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IaCountryGirl's Latest Activity

  1. IaCountryGirl

    Playing with fire...

    I would not. It can quickly become a mess you don't want. And let's say they really were interested....it would involve them cheating or breaking off their current relationship and who's to say they wouldn't turn and do it to you?
  2. IaCountryGirl

    Nursing Home: Tips on how to be faster in med pass?

    Certain meds do have to be given at certain times but if you have a lone vitamin I would see about changing the time on it. We can change the times provided the doctor didn't give specific orders like give at bedtime, etc. I regularly go through meds as I'm passing to see what could be moved to a more convenient med pass time and then go thru the proper procedure (which sometimes does involve asking the doc and getting an order).
  3. IaCountryGirl

    I'm my own worst problem

    Cookies and water are something the CNA's can fetch and I would delegate that. We do keep pudding packs and a few things in the med cart, not only because we use pudding and applesauce for crushed meds, but I will hand those out if the snack cart isn't in the vicinity. One of the aides usually takes the snack cart room to room about mid afternoon and another passes fresh ice and water. For people who drink high amounts of water, we typically give them two pitchers of ice and water to help tide them through the shift.
  4. IaCountryGirl

    Bombed my second shift on my own

    Don't be yourself up- we can not be every place at once. It took me awhile to get used to this, but I have learned to prioritize. Safety is always number one, med pass comes second. This is my DON's mantra too. The med pass will get faster, but don't skimp just to make it faster. That's when med errors occur! I am one that also does the "must-be-done-now" paperwork right away but leaves the rest for later. For example- doctors orders come in. Lets say you have several that come in. A couple are "ok, i'm aware" faxes where the doc isn't issuing new orders. Those go in my "I'll get to it later" pile. A couple have new orders on them- Those get seperated also. Therapy treatments? Those can wait. Therapy leaves shortly after I get there so time is not of the essence. New medication order? Those take priority. I write it out on the T.O., double check it, fax the pharmacy then take the T.O. to the MAR and write out the new order. The white copy of the T.O. now goes in my "i'll chart on it later pile". I also grab a blank report sheet at the start of my shift. It's sheets of paper stapled together with the residents names and room number in a box. I use it to take notes on residents as a we do report, then goes with me on my med cart. As I get vitals or dispense a prn, i write it in the residents box. This saves me time later on when I go to chart and write out my section of the main report sheet because all of my pertinent information is together.
  5. IaCountryGirl

    Losing respect for nursing students

    I think a lot of things are to blame. I'm a new nurse but I think when you look at society as a whole, they've become more relaxed. I'm 34 and I hate what cellphones have done. I hate that you go to a wedding and people show up wearing jeans with holes and a sloppy tshirt. I wear jeans (sometimes with holes) and tshirts. I do have an iphone and check facebook from it. But I was raised that there's a time and place for everything. At work, my hair is pulled back neatly and my phone is put away in my purse with the ringer on silent. My scrubs are clean and not wrinkled. In school, it was hit or miss with clinical instructors. My first clinical instructor never set clear expectations about paperwork with us. SHe would swing back and forth on various issues. To be honest, none of us had a clue where we stood or if we were even screwing up. Learning is a process. Yes, in that first semester you're not going to be great, but it's also the responsibility of the instructors to help you build on what you know. Actually grade my paperwork and help me expand, don't do the work for me, but be a little more specific on why you gave me the grade you did. Another one of mine always wore this sweatsuit type outfits and looked like she had just rolled out of bed. I have also been on units where students weren't welcomed. Sometimes it was a whole unit; other times it was a specific nurse or two. Some units were helpful in telling us which computers were going to be open for us to use. If my school asked me today what they could do to make the program better, I would tell them that one of the first things they need to teach is communicating with doctors and other nurses- not just the general communications/speech class they make everyone take. And I would like to see more opportunities for students to shadow a nurse before going to clinicals so that they can observe how a typical work day goes, how the nurse speaks to others, etc. Oh, and screen their adjunct instructors a little better.
  6. IaCountryGirl

    Des Monies vs Iowa City

    I live in Cedar Rapids so my beef with IC is having to pay for much for parking all the time and Des Moines is foreign to me because it's so large. I can't speak for NICU's either, other than one of my instructors is a nurse there and loved it. I also have heard from others how hard it is to get hired on at UIHC even after those same people had worked there awhile as nurse assistants, so I don't know.
  7. IaCountryGirl

    New, unexperienced RN

    I'm in Cedar Rapids. I don't know what it's like for the area of Washington. CR is iffy. Several of my classmates from my previous class didn't get a job until 6+months after passing the NCLEX. I had to repeat a semester so that's why I say previous class. The hospitals here are harder to get into and it also depends on the unit you want to try for. Right now I'm working in a Skilled/LTC facility- I was hired on as an LPN and saved up money to take my RN boards, which they upgraded me when I received my RN. Do you have an idea of where you want to apply at?
  8. IaCountryGirl

    Tricks of the trade: Diversion- stories of the stupid and sly?

    I remember it being "cool" when I was younger to snort pixie sticks. I never did, never saw the point in it (it would have to burn!) but many classmates did it. Also know a couple younger kids who both took Seroquel for fun. They both ended up in the hospital, one of them in ICU with blood sugars in the 800's and they didn't think she'd pull through but she did. Thankfully they changed their ways after that.
  9. IaCountryGirl

    NCLEX-PN this morning, got good pop up

    I am not sure what to think. It shut off right at 85 questions and the more I progressed, the harder questions got. I got some questions on meds I had never heard of and a couple diseases (or they might be disorders for all I know!) that I couldn't even begin to guess what body system they had to do with. Anyway, I checked into the PVT and got the "good" pop up so we'll see. Does anyone know if the "delivered successfully" means the results were delivered to the state? My state says they post on either the first or second wed after you take your test so I'm hoping I hear something by Wed.
  10. IaCountryGirl

    I was yelled at by my nurse yesterday

    Never had a nurse flip out on me in front of people, but had a nurse flip out about me behind my back to my instructor until my instructor set her straight. Short story- pt had surgery, was post op day 1, o2 sats continued to drop steadily. When they were in the 80's, I talked to my instructor and put o2 on- standard 2L NC doctor's orders that are in everyone's chart for that floor. This nurse was not nice to me at all, refused to even look at me, and dismissed me during report. Anyway, after I had done that, I left the room briefly to get pt's meds ready and nurse must have decided to check in. Made a huge scene according to others that I was harming the patient until my instructor set her straight about the o2 sats.
  11. IaCountryGirl

    Im here to complain. you can too:)

    There's a shuttle bus here too but it's so dang confusing! Besides, with my luck, if I were to take the shuttle bus, something would happen and i'd end up late. And it's 17 bucks a day to park in the ramps. I have yet to find street parking nearby because it's this tangled mess of streets with no parking. I have to turn in my paper soon for my preceptorship and there's a section on there that asks if there's any place or specific unit that you don't want- I'm going to list the entire hospital LOL. I'm rather interested in the smaller hospitals nearby (and you don't have to pay for parking!)
  12. IaCountryGirl

    Im here to complain. you can too:)

    I hate waking up at 5 am. I hate having to drive to the next town for clinicals where they charge for parking that i can't afford so a church has been nice enough to grant me permission to let me park there for free but I have to walk half a mile one way. I hate being so broke. I hate ATI and all the mistakes I keep finding in their tests. On a side note, our instructor asked us the other day about what we would do if we had someone with a suspected spinal injury and didn't have a cervical collar on hand. One of my classmates said "I'd rip my ati book in half and use it to stabilize their neck!" LOL The instructor didn't miss a beat- he replied with "I know you'd all rather use Iggy but it has resale value".
  13. IaCountryGirl

    Test strategies I've learned

    Thank you so much for posting this as I was trying to find something like this a couple weeks ago and could not!
  14. IaCountryGirl

    How do I know what to do and what not to do in clinicals?

    I wouldn't take the direct, blunt comment from the one nurse personally. She was doing meds and that is generally a time you don't bother a person just because it is prime time for errors. As a rule of thumb, you should be doing most of your patient's cares. Things that you should/need to inform someone about (and usually it's your instructor, not the primary nurse) are meds, inserting a catheter, and other things that you haven't performed yet. Things you don't normally have to inform someone about are things like ambulating, baths, assisting the patient if they need help with the toilet. Accuchecks are an iffy area, most of the time the techs do them before we get on the floor, and some instructors prefer that you get them first so they can see you do it once before they allow you to do it alone. You are there do the job of the appropriate nurse level that you're in school for- of course some things require assistance. And yes cna's can take advantage of you, and if they have issues with it, then you're instructor needs to know and talk to staff about this. The patient I am assigned takes priority and only if there is major downtime do I assist other patients. I'm not saying ignore a patient if you're walking down the hall and they need something, but you shouldn't be doing the work for others when you're there for other reasons.
  15. IaCountryGirl

    did anyone here have to do this in nursing school?

    I feel for you.......and I don't know if there's anything you can really do. Chances are the dean will tell you "Too bad". However, it couldn't hurt to try. I have been fortunate enough that my instructors have been understanding regarding childcare issues and such. They aren't lenient on deaths or broken legs though.....but they are understanding if you need to call home and what not. If you haven't already, check into some sort of summer school program for him. That might lessen the cost a bit.....or maybe not. I'm sorry you have to deal with this frustration and I hope you can get it worked out.
  16. IaCountryGirl

    What nursing field do you think is easiest and hardest?

    I did clinicals on a med/psych unit awhile back and we had a woman with delirium. She had just had surgery and when she came out of it, she had delirium. She was so fiesty! She had a mouth like a sailor, constantly tried to escape, very combative- everyday it was a wild ride. She did get better the following week. She was a completely different woman too. Very sweet and polite. She was definitely a challenge but very interesting.