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    BEWARE of frauds...

    Exactly... As Golden_RN stated. Find the evidence in journals or other practice guidelines that support your claims. If you think a change is needed, create a team and work with others to rework your practice guidelines. As long as you have evidence to support your claims, maybe some practices have been outdated or need updated with new current knowledge. For example current guidelines for trach emergencies. https://www.hopkinsmedicine.org/tracheostomy/living/change_problem.html https://opentextbc.ca/clinicalskills/chapter/10-6-tracheostomies/ https://www.aacn.org/docs/cemedia/C135.pdf Loving life, and Divine LPN,BSN. If you have information to the contrary, please let me know.

    Destined to Be a Flight Nurse

    It sounds like you need time to hone in these skills. Even with an extended orientation, it sounds like you need time. It may be that there is another path for you. Not every ICU RN becomes aflight RNs, but it is an important path. Work the step-down unit, learn how to prioritize, then in a year, try the ICU again. You will definitely want tho have 5 years ICU experience before applying to flight/transport RN. Those RNs have experience of managing multiple issues at the same ntime, learning to manage chaos, such as step-down can be a good building block for you, especially since your managers/educators think you may need more time. I know you mentioned that others have said that it took time for them to learn, your team did give you more time, an extended orientation. They are giving you some more opportunities.. prove yourself in step-down. Then move to ICU. best of luck

    Assignment not as described

    Just stick it out. This may just have been a rough patch for the other unit that was unforeseen. Typically travelers are the first to float. I have known some travelers to float for several shifts in a row. Just stick it out, you may pick up some new skills for your next assignment. You may even find a baby that should be in NICU but was in newborn nursery.

    Nurses Call the Governor of Tennessee

    Wow, what a fascinaing page. I have read all of the comments. Initially, I wanted to be more in favor of the RN, however, when a previous poster outline all 8 of the bypasses, I cringed, like 8 times. While reckless homicide seems so harsh, I now see why those charges could be brought about. The difficulty for me is it could give the appearance of a dangerous precedent and may disuade some nurses from reporting errors. After reading all of these threads, something that stood out to me the most is the difficulty many of us have on separating what we know as the diffficulties of working in hospitals with chaos, etc, from an individual nurse that made several series of errors. It is hard to understand where this line is from someone who bypassed eight check points from a nurse who failed only one of the 5 rights and had multiple people additionally make the same error. It sounds like she was the only one who made the error.

    New Grad in the ICU. Is this right for me?

    It sounds like you are just adjusting to the ICU. There is always so much to learn, it is hard as a new grad. I started as a new grad in the ICU and felt like I was going to throww-up each and every day that I worked. By the time I hit 6 months, I felt ready to be separated from my preceptor and take care of a patient by myeself. And it is true... two months in you don't know much, that is okay, you have only been an RN for 2 months... You can't have learned everything. It takes time to learn procedures, tasks, diagnosis, etc. It will likely take a year before you feel some type of oh, I know some things. Give yourself a little bit of credit, you are two months in, have learned a lot, and still have time to learn more. if you have classes as part of your orientation, ask questions about specific patients or diagnosis then and see how your fellow new RNs are. Also make sure on your days off you do something fun , rest, and focus on some non-work related things. Take care and good luck.

    Death threats at work?

    I would have absolutely reported this. This was directed at YOU. We as health care providers should not take any abuse or potential for harm. What if things are festering in his mind and now he decides to act on these thoughts. By letting it go, you are allowing him to "get away with things" such as potential for further verbal or even physical violence.

    Magnet Designation: What's the Attraction?

    I work in a Magnet hospital and think it does support great outcomes. Nurses are involved in many research projects, we have many nurse authors. Our council's affect outcomes. Having been at the hospital before it was magnet, it has changed our hospital for the better. I am someone who likes to be involved in care and outcome. I want to be a part of change. Being at the bedside is great, but there are so many other aspects of nursing, and we all have the same goal in mind, improving the care for our patients. I am sorry or all of those who feel negatively about magnet, I think it has made a difference. We have many projects, programs that are all nurse lead. I don't personally think that these projects would have the same support if we were not magnet. I do not work for ANCC just as a qualifying statement


    It was offered at the hospital I work at. I will check and see if I have info on where else it is being offered. Please PM me and I can try and give you more details


    No, I am not referring to the CCRN (the critical care RN exam), I am referring to the neuroscince nursing exam (CNRN). I do also plan on taking the CCRN later this year. thanks anyway though

    Does CNA training prepare you for nursing school?

    As other poster have stated being a CNA before nursing has its benefits. It does not prepare you for nursing school. What it does do is expose you to a hospital setting. You will be able to observe and be participating in health care, you will get to see how all players, doctors, nurses, cna's, rt's, etc all come together. You will also see how others manage their time, be able to assist in different settings. Nursing school is an entirely different ball game. Instead of just getting the vital signs or bringin food to a patient, changing a pt as a cna, you will be expected to understand and know what to do with the vital signs and any changes, what to do when changing a pt and there is anything unusual, what diets pt's are on and how that affects their care. I was a CNA for four years while I was in nursing shcool, I stayed at the same hospital but I went to a different floor. What it prepared me for afterward was a comfort in knowing where things are located, how people interacted, and a small amount of time management although it was completely different as a nurse. By all means I would highly recommend being a CNA it taught me a lot. Good LUck to you


    I am going to be taking the upcoming CNRN this coming month. My review class is in two weeks then I take it about two weeks afterwards. I am a Peds ICU nurse and have been for three years. We have a few beds in our 30 bed unit designed specifically for neuro pt's, neuro trauma, and post neuro surg. I have definitely seen the whole gammet of things since we are a level 1 major peds hospital Any advise to anyone who has taken and passed the CNRN? Thanks in advance