al7139

al7139 ASN, RN

Emergency

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All Content by al7139

  1. zero support for new nurse

    al7139 replied to The Bell Jar's topic in First Year After Licensure

    All I can say is that 1) I would be looking for another job, and researching carefully the orientation schedule, and work environment. 2) I would also consider alerting the proper people (i.e. State...

  2. Tired of being asked to work extra...

    al7139 replied to KarmaComesAround's topic in General Nursing

    For me, I have a hard time saying "NO!" when asked to work extra. Especially being new and "low man on the totem pole" so to speak. My ClinII is really good at getting us to do extra shifts, so I...

  3. funny charting errors

    al7139 replied to hello_nurse_mel's topic in Nursing Humor

    Heres a good one: We have a doc whose accent is difficult to understand. The dictation staff have a really hard time transcribing his notes because of this. For a discharge summary med list the...

  4. Am I to incompetent for nursing?

    al7139 replied to Yenta7's topic in First Year After Licensure

    Hi there! Welcome to cardiac nursing! What you are feeling is so normal for a new nurse! I have been on a cardiac unit since I graduated in May. I have been a nurse for 7 months. I still have...

  5. Fibromyalgia

    al7139 replied to veetach's topic in Emergency

    Interesting post... I have seen some nurses roll their eyes when they hear the pt has fibromyalgia. I think they assume the pt is a drug seeker. However, I have an aunt that has fibromyalgia, and I...

  6. Dealing with The Yellers

    al7139 replied to Ms Kylee's topic in General Nursing

    We have the "yellers" constantly on my unit. If I am walking by, and they yell "Nurse!" I will stop and ask them what they need. It is annoying, but lots of times they are confused, or can't find...

  7. Diluting all IV push medication??

    al7139 replied to srewer's topic in General Nursing

    Does no-one use their hospital pharmacists? If the dilution instructions are not included on the MAR part of my worksheet, I will call and speak to a pharmacist to be sure of things like dilution,...

  8. This Was Truely Unexpected Event

    al7139 replied to angelique777's topic in General Nursing

    The first time I had a pt fall on my shift, we went to her room only to find her sitting on the floor. It sucks, but unfortunately it happens. I learned after that night to always document non...

  9. 1st med error!

    al7139 replied to LVN_LPN_2007's topic in First Year After Licensure

    You will be fine, I know it sucks when you realize you have made an error, but every nurse has done it ( any nurse who says they haven't is full of it). I made a med error as a student (I gave a pt...

  10. Gay male nurse stereotype?

    al7139 replied to greygooseuria's topic in Male Nursing Students

    Ok, Here is my opinion: First, I was in a class that started with 106 students. 5 were male. NONE were gay. I think it is the public's perception of nursing as a female role. While I was in...

  11. New nurse jitters. HELP!

    al7139 replied to SinusRhythm's topic in First Year After Licensure

    I have been a nurse for 7 months now, and I also work telemetry. I was terrified when I got off orientation, and was really worried about making errors, and feeling like i didn't know squat! I found...

  12. Nursing Diagnosis for Diabetic Foot Ulcer

    al7139 replied to Norstar's topic in Nursing Student Assistance

    Think about how poorly managed diabetes impacts the body. High glucose levels in the bloodstream create poor circulation and vascular damage. My main diagnosis for this would be: Inneffective tissue...

  13. "VIP" Patients

    al7139 replied to dopaminequeenRN's topic in Patient, Colleague Relations

    Since I have been a nurse, I have had several situations that were reported to me as "VIP". The mother of one of the MD's was hospitalized on our unit. We have had relatives of directors, etc, etc....

  14. Drug Cards

    al7139 replied to Diva0082's topic in Nursing Student Assistance

    The pt with a SBO would be NPO. There would also be vomiting associated with an obstruction. With the diagnosis and the vomiting, the pt would be at risk for severe electrolyte imbalances,...

  15. New Grads after 6 months: How do you feel?

    al7139 replied to RNcDreams's topic in First Year After Licensure

    I just started my seventh month as a nurse. I can understand how you feel. I often dread going to work, especially if the last shift I worked was horrible. Sometimes I wish I was a bartender again....

  16. failed out of nursing school.... now what?

    al7139 replied to leelife's topic in First Year After Licensure

    Hi there, I don't know where you live, but I am in Virginia. So you failed. I know it sucks, but perhaps there is another school out there for you. If I were you, I would look into other schools...

  17. Is Sentara Careplex, Hampton good place to work for agency RN?

    al7139 replied to dirgni's topic in Virginia Nursing

    I work at Leigh on the telemetry/med unit. Starts for new grad is $19.60/hr. If you work eves, nights or weekends, there is a nice shift diff.

  18. Long hospital orientation...

    al7139 replied to KyPinkRN's topic in First Year After Licensure

    Kep in mind, that being a student and being a nurse are WAY different. I was glad for my long orientation on my unit. It gave me the chance to get acclimated to the real world.

  19. When a patient dies....

    al7139 replied to xxgreenfirexx's topic in First Year After Licensure

    I agree 100% ! Document the heck out of it. You know that everything that was done. You know that sometimes a pt dies without warning. We and the Docs are not omnipotent. We cannot predict death,...

  20. Lopressor drip

    al7139 replied to traumagirll99's topic in CCU, Coronary, Cardiac

    I work on a tele unit. We see hypertensive pts all the time. NEVER once have I heard of or used a Lopressor drip. We give po to pts that are under control, but we still have parameters for those...

  21. Funniest Medical Related License Plates You Have Seen

    al7139 posted a topic in Nursing Humor

    I saw this license plate on a Corvette one night driving. I almost wrecked my car I was laughing so hard...I wanted to catch up and ask if they were a urologist...or just boasting! "PRIAPISM"...

  22. Is Sentara Careplex, Hampton good place to work for agency RN?

    al7139 replied to dirgni's topic in Virginia Nursing

    Hi, I live in Norfolk and work for a Sentara hospital. While I don't know specifically the Careplex hospital, I can tell you that Sentara treats their agency nurses well. I can't say that you will...

  23. Chest Pain

    al7139 replied to rn undisclosed name's topic in Cardiac

    If your unit is like mine, we have parameters to follow. We check B/P and HR prior to giving SL nitro, and if it's OK we start the nitro. If B/P or HR too low, we call the doc. If you cannot get...

  24. Cardiac Nurses....have you ever....

    al7139 replied to Boston-RN's topic in Cardiac

    Ok, I am a new tele nurse also, BUT If the pt sSBP is

  25. lack of confidence on giving meds

    al7139 replied to lenjoy03's topic in First Year After Licensure

    I ALWAYS look up meds that I am not familiar with. We have drug books on the unit, as well as access to online databases for drugs. I work on a telemetry unit that is very busy. Even if I am...