ApplePineApple

Cost is usually a major factor. A decade ago, it was far cheaper to get a BSN at a partner state school then a MSN. I had probably 10k saved and the cost saving was anywhere from 5k to 25k depending on how many credits were added to a MSN bridge and ...

A nurse is probably trying to *** me because the hospital screwed up pretty badly and so now he claims he cannot let me review the last note the physician/resident wrote during rounds or review lab work with me. It literally takes 10 minutes. He said...

Well, turns out it is not policy and they do allow people to view charts with healthcare records. I am concerned about some of the responses here though. It doesn't seem like you guys would be providing adequate care. This is probably laws have ...

So can you monitor accurately and drain at the same time? Does it depend on a brand? I was always told it was one or the other but this place swears you can do both.

Thanks! They also apparently had zeroed the EVD wrong too since they were discussing it

What are your facilities’ policies? how many staff members? How many are providers or RNs? What roles do each staff member have? For example, apparently it can be nurse, physician, and RT for a sedation and reduction. Every other place I ha...

I work for a top ER that held patients precovid. We did an admission screen at I think 24 hours. Or were supposed to. They linked into the ER narrator so I wouldn’t whine too much about it because epic can link anything depending on if they have a go...

Perfect world? Yes. Realistically? How is the ER staffed?

It depends. Some hospitals were like that pre-covid if they are a big name. Now? Everyone is having that because nurses are quitting and traveling

I’m debating about whether this is sketchy. I am good with computers. I like to learn how I can utilize the info to my benefit. I like how to do something/access info. So we have epic and it is a fairly large package close to the top tier. It is not ...

So the issue is that each place can customize EPIC to their own set up and I have no experience with the surgery side. Like 90% of it will be the same in say ED or flowsheets but the locations and details may be different. Like one includes LDAs on t...

It’s not really advanced for somethings like how to use single one step meds in the sedation narrator to accurately chart dose, when, route, and administration instead of hand typing out every single med push and then signing off a large dose of meds...

I took the previous exam style in 2019. I have to say I used the same book although I think mine may have been a previous edition. I felt like sepsis was everywhere. I also was shocked at the amount of questions about cardiac output. I kinda took ...

I’m sure CT will love the cdiff patients next to their cabg patients.

I don’t know, I feel like pushing patient satisfaction scores may trigger a negative reaction in me. However, pushing the ability to look at your patient and using them as a visual reminder is beneficial.

When company B went live, some of the staff talked a little bit about this company (A). I remember B saying it was a disaster and that the doctors rebelled successfully so the entire corporate education had to be redone so nurses could enter orders f...

So really they are looking to reduce the RNs and increase ratios? It doesn’t sound like there is clearly defined roles. I think one is supposed to be assessments/tasks and another is like meds/some other tasks. Zone nursing never works in my ex...

Try and find a part-time clinic? Honestly? If you are not looking for midwifery the clinic and your experience is probably more useful in many ways than a L&D job. A good program and preceptors should be able to train you with no regard to your ...

Thanks. I really just need to grin and bear it. The culture isn’t going to change and I’m not there to be friends. I am probably going to be getting a PRN job at my old hospital in the ICU so I can look at that as my actual job and this just does my...

Are the styrofoam cups like 3 oz? Are they guzzling water or something? How are their sodium levels? Maybe bring two cups and save a trip next time.

A little late but I had TNCC + ITLS 8 months before, read the society’s red book, and listened to a few of Solheim’s TCRN (I think a month pass) lectures. The year before I did study the whatever surface and air book for the CTRN and had solheim’s CE...

My preceptor and I argued over charting in the ED. Basically, the culture here is instead of using click boxes you just write blank notes in epic for everything including your hourly rounding. Not a single running note but blank notes. As in patient ...