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rnmm18

rnmm18

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  1. I’ve been a RN for a little over a year. Before I graduated from school I knew I wanted to work in the OR! I was offered my first job in preop before I graduated and I accepted the position. I love preop and the patient nurse relationship I am able to build on a day to day basis. I consider myself pretty good at IVs as I start about 10 a day at least. I love the fact that I’m able to not only PreOp but when I’m on call I’m second scrub and get the chance to scrub in on surgeries. When we’re busy, I’m also able to relieve my fellow coworkers in PACU and recover patients while they are at lunch. I was offered the position to move to the OR full time as a circulator. I would really love some honest advice on if I should take this offer or not. I do not want to move somewhere prematurely, but I also don’t want to miss out on this opportunity. I help a lot with the circulators already. It’s almost second nature for me to already do a test dose when the antibiotic ordered is Ancef and they have a penicillin allergy. I ask about all blood thinners and their last time they took them. Metal anywhere in their body? I got that covered. I shave the patient preop, make sure their SCDs are secured and working. IV patent and 18 gage if possible. Confirm surgery and location a million times and then one more time again. NPO status. Families number and their location while the patient is at surgery so the doctor can find them. Make sure the consent and H&P is in date and the doctor has signed. I do a lot as a preop nurse and I am always a team player. I am a new nurse so I feel that pull at needing to stay where I’m at because I know I still have so much more to learn before moving to a position that is more of taking care of my team instead of the patient! All advice is greatly appreciated! Thank you!
  2. rnmm18

    HELP! New Grad hired in PACU OR

    Wow! Thank you so much for taking time out of your day to answer these questions for me. This is exactly what I needed and wanted to hear. I will definitely look into those two books and read up on those drugs. Thank you for your words of encouragement. I am definitely willing to learn and will always put my best foot forward! You are awesome.
  3. Hello all nurses!! I just graduated from nursing school in April and I just got hired as a new grad in the OR!! I know that there is a big learning curve but I'm determined to work ten times harder to make sure I can keep up and be the best nurse I can be. The job position I got hired under is PreOP and PACU nursing. The hospital I'll be working at requires you to learn all the positions a nurse can work in the OR; PreOP, PACU, Scrub nurse, circulator, etc. If anyone could please give me some advice, things to know such as common medications, procedures, and complications you see working as OR nurse I would appreciate it more than you. If you have any suggestions on books to read to better my education that is specific for the OR please let me know as well. I've tried reading a lot of forums on here. I see for the PACU it's a lot about airway and pain management. What kind of procedures do you do in your hospital to maintain and stabilize airway? What is your protocol for pain management and is it always controlled? For PreOP we do phone interviews before surgery a week in advance. Can you walk me through how you do your phone interview, how you make sure you don't miss anything? Anything and everthing helps!! Thank you so much in advance.
  4. rnmm18

    HELP! New Grad hired in PACU OR

    Hello all nurses!! I just graduated from nursing school in April and I just got hired as a new grad in the OR!! I know that there is a big learning curve but I'm determined to work ten times harder to make sure I can keep up and be the best nurse I can be. The job position I got hired under is PreOP and PACU nursing. The hospital I'll be working at requires you to learn all the positions a nurse can work in the OR; PreOP, PACU, Scrub nurse, circulator, etc. If anyone could please give me some advice, things to know such as common medications, procedures, and complications you see working as OR nurse I would appreciate it more than you. If you have any suggestions on books to read to better my education that is specific for the OR please let me know as well. I've tried reading a lot of forums on here. I see for the PACU it's a lot about airway and pain management. What kind of procedures do you do in your hospital to maintain and stabilize airway? What is your protocol for pain management and is it always controlled? For PreOP we do phone interviews before surgery a week in advance. Can you walk me through how you do your phone interview, how you make sure you don't miss anything? Anything and everthing helps!! Thank you so much in advance.
  5. rnmm18

    Med Surg 2 HESI Final

    Hello everyone! I am currently in my last semester of nursing school (hooray!) and we take our final next week in our med surg 2 class. I've already taken the med surg 1 HESI final second semester and I did fine, but from what I've read some say the med surg 2 HESI is so hard and nothing like the first one. I was wondering if anyone has already taken the med surg HESI final and could shed some light on what it is like! We also take two HESI exits in a month which are suppose to be comprehensive and if anyone has some advice on that too that would be great!!
  6. rnmm18

    Advice please..NICU VS L&D

    I have known ever since I was little girl that I wanted to work with babies. Throughout clinicals if there was a delivery taking place, I was always picked or in the position to go watch and be apart of the experience. I even got the opportunity to go to the NICU, which was a huge deal to me. I feel like God really is telling me that this is where I should be. If anyone could tell me what they feel are the pros/cons of NICU and L&D, I would greatly appreciate it. Is NICU more about the care of the infant than caring for the family? Is L&D more caring for the mother than caring for the infant? I also have heard from other nurses that once you go into L&D or NICU, it's hard to move to a different department because you aren't using the skills a day to day Med-Surg, ICU, or cardiac nurse would. The instructors at our school have really drilled into our heads about "paying our dues to the med-surg floor" and how it will make us a better nurse.
  7. rnmm18

    Nursing School Preceptorship

    Wow! Thank you so much for replying back to me. I honestly needed to hear that and gives me peace in knowing whatever happens will make me a better nurse in some way. Thank you!
  8. rnmm18

    Nursing School Preceptorship

    Hello! I was wondering if anyone could give me some insight on how your preceptorship went, what choices of departments you were able to choose from and what helped you make that decision, and any advice on how to make the most of your preceptorship! Anything is appreciated, thank you :)
  9. rnmm18

    HESI PHARM 2

    Hello I was wondering if anyone has taken the HESI Pharm 2? My school makes us take Funds and Pharm 1 first semester, Mental Health and Med Surg 1 second semester, and then third semester we take OB/Peds and Pharm 2. We take a HESI at the end of every semester for our final. I didn't know if other schools split up their pharm into pharm 1 and pharm 2. Any insight and tips on what to study would be great!
  10. rnmm18

    OB Hesi Help!!

    I just took my OB HESI and ended up making 1035. I studied by reading the pediatric and maternal child portion of the HESI NCLEX-RN examination edition 5 book.(I felt like it did a really good job summarizes everything I learned over the semester) I also did the case studies and evolve HESI practice quiz for both pediatrics and OB/maternity. My school's HESI was pediatrics and OB combined. There was a lot covered from both areas but here are a couple things that stood out to me. For the pediatrics portion I would make sure to know the milestones for specific age groups and childhood diseases/illnesses and how to treat. For the OB portion, I would make sure to know about full bladder post op, boggy fundus vs firm fundus, amniocentesis, abruptio placentae, and certain medications used and why. Also when to notify the prescriber and to remember airway is always important (ABC'S) Again this is not all that was on there, so make sure to review all areas but this is just a couple things that stood out to me! Just take a deep breathe, you've made it this far and you got it!
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