brownbook

brownbook

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All Content by brownbook

  1. Transitioning from med/surg to ambulatory care?

    brownbook replied to Quelea's topic in Ambulatory Care, Clinic

    All I can say is WOW! You have more experience than I ever had, and more than many of my co-workers in our general surgery ambulatory center! Usually surgery centers, both in patient and out...

  2. Critical timing

    brownbook replied to kiana16's topic in Patient Medications

    I completely understand your post. It is so scary in an emergency situation to be told to give a drug when you are not familiar with it. Who was they? I hope, assume, a doctor. Hopefully it...

  3. Behavioral health patients requiring 1:1 sitter

    brownbook replied to JRichmond03's topic in Patient Safety Issues

    You and your co-workers need to gather some facts on how often 1 - 1's are ordered, what are the mandated staffing ratios on your unit, etc. Along with a list of local staffing agencies. Most...

  4. Transitioning from med/surg to ambulatory care?

    brownbook replied to Quelea's topic in Ambulatory Care, Clinic

    My wish would be for every nurse to be able to work ambulatory surgery. I LOVE it, it is like working at Disneyland. Okay now that is out of my system. I, and many co-workers in ambulatory...

  5. Whether or not to disclose an MI

    brownbook replied to MzB2618's topic in Patient Care Technician, Assistants

    Google Americans with Disabilities Act. It does cover mental illness. I may be naive or to trusting but honestly don't think you will have any problem. It took me a while to figure out MI meant...

  6. How do you handle rude comments?

    brownbook replied to MA Nurse's topic in General Nursing

    I am so sorry. I have had similar responses from friends although from different situations. It amazes me, but apparently it is not uncommon. Even if a friend says something that can maybe be...

  7. I'm Sorry

    brownbook replied to vintagemother's topic in General Nursing

    Honestly, I was sure your post was a joke? Not that it didn't happen but that you really felt badly! I guess it is good that you are concerned. But you'd better save up your concerns and sorrys for...

  8. Why is it difficult to transition from nursing student to working Nurse?

    brownbook replied to Beautiful_Beginnings's topic in General Nursing

    It was very difficult for me. I had no family or friends who were nurses. I knew nothing about how a hospital functioned. How a patient got admitted, what a chart or Dr. order was. I don't think the...

  9. Shift Preferences?

    brownbook replied to Newgurl17's topic in Geriatric, LTC

    Honestly I worked acute care 11 pm to 7 am 12 years and always felt ? knew? I just could not work days for the same reasons you mention. I will never forget the one day I was asked to work days on my...

  10. Working in multiple departments

    brownbook replied to Jscadden's topic in General Nursing

    Not sure of your specific situation. A little confused about the west vs main hospital. If they are aware of you working both facilities and are okay with it, it shouldn't be a problem. The issue is...

  11. starting IV on same arm as a mastectomy

    brownbook replied to coletanner123's topic in General Nursing

    A surgeon in our same day ambulatory surgery center, her area of expertise is mastectomies, breast cancer, etc., said the same arm is ok. Even if lymph nodes were removed but there was no other...

  12. CDC now banned from using "evidence based" and other words per White House

    brownbook replied to babyNP.'s topic in Nursing News

    I agree, I go from horrified shock to.... maybe this is just another overblown news story, sounds worse than it is. But right now I'm going with horrified

  13. Interviews, how do I pick which job?

    brownbook replied to Ashlee423's topic in Patient Care Technician, Assistants

    How old are you and what are your plans for your future? All jobs sound great. But if you want to continue your education and work as a RN or LVN number 3 will give you more acute care nursing...

  14. PH RN with HIV chances to work in US

    brownbook replied to romahito.senshi's topic in International Nursing

    Discrimination against persons with HIV & AIDS is prohibited by federal law. ... Although an employer can always consider health and safety when making employment decisions, HIV transmission will...

  15. Help! Choosing a clinical job

    brownbook replied to Krisann2014's topic in General Students

    It does sound like a hard, busy, unit to work in. But if you are a youngish, healthy, eager to learn A LOT, nursing student, it sounds like a great opportunity to me. I'm hoping, assuming, it is a...

  16. Vital signs in Phase II

    brownbook replied to Carrollrn's topic in Ambulatory Care, Clinic

    We chart vitals every 15 minutes times 4. Of course vitals can be taken more often, and more than 4 times depending on the patient. Even less than 4 times again depending on the patient, type of...

  17. What's the most desperate thing you've ever done to advocate for your patient?

    brownbook replied to MECO28's topic in Patient, Colleague Relations

    Great story but what ended up happening with the

  18. Considering PACU job after postpartum maternal/newborn

    brownbook replied to boquiabierta's topic in PACU

    Great, inspite of my no dumb questions during orientation comment.... I except to see you here, or the PICU specialty section asking for shall we call it clarification questions

  19. Considering PACU job after postpartum maternal/newborn

    brownbook replied to boquiabierta's topic in PACU

    Did you already get hired? Just wasn't 100% sure from your post. If so you obviously have some smarts and or display enough common sense, maturity, etc., for them to hire you. Were you required...

  20. English As A Second Language

    brownbook replied to Santa Monica's topic in General Nursing

    Plus you are fluent in scarcasm. I am a blue state Hillary voter. Can't we all get along? All I tried to say, maybe I worded it poorly, was the same as you. If your accent is too thick to...

  21. Finding my niche

    brownbook replied to Harlsiess's topic in General Nursing

    Very generally speaking most patients do not stay in acute care hospitals a long enough time so that you would get to know them, talk with them, and be more involved or responsible for their...

  22. Can a geriatric nurses become a dermotalogist nurse

    brownbook replied to Dream1234's topic in Geriatric, LTC

    My limited exposure to dermatology clinics or offices is they are staffed with MA'S, CNA'S, maybe LVN'S. I don't know of any reason or need for an RN? However I don't know everything and don't want...

  23. Patient had a stroke on ward - not recognised

    brownbook replied to dolphinmonkey's topic in Diabetes, Endocrine Nursing

    No it does not show a lack of judgement. Any one of us could have made the same mistake. You are a good nurse to care, to feel "guilty". Many nurses and doctors would blame everybody or everything...

  24. Want to leave M/S/T, Suggestions Please?

    brownbook replied to Guest716906's topic in General Nursing

    I don't know what M/S/T is? I kind of assume it is a medical/surgical unit? Are you working in an acute care hospital or a skilled nursing facility? I it is best to not use to many abbreviations...

  25. Hung my own blood! :-)

    brownbook replied to JBMmom's topic in General Nursing

    Nice story,