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Showing content with the highest Reactions since 12/07/2019 in all areas

  1. 6 points
    Exactly. You must always do the basics. Separating in bags is one thing you could do in this situation, but fully, conscientiously checking and preparing one medication at a time is even better, IMO. For instance, if you had fully, carefully checked your vanco and prepared your piggyback/infusion first, it would have no longer been sitting there in the vial for you to draw into a syringe and push. And you are much less likely to hurt someone if your mistake is infusing something that should have been pushed, rather than pushing something that should have been infused. Create processes that you will rely upon every time with the first goal of eliminating risk of error itself, and then secondarily mitigating the chance of actual harm. This is an issue in my area where occasionally both IV and IM medications are administered to the same patient. Nurses have their own methods they do every time the scenario arises, such as conscientiously checking 5Rs for the IM med and administering that first and being completely done with it before turning to the IV meds, beginning with making sure you do not have any IM-only meds left to administer. Then follow through one by one, conscientiously checking and administering each IV med. You must decide right now, to not let others' decisions become your problem. Meaning, if a decision has been made to stretch the nursing resources thin, that does not mean that you have to hurry endlessly faster and faster. You did not decide on the staffing, but you have the responsibility to do your part to keep the patient safe regardless of the decisions other people made about staffing. Some things will have to wait. Actual patient care and safety is to be prioritized over every other thing. If it is impossible to accomplish this, then you must find a place to work where it is possible.
  2. 3 points
    That is one "underdeveloped residency," for sure; it can barely be called an orientation let alone a residency of any kind. It sounds quite a bit like just getting thrown into the fire. They co-opted the word residency because it sounds good. I agree look for another job. It's no joke to be managing the nursing care of someone's labor/delivery having barely even attended any delivery before. Ridiculous.
  3. 3 points
    What was the complaint for, specifically? I might have asked the pt if the pressure was because he felt he still needed to go more or if it was pressure from his positioning. How long was it before you went back?
  4. 2 points
    It depends.....are you able to get the PALS manual now, take as much time as needed to study it, then sign up for the online portion? That sounds reasonable to limit the on line testing portion to 4.5 hours. All students for ACLS and PALS are expected to study the material prior to taking the course. The classroom time is for reviewing what the student knows or has studied on their own.
  5. 2 points
    3 months sounds great. Try to encourage the idea of a step-wise/gradual progression of your orientation so that you can get a solid footing (as opposed to starting right off with your preceptor saying something like "we have these rooms; you take care of the patients and I'll help you"). Hopefully you can make a tentative plan as soon as you meet your preceptor. Personally I prefer to have people learn lower-level patients and at least get a basic handle on the ins and outs of the random tasks and feel minimally comfortable before moving on/up to sicker and sicker patients. Enjoy the holidays first, though! Good luck
  6. 2 points
    Hi all! I'm new to the forum but wanted join the celebration as I just got my confirmation email a few minutes ago! I'm coming from upstate NY and am so excited for this opportunity! I'm 30 years old with a bachelors in business from Wake Forest and worked at Epic after school which is a electronic health records software company. Excited to meet everybody at the orientation!
  7. 2 points
    I got accepted! Congratulations to all those who did as well!
  8. 2 points
    You will most likely need a BSN in NYC-or be prepared to move, per many threads on here, as ASN/ADN nurses are not in high demand, in fact NYC, like most large metro areas, are oversaturated with new nurses. Do your homework on that as well. Many on here in your area with a BSN struggle to find a job. Research before you make the jump. Good luck!
  9. 2 points
    What you are experiencing is perfectly normal. You truly learn to become a nurse once you're in the job, and it will take about a year to feel comfortable.
  10. 2 points
    I don't believe anyone would argue that college-educated nurses have less clinical time under their belts prior to graduation than their diploma school peers. However much more is expected of today's RN, and that includes the level of education one receives in college: not just clinical duties, but a well-rounded education. Writing coherently in English is a good example of what is expected of a college graduate today. While it's true that yesterday's diploma school grads could hit the ground running faster, if today's new graduate nurse require more orientation than their diploma-school predecessors, I'm ok with it, considering the rest that they bring to the table.
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