All Content by DADENTY
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Failed CRNE twice
I am failing by a few points. And wondering if anyone could give me further advice. How do you know you are failing by a few points? I thought you only get pass or fail not actual marks, just curious!
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Late for report
This is also my personal pet peeve. I come to work on time (actually 15 to 30 min before, you know to socialize) and yet there are others who walk in at 7:05 or later. This is not a one time deal some are always late. People listen the tape starts at 7:00! When we have to wait for you to get there, take off your coat, get your coffee and your pens, put your lunch away..... well its anoying! I made off hand comments to some of the chronically late people and it has helped. Its a respect issue, if you are 5 - 10 min late everyday, then maybe you need to get up a few minutes earlier. That being said I know some people (my mother is one of them) who will be late for their own funeral, and thats just life, I am not going to work myself up over it. I will just talk the extra minutes to socialize with the off going shift.
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Dosage Calculations
Sorry Multiply by 60 My bad.
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Dosage Calculations
The first equation. 22cc/hr = 22 mg/hr convert mg to mcg and divide by 60. The second equation not sure, would have to look it up
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How is this for a dilemma? US move to Canada...
I know this is an old post, but Alberta is still taking diploma graduates. Also the diploma here is three years not 2. Then to complete your degree it is an aditional 1 year of full time classes. d
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RN pay in Canada
Alberta Start 27.12 Top of scale 35.60 Degree + 1.25 Other certifications are also reconized and paid for. Shift diff 1.75 (Evenings) 2.00 (nights) 1.75 (weekends)
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I got written up and it's bringing me down
Yay to that. I have been very fortunate thus far, only getting yelled at by one doc for calling him for an insulin order. He said thats not my paitent why are you calling me- um because you were consulted re. The patients diabetes and wrote the order to call if blood glucose is greater than.... And we do get lots of cover orders for things like po tylenol, gravol, ativan ect. I guess some docs need to learn that the hospital never sleeps, even when they do. D
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I got written up and it's bringing me down
Please tell me... where would WE ever find time to phone the Doc every 10 minutes? But if the Doc has not written PRN orders, :angryfire Thus in my opinion not respecting nursing judgement, then yes I would call them for everything, including plain Tylenol for a headache. If the PRN orders are adequate and the patient is stable I never have to call them.:) And they get to sleep.
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I got written up and it's bringing me down
I am a new grad as well, and from someone who has been there... move on it happens. In this situation I would have called the *on call* surgeon Not the primary or the "orignal" surgeon, Thats why they have on call rotations. To allow everyone to have their sleepFULL nights. :zzzzz Generally, on our unit if threr is uncontrolled n/v in fresh post op bowel, Doc wants an NGT now. Out of curiosity is that what the primary ordered?
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Infant IV's for abx: IVF TKO or capped IV?
We run fluids at TKO, loose a site and you have to poke again. Usually 10-50cc/hr depending on the size of the kid. IF the babe has a day pass for whatever reason we hep lock and pray its still patent when they get back. SL clot pretty fast. :yeahthat: D
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National RN Salary Trends ADN or Diploma vs BSN
Where did you get the impression I am A student? I do work bedside nursing. I didnt mean to offend you, But I can express MY opinion.
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Doctor/Nurse relationships
We have one Doc that writes Please after all of his orders. When it was commented on he said, would you prefer if I write do it now bi**h lol. Most of the docs I work with are wonderful. But everyone can have a bad day nurses included.
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National RN Salary Trends ADN or Diploma vs BSN
Well, you might be sadly mistaken. In Canada, Where I am Diploma and Degree nurses write the SAME national exam. If the extra time in school taught so much extra... why not have a higher level exam? It isnt needed. I just need to learn how to write a paper to get my degree. (as one of the courses I need is nursing research) Not really important to do bedside nursing though is it.(Well the research part is, writing a paper isnt.) Also Degree nurses earn .75 more per hour, they do not move up the pay scale faster, ever. Thats why Unions are wonderful.
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I got MRSA from my JOB
In the past 6 months I have seen 3 MRSA cases in infected bug bites. Not from the hospital.
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Nursing Shortage
Ok, where I work (surgical + peds) unit there can be 34 patients. our staffing compliment is 1 peds nurse sonetimes 2 if there are 8 peds patients, 2 LPN's 2 RN's and 1 charge we always have 6 to 7 pts each. Is this abnormal? I am a new RN and this is the only place I have worked so NM keeps telling us this is national standards. The surgery unit has general surgery, ortho surgery and gyne surgery. peds is a mini medical ward with respiratory, gastro and ortho kids. Also not uncommon for the 2nd peds nurse to have 2 kids and 4 other surgery patients. what are your ratio's like?
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I love nursing in Canada because...
Canada doesnt have a province called Flordia? In Alberta entery to practice is still a diploma. Degree optional. In the Eastern provinces, Ont, PEI, NFLD entery to practice is BN or BSCN
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Which way should I go, LPN or RN? Need input please!
I would do RN where I work the LPN's do basically the same jobs as the RN's and get paid a lot less. I started as an RN at 28.75, no experience. LPN at the top of the pay scale 10 yrs experience get paid 18.75 per hour. The only difference is- they cant do charge, take off docs orders or take verbal orders from the doc. Also cant IV push or initiate IV's. Although the training program is being implimented. Why do the same job for less money and respect when you have the choice?
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Gastric Washings
YES, Both are much the same, I had to insert NGT instill 20 cc sterile h2o and take it back out to get the respiratory secretions for AFB. Thanks! BTW had to do it 3 days in a row, kid had to be NPO for 5 hours prior.
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Discharge orders you'd LIKE to write!!!
1. Do not let your 14 year old self medicate with Tylenol for a "fever" until she ends up in hosp. on mucomyst protocol. :angryfire 2. Temp of 37.2 is not sepsis 3. Alcohol causes your pancreatitis- STOP drinking. 4. You can not live here, If you had to pay for it you would go home.
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Gastric Washings
Help! I need to do a gastric washing on a ten month old and I have never done it before! Was told by the off going shift to... look at the policy and procedure manual. I am still not sure I got it. Any suggestions?
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Outta Line........
I am a new grad on a surgical/ paediatrics floor. I too felt that you shouldnt be agressive with post op patients. BIG mistake 13 yo appy, ended up with an ileus b/c he didnt get up and move around enough. Ended up in ICU for a week and needed 4 more surgeries before his insides got sorted out. My motto- Good morning here are your towels , I will change your bed while you shower, I will lock that iv for you for a few minutes. Some people will NEVER get up. They need the extra push to prevent complications.
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CRNE Exam in January !
HI, I wrote the NEW CRNE June 8 2005. The short answer questions were pretty easy. The first part of the exam was easy. (left laughing) :wink2: Second part... HARD. (LEFT DOUMBFOUNDED). The thing that prepared me the most was my preceptorship on peds. No kidding. I passed and am an RN (Real Nurse) now. There were 25 at my writing centre and only 2 didnt quite make it. I bought the book from the CRNE website and practiced with the CD. No further review needed. Remember, the exam is very broad, so if you didnt do well in something in school, review it. Good Luck.