Closed Account 12345

Closed Account 12345

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All Content by Closed Account 12345

  1. Open letter from New Nurse to Supervisors, Experienced Nurses

    I understand the sentiment behind your letter, and it's always nice to sandwich constructive feedback between positive feedback. New grad RNs are legally held to the standard of RNs from day 1, which...
  2. OK, one more time...Masters in Education???

    No, get a clinical masters or administrative masters, that way you have more extensive nursing knowledge to share. The education masters focuses on teaching, which leaves you with undergraduate-level...
  3. Staff nurse role in reporting abuse? Insight, please!

    My biggest concern would be that you are a mandatory reporter of elder abuse, and mandatory reporting can't be delegated. I'd be concerned about whether the administrators truly made the report, or if...
  4. Medical Emergencies in Public

    It depends on several factors including what the occurrence is, if anyone else is already assisting the person, if the injured/ill person is a child (more likely to help, unfair as that may seem), and...
  5. Yes, I worked in a hospital that was dinged for this exact set up! The surveyors mentioned dust, not knowing if equipment had been used, and not knowing if family members had handled the equipment out...
  6. RN to BSN or straight to BSN??

    Apply to both! Ideally, you could go right into a traditional BSN program since you said time and money aren't big concerns. There are also some great ADN programs, many of which have contracts with...
  7. Who Did NOT Do a Year of Med Surg?

    I never worked Med Surg, and I don't think doing so would've been particularly beneficial. Many common diagnoses on a Med Surg floor are managed entirely differently in the ER, L&D, ICU, or...
  8. Need IV experience

    Many nurses with great experience lack strong IV placement skills. My recommendation would be to sell your strong points in an interview, and ask your new manager/educator if you can spend a few hours...
  9. Ineffective Compressions

    Compressions should fall between 100-120 per minute, at least 2" deep on an adult, and should allow for complete chest recoil as you said. These guidelines are neither the "jackhammering" nor the...
  10. Abandonment - Legal Question

    (My response to the above-listed quote is below, but I don't know how to correct it from looking like another quote.
  11. Abandonment - Legal Question

    Abandonment can't occur until you have accepted a patient assignment. Failure to pick up a shift, or even decline a patient load, is never abandonment. Your facility may tell you it is, and they may...
  12. New grad no preceptor.

    Oh my word. Nurses do not learn to be nurses in nursing school; they learn at their first job. Nursing school gives you some basics to point you in the right direction once you get to your first unit....
  13. Rude nurses

    This thread leaves a lot to be desired and is filled with cattiness. I'm sorry your first week was hard. I always loved working 7/1 and being there with brand new docs to help them find their footing,...
  14. NP vs MA vs MD power struggle

    Can you put together a brief in-service to share with the providers and staff outlining your education and scope of practice, and clarifying that while you want to be a team player, your team is now...
  15. need help

    They offer temporary graduate nurse permits, but they aren't the same as independent nursing licenses. GNs can practice within an RN's scope under direct supervision. I began my first nursing job 2...
  16. need help

    Your Board has authorized you to begin training with a licensed nurse by issuing you a graduate nurse permit. You do not have the authority to practice independently because you are not a nurse; you...
  17. New Nurse Precepting a New Grad Nurse

    I would say you're honored that she thought of you, and look forward to precepting once you've gained your own experience, but you are not comfortable training another new nurse with only a few months...
  18. Texas BON mental health question. To disclose or not disclose?

    https://www.bon.texas.gov/licensure_eligibility.asp I think I would have your provider issue a written statement indicating that your condition has never impaired your behavior, judgment, and ability...
  19. Hi, I'd recommended reading NCSBN's brochure titled "A Nurse's Guide to Professional Boundaries." Great document that fully addresses your question! It's available online and can be easily located...
  20. What can an RN do in a clinic??

    Hi, I've never worked in a clinic, but from a legal standpoint, RNs do not have prescriptive authority. You may be *asked* to casually refill medications or enter lab orders in a clinic, but that...
  21. New grad RN, absolutely hate nursing

    Alternatively, those who excel at what they do clinically and want to share their love of the profession with others so that they, too, can excel teach. But you could've probably guessed my stance...
  22. Med reconciliation

    Nurses obtain the medication history, which is the list of prescribed, OTC, and herbal medications the patient is really taking at the time of the visit. This in itself isn't true reconciliation....
  23. Looking up patients on Facebook

    I would consider it a HIPAA violation because these students/nurses are using a patient's protected health information (name) for personal use. PHI should only be accessed and used on a need to know...
  24. Religion & Ectopic Abortion

    Almost always, ectopic pregnancies implant in a fallopian tube. They can also implant in ovaries, cesarean scars, or abdominal cavities, although those cases are rare. As the fetus grows, it can...
  25. Should I be asked to get consent without the doctor?

    As long as you're a properly trained RN with demonstrated competency, TBON allows you to administer conscious/moderate sedation (position statement 15.8). RNs are able to obtain consent for nursing...