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trixie

trixie

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trixie's Latest Activity

  1. trixie

    Nursing Documentation in ICU

    Hi- I work at a community hospital with a 13 bed ICU. Currently, the nurses in ICU document a shift assessment q2h; this is a complete head to toe assessment. Is this similar to charting in other ICU's? Thanks, Trixie
  2. trixie

    Milk and Molasses Enemas

    There are still physicians at the hospital where I work ordering milk and molasses enemas. Is anyone else out there still using these?! If so, what is the procedure followed for mixing and administering? Thanks
  3. I would guess most areas of the country are similar to mine. The nurses all know one another or know someone at another facility. They all ask each other unofficially about people frequently. YES - I think mentioning scheduling difficulties (or even hinting at such) in an interview bumped you to the bottom of the list. No nurse manager needs MORE scheduling difficulties. You have to make it seem like you will revolve around them, not the other way around. Keep trying!
  4. trixie

    Considering nursing school, but I have a slight problem

    Dead people used to freak me out. It got easier. Hang in there!
  5. Perhaps working in a dr office. Or in a mental health unit. It is not impossible, but will not be easy for you. The problem with the situation is that most employers want you to have some basic med/surg experience that will be difficult for you to obtain with your physical limitations. Perhaps you need to speak with someone in the nursing program that you want to enter before you go any further.
  6. trixie

    Got fired... again. Should I not be a nurse?

    " forget med-surg, it is not relevant. Yeah, it's good experience but it's not what you want to do and you can learn the same skills elsewhere" Told you someone would disagree. People that disagree with this statement generally don't have med/surg experience and don't know what they are missing. It IS relevant, esp if she lost a job because she wasn't catching on quickly enough.
  7. trixie

    People you "know "coming to your unit for care

    I was the only RN on the L&D unit (left with a LPN). We had no patients. My former SISTER-IN-LAW came in as an outpatient and of course the doctor wanted her to have a VE. UGH! I discussed it with her, she was okay with it, no problem. But it was somewhat uncomfortable. Most people I know say they feel better having someone they know with them - so the discomfort may be just on your end. But we have definitely switched assignments around for the comfort of all involved. Not a big deal.
  8. trixie

    Got fired... again. Should I not be a nurse?

    What I see lacking in your experience is Med/Surg from an acute care facility. Many feel (and may post) that it is not needed. However, with a great mentor and med/surg experience - I would bet you would see your skill set improve. It seems you jumped into L&D/midwifery without this. I have seen others do it - but wouldn't advise it. Even a few years in med/surg will teach you much about organization, prioritizing, etc. What goes on in LTC facilities boggles my mind and I can't imagine that ever being my cup of tea. Best wishes to you. Don't ever give up on your dream - just tackle it a different way.
  9. trixie

    What nursing magazine should I subscribe to?

    If you have instructors as I did in college - never refer to them as magazines (even though RN bills itself as RN magazine I believe). Professionals have journals, not magazines. Pluses and minuses with all - but I preferred RN, also.
  10. trixie

    Ten Things I Love About Nursing

    We often hear what is wrong with Nursing - it is wonderful to read your post about 10 things you love about being a nurse! Great idea!
  11. trixie

    I need YOUR help/advice

    I would not mention it. You did not misrepresent yourself when you filled out the application. Hopefully this experience will be better than your last!
  12. trixie

    Being a Team Player

    To answer a question from one reply: I have been a nurse for 18 years. Med/Surg, L&D, Nursing Supervisor, Nursing Informatics Specialist. When I referred to "Fork in the road", what I meant was how nurses (?people?) all tend to start out at pretty much the same place - as a new nurse. We all have that initial learning curve. Then some people just level out and never take the initiative to learn more, improve their practice, or become excellent in any way. Others continue to learn, grow, help others and really make you proud that you are a nurse just as they are. I was not referring to any career path and choosing a new job. I would like to add that I do acknowledge that some places are just BAD places to work (or be a patient!). But I have seen the whole attitude (for better or worse) take a turn when just one or two staff members either come on board or leave. It is amazing. This can happen with staff (and each shift is different) and management. I agree there are many people in managment positions that are not leaders. Hope that explains things. Great thread. Thanks for the comments!
  13. trixie

    Change dosing time - electronic charting

    I would ask pharmacy to change the time, would go ahead and give at 1800 as ordered (our system just gives a warning message). I never ask others to document for me.
  14. That's okay if your current manager interprets it as "I'm not leaving yet". WAIT until the specialty of your choice becomes available. Don't settle for less just to escape what you are doing now. It may be worse in the end. Everything happens for a reason and I would bet this is your que to not take the job.
  15. I started out and did Med-Surg for a year. Then I worked L&D 14 years. I think the time management skills that I learned doing Med-Surg and the basic skills I learned are invaluable. The best way to move into a specialty is to apply when there is an opening. Keep your attendance rate high (nobody wants to hire someone that calls off a lot), be an excellent team player, and do not apply for too many jobs within your organization. Keep applying for those in the area of specialty in which you would like to work. This will make you not seem desperate to leave the area in which you are working.
  16. trixie

    Critical care charting via computer

    Our charting does not automatically carry over for shift assessments. In most fields, the nurse CAN hit a button (f5) and it will recall the previously charted information. I am not sure how often this is used, but I would suspect a lot. I can selectively block fields that we will not allow them to recall info. I specifically use these a lot in comment boxes, as I found nurses were just mindlessly copying the same comment over and over again. This was especially annoying when the comment contained a spelling error! I also thought it would be a red flag to a lawyer in a lawsuit that the same info was written in the same exact way in the comment area. You will always have a few who slack on the work and just copy whatever the nurse before them put down. This happened on paper, also, so it is not a computer specific issue.
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