Vanillanut

Vanillanut DNP, RN, APRN

Emergency, Internal Medicine, Sports Med

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All Content by Vanillanut

  1. Taking a specialty course after graduating with a BSN

    Typically here's how it works: You can get into a specialty one of two ways: 1. Get hired onto a specialty unit at a hospital, and they will send you/pay for you to go get your specialty (ie, ER,...
  2. help with reviewing for nclex-rn

    I am a Canadian RN, I will be writing the NCLEX next month for the first time. I am using HURST to review and I really like her teaching style. It's easy to follow and captures your attention. I am...
  3. Life of a nurse practioner in the er

    I am not an NP (I am an RN/BSN) I work in the ED along side an NP. She is highly respected by the doctors and participates in client care as a doctor would (part of the decision making team). Mind...
  4. Help!!! Pregnant and on the job search

    I would *not* tell them. Your chances of being considered are greatly reduced. Considering you know your situation better then anyone, and you seem to be organized in terms of getting things back on...
  5. May 2011 NCLEX-RN Overcomers

    I am taking my NCLEX May 6. The hardest part for me is that I am already a practicing RN in Canada, and I am finding it hard to choose the right NCLEX answer vs what I would normally do in practice....
  6. charge nurse after less than a year of experience??!

    I have graduated with people (BSN) and ONE WEEK into their jobs they were put in charge. Yup. I actually know of at least 3 that did this. Personally I would not touch charge with a 10 foot invisible...
  7. Comments about personal appearance

    I often get asked how old I am, or "you don't look old enough to be a nurse" or flat out asking me how old I am and how much experience I have (I'm 29). I had one patient ask me "you DO know what...
  8. sleep breaks?

    I know of this type of thing happening on medical floors (2 hr sleep breaks), albeit unknown to the managers who aren't there at night anyways. In Emerg there is no way we can do
  9. GUM! Can you chew it on shift?

    Ok, I'm not "old fashioned"- I'm under 30. But I think chewing gum at work, when you're a professional, is completely unprofessional. Nurses are complaining that the profession is going downhill,...
  10. online review for nclex.. HELP!! :(

    I am writing my exam next month, and I also didn't graduate in the USA. I suggest you go to Exam Master- they have a ton of free NCLEX questions, and by the time you finish them all (lots) it's quite...
  11. Anti-Intellectualism/Autonomy in nursing

    As you said I have seen this largely vary between facility. In most places I've worked, if you see a pt's pressure dropping (your scenario 1) and DON"T increase the fluids, you're in trouble. Thats...
  12. Respectfully though, in this post you did not mention anything about crimes being committed or patient/staff in jeopardy. Just because someone is psych does not mean they are automatically a threat. I...
  13. Critical care drips

    I can vouch for the Fast Facts book by Kathy White. Awesome little reference binder. Just be careful no one steals it. As far as conversions go, practice, practice, practice. It's not bad when you're...
  14. treating hemolyzed potassium level...

    If I feel like the order is dangerous, I question it. If I understand the rationale, I follow it. If I still disagree, I will hand everything over to the doc and say "then you do it" (I've done that...
  15. I am a Canadian RN, I'm writing my NCLEX in Washington next month. It's quite different from what the Canadian test was (CRNE). I was wondering if during the exam on the computer, you have access to...
  16. What do you do for daycare?

    To each their own, but I would never leave my child with someone randomly found off craigslist! The only people who I would even consider that aren't licensed with a background check would be family...
  17. How old were you when you finished nursing school?

    BSN at 28. I was working in a different industry before that. Aiming for a masters around 35/36... going to get a few years under my belt
  18. So burnt out! Any advice?

    How is your management? Can you talk to someone about this? At the end of the day, I would start hunting for another job, if this one can't work with you. Your health and sanity are NOT worth the...
  19. What certifications do you have???

    I have my BSN, ACLS, TNCC, ENPC, PALS, a triage-specific course my hospital does, and I'm looking into getting SANE as we have SANE nurses in our dept also. I think the biggest thing (I got my...
  20. Nursing Priority vs First nursing action

    I don't read the question like you do. For me, my first intervention directly reflects my priority action. They are essentially the same. Giving oxygen is the right choice. Why? My priority is A, B,...
  21. hello everyone. i need a help here..

    I would take your ACLS, because defibrillation goes hand in hand with drugs and the course covers
  22. Resources available to you during test?

    Thanks for your reply :) I know my labs, don't get me wrong. It's just that trying to learn the new "norms" are proving a little tricky, when each person (Kaplan, Saunders, etc) has different values....
  23. I would apply now, you never know. But on a side note: I wouldn't mentally count on returning to work straight away. Even with experience from prior pregnancies. My sister had 3 girls and by the time...
  24. How Do I Calculate Intake and Output?

    Intake= sum of everything the patient has drank, plus jello, plus any IV solutions they might have had. Basically any fluids that are going IN to the patient. Output= volume of fluid coming OUT of the...
  25. CBIs

    Your bags only hold 2L? News- there are much bigger bags out there then 2 L..... I think standard foley cath bags are 2L. CBI bags are about twice that