Anagray

Anagray BSN

ER,Neurology, Endocrinology, Pulmonology

Member
  • Content

    335
  • Visitors

    7,556
  • Followers

    0
  • Likes

    3

All Content by Anagray

  1. Hello, dear friends. I am Planning to leave NY state, as I ve had enough of it already. I am in adult/Gerry NP Program and it has been horrific. We are expected to find our own clinical rotations sites, starting with ADN degrees. The quality of e...
  2. Moving to NJ, advice please

    Hello everyone! I currently live in NY state and work for the department of veteran affairs as RN care coordinator, I have 17 years of experience. I am currently enrolled in Adult NP Program in NY. I will be moving to Cranford,NY and will be try...
  3. Advice on how to handle a situation at work.

    I think I have an idea who your employer is because I work in “ specialty clinics “ also. This particular employer fostered the culture of punitive measures against nurses for decades. When employees do not finish work and make mistakes, it is large...
  4. 2.5 years ago I transferred from acute are into a multispeciality office in the same hospital. My old boss assignment me to a very busy area and I basically began managing my own area. Before I arrived they had 2 RNs, now I am by myself. My area has ...
  5. Thank you all so much for compassion! I considered going back to the ER. At this point they have me by the balls because they paid for a part of my BSN and I owe 2.5 years of service. I had a meltdown at work today and ended up taking sick leave an...
  6. Is it safe to administer 1 gram IV over 30 minutes to migraine patients with no monitoring and no baseline levels? Having a meeting today with our supervisor to disuss this. If you know of any documentation I can present to defend our point of vi...
  7. I am looking for some advice on what to expect as far as tasks and duties in an outpatient addictions facility. I've been a nurse for 5.5 years , worked med-surg, dialysis, LTC, ER, psych, but never in a detox setting itself. We start detox in th...
  8. RN counseling guidelines

    Is it in the scope of nursing practice to counsel a patient on substance abuse? I have incidentally identified a patient with a substance abuse problem ( habitual 24 pr more pack of beer) and elevated LFTs, interviewed him about his drinking habits, ...
  9. IV Magnesium Sulfate in office???

    I feel that office and hospital are completely different settings as far as patient safety goes.
  10. IV Magnesium Sulfate in office???

    My biggest concern is that this high alert drug is administered in an office setting without a protocol in place, no baseline labs and only with a blood pressure cuff and a manual pulse recordings. My co-workers and I had a meeting about this with o...
  11. Aspiring ER nurse with a few questions. :-)

    I'm not sure what the requirements are in your facility, but in NYS where i am it is not easy to find and retain a good ER nurse. Many of my co-workers just have AS. In my hospital it was much preferred that an aspiring ER nurse has at least 6 months...
  12. RN counseling guidelines

    This is a neurosurgery patient. Typically PATs want LFTs addressed before the surgery happens because of anesthesia and the amount of drugs that will be given to patient pre, intra and post op, and most commonly primary docs will order a liver ultras...
  13. RN counseling guidelines

    Thanks for replying ! 24 pack per DAY. The appointment I made was not necessarily for the substance abuse but as part of his pre op physical. I am anticipating a liver ultrasound, so I wanted to get it taken care of before he was booked. Then, of co...
  14. How do you treat headaches?

    i am wondering how are headaches/migraines treated in your ers? in our er docs mostly give narcotics and antiemetics. as an ex-neuro nurse i was very surprised by that, because our neurologists absolutely will not give narcs because it causes reboun...
  15. I have an interview for admissions RN position with VNA. I have almost 6 hears of acute RN experience - med surg, ER, dialysis, hospice, LTC, psych and amb surg. I am wondering how long does a typical assessment take, is 80$ a good pay per as...
  16. It could be really good for you to have a goto person, a friend you can call with questions before calling the doc. I know that we should be able to call a doctor any time we feel like it, but sometimes they are just jerks and there is nothing yo...
  17. Advice needed on first shift in Detox

    Thank you so much, it was very helpful! a lot of what you are talking about is familiar and I agree, most people have a story behind their addiction. Thank you again and I am glad that patients have such a patient and caring nurse as you are.
  18. Hello everyone. Here i come again with a question I lived in NY state for almost 9 years. I have a 3 year old and we did all the immunizations, according to AAP. From conversations with my family, who lives overseas, I discovered that in my hom...
  19. I know, i ask tons of questions - but i can't help it. I want to know. Do any of you have husbands who are staying at home looking after children and u are the breadwinner? I'm 27, my son is 3 and my husband is 45. He's been working for the same c...
  20. Eat Before You Get Here!

    So very true. The other day I walked into a room of a patient to get vitals (never have been to this room before) and his 40 year old son, thinking he was really hilarious (fool), said out of nowhere: "Hi. I need a steak, mashed potatoes and a coffee...
  21. I just wanted to share this. My daughter had skin CAMRSA when she was 15 months (It is likely that i brought it home from the hospital). She was treated with bactrim and lanced. After treatment, small dots of MRSA came back about 3 months later and s...
  22. Hello everyone. Have you helped anyone while off duty? Do you feel comfortable giving medical help before 911 comes around? I would love to read some of your stories. Thanks!
  23. Where you should go probably depends on how you learn and your personality type. For me med surg was the right choice, because I learn best in an organized, consistent environment. I need to read first, then do a hands on activity. I a busy ER like...
  24. ER is a great place to work. I think some people are ready after 1 year and some are not. It all depends on your personality and skill level. It took me 6 months to be able to function on my on on med-surg, 2 years to get to being a charge nurse on m...
  25. looking for resources for a-fib

    Hi, guys. I am an ER nurse, I'm 33 and I just got diagnosed with new onset fo a-fib. My life and my job are completely screwed up now. If possible, I'd like to know about any online support groups or any other resources, because I have some questi...