Latest Comments by Double-Helix

Double-Helix, BSN, RN 27,971 Views

Joined Apr 5, '11 - from 'New Jersey'. Double-Helix is a Nurse, Children's Hospital. She has '6' year(s) of experience and specializes in 'PICU, Sedation/Radiology, PACU'. Posts: 2,883 (51% Liked) Likes: 5,198

Sorted By Last Comment (Max 500)
  • 0

    Chemistry is one of those subject that is difficult because it involves great amounts of definitions and formulas, but nice because the information is very literally applied to tests- similar to math tests. It’s different from nursing tests which will ask you to analyze situations and choose the best response. How to study depends on how you learn this kind of rote information best. For some, it’s making flash cards. Others benefit from just reading the text book. In terms of the periodic table, you could try cutting out the squares of the chart and making fill-in-the-blank charts or matching the elements to the group. There’s sample flash cards and questions available online to supplement your studying.

    P.S. To “allot” something means to allocate, distribute, or give out. “A lot” means many, or much.

  • 4

    I’ve never had to do a presentation for a new job. Now, in school I was asked to write an essay about the role of a nurse in a chosen speciality, but I haven’t heard of anything like that as a work requirement. Interesting.

    Regardless if it’s a work assignment or homework, we always encourage posters to share their thoughts and ideas before asking for opinions, clarification, additional info, etc. Otherwise, it just comes across as though you’re asking others to do your homework for you. If you do that, we will be more than happy to help. You can also visit the palliative care/hospice nursing forum and read some threads that may give you more ideas.

  • 0

    I have never used a gait belt in the shower. Does the shower not have a grab-bar he can use to support himself while standing? How is he getting into and out of the shower?

  • 1
    NotAllWhoWandeRN likes this.

    Quote from NotAllWhoWandeRN
    We are waitresses, working for tips. Except we don't get to keep the tips.
    Working for reimbursement, you mean. Forget tips. Most hospitals are just hoping they get paid for the whole meal.

  • 1
    datalore likes this.

    I work in a procedural area, so the bulk of our patients arrive after 7:30am. Our huddles are done each morning at 7:15. We have a template that gets updated each day/week as things change. It includes safety issues and reminders related to recent events, any hot topics- such as a JC visit, inservice, practice changes, new equipment, mandatory education, etc. and a run down of any patients who might be particularly complex (hx anesthesia problems, difficult IV stick, multiple procedures, custody/consent issues... A brief period at the end allows staff to raise any concerns or ask questions.

    Huddles are still frequently used on inpatient units as well, but they will often do 2-3 huddle times- morning, afternoon and night, to cover all shifts. The daily huddle info is also posted (ours is done electronically but you could print out the template and hang it somewhere) to allow staff who couldn’t attend huddle the chance to review the information.

  • 21
    pinkiepieRN, JmhATL, NurseSpeedy, and 18 others like this.

    That’s why I hate scripting. If every single nurse enters the room saying, “What can I do for you? I have the time.” it takes the patients all of two hours to figure out they are saying it because they have to, not because it’s true. Unfortunately in some places, the scripts are the standard, and nurses that are observed not using scripted language are subject to counseling or even a talk with the manager. Honestly and authenticity are far more effective, in my opinion.

  • 0

    Most places will use the terms interchangeably. The specific details of what it entails will vary by school.

  • 0

    Quote from jss1985
    Hi. I cant seem to find the pm option sorry. Maybe cuz im on mobile right now?
    PM only becomes available after you have accrued 15+ posts.

    A 2 hour commute sounds awful! However, it's a relatively short term, and saves you quite a bit of money. If you think you could manage reading and/or typing on a laptop during that train ride, you could actually get most of your studying and homework done during your commute. That would mean that your time at home could be spent with your family. Whether it's realistic to get up so early and commute to class after working long hours, though, is a significant consideration.

  • 11

    Sometimes doing "nothing", is actually everything. (It reminded me of this article I wrote about withdrawing care several years ago:

    This story brought tears to my eyes. It is patient-centered nursing care at it’s finest.

  • 3
    llg, OrganizedChaos, and Jules A like this.

    I'd be interested in reading the full text of the contract to see if repayment was required if the hospital decided to let the employee go. If the employer decides the employee just "isn't a good fit" I agree that demanding they pay back part of their earnings is unfair. However, if they employee decided to leave the position, or otherwise violated company policy (behaviorally, ethically, etc) that resulted in termination, I see nothing wrong with a contract requiring the employee repay of what they earned while orienting.

    In the LA area, a new grad is probably making about $14,000 over the course of a 10 week orientation. That's a big expense for the hospital if that employee turns around leaves.

  • 2
    Sour Lemon and Ella26 like this.

    I LOVE my M-F schedule. If it were 7-3 instead of 7:30-4, I would be in heaven. Getting out at 3 leaves you plenty of time for running errands, scheduling appointments, making dinner, or getting ready for a night out with friends. Also, in most major cities, traffic is much better at 3pm than 5pm. If you have children (I do) leaving at 3 is much more convenient to get to after school activities and limit child care expenses. I don't miss the week day off at all. If I do need a day off once in awhile, I just take 8 hours of PPL.

  • 4

    You weren't actively involved, and your decisions/actions didn't impact the outcome in any way, nor were you personally connected to the patient. So no, I don't find your lack of adrenaline or emotion surprising. Some people can better compartmentalize the medical side from the human side and seem hardly phased by even the death of their own patients. (I am one of them. I was involved in the code and subsequent death of 4 month old in the PICU on the first day I returned from maternity leave, and did not find it excessively distressing or difficult.) Others may cry or become emotional over any death. It's not right or wrong either way, just different ways of responding. I also think the prevalence of dramatic codes and resuscitations on television contributes to a kind of desensitization as well. I suspect that if you were an active participant in a code you might feel a greater sense of urgency or anxiety related to accurately performing medical interventions, but a well-run, organized code decreases those feeling as well.

  • 3

    As far as post-mortem care is concerned, I wouldn't expect any exposure while in school. It's unlikely a patient on your unit, particularly a patient to whom you are assigned, will die during your rotation. If it occurs, you can politely excuse yourself from providing post-mortem care. However, since you recognize that this is an area of discomfort for you, it's a good idea to get the experience now so you know what to expect in your professional practice.

    in terms of poop? Sh*t happens. Nobody likes a giant code brown, but you just deal with it. It's like any other unpleasant task that you have to do in life- like laundry and eating your vegetables- just smellier. You'll get used to it.

  • 0

    Just speculating, but I wonder if performance based questions are related to clinical practice while behavioral questions deal more with ethics or co-worker relations.
    i.e. Performance: "A patient comes into the ER complaining of chest pain. What do you do?" Behavioral: "You suspect your co-worker has come to work drunk. What do you do?"

  • 2
    Amberpond and Capa Jensen like this.

    Do you consider yourself a good student? Do you feel that you do well retaining information from lectures and books? A&P is a lot of diagrams, charts, rote knowledge like names of body parts, cells, hormones and functional knowledge like how the renal system works. If you learn well from flashcards and books, you'll probably be fine.