Hi - can anyone give me a low down on how they like office based case management. I'm going to be age group specific, not disease, and I'm office based for an insurance company in catastrophic disease or injury. My experience is all in critical care....
Any night shifters here? I'm only 30 (soon to be 31) and I feel like my body is falling apart. I've been working night shift since college (about 10 years give or take). I've gained weight, can't sleep, my joints ache - i feel like a 90 year old!!! A...
NICU_3_RN replied to Nurse831's topic in New Jersey
I did not find this to be true at Kimball. They're not supportive and the benefits are not that good (you can only use their doctors). I'd go elsewhere if possible.
NICU_3_RN replied to SteveNNP's topic in New Jersey
I worked in the NICU at Jersey Shore - loved it. Left to get off night shift. I've been told that there are very difficult personalities and "cliques" at Monmouth in the NICU. The pedi ER at Jersey Shore is supposed to be good...
NICU_3_RN replied to nursechick182's topic in NICU
NeoProfen comes with all of the same possible side effects as Indocin. The positive aspects of NeoProfen are that the side effects, while the same, occur less frequently. So, NeoProfen is not a miracle drug, but it is really really nice to use, knowi...
NICU_3_RN replied to nursechick182's topic in NICU
the thought process is, that yes, even with NeoProfen, but with lower incidence, that the reason why there is an increased incidence of NEC after Indocin/NeoProfen therapy is because the drugs provide a decreased perfusion to the gut. Therefore, the ...
NICU_3_RN replied to preemieRNkate's topic in NICU
I'm walking in Belmar, NJ with a bunch of nurses and disease management girls at my new Case Management job. My first time - and I'm really looking forward to it. Hopefully the weather will be better that day than it has been, because I'm not looking...
Dria - thanks for your reply! The end of week one - and I keep coming back and I haven't cried yet. So far so good! One of the other new girls says, "look at it like this - at the end of the day you haven't given anyone the wrong med and no one died...
NICU_3_RN replied to NICU_3_RN's topic in Stress 101
thanks for your replies... i do work 12 hours at a time -and I can tell you that part of the reason i'm not doing well with it any more is because i'm lving with family at the moment, and htey're not doingg night shift - so it's hard. you can bet tha...
all i know is i have a new motorola phone and if it's int he car or near my computer or tv and it's receiving a text or a call, buzzing comes from whatever it's near... if it can happen to one it can happen to another.
you actually don't need heparin in any peripheral IV for flushing purposes. There's been plenty of studies on that fact. We actually flush q8 on my unit with NS, and have no problems with PIVs clotting off. And we use only 24g PIVs. And the bottom li...
i left the ER after 3 years and went to the NICU. YOu have to remember that in the ER there are no staffing ratios, and the patients keep coming... you can't turn any away... the facility i was doing ER in had a problem with "holding" patients as wel...
Joannie - wish I could blame it on pharmacy - i love blaming things on pharmacy - but it would seem that the nurses in question drew up the meds themselves from a vial.
NICU_3_RN replied to CollegeGirl06's topic in General Nursing
a girl i went to college with, who is an excellent nurse, passed the NLCEX on her 5th try. Some people are just NOT good test takers - regardless of GPA. I agree with the poster who said just to relax... it really plays a big part. the stress of havi...
The ratio is irrelevant. you have to do your safety checks when you're dispensing meds. End of story. I'm anal rententive about checking my ampicillin vial when it comes up - and thats just AMPICILLIN. The label tells you the strength and every other...
I second this notion... i used to work at the childrens hospital in philadelphia - and like this nurse says - sometimes "adult" doctors just can't cut it. NEC is a baby problem - and sometimes you need a baby doctor to solve it, regardless of your ag...
we wear our own scrubs in from home - but have to disagree with prmnrs about cover gowns. The hospital i last worked in and the one i work in now, all still use cover gowns when holding... the staff and the families.
when i was an ER nurse I REFUSED to take patients out for smoke breaks. if you're sick enough to be in the hospital, there's no reason for you to smoke (not that I think anyone should smoke anyway). People smoking anywhere near the front entrance to...