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brownbook

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  1. I wasn't sure if HalfBoiled was transferring a patient to ICU, or out of ICU. I assumed the patient was going to ICU thus more urgent.
  2. Exactly what you say. Let it slide depending on the acuity of the patient. An ICU transfer involve the ICU relief or charge nurse. If that doesn't work involve your charge nurse. It's "nice" to have something written, a policy, to cover every urgent to annoying situation. But in over 30 years of nursing I've realized policies are specifically vague, thus unhelpful most of the time. I did have one ER nurse at the end of her shift bring me a copy of our policy that said two weeks notice was not required and to take her off the schedule as of now.
  3. I would unfriend them. I know nice, harmless, reasonably intelligent people, who have diametrically opposite views from me. Yet we can be, are, civil towards each other when in each others company. I wouldn't hesitate to recieve care from them.
  4. Now you're changing your question. Yes it is hard to get into nursing school now because there are a lot of applicants and not a lot of teachers, among other reasons. Yes it's hard to get a job after you graduate because the nursing market is saturated. Yes until around 2000 it was easier to find a job and go right into the speciality you wanted. My friend persevered. Got her LVN degree, ADN degree and BSN degree. Has a great job now. It was hard and frustrating but she refused to give up. My "generation" of nurses had it easier. But not because the educational requirements were less rigid.
  5. It's been quite a few years since I took it....but NRP is, was, just for the first few moments....minutes...or so right after birth. The resuscitated infant is quickly rushed to the NICU for further treatment. Nothing wrong with taking NRP, but probably other things you could study, brush up on, that would be more pertinent to working in ICU
  6. At first I thought you were complaining the requirements were too strict. Not sure if "anybody can become good at something if they do it long enough, especially nursing". For too many reasons to mention that doesn't make any sense at all. I started nursing prerequisites in 1979. To be admitted to the ADN program you took all the required courses. Anatomy, physiology, Microbiology, Chemistry, etc. You were given "points" for your grades. So the nurses with the most points, highest grades, got in. TEAS hadn't been invented yet. A co-worker, (CNA). about 8 years ago started the journey to get her RN degree. The schools she applied had a lottery system. Any nurse who passed all the required courses was eligible regardless of their grade and pure luck if you won the lottery. This was all in California public schools. "Sign on the dotted line"
  7. As a new grad you cannot be expected to read all the clinical notes, study"and see the "big picture" on every patient you have. Get a basic organized routine, via a brain sheet, and stick to it. Put "brain sheet" into Allnurses search box. Find a routine, a brain sheet, that works for you. You will get better and faster. THEN after you get a good routing down, you'll have time to "study" and read clinical notes on more complex cases. Focus on basic safety you KNOW from nursing school. A diabetic's glucose/finger stick before insulin, a patients baseline blood pressure before routine antihypertensives, a patient's level of consciousness before pain meds, pertinent allergies.
  8. All good advice. Many nursing schools do not teach IV skills. Hospitals don't expect, or require, new grads or newish nurses like you, to have this skill. Youtube is a great resource.
  9. Honestly I can't see how your husband's desire for a slow pace of life and fly fishing trumps you as a working mom living in an area you are familiar with and having family available to help you (while your husband is fly fishing????). Your and babies needs trump what dad wants. Is he supposed to stay home and raise the baby? Great if he works out a way to bring the little one fly fishing with him???? It isn't impossible to find quieter, rural, areas not that far from downtown San Diego. We lived there years ago, and my daughter lives there now, so I know a little of what I speak. You, he, and baby can move to a rural area when the baby is older and doesn't require as much...I know, that happens around age 21 if you're lucky ?.
  10. All you down on nursing as a job posters are such deep thinkers, very eloquent, verbose and have such high expectations from a job. I wish some of you would learn to use paragraphs....I didn't read the long posts with no paragraphs. I got a job as a nurse because science is interesting to study, there will always be a need for nurses (until the robots take over ?). The pay is more than adequate. (Earning a big paycheck was never something I aspired to.) I didn't feel nursing was a calling, I'm not a martyr. No one would ever enter any profession if they expected whatever it is you expect. Hospitals have to be run somewhat as a business. You have to have enough income to pay the bills. We could all become ultra socialists, be taxed a lot, so somehow all the hospitals income would go towards payroll. Go Bernie! I do agree waterfalls in the fancy lobby are inappropriate ?.
  11. I did bedside care for 17 years. The more confident and competent I became the more I loved it. Moved into ambulatory surgery. It's like Disneyland. I was mid management for five years. Never was offered a bonus. Was nominated by my staff for nurse of the year. I'm sorry you chose the wrong profession. Don't curse the darkness, light a candle. Tell the nursing students what wonderful, perfect, profession they should be persuing. I guess you believe there is some perfect company, job, profession out there? We'd all love to know what it is?
  12. Can't make sweeping generalizations. I worked in a county hospital, mainly cared for Hispanic field workers. All were very appreciative of my, our, care. The one patient who sticks out in my mind, at a completely different hospital, was demanding and "entitled" and very well to do. Most patients are appreciative. The exception does not make the rule. In all jobs, in all walks of life, there are bound to be a few idiots, regardless of their status, income, etc.
  13. I'm glad I became a nurse. Good pay, job security, some shifts were nightmares, most were average, some were so slow it was boring. I think my expectations of what I am owed from any type of job are very simple.
  14. I just want to make sure I understand. Learning about post op hip replacement positioning sounds like an orthopedic unit. Whereas post surgical would be "other" types of surgery. Will you be working on an orthopedic unit? Or does your facility combine all post op surgical patients on the same unit regardless of the type of surgery? Anyway I love Youtube videos as an excellent resource for videos on orthopedic patient positioning. Of course the patient is usually petite and cooperative. Not 300 pounds and uncooperative ?.
  15. I love auto correct. What type of restoration did the picture require ?.

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