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AllNursesAcct

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All Content by AllNursesAcct

  1. Wow that is so bizarre and frustrating and unprofessional
  2. Nah don't sweat it. They get so many crazy complaints all the time. They only care about infractions that lead to or could lead to patient harm, like stealing and using controlled substances from work, sexually abusing patients, illegally and improperly restraining patients, etc.
  3. It's nightmare fuel... it's obviously some sort of workplace related environmental exposure because that many nurses with the same type of cancer surely breaks statistical possibility of it being random. My first guess would be there is some imaging equipment on a floor above or below that is emitting radiation through the floor or ceiling. Or they're being exposed to some routine medication that requires use of additional PPE, and they are not being informed/educated about the additional precautions. It was an L&D floor, right? I don't think those units typically have imaging or dangerous drugs?
  4. Most don't care, but sometimes a dude thinks it's weird and actually prefers a female nurse, I mean whatever
  5. Too many dumb reasons but I've had multiple patients come in for gout flare up and it's always cause of something they did, either they stopped taking their prescribed meds or decided to hear a bunch of food they can't eat.... Like my man, your toe hurting isn't an emergency especially when you did it to yourself.... Even had a gout patient call 911 and come via ambulance, SMDH.
  6. TLDR: Is the lack of autonomy/skill use at this ER a NEW YORK thing or a MEDICAL SCHOOL AFFILIATED HOSPITAL thing? hello, im 3 months into a 6 month travel contract at an ER in the NYC area. I'm surprised by how little autonomy and skills the nurses here seem to have.... It's an ER affiliated with a medical school so there's lots of medical students on rotation, fellows and residents, and they do all the skills I previously did at other ERs I've worked at (such as splinting, placing NGTs, doing US guided IVs, wound packing and wound care, etc)…. I'm kind of bored, I feel like all I do is sit and chart. Additionally, previously I was able to use order sets to place orders based on my judgement, such as ordering a trop on someone with chest pain, ordering Tylenol for a kid with fever, ordering zofran and a UA sample for someone who is vomiting, etc... But here I cant place a single order, only the providers can. So what is the point of my rant? Here it is, my question: Is this a NEW YORK THING or is this a MEDICAL SCHOOL AFFILIATED HOSPITAL THING? my gf wants us to move here permanently so im hoping not all the ERs in the city are like this... TIA ??
  7. It's just up to you as you can make either schedule work for your family and really it depends on your husbands schedule too. Personally I love working 3 12s because I can get a lot done on my days off and feel I can rest more compared to working 5 8s where you only get 2 days off each week.
  8. No judgement to her because it's her body her choice but if she has problems with vaccines she isn't a good fit for working in the medical field as it's a field where nurses are expected to understand how medications and vaccines work. Maybe she can consider a non-medical career instead.
  9. I love to use CEBROKER website however DC doesn't use them. Do you have to manually track and submit your CEUs?
  10. Hello nursing friends! I'm moving to the DC area and will be applying for the EDs there. I'm specifically curious about the hospitals with trauma designation or high acuity of care in order to expand my nursing knowledge and skill set. I'll be applying with a few years of nursing experience and 2 hrs specifically at a community hospital ED. id love to know about : - nurse to patient ratios - general workplace vibes - how's the pay etc. thanks in advance!
  11. Hey I'm also an RN moving to DC although I'll be in the ED. I have done A LOT of reading about the different hospitals... granted I focused on reading reviews about the EDs but also the hospitals in general.... The general online consensus was that Howard University Hospital was an absolute dumpster fire LOL. The only hospitals I read relatively good reviews about the medstar system hospitals as well as some of the smaller hospitals. And when I say reviews I mean from nurses not from disgruntled patients. Let me know if you find out anything because I'm interested in learning more about all the DC area hospitals.
  12. If you only have a little time, I would personally recommend you to focus on reviewing these 10 important categories: (1) everything related to diabetes (how to recognize and treat hyper/hypoglycemia, DKA, and HHS, also how to prepare insulin NPH and regular), (2) child safety (what are the biggest risks for each child by age group and how to protect them from it... such as bike helmets, seatbelts, locked medicine cabinets, gates for stairs, gates for pools, etc), (3) serotonin syndrome, how to recognize and treat it, what causes it (of all the psych topics, this is the major one to know because it's dangerous) (4) how to perform correct CPR (how many minutes, how many breaths, how many inches depth, etc), and how to manage seizures (turn pt to side, count how long it lasts, have suction equipment on hand of necessary, etc) (5) heart burn and GI ulcers (complications like internal bleeding, common meds that exacerbate it, and common meds to treat or prevent it) (6) delegation, NCLEX definitely wants to check that you understand what are the roles of an RN vs an LVN vs a PCT (7) how to communicate with providers... know your SBAR and review examples of what is a good vs a bad SBAR (8) NG tubes, know the steps for insertion and removal, when and why to request an xray to check for placement, and when and why you would check for residual stomach content (9) DVTs and PEs! How to recognize signs of DVT and PE and what to do (10) the difference between airborne, droplet, and contact precautions and the common ones to know (like c diff, varicella, TB, e coli...). Don't worry about vaccines, you really only need to know about the influenzae vaccine if you have to choose one. I would lump in some oncology precautions here, like when should a nurse wear a lead apron, when should a patient flush twice after urinating
  13. If you did all Mark Klemik and all UWorld then you should have been incredibly prepared, and I bet you were. In fact I am willing to bet that testing anxiety was a bigger issue than the actual content, would you agree? I am wondering if you continuing your preferred study method but coupled with some anxiety reducing habits might help you more. I will say though that I didn't find UWorld to be very similar to the test itself, I felt like the bulk of the test was patient communication and education as well as delegation and management. UWorld felt more fact-specific with a very treatment/medicine focus while the test felt more abstract. Did you feel the same? Maybe go back to UWorld or another study source and focus specifically on those topics.
  14. I think long-term solutions will help more if they're constipated that often. Encouraging a habit of daily exercise and frequent hydration, rather than them only drinking extra or moving more when they feel constipated. Of course developing healthy habits is very hard for any patient, pediatric or adult, as there is a tendency to prefer quick-fix tricks to their problems. Sounds like you're doing all you can, good luck!
  15. Thank you for sharing this very informative article! I am commenting here so I can return later to this useful information. I am brand new to the field, feeling excited and nervous to start. I know there will be many difficulties but also that it can be a rewarding experience.
  16. https://www.modernhealthcare.com/labor/best-places-work-healthcare-2020-alphabetical-list I am wondering if anyone knows the criteria behind this or if it's one of those "pay us to get on our list" schemes? Or if the criteria used is all administrative content and doesn't really take into account how the floor staff feel about their employer? Is it good for your employer to be on this list or does it not really mean anything? Thanks for your insight
  17. most students in my ABSN cohort had 6-12 months healthcare experience. I felt I had a lot more than most and I only worked as a CNA for less than 18 months
  18. I have a few questions, maybe someone knows the answer. 1. Do we need to send final transcripts to SMU even if I already sent my official transcripts (which were confirmed) to NursingCAS? 2. The SMUPulse Checklist is prompting me to join our cohort page on teh SMUPulse organization page. I see multiple other ABSN cohorts for other campuses/graduation dates, but not one for the Class of 2020 Peninsula cohort. Just me? 3. I read somewhere on the online orientation that our tuition must be paid in full before we start classes in Nov. Do they mean literally the full year tuition of close to $100k is due up front?! Or are tuition payments split into 2-3 semesters?
  19. Does anyone have the link for the Peninsula Fall 2019 cohort FB group? Thanks
  20. Hi all. I've been another silent follower of this thread. You all helped keep me sane during the long wait. I decided to make an account just to share my stats. I was admitted on my first application and I wasn't sure I would given my GPA and HESI scores which were lower than others. But goes to show that work experience plays a big role. Here is my info. Feel free to ask any questions. I know it's a very stressful process. I wish you all luck on your next application. You CAN do it. HESI Score Overall: 92.8 HESI Anatomy Score: 84.0 GPA Overall: 3.45 Science GPA: 3.39 Work Experience: 1 yr work experience as a CNA Other work experience I mentioned was as a Teaching Assistant and Research Assistant. I have my BS in Nutrition from 2015. I mentioned I also have accrued 200+ community service hours. I had three LORs: one from my work supervisor who is a nurse, another from a physician who I interned for, and one from a PhD Candidate that I did research assistance for. Lastly, I wrote a pretty personal essay explaining how working as a CNA in geriatrics has changed my perspective on life. I wanted to share because it's important to know that grades and scores aren't everything. I was so worried that my grades and HESI scores wouldn't stack up compared to some of the stellar scores I've seen here. I think I am the only person here who has confessed to having a lower Anatomy score lol so I was definitely stressing. If you already have all your pre-reqs done but you're wondering if you should retake classes to turn your Bs into As, I would suggest that instead you focus on getting more patient contact experience.

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