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Full bedside shift report in ICU?
I find that giving report outside the room works best for being able to focus on the information as well as being next to the computer to review results, chest X-ray info, dive into notes for questions being asked, and add last minute orders needed. Then I either go in with the nurse so they can take a look at them, if there's something to show them or if they need a turn or a co-sign for a change in insulin/heparin or hourlys needed to be done at 7. If I'm coming on I immediately look for anything not included in report that is important and check my drips and lines and order whatever drips are running low if needed and usually come up with a few more questions for the nurse that is about to go home. I find bedside report generally confusing and distracting especially if family is there or patient is awake or even intubated they may get agitated and wake up with our voices.
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CCRN Exam APP
I've been studying for the CCRN for months. I just got the CCRN Exam app and am scoring about 55 on all of the tests. I'm concerned since the passing score for the CCRN is 70. Has anyone else used this app and what were you scoring when you passed the CCRN? thanks!
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Dysautonomia... POTS and IST
I also have POTS due to my Ehlers Danlos. I think it depends on what causes your POTS (partly) since mine is because my connective tissue is messed up and doesn’t get blood to my head fast enough so at work my HR usually standing/walking can be anywhere from 120s-170s. Usually it just makes me feel like crap, short of breath, heart pounding, usually I don’t feel super lightheaded to the point of worrying I will faint but there have been a few times I was really sure I would faint but ended up sitting down and was fine. I would say 15% of my coworkers know I have POTS and 70% know I have a lot of medical problems but I figure if I pass out, when I come to I can just say I’m fine it’s just my POTS and that will be the end of it. I don’t take meds but if I started passing out at work I would take meds. What helps me is a high salt intake and the right amount of water. Also compression socks make a big difference! I’ve considered also investing in compression leggings and compression shirts. If my POTS gets worse I’ll go that route. Good luck!
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Nursing fields suited for physical limitations/chronic illness
Oh yeah, nursing is not a career for the light hearted, it’s very demanding and seems to take a lot out of even my very healthy coworkers. Thanks for the advice! I’ve thought about hospice as well, I was worried we would be required to do a lot of turning/transferring and heavy lifting since most hospice patients are max assist? Standing isn’t as hard on me (at the moment) as just all the heavy labor of having all “max assist” patients on our floor, it feels like I work in a nursing home with super sick patients with the type of physical labor we do day to day.. I just don’t know. Another reason I asked on this forum! But I’ll look into it more! Thanks again
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Nursing fields suited for physical limitations/chronic illness
I did not know I had this disorder when I started school for nursing. I slowly developed chronic pain and other symptoms throughout my education and was told it was likely fibromyalgia so I thought as long as I could push through the pain I would be fine. About 3 months into my first job is when I was diagnosed with my connective tissue disease and learned that all the manual labor I was doing was causing damage and I would gradually get worse. If I knew I had this earlier on I would not have gone into nursing. However I am like someone had said in an earlier post trying to “salvage” what I can of the career I am in debt for. I was just looking for advice on types of nursing that are easier physically as nursing is a HUGE field and there are so many options
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Nursing fields suited for physical limitations/chronic illness
Hi there! Im a new grad (kindof) RN BSN, just finished my first yr on a medical surgical/telemetry floor. Bedside nursing is getting harder and harder physically as I have Ehlers Danlos Syndrome- connective tissue disease causing unstable joints and chronic pain. I’m worried I’m going to sustain a terrible injury if I keep working bedside nursing or if I suddenly get worse I won’t be able to work. I want to be able to work in nursing for many years but what I am doing now is not sustainable. I am interested in case management (office or telephonic or field) but it seems they are looking for nurses with at the least 3 yrs clinical experience AND they want CMM or case management experience. Does anyone have any advice on another nursing field I could go into? ?