a knowledgable poster from a previous thread:

    Quote from IVRUS
    Whether to clamp before removing your syringe, or clamp after the syringe is removed really depends on what type of injection cap is at the end of your IV catheter.
    There are NOT caps which are "positive pressure", but rather the caps are: Positive Displacement design, Negative displacement, and Neutral devices.
    The Positive Displacement caps like the CLC2000 and the Maxclear, are devices that should be used in this fashion: Flush the device, leaving approx. 1 cc of NS in the syringe and then disconnect your syringe, wait 5 seconds then clamp.
    The reason for this procedure is that once you remove your syringe, fluid is forced out the end of the IV catheter which then disallows a blood reflux into the catheter.
    The Negative displacement design caps should be used using positive pressure flushing: Flush, and then as you are flushing the last 1/2 cc into the IV catheter, you clamp the IV catheter simultaneously.
    Or, if you have a neutral design cap, the flushing sequence is inconsequential.
    Hope this helps. Check out the IFU's on each caps web page to assess its type.

    One thing you said concerns me:
    Quote from empatheticRN
    All this time I clamped first after I heparinized the PICC , remove the syringe then cap.
    Caps should never be routinely removed from central lines due to the increased risk of introducing bacteria into the line. If you are removing the cap for some reason, such as a scheduled cap change, the line must be clamped before the cap is removed or the patient is at risk for air embolism.

  • 0

    Adjusting to night shift is not easy. I have never consistently worked nights personally, but many of my co-workers spent years on night shift while their children were young. For some, it is the best schedule. You work all night, get the kids off to school, then sleep. Wake up when the kids get home from school, have dinner, and leave for work. Of course, if you have children who are too young for school, you'll want to have some form of child care available in the mornings so that you can get adequate rest. This may be difficult for some couples who don't have family nearby to help. Many people find it helpful to cluster their shifts together- work 3 nights in a row, then have several days off to recuperate. After the first day off, you should be well rested enough to enjoy your children for your remaining days off. Self-care will have to be a priority while you adjust to the schedule, though, and that can be difficult with young children. I would make sure you and your partner have a discussion about this, with clear expectations that you will need additional help with the children and household chores- and this will either have to come from your partner, nearby family/friends, or paid help.

  • 3

    Unless your facility policy prohibits giving ceftriaxone in the deltoid, the manufacturer's literature doesn't limit injection sites. The point is that you want it given in a big, thick muscle, and the deltoid won't be adequate in most patients, but it sounds like your guy may have been the exception to the rule.

  • 1
    SHGR likes this.

    It's much easier to research and write about a topic that you're interested in. My suggestion would be to use a peer-reviewed database like Cochrane, Medline or Ebscohost. Type in a topic you're interested in and search for articles published within the past 5 years. Choose a topic that has a decent amount of results so that you'll have enough information for your paper.

    To help you develop an effective question, try using the acronym PICO. It stands for:
    P: Population (who are you researching)
    I: Intervention (what action or change are you researching)
    C: Comparison (what is current or an alternative practice)
    O: Outcome (what effect does the intervention have)

    I'll give you an example using the topic you suggested:
    P: Low income women
    I: Access to free prenatal care
    C: no prenatal care
    O: decrease premature births

    For low income women, does access to free prenatal care result in fewer premature births compared to women who receive no prenatal care?

  • 1
    lola8penny likes this.

    In my opinion, "nursing staff resources" would include the staff nurses, LPNs and ancillary staff such as unlicensed assistive personnel available on the unit to provide patient care.

  • 0

    How long does the speech have to be? You could probably focus the entire thing on awareness while under anesthesia. Give you personal example, talk about the prevalence, how it happens, and what can be done to prevent it, as well as what should be done after it has occurred.

  • 1
    HouTx likes this.

    I'd go for an accelerated BSN program. This is a program available to applicants with a bachelors in another field. It will be the quickest and most marketable way to get a nursing degree. Consider overall cost, length of the program, as well as your ability to be become employed with said degree.

  • 2
    noimnotamermaid and PANYNP like this.

    You are a nursing student. You are never a liability to patients because you are never actually responsible for a patient's care. You don't have to lift in order to learn to be a nurse. Dropping students with disclosed disabilities is illegal. Go to your nursing school advisor or dean of the program, show them your doctor's restrictions, and they have to accommodate you. Otherwise you can sue them and you'll never have to worry about getting a nursing, or any other, degree.

  • 0

    Are you a student (asking because you posted in the nursing student forum)?

    I'm not familiar with correctional policies. In the hospital setting, any complaint of chest pain necessitates a full work up including full assessment, EKG and labs. I totally see how complaints of chest pain could be used to get an inmate out of their cellblock, probably in the same way someone could use it to get seen faster in the ER. But for the times when it isn't a fake complaint, it can get bad fast. It sounds like you just made a decision that this patient didn't need evaluation by a physician based solely on medical history and what was reported to you about his complaints. Did you see him in person at all? If not, it makes sense to me that you could have been reprimanded. Anxiety can cause cardiac symptoms that warrant medical intervention, let alone a condition that is cardiac in origin.

  • 0

    You're correct. Although in real life, a urine culture may be clean. The patient should wipe with antibacterial wipes prior to urinating, and try to catch a mid-stream specimen. A catheterized urine culture should be sterile, as should all catheter insertions, and accesses to the catheter system.

    All of them can be done while menstruating. The only tests that could be affected by potential menstrual blood contamination are the clean-catch urine culture and urinalysis specimens, or a catheterized specimen performed incorrectly. If the results of the are abnormal, such as positive for blood, and it's believed to be contaminated due to menstrual bleeding, a catheterized specimen may be needed.

  • 1
    FloridaLpn2015 likes this.

    You cannot legally be asked about your religion during a job interview. If the interviewer were to ask you, and then did not hire you, you would have grounds for a discrimination law suit. So if you choose to wear it, I can nearly guarantee that you will not be asked if you are a muslim or not. If you feel you may be silently discriminated against by wearing your head scarf, then that would have to be a personal decision you make based on your convictions.

    In terms of people asking you about it outside of an interview, this can happen to anyone regardless of outward signs of affiliation. I routinely get asked about my religion or political beliefs when working with patients. It will behoove you to learn the response, "That's not something I'm allowed to discuss while at work." Politely refusing to answer the engage in that line of discussion is your best response, not matter what unprofessional question you're asked.

    I work with many people who wear head scarves while at work, including physicians who work in the OR. They still have to wear the required scrubs and head coverings, but otherwise these staff have no infection control related restrictions.


close