ChryssyD

ChryssyD

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All Content by ChryssyD

  1. Question about boundaries

    A good, if not foolproof, rule about what constitutes boundary-crossing is this: If you won't or wouldn't do it for each of your patients or family members, don't do it for
  2. The passion to work is gone

    Wow, 3 days a week PLUS clinicals is stressing you out? No way. Some days I feel like I should get a medal for surviving 12 hours. Hang on. When you're tired and stressed everything irritates you...
  3. I very clearly remember thinking, "I could do this the rest of my life and be perfectly happy" when I was a nurse's aide in a residential home for the developmentally-delayed. Of course, I was 20...
  4. Difficult Foley insertion

    The urinary tract is not some bothersome path to be plowed through in any ham-handed fashion, it's living tissue. The idea of freezing a catheter to make it strong enough to shove through some...
  5. What did I get myself into?

    Take a breath. You're brand new. Your facility should be giving you more than 10 days' orientation. Perhaps you could let your orienting nurse know you aren't comfortable with all the hats you're...
  6. I Should Be in Jail

    I just can't get the sound of that father guffawing at his dead daughter's bedside out of my head. Dad and baby had been there before; she had had an "accident" that resulted in a strange injury to...
  7. Considering Med School While in Nursing School

    My brother is currently in his first year of residency. Trust me, med school is tough. That in itself shouldn't dissuade you if it's really what you want to do, but you have started down the nursing...
  8. Advice about pursuing a MBA degree

    There is a profound overlap of nursing and business. The healthcare administration route sounds particularly appropriate to me, but an MBA is useful in any number of areas, and healthcare is...
  9. Terrified to start as a new RN

    Congratulations on landing your dream job! I'm so happy for you. Nasty people can be found anywhere. Just remember that the problem is in them, not you. Yes, some people can't seem to deal with big...
  10. How do I get organized?

    Make a to-do list/schedule as advised above. Pull a rhythm strip for each of your patients for reference. Print out any pertinent/recent labs or reports. If you have electronic MARs, print them out...
  11. First time you saved a patient?

    Actually, I didn't--the floor nurses did. I was just a dumb first-year student afraid I didn't know how to give a bed-bath properly. So I was with my patient, giving her a bed-bath and trying to do...
  12. Help! Need some advice

    Sub-acute is something akin to acute care, and you're not that long out of school. I don't know that hospitals would consider your experience "acute," but you did work sub-acute for 6 months and...
  13. Best Practice for Addicts in ER and Inpt

    You could always get some fliers from your friendly neighborhood AA and NA groups--they'll be happy to provide them. The vast majority of your addict patients will just throw them away, but there is...
  14. Is all I was saying in the first place. Thank you for getting the
  15. CPN Exam

    I used the ANCC Pediatric Review and Resource Manual--very helpful, had lots of practice questions with well-explained rationales for the answers. I really recommend taking practice exams, too--ANCC...
  16. Suctioning with Distilled water ???

    Oh, yes--you don't want to introduce any pathogens to an artificial airway. Imagine you're at a code, you rip open the ET tube package and the tube promptly falls onto the floor; should the doc still...
  17. Awaiting board decision

    Sorry you're having to deal with this. Nursing Boards move about as fast as molasses in January, so hang in there. As far as discussing the issue with prospective employers, all you can tell them is...
  18. Do you still feel like a nurse away from bedside

    Nurses need good managers, educators, researchers, and leaders. You're every bit a nurse--you're just using your head more than you use your hands, so to speak. Don't you dare let anyone make you...
  19. Hemoglobin down, hematocrit normal

    The hematocrit is a percentage of RBC in total blood volume; hemoglobin is a direct measurement of the protein itself. Since hematocrit is a measure of a ratio rather than the hemoglobin itself, the...
  20. Suctioning with Distilled water ???

    I guess you could use it in home care, but home care practice is not LTC practice--patients aren't exposed to as many strange new pathogens. Using distilled water is really not a good idea--it's...
  21. Stressed please give me some insight

    You were being used as a scapegoat. I'm sorry you got terminated but it really sounds like leaving that place isn't such a bad thing. Good luck in future.
  22. Near miss

    You're human! A near miss today makes for a more cautious nurse tomorrow. You learned from it, that's what matters. And ALWAYS double-check any high-risk
  23. Monthly changeover MAR/TAR:

    Yeah, the nightly chart checks are supposed to keep up with the new orders; once MARs come from pharmacy, all new orders have to be verified as taken off on both old and new MARs. It's an ongoing...
  24. Clean off the dead skin!

    Toe
  25. Affinity Testing

    You're not supposed to know what the tests are for. If you're not doing anything wrong, don't worry about it. Ignorance is bliss! Hope it is, anyway, because they will purposely keep you in the...