Halinja BSN, RN

L&D, PACU

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All Content by Halinja

  1. Halinja

    Clinic nursing vs Hospital nursing

    A lot of the clinics around here have their nurses full time by having them work 4 9's. That way you still get a day off for those pesky doctor's
  2. Halinja

    Need help adjusting. Any advice?

    I always feel that way in a new job. Just the way I'm built, I guess. But then, it's the same way I feel when I get people's fantasy Christmas letters saying how WONDERFUL their children are, and...
  3. Compared to San Francisco, Santa Barbara, or LA/Orange county, Modesto has a "low" cost of living. Compared the rest of the united states...not so much. It is in the central valley, and the central...
  4. 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...
  5. 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...
  6. Halinja

    Let's give nurses a break: How do the rest of the staff dress?

    Not exactly what you're looking for, but one of our surgeons wears his scrub pants a bit loose. One day in surgery they fell to the floor. They stayed in a puddle around his ankles until he finished...
  7. 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...
  8. 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...
  9. 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
  10. 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
  11. 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...
  12. 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...
  13. 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...
  14. 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
  15. 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...
  16. 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...
  17. 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,...
  18. Halinja

    Reglan and Compazine IV push policies?

    At the surgery center I work at, we push Reglan all the time. I can't remember the last time we had a bad reaction. We don't use Compazine much at all. And I would never administer a drug one way...
  19. Halinja

    Those of you in management/hiring positions...

    Is it legal to discriminate based on pregnancy status? Ooh, had to edit to add this (I'm in an evil frame of mind) You likely would hire another person to mow your lawn. But you might not hire...
  20. Halinja

    Please Someone Help!!!!

    At our junior college you had to be an X-Ray tech before you could take ultrasound. To be an X-ray tech you just had to go through the junior college's x-ray tech program, then pass the national...
  21. Halinja

    First night off orientation- feeling overwhelmed

    I distinctly remember that overwhelmed feeling the first day...week...month after being off orientation. Busy L&D, high risk, scarier than all get out, and I kept forgetting things. Needless to...
  22. Um...just a thought. Was it a three check month? Last month was, for us. In that case they do not take out benefit payments on the third
  23. Halinja

    Most embarrassing mistake you've ever made

    It was my first couple of weeks on my own in Labor and Delivery and the patient had delivered. The doc wanted the bag of LR swapped out with a bag that had pitocin in it. I knew we wanted it done...
  24. Halinja

    Blood Pressure...am I really this stupid?

    I had a harder time hearing with the dual stethoscope than with my own. If it is hard to hear, it is perfectly acceptable to ask everyone to be quiet. You NEED to be able to hear. And once you...
  25. Halinja

    Per Diem Nursing

    One of the big advantages of Per Diem is being able to say no. It SHOULDN'T be held against you. However...grin...just because it shouldn't, doesn't mean it won't. You say you've got other places...