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Okey Foley RN

Surgical Floor
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Okey Foley is a RN and specializes in Surgical Floor.

Okey Foley's Latest Activity

  1. Okey Foley

    Hardest Thing to Learn

    Seconding that this is an excellent book. When I read it, I felt so understood like all of these things my family and classmates thought were so weird. I learned that these things don't make me less, they make up part of who I am. I've changed over the years and am more outgoing, but I am still introverted for sure and gain my energy by being alone. But reading this book helped me accept very fundamental things about myself. Having a coworker come up to me and say "how can I help?" when I'm drowning is one of the best feelings in the world. Even if it's just giving a synthroid for me at 0600, it can make a world of difference.
  2. Okey Foley

    Hardest Thing to Learn

    That's so good. Sometimes we say more by saying less.
  3. Okey Foley

    Hardest Thing to Learn

    What is the thing that has been the hardest to learn for you as a nurse over your career? Early on, midway, or late. I've been an RN just over a year now, and for me one of the most difficult things has been learning to be assertive. I still find it difficult as I was very timid growing up. I'm getting better especially when I keep in mind it's for my patients' well being (I.e. ambulating after surgery, sc heparin/injections, q2 turns, etc).
  4. Okey Foley

    O2 checks

    Sometimes it's easy to get caught up in something happening and hard to back up, see a bigger picture and remember fundamentals. Things like this really reinforce the importance of fundamentals. Like buck said, this patient maybe would have needed bipap no matter what. Good reminder for me too that retaining CO2 could cause the high pulse ox and ABG would be a better tool.
  5. Okey Foley

    Pain meds that can be given together?

    I work on acute surgical floor and depending on the pt and MD having a few pain med orders is not unusual. Tramadol with IV morphine PRN for unrelieved severe pain I personally think is safe as long as her pressure is high enough. 99/60 is lower end, but with SBP >90 I wouldn't be concerned. Want to see what others say too, but this is my experience. I think it's more important pain is managed and you also tried nonpharm modalities too.
  6. I really struggled with this in school. Airway - the physical airway. Think obstruction of a straw. All the way from the mouth to the bronchioles. In pneumonia, mucous and fluid could block that "straw" of the airway. Breathing - act of lung expansion, inspiration and expiration. As Wandering said, examples with pneumonia are too shallow d/t pain or congestion, tachypnea in attempt to compensate for not getting enough oxygen.
  7. I am in my 3rd semester of my ADN. Last week I had my "team leader" experience where we work with our five peers and make sure charting is done, are available to help, coordinate with the instructor, nurses, and my peers. I used to really struggle with confidence and was so shy and self-deprecating that I could never speak up. Now I have been in therapy since September, got out of an abusive relationship, my dad who'd been sick for a very long time passed away -- and I've been finding my voice. I'm a very eager and positive person, I truly find the joy in anything. I got feedback and it reinforced what I was thinking, that now I'm struggling with the opposite end of the spectrum, with being overbearing and nitpicky. I do not mean to be, I'm just 1) so enthusiastic that sometimes it's very hard for me to put on the brakes and 2) go by my checklists to ensure things are done, and if they are missing (ex. all the charting), I let my peers know. I can't figure out where the line is, does anyone have suggestions?
  8. Hey everyone, I'll be graduating this December and am currently looking into jobs in my area and I'm struggling with what is difficult to get into (which I'm okay with!), and what is just not realistic. Many of our hospitals now are BSN preferred, though they absolutely hire ADNs (Raleigh, NC). Within any specialties with babies, however it seems to be more challenging. I did my OB rotation and absolutely loved L&D, Nursery, and Mother Baby (Postpartum). I really found myself drawn to the babies. I'm mostly interested in pursuing NICU and there are lots of reasons why (I'll list below if anyone's interested, but not critical to this post). I am willing to relocate basically anywhere. I've traveled a lot all over the US but lived in this area since I was 8 and would love a change of scenery. I'd be open to staying in Raleigh too, however. Does anyone have any suggestions or input on areas I could look into possibly applying to? I understand I cannot be as choosy in this first job, but at least I would like to start working with babies since their physiology and care is so different. NICU, Special Care Nursery, or Mother Baby are the three units I feel fit this. I do not have CNA hospital experience though I did work hospice home care and in LTC. I am working on my NRP certification right now and will have it over the summer. Why NICU: -during L&D seeing small human come into the world and wanting to work more with the baby than with the mother -working with the newborn nursery RNs -love lectures on baby physiology and adaptations from fetal state - saw video of NICU in class and researched on my own: NICU create "external womb", parent teaching, critical care (challenging and complex), all body systems, both tough and compassionate, support little ones fighting from the beginning, longer term relationships than floor nursing (aspect of hospice I love), lower patient ratio able to focus on each baby more I appreciate anyone's input!
  9. Okey Foley

    Spring 2018 wake tech nursing

    I got my letter today, I'm in!
  10. Okey Foley

    Spring 2018 wake tech nursing

    Yeah! Awesome for you :)
  11. Okey Foley

    Spring 2018 wake tech nursing

    Congrats pinkdaisy! I didn't get my letter yet, but I'm anxiously on the lookout. I'm so ready to get into doing nursing rather than prereqs.
  12. Okey Foley

    Spring 2018 wake tech nursing

    That's good - I don't know why this woman told me end of October. I'm sick and a little slow on my reactions right now, and so I just said "end of OCTOBER?" and by the time I'd processed my next question, she'd hung up. Good to know, now I can also make sure I'm not working on Oct 20. Thanks for the info.
  13. Okey Foley

    Spring 2018 wake tech nursing

    Hi everyone, thought I'd post here since I called yesterday to see when the acceptance letters would be sent out. They said the last week of October... I don't know why it's so different this year. I'm applying with 206 points - my only B was in Micro. I'm just anxious to know for sure and to see when orientation and all that is.