Shanua

Shanua

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About Shanua

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  1. SHHHHH, dont tell anyone I'm a RN

    It's routine for recent graduates who pass the NCLEX to work as a CNA or PCT until they start the nurse residency or move for a new job where I work. No one has a problem with it. I think hiding it may get you into trouble there though.
  2. Pros and Cons - Nurse Educator

    I started as an adjunct doing clinical. You may contact the faculty directly with interest. Adjunct doesn't always pay the best, it depends on the school, experience and qualifications. But it does put your foot in the door. The MSN program I went...
  3. New Clinical Nursing Instructor

    I made a expected schedule of the day. You should be doing your first assessment and vital signs at this time. Your med pass at this time. Your second assessment at this time. A list of expectations of the day. I also made a charting check list....
  4. Qualifications for Adjunct Instructors?

    I was an adjunct with a BSN but was required to be enrolled in an MSN program. Most BSN's can teach at ADN programs. A general rule of thumb is you should have one degree higher then what you are teaching. They prefer MSNs for teaching at the univ...
  5. new and struggling

    Take what the students say with a grain of salt. Sort through and determine the feedback you can learn from and is applicable. There's is always feedback you can't change (the content of the course, the passing standards, the testing) but you can i...
  6. Alcohol Withdrawal & CIWA

    We use it for alcohol withdrawal. I like the fact that we use an order set with all the medications (MVI, Thiamine, Librium, Haldol etc) and Ativan per CIWA. Some patients do request the Ativan and will manipulate the scale. It an be helpful when ...
  7. Trouble with IV starts on Older Adults

    Everyone has different techniques. I've seen BP cuffs or ace wraps instead of tourniquets. I also have some nurse that don't use a tourniquet when they blow. It takes practice and some people are just naturals. It sounds like you are doing very w...
  8. Need help..hate my job :(

    I think you're feeling normal for a new grad. That being said this job is not your job for ever. There are lots of other options. But every unit/job has a learning curve. You may be stress for the first part of any job. I do recommend vacations....
  9. The hospital I worked at tried this a few years ago. They faxed an SBAR to the floor. It didn't speed up anything. They called to get the bed, when the SBAR was faxed and when they were bringing up the patient. It didn't contain a lot of the info...
  10. Why I'm STAYING in nursing

    You can work anywhere. From the smallest town to the largest city. From home. You can travel. You can easily transfer to another floor or move to another facility. Pays well. Set career path after college. It allows me to afford the life I pro...
  11. The hospital I work at is starting something like this. It's not a binding contract but something to show that we've educated on the fall risks and put the patient on fall precautions. AMS patients can have family member sign. It's more to raise a...
  12. Do Rn's miss having Lpn's in the hospital setting?

    I still work with them. Not very many but a few. They are either "grandfathered" in or must be enrolled in an RN program. All are required to be IV certified too which helps a lot. The attitude of them makes a difference. The one that I work wit...
  13. Military Wife, 6 Years Later...Still New Grad?

    It's possible you still qualify for a residency or new grad program. My hospital requires it for anyone without acute hospital experience. We've had nurses who've worked in clinics or outpatient areas go through it and new grads. Anyone that hasn'...
  14. ER Techs transport generally. ER nurses do frequently though. There are 16 beds in the ER and only 2 nurses after 11pm (2 on days, a 10a-10p, and a 11a-11p). A tech is scheduled every night. Sometimes if they are busy or it'll be a bit they ask ...
  15. From med surg to labor and delivery career advice

    I work in med/surg. A nurse with 6months is still new. It takes a while to be comfortable and to have time management down. It may not be where you want to work forever but take somethings into consideration. Do you want to work in L&D at the...