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Continuous Pulse oximetry monitoring
I work on a respiratory unit. Our continuous pulse oximetery is hooked up to their telemetry. So the alarms do not go off in the patients's rooms and it's easier especially with isolation. Does your unit have the ability to connect cont. O2 ox to Tele? If not, maybe you could bring it up with your manager or DON.
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No nurses notes
Epic user here! In my hospital, we are not required to write a note at the end of our shift (prior to 2021, we were). However, it is HIGHLY encouraged to write one. If I work an 12 hour shift, I automatically write a note. If I work 4-8 hours, I only write a note if something significant changed. I've never been told not to make notes due to patients seeing them in MyChart.
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Raffle items/ideas
My school is putting together gift baskets for a raffle. I volunteered to supply healthcare items. So far I've come up with deodorant, sanitary pads, toothpaste/toothbrushes, and band aids. I need ideas for more items.
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Anyone Using AI for Documentation? (Game-Changer for Me)
I use it to write work emails. I haven't used it for anything else but honestly hadn't thought about it before now.
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school nursing as a new grad?
I agree with NutmeggeRN, BSN, subbing is a great way to see if school nursing is the right fit for you. Personally, I believe you should have at least one year's experience before going into school nursing. Either pediatrics or even med-surg. Even urgent care background would be good, as some days I feel like a glorified urgent care. LOL!
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Made a bad mistake
I made a med error as a nursing student. I was already an LPN and was in school for my RN. The day was already hectic and we had to wait for this med from pharmacy for a couple of hours. I made 2 main mistakes and my instructor made one. Firstly, I didn't scan the medication before giving it. I scanned the packaging after administration. (I had already worked in the hospital and I had never given meds without scanning the packaging first). Secondly, I didn't read the order correctly and carefully. The order was for Oxybutynin 5mg every morning and afternoon (10mg per day). I administered the WHOLE pill at once. My instructor did not catch my mistake and he was not even looking at the computer. Fortunately Oxybuynin doesn't have many side effects, and the patient was all right. I was so embarrassed and scared. But I did tell the primary nurse for my patient. The most important thing is that you took responsibility for your mistake and didn't try to hid it.
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Critical thinking as a new RN
I recently started a job working in a hospital (will be off orientation in two shifts). And I feel like I'm lacking on critical thinking/judgement skills. Back story: As a LPN, I worked for a little over a year on the same unit I am now. But 3 years ago, I left the hospital for school nursing. As a LPN in the hospital, my critical thinking/judgement skills were sharp (I had previously been in a RN program) and I frequently had staff request for me to stay on the unit rather then float and then them get a less experienced RN float/travel nurse. But when I left for school nursing, I didn't need those skills as much. Don't get me wrong, we do use critical thinking skills in school nursing but just not in the same way. During my RN schooling (this time around), I voiced concern to my instructors about not being able to get my brain back into critical thinking. They all told me "don't worry, it will click.” Now I know I'm still on orientation but I feel like I should be further in the critical thinking/judgement skills than I am. Suggestions?
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Calling out for a mental break?
I know you've already taken off, but I just want to encourage you to not feel guilty for having to take off for a mental break/giving your body a break. I've been there and felt guilty, thinking I'm letting down my team. But honestly if we are not mentally in the game and ready for work, we are a liability to our coworkers and patients.
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Advice for Nurse Wanting to Stay at Same School
Thank you to everyone who commented. I was able to sit down with my manager and boss and go over the reasons I cannot stay at my school. And I'm okay with it. Of course, my kids at my school are really sad but we're working through it. I'm excited for my new position! Every now and then, I realize all over that I am in fact a RN, and it blows my mind.?
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Advice for Nurse Wanting to Stay at Same School
I am not 100% sure I'll move, but my school has low acuity compared to many of the other schools in my district. I also talked to the RN that oversees my school, and she said it is highly unlikely that they would keep me in this school. My school had a RN working here at one point(1.5 months), but then they pulled her to go work at a different school. That's how I got this position.
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Advice for Nurse Wanting to Stay at Same School
I will be taking my NCLEX soon and will become a RN (currently I'm a LPN). I am writing a letter to my boss, requesting that after I become a RN that I can stay at the school I am currently working at. I have some of it written out, but I am not really good with words and struggle to write letters well. I'm just looking for ideas/suggestions on what to write. This is what I have thus far: "I am writing to request that my position at __(school)_ remains the same after I pass my NCLEX and become a Registered Nurse. I understand that as a registered nurse my scope of practice is greater than it is as a licensed practical nurse, and that ....... . However, I strongly believe that __(school)__and the students that attend would benefit from having me stay through the end of this school year."