flygirls2 BSN

Hi! Hoping someone can help me out. I have invested my career and education into working with disasters. I have been scouring USAJOBS and am on search notification lists --- for more than one year. I have not yet even seen a position posted. I'm not...

I'm interested in working exclusively PRN, but hoping to be able to work close to (or more than) full time equivalent hours. I need to be able to be off completely for ten days every month - thus, I need this sort of flexibility. Can anyone provide...

Hi! I used to work with a nurse who has recently been fired and reported to the BON for suspicion of diverting. She has asked me to write a letter of reference to character for her to the BON. I strongly believe she is innocent of what she was accuse...

I'm trying to choose a graduate degree program to go into.. But none of the 'traditional' nursing master/doctorate degrees particularly appeal to me at this point. What other specialties can you get into with a bachelor's in nursing? I.E. I've heard ...

Ok-- I hope you all can help me with this! I am a PCU/ED nurse and my hospital very recently built and opened a psych transition/holding unit beside our ED. I was eager for a change and got one of the positions. First of all, I'm loving the job. Ps...

I graduated in December, and have been working on an inpatient oncology unit since. I DREAD going to work each week. The days I do have off, I'm too tired to enjoy. I'm not overwhelmed or any of the typical things you'd assume. I just don't like it! ...

Hi, I'm in a bad situation currently working 12 hour nights with poor childcare for my 6 year old child. I have to find a solution. The problem with working days is that her school does not have a before or after school program, meaning I have to be ...

Hi! I've been working as charge nurse on a stepdown unit for 3 years on 12 hour nights. I'm suddenly in a very bad position with childcare for my 6 year old child. I have to find a new job, but the problem with days is that my daughter's school does ...

What I meant by pick her up and drop her off---- I was thinking if I did something like the home health where I make my own schedule-- maybe I could intentionally not schedule visits when it is time to pick my daughter up so I could do that and drop ...

That's the problem. Only have one living grandparent in the area, no other family. The grandparent that is here is getting dementia- and was watching her at night, but cannot any longer-- she recently caused my daughter to get a severe burn from scal...

Just looking for any advice you can give me regarding the oncology aspect of nursing. Any tips you have learned, tricks to pass on.. Advice?? Thank you all!

Recently had a bizarre case on my unit where I was acting as charge. I have never seen anything like this- and am dying to hear ideas as to what it might have been! Male patient in 30's originally came into ER to detox from Suboxone(apparently), but ...

Yeah, I was trying to give him the benefit of the doubt since he said he was on the Suboxone ONLY at this point. Then again, when has a druggie patient ever been honest with me? Never. So..

How would he get the endocarditis then? Just a result of the sepsis?

Ok- so I found out a couple more details.. Apparently he had a history of IV drug use, but apparently was on the Suboxone for treatment from that. The docs decided he has some sort of infection in a heart valve, and he was flown to a bigger hospital....

That's interesting. It makes sense in this scenario.. As far as I know, he did not shoot drugs-- then again, we were going off of his parent's word as he was unable to tell us much. So no telling.. Why in someone so young, would a UTI get to this po...

LOL, well thanks anyways! Appreciate the effort~!

I'll update if I find out the end result! He is definitely a very sick puppy. One of the sickest appearing patients I've seen.

FloridaNurse- Good information. Thanks! You sure know your stuff:)! Very interesting. I didn't realize there was a cold sepsis! I'll have to check that out as well. But no, haven't heard anything else. I hope someone gets the story on how it turned o...

Does that go by another name? I'm trying to google "bacterial cell lysis syndrome" and not finding much. This sounds like it could very well be the case here!

But the rest of the picture doesn't fit with DIC. I work on a cardiac stepdown unit, we get patients with rhabdo all the time- but never like this. I've never seen a K+ rise despite such treatment, and the other dramatic changes don't fit with the r...

I agree, I do think he was septic to some extent. But I've never seen WBC's change that quickly! 23 to 78 in three hours! The temp went down to 94.. PT/PTT were ok. D-dimer I do not think was drawn. We were discussing(nurses and I) that he might be ...

I've been an RN for one year now, having spent my first year on an inpatient oncology/hematology unit. I also have a small amount of surgical experience from a nursing school externship. I'm getting ready to move several states away, and am in the mi...

When you go on float-- do you typically go all over the hospital or stay within 2-3 units?

Mets to the lungs. Thank you for the awesome answer! I asked my co-workers, and no one knew.. So I was beginning to think I had imagined it. Very interesting post, thanks.