Nurse Alexa MSN, RN

ICU

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All Content by Nurse Alexa

NIHSS and Aphasia

Nurse Alexa replied to maggdon's topic in Neuro Intensive Care, ICU

There is a spot in the NIHSS to document receptive aphasia. You need to document the NIHSS accurately every time - and that can wax and wane throughout the day, esp. at night. This patient's receptive...
Do you burp IV bag prior to putting pressure on it?

Nurse Alexa replied to Nurse Beth's topic in Career Advice Column

I think "burping" the bag is the old school way of learning priming the tubing. However, I do believe it is important to get all the air out of your pressurized tubing before connecting it to the...
Interesting Cocktails

Nurse Alexa replied to AlwaysSunny's topic in Certified Registered Nurse Anesthetist, CRNA

I love the idea of new cocktails in CRNA. I think this should be put into practice so patient's can receive the most evidence-based
I am a male nursing student - What Did I Get Myself Into?!?!?

Nurse Alexa replied to nomadd917's topic in Male Nursing Students

I am not a male nurse, but I think you will fair well. If nursing is something you are passionate about, I wouldn't let gender deter you from continuing. While it can be weird to be surrounded by...
Double check medications

Nurse Alexa replied to At3317's topic in CCU, Coronary, Cardiac

For second medications double-checks are mandatory. For example, at a facility where I have worked you had to sign off for every Heparin drip dosing change. Currently, in the facility where I work,...
NCLEX TUTOR

Nurse Alexa replied to shead04's topic in NCLEX Exam, Programs

I took Kaplan when I took my NCLEX in Summer of 2016, and I thought that was great. My friend from school would also go over NCSBN questions with me, which were great and they are the people who make...
NP school - no RN experience

Nurse Alexa replied to Karty877's topic in Student Nurse Practitioner

Minimal experience going into a DNP program might offer you to feel very comfortable. I believe it's important to have your experience (in your specialty) and then continue your education. Most...
ER vs ICU

Nurse Alexa replied to MomNie07's topic in Nursing Career

Hello! I haven't worked at Montefiore but I have worked at NYU Langone, which is a beautiful facility. I know it's difficult to say where you'll be in five years - but if you can it's...
Using Shopping to Cope with Work

Nurse Alexa replied to SilverBells's topic in General Nursing

When I'm frustrated at work I tend to eat - then I tend to workout like a beast the next day LOL We all need to develop good coping skills. Try to knock down the days a week of shopping to just...
I need help choosing the correct specialty for “now” to help pave my path to my ultimate goal in ER or ICU.

Nurse Alexa replied to emmym's topic in Critical Care

Acute care all the way. I think that will assist you in taking care of more acute patients and less chronic. I would also look into a critical care residency program once you meet all...
Nurses Living with the Guilt of Providing Mediocre Care

Nurse Alexa replied to Amy Wagoner's topic in General Nursing

This is something that I feel like is important to talk about. It is difficult sometimes as a staff nurse to perform all tasks in the ways we wish too. While tasks are performed in the best of...
How much sexism is there in nursing?

Nurse Alexa replied to RitzyCinnamonRoll's topic in General Nursing

I think in the nursing speciality itself - there appears to be a degree of sexism. I see male nurses with less experience get more praise and acceptances to positions that others with similar or...
Failed NCLEX in 75 questions

Nurse Alexa replied to Itsryry's topic in NCLEX Exam, Programs

I am so sorry for your difficulty with the NCLEX. The select all that apply really can be a killer. In my experience - I think it is important to get used to practicing difficult questions. When...
Nails and Nursing

Nurse Alexa replied to Bones17's topic in General Nursing

I would look into your policy at your healthcare facility. Most allow 1/2 inch w no acrylic and not artificial nails. In my experience they do not enforce it daily, but when DOH arrives it is...
Passed the NCLEX, but I feel like I need to go back to nursing school.

Nurse Alexa replied to Ame_0818's topic in First Year After Licensure

I think you should use You Tube materials and your textbooks to go over weak points in your practice. Talk with other classmates and converse about nursing topics and also how they feel about starting...
Foot Care Nursing Business

Nurse Alexa replied to nursedebbieg's topic in Nurse Entrepreneurs, Innovators

While I am currently on tract to be a CRNA - I like the idea and think it is very innovative to have a foot care group of RN's/NP. Podiatry is a very big components of patient care - especially now...
Backing out of Contract

Nurse Alexa replied to momosmom's topic in First Year After Licensure

Hello, Most agencies will understand is the impression I'm under because life happens. I would look over your offer letter to make sure there's nothing in the fine print about their being...
This is becoming boring

Nurse Alexa replied to Juanito's topic in Certified Registered Nurse Anesthetist, CRNA

Endo sounds like a great option for you. Something more fast-paced. I would say it seems like GA bores you, so try working at a site with shorter cases and more turnovers. With that being said, going...
COVID Shots Added to Vax Schedule for Kids and Adults: What Do You Think?

Nurse Alexa replied to tnbutterfly - Mary's topic in Disaster Preparation

I'm sure the CDC and DOH is going to make the COVID vaccine an annual shot, not mandated. I think it is fine to do this and for people to have the option to get the shot. Individuals who feel...
Clinical Instructor

Nurse Alexa replied to Guest1204365's topic in General Nursing

I hope that everything works out for your daughter and this clinical interaction did not have debilitating effects for her. This a difficult experience to go through at the whims of others, which...
Can I break my nursing contract? 5 Things to Know

Nurse Alexa replied to Nurse Beth's topic in Nursing Career

It's important as a nurse in a new contract to understand the risks of breaking contracts. I agree with the above highlighted content in relation to this topic. At times due to family issues and...
Repeat test taker

Nurse Alexa replied to dwiss's topic in NCLEX Exam, Programs

I think having a tutor is an asset when you struggle with tests. Group studying is also something that has really helped me over the years - speaking out questions and going over why answers are right...
Clinical Instructor

Nurse Alexa replied to Guest1204365's topic in General Nursing

Needlesticks happen during clinical all the time. It is most important for her to tell her instructor and take the proper steps to protect herself and make sure she has not contracted any blood-borne...
9 Ways to Improve Your Test Scores

Nurse Alexa replied to JDBrink's topic in General Students

Best ways to improve test scores I also believe in: 1. Sleep well 2. Study Guides 3. Quiz yourself 4. Study Groups 5. Focus on most difficult material for yourself 6....
YOU: A Nurse Writer

Nurse Alexa replied to M. Lee RN's topic in Nurse Entrepreneurs, Innovators

I agree with this. All nurses have great stories of success and failure in healthcare. The learning experiences are priceless. Telling individuals about these peak interest and promote awareness in...

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