Nurse Alexa MSN, RN

ICU

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All Content by Nurse Alexa

NICU Career Over?

Nurse Alexa replied to majeeta's topic in NICU, Neonatal

I think one of the most important things when looking for a position or just to keep in your back pocket - is a great network of individuals in your field. Find connections with individuals in...
Uncertainties and Fears Entering Hospice: What to Expect!

Nurse Alexa replied to rnnursewritingbyvick's topic in Hospice, Palliative

Hospice nurses in my opinion are one in a million. These angels on Earth are set out to literally make their patients last days as pain free and tolerable as possible. I believe those RNs most...
Told a colleague that I have mental illness, now afraid of being able to practice?

Nurse Alexa replied to Caring kindness's topic in Michigan Nursing

I apologize for the struggles this has caused you. Unfortunately, not every one is your friend and as time goes on we all tend to learn this the hard way. Do no let a bully on your unit change...
What is the Difference Between an X-ray, CT, MRI, and Ultrasound?

Nurse Alexa replied to MedWriterRN's topic in General Specialties

Love this clear depiction of each test for a patient. I think this article will assist families in their understanding of why one scan versus the other. I always say: MRI is most detailed...
Stepdown/PCU or ICU?

Nurse Alexa replied to Scarlettz's topic in Travel

For me, I appreciate the ratios that ICU has versus Stepdown and since the care is similar I would honestly take that into consideration. Most ICU's do not have balloon pumps and the senior...
Frustrated with Job Search

Nurse Alexa replied to Avill's topic in Nursing Career

Persistence is key. Be confident and know questions they will ask and prep those questions. Questions they always ask: 1. Your greatest strength and weakness 2. When would you consult...
Too Much at Once

Nurse Alexa replied to SilverBells's topic in General Nursing

This sounds like a difficult time for you SilverBells and I'm so sorry to hear of that. While change can be uncomfortable, sometimes through this uncomfort is our best growth. Search out...
Why Those Who Work the Night Shift Actually Need Sleep During the Day

Nurse Alexa replied to Nursecon's topic in Nursing Career

I definitely agree with you here. It's difficult not only to be up all night - but to have to try and sleep while your whole house was awake. <- I though that was the hardest part about...
Long Island Pay Rates

Nurse Alexa replied to Mbg1109's topic in New York Nursing

Like previously stated - Northwell does hold the majority of Long Island Hospitals. Mt. Sinai South Nassau is another option on the South Shore and Catholic Health Services has a few along the...
Question - PRN pay and ambulatory specialties you like :)

Nurse Alexa replied to potatoz's topic in Nursing Career

I have down travel nursing for the past 2 years now and I know many facilities are looking for 2+ experience so keep that in mind. In addition, per diem pay I would say should be Atleast...
Respiratory Nursing - new RT??

Nurse Alexa replied to KetafolDNP's topic in General Specialties

I think it would be beneficial for all nurses to learn more about how to manipulate the ventilators and to perform ABGs. It would provide the nurse with more knowledge about how to critically assess...
How to Safely Administer an Intramuscular Vaccine in Adults

Nurse Alexa replied to Katherine Sawyer's topic in Patient Safety Issues

I appreciate the clear importance that you pointed out about landmarks. This is key when giving injections in the muscle
Mass Shootings and Secondary Trauma Add to Nursing Trauma

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

I think most of us in healthcare will experience some sort of trauma in our years in the field. About 5 years back a patient tried to attack me and I think he would have if a co-worker didn't...
Robotic Bronchoscopies: What They Are and How They Will Change the Future for Lung Cancer

Nurse Alexa replied to Brenda F. Johnson's topic in Pulmonary

I appreciate the use of new measures to treat patients. Robotics for me is very interested to watch and I've been to mostly being used for bowel procedures at my hospital. I believe if this leads...
Post COVID-19: How Do We Lead Nurses in the New Normal?

Nurse Alexa replied to EOC's topic in Disaster Preparation

I think the best methods to move forward in a post-COVID medical field is to get back to basics. Students need to focus back on the detail of assessments, speaking with patients and maintaining a...
Failed NCLEX 3 Times

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

I know it can be super disheartening not passing the first time, but it just means you need to practice your test-taking skills and perfect your knowledge base. I would get used to select all...
I'm struggling during clinical and simulation

Nurse Alexa replied to xo_tt's topic in General Students

First and foremost, give yourself some grace. Skill comes with practice and time - a lot of time clinical simulation doesn't always look fluid. The key to simulation is the instructors want to...
Access to medical records

Nurse Alexa replied to ApplePineApple's topic in General Nursing

From what I am familiar w at this point is that: 1. Families at both hospitals I work at are welcome to provide emails which give them direct access to MyChart. The results on MyChart are pretty...
GI med surg. What do I need to know?

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

When I think Med Surg GI I think: 1. GI Bleeds 2. Liver Disease 3. Bowel Surgeries 4. Ostomies 5. Fluid & Electrolyte Imbalances I would look up these...
IVs - pause pump or clamp first to remove?

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

The correct way in which I was taught - Ending an infusion: 1. Stop the infusion on the pump 2. Disconnect from the patient, alcohol swab, flush with 10 mls and cap the IV. 3....
Help! Starting bridge program bad

Nurse Alexa replied to Lvn_XR's topic in General Students

You can do this! Allot time everyday to study. Use the resources that are available to you - You Tube, textbooks. *Group study saved me during school! Make friends with you classmates and...
Retroperitoneal Bleeding

Nurse Alexa replied to ambersky004's topic in CCU, Coronary, Cardiac

Even though it appears that the provider held pressure for an extended amount of time - it might not have been enough for this particular patient. During PCIs, the patients receive blood...
Advice for taking 2 patients

Nurse Alexa replied to nurseinthemaking24's topic in MICU, SICU

The fact that it's so apparent how much you care about taking two patients and performing well - shows how great of a nurse you are and will be. Keys to perfecting two patient assignments:...
COVID hazard Pay

Nurse Alexa replied to Michelle0207's topic in Disaster Preparation

Hazard pay is just that - being paid for taking the extra risk. I think that's the primary point to stress with extra COVID Pay. And it's not only putting yourself at risk, but your families -...
Has anyone ever had a supervisor leave and then go work for them elsewhere?

Nurse Alexa replied to SilverBells's topic in General Nursing

I believe that the people you work w can make or break your nursing experience. I've worked at a small community hospital in NY for 6 years and felt completely at home, but wanted a change. Then went...

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