Just-floored

Just-floored

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All Content by Just-floored

  1. Well said. It isn't always the best job in the world but many days it is.
  2. I'm starting to feel like I'm dying on the inside

    Ok, if you have only been working since October then I really think you need to give it time. There is always something to be done and not enough time no matter what floor or population you work with. Unfortunately it is the nature of the beast. A...
  3. Bully CNA, not sure how to fix this

    So this definitely needs to be addressed. First if she isn't getting her tasks done and you are writing up a list make sure you also write up one for yourself and then you can document what isn't getting done. If it is most of what you are asking o...
  4. Nurses 'Eat their Young?'

    I am a preceptor quite frequently and also still remember what it felt like to be new. It is hard. When I first started precepting I did my best to make it so my orientees did not feel the discomfort I did because I was hoping to make the process e...
  5. How do I become stronger clinically?

    Every time I come across something new I research it. For me it helps to understand the pathophysiology of a condition because it will point you in the direction of what really is important to assess for. It is also super helpful I have found to go t...
  6. Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    The nurse who administered it did not even document it. Hard for the system to have checks and balances when the system is bypassed.
  7. Scared.....No Nursing?

    That is a starting place then. Any time I need to call the physician and notify them of something I will do an assessment, run through what could be causing the problem and be ready to answer their questions. Think of the nursing process it all sta...
  8. Ratios

    Does anyone work at a facility that pairs you two labors to one nurse until complete? The system I'm in is making a change to this and it seems unsafe to me. Currently we are two early labors to one nurse and then move to one on when when active.
  9. Too old for OB?

    I'm almost 50 too and feel that some days I run circles around the younger nurses. Give it a shot, you won't know til you try.
  10. OB Education??

    We have done an emergent C-section drill along with the ones you have mentioned. I would also suggest maybe reviewing hypertensive crisis, cord prolapse and uterine rupture.
  11. Advice please

    First of all given yourself a break and realize that this has nothing to do with being a good nurse or not. You need some training and that is to be expected if you have never needed the skills before. I would suggest you talk to your manager and s...
  12. What Does A Graduate Nurse Do?

    I totally agree with others who say to take the NCLEX right away. You get out of the flow of NCLEX type questions. We were strongly encourage to take it right away and my school had a 98-100% pass rate first time.
  13. Almost to the 1yr mark.....

    Yeah one year survived and it sounds like you are doing great and have made some good self-care choices to help prevent some soul sucking. If you work a 12 hour day you will feel tired by the end no matter what you are doing I think. I get home eat d...
  14. Feeling lost in my career...need advice!

    Well if it was me and I was planning on returning to school I would want to stay in the mellow predictable job if it works. That being said could you just try out a mother baby unit as a per diem. You could get an idea if the unit would be a good f...
  15. need advice: new RN with doubts

    I really love working Thanksgiving also. We usually celebrate it at home a week before or after. It is great because the grocery store isn't a mad house when the shopping needs to get done. The holiday is for spending time with family and friends,...
  16. How do you get through the first weeks on your own?

    Xanex! It is super hard the first year or so. Find someone you trust to ask questions when they arise. On my unit we all bounce ideas off each other and it is great for learning. I hope you are in a supportive environment. I was told by a mentor...
  17. Preparing for RN program

    Honestly I would use this time to relax because there will be very little of that going on once school starts. Maybe get your house super clean if that is your thing. Maybe get your freezer stocked up with quick and easy meals. Other than that tak...
  18. Feeling discouraged in Nursing school.

    Just take a minute and breathe. First of all don't listen to those bragging about how great they are doing because there are areas they are likely struggling in but they won't brag about that. Nursing school is like a big roller coaster, you will b...
  19. Postpartum Nurses being the Baby Nurse?

    I work at a baby friendly LDRP and all of our nurses are both labor and postpartum trained. As the labor nurse I will do all the care for baby and mother including the admission and assessments. We have standing orders that we can input but need to...
  20. New Grad Seeking OB Nursing Advice

    Oh so many questions. Get to know how to read your fetal heart race tracing and what types of tracings are indicative of fetal distress. That is the biggest indicator of how baby is tolerating its environment. For moms the biggest things I watch for...
  21. Lpn working in Labor and delivery

    There are no LPN's on the L&D floor or postpartum where I work. I agree get your RN if you are passionate to work in the field.
  22. Do you recover c-sections under general?

    On my L&D unit we circulate for our c-sections unless the floor is just crazy busy and we don't have the staff. I like it because if my baby crumps following the section I have another NRP trained RN right there.
  23. Give it more time. Most new grads don't really start feeling like they have their feet under them for 6-12 months. If you can, find a mentor to discuss your challenges with. In the beginning too it is good to write down something that you learned ...
  24. Do you recover c-sections under general?

    I'm an L/D nurse and we recover our c-sections that have a spinal or epidural block but for general anesthesia the PACU nurses recover them. I'm not sure of the rationale because I am unfamiliar with what is needed to be done to recover someone who ...
  25. Ratios

    I am assuming you mean nursery, not misery, lol. It is an SCN. We mainly treat NAS babies but do have some that have respiratory issues, preterm at 33 weeks or greater or babies that need a 7 day course of I.V antibiotics.