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Halinja BSN, RN

L&D, PACU
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Lived in Africa as a child, mother of 4 boys, love pomeranians, old fashioned and David Austin roses, Read voraciously, love to cook.

Halinja's Latest Activity

  1. Halinja

    Can a crappy waitress still be a good nurse?

    One of the best nurses I know was fired from her first job...as a waitress. Hating to make mistakes is probably a good thing. You're less likely to make them in the first place. That being said...everyone makes mistakes. There are job aids that can help you remember meds, there are people who can help you with time management. You're not going to know if it'll work for you until you try.
  2. I worked L&D. The first few times the actual birth was an emotional thing. And there were times right up until the end where I'd made such a connection with the family that my eyes would get damp at the birth. But you get used to it, mostly. You concentrate on getting the technical parts of the job done. The family is relying on you to help them. So you do. If you ever get to the place where you aren't moved at all by a birth...that would be a sad day. Yes, it's a biological function. But that doesn't mean it isn't still a moving time. You may see hundreds of births, but for your patients this is a once in a lifetime deal. That baby is only born once. I know L&D nurses that have been nurses for many many years who still stop at the end of a day and say, "wow, I helped at an amazing birth today!" So...pontificating aside...go with it. Do your job and do it well, remember there's a difference between sympathy and empathy, but don't cut yourself off from the joy of that moment.
  3. For our care plans we always had to have a nursing diagnosis. A nursing diagnosis would address the patients functional condition. So, it would be something like ...impaired mobility. The impaired mobility can be related to the arthroscopy, but the arthroscopy cannot be the principle dx. Are you using a book that gives nanda approved nursing diagnoses? LOL , I've forgotten how to do them, I remember there were three parts to a diagnosis.
  4. Halinja

    Sharing prescriptions of non narcotic medications

    I'm sure we all see how it would benefit the patients to save money. Maybe nothing would ever happen and the patients would be happily saving money for years. Let's consider a scenario. Let's say the doc writes it. And for some reason, one or the other actually takes the prescription as written rather than as intended. Or even if the two patients take it as intended. Then lets say an adverse event for either patient, whether or not it was truly related to the medication. The doctor would be sued. Big-time. This would not be a case of an honest error. This would be considered deliberate, no matter that his intentions are to be helpful. Legally he would be wrong. Ethically he would be wrong. Morally he would be wrong. Today on Allnurses there was a post regarding the number of people who take their medications incorrectly. That's with prescriptions written for one patient. With the correct dose on them. And people still make mistakes in taking their meds. There is no way I would do it. And yes, I know what it is like to have very little money, to scrimp and save to get to the end of the month. I would sympathize. But this is a matter of law. The law seldom makes allowances for good intentions. JMHO
  5. Halinja

    Alzheimer's patients get more freedom, less symptoms

    What a wonderful article! Thank you for posting it
  6. Halinja

    S-BAR

    I work as an advice/triage nurse in a clinic. We do S-Bar now, though we didn't when I started. Used properly, it is SOOOOO much more effective than the narrative charting/messages we were sending
  7. Halinja

    Are LPN's being Phased Out?

    I found this post kind of ironic. Last week three fresh LPN's were hired at my clinic. Today I was told my RN position had been eliminated. So...I'd say there are still jobs for LPN's.
  8. Halinja

    Labor and Delivery Interview New Grad

    The one thing I remember from my labor and delivery interview was that a L&D nurse needs to be strong. Able to keep a frightened mother on task, and back a doc down if need be. Work well under pressure. Hmmm...that's about it, but that's probably just my memory going.
  9. I read an article several years ago...when the nursing shortage was real...that said that if everyone who had a license, or was eligible to have a license but had left nursing all came back to work, there would be no nursing shortage. Then the economy tanked. People were out of jobs. Stay at home Mom's dusted off their licenses and went back to work. Under-employed nurses stepped up their hours to keep their budget going. People who had lost other jobs went back to nursing. People who had intended to retire couldn't because their retirement fund shrank too much. And hey presto, they were right. The shortage went away. I don't think it's forever. When the economy improves, which it will eventually, what will happen? The mom's will go back to staying home, the retirees will retire, people who didn't really want to be in nursing will move on to greener pastures. And the wheel will turn again. There will be a shortage. Sadly, not in time for the new grads right now. I feel very very lucky. What a terrifying feeling it must be to have worked so hard and be finding nothing...
  10. Halinja

    Did I pick the wrong career?

    Ask yourself if there are any aspects of the job you like. If the people who are criticizing you were not there, if you were on your own, do you like anything about the work? The patients? Also, if you can get through the first two years, your options expand. There are other places, other supervisors, some of which actually have a clue. And sometimes its just the wrong spot altogether. My first job out of school was L&D. I would cry on my way to work, and on my way home. Switched out to a different job and loved it, but what amazed me was the lack of upset stomach! Of course...then I gained 20 pounds. LOL
  11. Another reason I can think of is a visitor going in to the room, not knowing that the patient is in the hospital might think that the patient had passed and be distressed. (depending on the mobility of the pt) When I worked in L&D we had signs like that. It usually meant either the mother was napping, or the mother was so involved in heavy labor that casual visitors were not really wanted.
  12. Halinja

    IV forms of Zofran and Decadron given PO???

    Have given IV decadron PO. Haven't heard of doing it with Zofran. And of course, it was done with a doctor's order.
  13. Halinja

    whats less stress.... pacu or OR?

    Well, no family in either OR or PACU. I prefer PACU. But part of that is I just don't like the thought of wearing a cap and mask ALL DAY. I'm not really fond of some surgeons attitudes either, so I do better in PACU where we seldom see them. Yeah, I know. I'm bad. I have friends who work the OR. They prefer it. Will you miss direct patient care? People who respond to you? Not much patient interactions in the OR.
  14. Halinja

    Can I please get some critiques on this letter?

    I think email is fine. In fact, that is how I got my first job out out of nursing school. My first contact with my nurse manager was with an unsolicited email from me to her. I agree that being direct is a good idea. Also, leaving out tentative language in any writing situation is a good idea. I think we're taught (we females anyway) to temper our language, to be tentative. But honestly, it reads much better if you leave out phrases like "fairly certain". Take a stand. It makes you look stronger, and an RN, especially an ER RN, needs to be strong.
  15. Halinja

    Looking for some support

    I've heard that complaint before in hospice. In fact, I tried hospice for a whopping two months, and decided my license wasn't worth the risks my particular administration pushed. I do know, however, that not all hospice companies are the same. Some are better. That being said, Medicare is reducing its funding for hospice, which is going to mean the hospice companies are going to be pushing even harder. The best one around here has private funding, from several grants and bequests. Their nurses work sane schedules with sane patient loads. Pt safety is of course a huge concern. Your health and welfare is also a priority. Take care of yourself. Do what you need to in order to enjoy your life and stay healthy.
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