pnwRN88

I have been a nurse for about three years. 1.5 in Med-tele and 1.5 in PCU. I work in a small community hospital, 27 PCU beds, no cath lab in hospital so we don't have post cath patients, we ship out patients with STEMI to a higher level care. Being a small hospital we don't have specialty teams. PCU and CCU which we work closely with respond to code stroke, code blue and rapid response. With all that being said I want to jump into the travel nursing world. I just don't know if I should target med-tele or PCU. I don't want to backtrack into med-tele but also don't want to be incompetent in a big hospital PCU.... help.

Beginning of shift, you're getting report on pt. Hx: TIA ,DM, and COPD. Hospitalized due to afib with rvr, on a dilt drip, NPO. You go to assess pt, pt is hard to awaken, slurred speech, BP 87/60, HR 115 afib, RR 14 93%room air. What's running through you're head and what do you do? My thoughts: first off pt is hard to awaken, and slurred speech, hx of TIA, first I'm worried about stroke. Also worried about low BP, which dilt drip could be at fault. Slurred speach and arousability could also come from low blood sugar, would check that as well. If pt is not waking up for me, I would call a rapid, possibly code stroke if after more assessment pt shows signs of stroke. Meanwhile I will be checking that blood sugar. What else am I missing here?

Thank you so much! It's so nice to have a fresh pair of eyes to look through it. I've been over it so many times that words didn't even have meaning to them anymore. I have made the changes and it looks a lot better. Thanks!

I graduated in June and am finally looking for a job. Please let me know what I can do in order to improve. Since I know not much time is spent reading these things, I am trying to keep it short and simple. Also, since i don't have previous medical experience I am trying to tie in how my past skills can transfer into useful nursing skills. PLEASE HELP. Thanks in advance. PS I apologize in advance about the formatting. [TABLE=class: Table TableWordWrap SCXW27402932, width: 0] [TR=class: TableRow TableRowSelected] [TD=bgcolor: transparent]MY NAME[/TD] [TD=bgcolor: transparent] 23XX sw XXth St XXXXX (XXX) XXX-XXXX [email protected] [/TD] [/TR] [/TABLE] Qualifications Registered Nurse License- RNXXXXXXX GPA 3.35 Skills [TABLE=class: Table TableWordWrap SCXW27402932, width: 0] [TR=class: TableRow TableRowSelected] [TD=bgcolor: transparent] Certification in Basic Life Support Fluent in Spanish [/TD] [TD=bgcolor: transparent][/TD] [/TR] [/TABLE] Education AUGUST 2015- JUNE 2017 Associates in Applied Science in Nursing- Clark College, Vancouver, Wa 2012-2015 Associates of Arts- Clark College, Vancouver, Wa Clinical Rotations 04/17/17_05/27/17- Legacy Good Samaritan Hospital- Rehabilitation (160hours) 02/22/17-03/09/17- Unity Center for Behavioral Health- Pediatrics (80 hours) 01/18/17-02/16/17- PeaceHealth Southwest Medical Center- Neuroscience (80 hours) 09/27/16- 11/24/16- PeaceHealth Southwest Medical Center- Cardiac Unit (160 hours) 04/14/16- 06/3/16- PeaceHealth Southwest Medical Center- Med-Surg Unit (120 hours) 01/19/16-03/03/16- Free Clinic of Southwest Washington (100 hours) 10/20/15-11/24/15- Fort Vancouver Assisted Living (80 hours) Experience MAY, 2012- PRESENT Waitress / Manager- Name of employer, XXXXXXXX, Wa Multitasking in a fast-paced environment. Prioritizing tasks. Provide fast and friendly customer service. Anticipate customer needs. Developed skills to manage the establishment. Including but not limited to ordering products, scheduling staff, and bookkeeping. Responsible for training new staff. MAY, 2011- MAY 2012 Assistant Manager - Name of Employer, XXXXXXXX, Wa Developed the proper skills to properly manage the establishment under the direction of owner and general manager. Prioritizing tasks Multitasking in a fast-paced environment while supervising multiple staff in their roles Responsible for reporting and managing daily sales. Monitoring film projectors, anticipating problems and fixing any issues. APRIL, 2008- MAY, 2011 Floor Staff - Name of Employer, XXXXXXXX, Wa Served customers purchases and provided great customer service. Responsible for own cash register and its continents. JUNE, 2008- JANUARY 2009 Cashier - Name of Employer, XXXXXXX, Wa Assisted customers with their purchases. Cover letter My Name Address (XXX) XXX-XXXX [email protected] 11/1/2017 Hiring Manager Providence Health & Services Address of business, Portland, OR xxxx Dear Hiring Manager, I am writing to express my interest in the open position in the Operating Room as a Registered Nurse. I am a recent Clark College graduate and am looking to not only enhance my skills but also become a positive and productive member of your healthcare team. I am eager to help Providence Health & Services continue to provide holistic, high quality medical, and compassionate care to the residents of Portland. My strong work ethic, teamwork, respect, accountability and honesty have gained me managing positions in past and present jobs. I am comfortable working in a fast-paced, multitasking environment and anticipating customer needs. My skills can be transformed from tending to customer needs, to using my education and learned skills to care for patient needs. I am ready to be challenged and settle into a career that will positively impact the community. By being part of the Perioperative team, I know I will be challenged in my skills, and I am ready to meet and surpass your expectations. My fluency in Spanish can be an asset to your medical team in order to provide safe and fast medical care to Spanish speaking patients and their families. I welcome the opportunity to meet for an interview and answer any questions, at the time most convenient to you. Please contact me by phone or e-mail to schedule an interview and discuss the chance of becoming part of your healthcare team. Sincerely, My Name