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bd2rn

bd2rn

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bd2rn's Latest Activity

  1. bd2rn

    ASN or ADN??????

    There definitely are differences between the ADN, the ASn, and the AASn.
  2. bd2rn

    MSN working bedside nursing

    But do those programs actually teach basic nursing? I know for a fact that some "higher level entry programs" for teachers do NOT prepare people to be teachers, even though they claim to. That can certainly be true in nursing as well. Just because it costs less, that doesn't mean you'll gain the knowledge and skills you need. It's not just a credential that is needed, it is a huge body of knowledge, as well as skills and practical experience that simply cannot be "transmitted" over a few months, as in a MSN-entry program.
  3. bd2rn

    MSN working bedside nursing

    Don't try to take shortcuts with human lives. Get the training you need to do the work you want to do.
  4. . Actually, it IS our job to supersize techs. It's the law.
  5. bd2rn

    Why is Med-Surg so hated?

    Personally, I think Med/Surg is pretty great! Most of the patients can talk with you, move themselves around (maybe with help, but still...), and are less likely to drop dead or wig out than pts in ICU, ER, OR, Psych, Peds, etc. People seem to think that ER/ICU is harder, but I disagree. They are DIFFERENT from Med/Surg. Not all specialties suit everyone, and the important thing is to find the place that suits you. Don't worry about whether OTHER people think your specialty is "better" than another. I hope this is helpful.
  6. bd2rn

    joining Med-Surg after 5 years

    Well, I'll give this a shot. I've been a nurse for a LOOOONG time, and I've done all sort of things at various levels. But I've never been "just" a Med/Surg Nurse. I say "just," because I always had to be Supervisor, ER Nurse, etc in combination with taking a regular assignment. I've also taken time off from nursing-a couple of times without the intention of coming back. Anyway, I just started a job as a Med/Surg Nurse on a 18+ bed floor. Yes, I'll have to do Charge, but it'll rotate. Anyway, after a couple weeks of orientation, it seems to me that there are some things you'll want to have pretty good command of: basic assessment skills: v/s, level of orientation, breath sounds, heart sounds, pulses, wound classification, IV insertion and maintenance, and the meds-especially the cardiac and b/p meds. Also, BLS. I don't think it's a good idea for new/returning nurses to do ACLS too soon. Learn your BLS and let the more experienced folks do the ACLS until you get more experience. Also, get yourself a good stethoscope and an organizing tool that works for you. It should allow you to keep track of 4-8 patients, and include pt's name, rm#, DOB or age, date of adm, adm diagnosis, code status, brief list of Prior Medical History, BRIEF History of Present Illness, Systems Review, v/s trends, pertinent problems, and a place to list the things you need to do during your shift, organized by time. Leave yourself room to write notes regarding your shift's events. With all that in place, you'll be in fine shape. Keep us posted! And
  7. bd2rn

    Preadmission Testing RN's

    Thank you. That's what I thought, too.
  8. bd2rn

    What's the nicest compliment you've gotten as a nurse?

    "I'm glad it was you who took care of my loved one when s/he was dying." I've been told that a number of times, and I can think of no greater honor.
  9. bd2rn

    Why would a nurse push IV potassium?

    It's possible for a patient to survive having IVP KCL, but it won't be pretty. I know someone who killed a pt that way, by accident/carelessness. That was back when we had the vials on the floor and the kcl was right beside the nacl, and the color of the caps was somewhat similar. She drew up the wrong stuff to flush the hep lock, and that was it. Anyway, if you're taking longer than 20 min or "push" something (the length of time it takes to avoid lots and lots and lots of pvcs and so forth), then you're not really "pushing" it. You're just serving as a human IV pump. Might as well get a real one, if you can. My $0.02
  10. bd2rn

    Interview Attire?

    I firmly believe that clothes don't show respect or lack thereof; people do. When I go to interviews, I wear simple, classic dress pants, shirt, and shoes. My hair is neat. I arrive a bit early, but not too early. I greet the interviewers by name, and I write their names down. I sent handwritten notes of thanks, regardless of the outcome of the interview. It is my belief that THAT shows respect.
  11. bd2rn

    Interview Attire?

    I have never owned a suit in my life, and I've rocked numerous interviews over the decades. If you're applying for a management job, I guess it makes sense to invest in a suit, but for a regular nursing job the standard has NEVER been suits, at least not in the USA.
  12. bd2rn

    funny charting errors

    I recently documented that my pt had incurred an injury to her left head.
  13. I don't believe scds DO support blood pressure. The encourage venous return/keep blood from pooling in the VEINS. B/p of course refers to arterial pressure.
  14. bd2rn

    Preadmission Testing RN's

    What is the average time per patient do you spend on the Nursing Interview? I'm the sole PAT RN at my hospital, and I'm getting pressure from "other people" to spend no more than 15-20 minutes on Interview, Teaching, and Scheduling. I think this is completely unreasonable. Thought from those who have experience as PAT RN/Scheduler, please.
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