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nurse_flo_marie

nurse_flo_marie MSN, RN

Geri - Edu - Infection Control - QAPI
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nurse_flo_marie has 11 years experience as a MSN, RN and specializes in Geri - Edu - Infection Control - QAPI.

nurse_flo_marie's Latest Activity

  1. nurse_flo_marie

    How do you juggle nursing school and living by yourself?

    My advice - stay home! I lived on campus for undergrad (non-nursing) & went home to do laundry & shop for groceries in the fridge. When I graduated and decided to go to nursing school, I moved back home. I was guaranteed a roof over my head, cooked meals, and someone to encourage me when nursing school was overwhelming. If you're on your own a lot, you might just find yourself stewing in misery when what once was the most annoying interruption is welcomed eagerly. Good luck on your decision!
  2. nurse_flo_marie

    Home health concern

    My advice is always to check your company's policies & procedures. That being said, does your patient have aggressive behavior often? (Or is this a go-to response by the family) If a patient is a danger to himself or others, they can be "sectioned" (Section 12). The provider would write an order & the police department would assist in getting patient transported via EMS for a psych eval. I can't think of too many incidences where you would be required to ride with the patient - EMS is there. As a home health nurse, you can contact the ER and give them a report of what prompted the transfer.
  3. nurse_flo_marie

    Out of curiousity

    I would also inform the professor/instructor because you never know how many students are actually doing this. The faculty need to address the unprofessional action.
  4. nurse_flo_marie

    Scanning meds for refusal

    Haha Congrats!
  5. nurse_flo_marie

    Scanning meds for refusal

    This is definitely why you should ask for the policy & procedure regarding scanning meds. It's a time-consuming task to scan meds you're not even going to give.
  6. nurse_flo_marie

    Certifications

    Google is at your fingertips í ½í¸‰
  7. nurse_flo_marie

    How to do a med pass?

    I've used both the paper MAR & the eMAR. I got into the habit of asking the nurse I received report from who were the diabetics so I checked to see if they needed insulin or fingersticks. The eMARs I've used allow you to sort & filter out certain orders & admin times. I check to see what meds I can give in that 1hr window before to get those out of the way in the beginning. If I have more time, I go through all the patients/residents & jot down what times they have meds due on my cheat sheet.
  8. nurse_flo_marie

    Anything else I can do besides bedside nursing?

    That's pretty sad your work environment has given you such a grim outlook on becoming a nurse. Not saying other places will have greener grass, but you definitely need a change. Why did you want to be a nurse? What are your skillsets (think non-medical)? I agree with the primary care practice, assisted living & home care suggestions. You will have to check the scope of practice within your state for LPNs. Some pharmacies hire LPNs in certain roles. Good luck!
  9. nurse_flo_marie

    First day as an official RN: Reflection

    Congrats on completing & reflecting on your first day alone as a new grad RN! And definitely glad you found time during your shift to eat. I'm a Staff Development Nurse at a skilled nursing/rehab/sub-acute facility & your reflection is refreshing. It's important to think about ways to improve your nursing practice and your team. Healthcare is changing and patients will be transitioned out of hospitals faster. Acuity will continue to increase. Triage & delegation is truly a skill. Does your facility use electronic records? Time management also includes knowing where to locate & document patient information. Some programs allow you to sort the eMAR based on time or for example, blood sugar checks. Do you have a person in the staff development role who you can discuss your reflections & provide you with tips? For the patients who were on the call lights, required pain meds, etc, I have some suggestions or ideas: - During change of shift or rounds, ask the patient if they need a PRN but let them know you have to finish rounds. This can have two possible results - patient loves when you're working, symptom is managed & they are content the rest of your shift or they will continue to be on the call light. It's important to gauge EACH patient for effectiveness of this method; - Get to know the patient and use distraction. If there is an area where patients can go so they aren't spending their days in the room hoping for interaction, that would take a lot of weight off of you and the CNAs. I used to even send my patients down to rehab; - For the agitated patient having hallucinations, do you have a psych service? Patient recovery can be hindered if they are not comfortable or anxious; and - Take time while you're documenting to review the patient chart, especially the care plan. If others have identified interventions to address things you've assessed, it should be in the care plan. The other things come with experience. Do a huddle with the CNAs at the start and end of your shift. Let them know if you'll need patients for treatments, labs, or specimens. Great job! You will be a great nurse and pass on your knowledge & skills to new nurses.
  10. nurse_flo_marie

    How to get a nursing job without experience?

    Another option is speaking with a Career Placement Advisor or professor at the nursing school where you graduated. Most times they are able to connect you with someone they know. And because of that connection, you may get the job over other applicants. Are there any group homes near you? With your mental health background, that could be an option. Take all the free CEUs you can in the specialties you're interested. Definitely use those keywords in your resume and cover letters. Don't give up! I almost applied for a job at Target before I got my first RN job.
  11. nurse_flo_marie

    Confused On which Rn pathI should take

    I agree! I had a Bachelor's degree in Human Physiology from an university before I decided to go to nursing school. (I also took a year off in between) I had a friend getting her NP at the time I was deciding on which path to take. I decided on an ADN program because I wanted to hit the floor fast. A lot of the courses from my Bachelor's transferred to the ADN program (but you should check with the schools to which you plan to apply). Once I decided I wanted to be an educator, I was able to use my ADN + BS (avoiding another Bachelor's) to get a MSN. It more or less depends on your finances, if you want to spend more time in school vs in the field, and your end goals. Hopefully, this info helps!
  12. nurse_flo_marie

    Nursing Instructor Pay

    Hi ERnurse71! YES! More Nurse Educators!!! I completed my MSN in Teaching & Learning May 2016. Congratulations on your decision! I can tell you I had the exact same thoughts as you did/do. I was actually offered a faculty position at my nursing school alma mater/where I did my practicum, but after weighing the pay and benefits, I chose a Staff Development position at a LTAC facility. Interestingly enough, I was recently hired as a Clinical Instructor for a LPN program. Good Luck!
  13. nurse_flo_marie

    how do i go about opening my own business?

    There is a National Nurses in Business Association. And looks like they have an annual conference as well.
  14. nurse_flo_marie

    Lost

    Nursing school is tough! But it's good to see you're not giving up after that setback. I would definitely speak with someone at your school. Schools vary in their policies. Does your school provide a handbook specifically for nursing students? If they do, check to see what it says. Nursing schools (even though it may not seem like it all the time) want students to succeed. Don't wait until it's too late & you don't have any options left. Good Luck!
  15. nurse_flo_marie

    How to get a nursing job without experience?

    Glad to hear you're in remission! You may have to think outside the box when it comes to applying for jobs, even with nursing homes. What was the previous job you had before getting sick? If they are unable to hire you, I would ask them if they know any companies hiring at the moment and if they would provide a reference for you. I would also try walking into nursing homes, ask to fill out an application, and be prepared for an interview. I am a Staff Development Nurse at a skilled nursing facility, and we have hired a lot of walk-in applicants. Hope that helps!