al7139

al7139 ASN, RN

Emergency

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All Content by al7139

  1. At my hospital, the economy is to blame according to the powers that be. Yet, when 3 full time nurses leave from my shift (3pm-11pm), they only hire one new grad to compensate who wont be on their...
  2. IV Slump

    I feel your pain! I have been a nurse for almost 2 years, so I am still relatively new to IV starts. At first, I was really nervous to start any IV, even if it was a patient with veins popping out at...
  3. Share your "problem patient" stories!

    Kudos to the last poster! Some of my most difficult patients who made me consider seriously assisted suicide were also some of my favorites. They may have been problem patients, but they were still...
  4. pain

    If you give a med for pain, and the pain gets worse, then there are some things to assess. 1. Why is the patient in pain (is he post op from surgery, does he have a chronic condition like cancer or...
  5. Husband looking for some assistance...

    Hi, I hope I can help a little... As to the question...I don't know what kind of an emergency would have a nurse determining who gets discharged (that is an MD decision), but if the question was about...
  6. Wanting a pen pal

    Sorry you went unnoticed, I don't live in your area of VA (I'm in Hampton Roads), but I do know what you are going through having been in your shoes only recently (I graduated in 2007). If you want...
  7. TCC VS. TNCC HELP!!

    Hi, I have no idea about TNCC, but I went to TCC (class of 2007) for my nursing degree. Right after I graduated, they changed the program to admit a small group every 16 weeks. I am not sure how...
  8. What unit did you apply at at Leigh? I work there and know we need people on my unit (and it really is a great unit to get your feet wet on). PM me and we'll talk!
  9. When should I take Chemistry?

    Hi there, I took basic chem 01 in a summer course, but I did not take my A&P courses in a summer semester because the summer is a shorter semester than spring or fall. I would take Ethics with...
  10. Hi there! In my A&P days, I used the coloring books all the time! Helped me get straight A's. I also got a big sketchbook and some colored pencils and drew my own pics which helped me learn...
  11. "Fired for NO Reason"

    Hi, I'd like to contribute my "Two Cents" to this post; I am a newER (newer) nurse (graduated May 2007), who has been on a Telemetry unit since that time. I actually applied to this position before...
  12. Cardiac Nursing Question

    Hi there, IMHO, you can't go wrong with cardiac. I have worked on my Tele/Med unit since graduating in 2007, and have been so very happy here. I hated cardiac in school until my first clinical on...
  13. distinguishing heart blocks EKG

    I hope I can break it down simply for you: In a first degree heart block, there is a normal sinus rhythm, with P waves regular at a normal rate, but the P-R interval is > than 0.20. There is...
  14. Sentara Rehire Policy

    Hi, I had almost exactly the same experience as you. I was an NCP for my second semester and part of the third while in nursing school, I got the job to get more experience, but I quit with no notice...
  15. RN new grad hourly salary hampton roads

    Hi, I graduated in May 2007, got hired with Sentara (I'm at Leigh Hospital) right out of school. I work the 3-11pm shift. When I started, base pay was $19.60/hour, with shift differentials for...
  16. The end of C-diff testing??

    This sounds to me like bad practice for a hospital. My hospital is very diligent about c-diff and other potentially contagious and deadly infections. If an MD orders stool samples to rule out...
  17. cardiac nursing versus medsurg?

    Hi there, My first (and current) job out of school was on a Telemetry/medical unit. I graduated in May 2007 and started on my unit right out of school. I hated cardio in school, but when I got to do...
  18. Share your "problem patient" stories!

    My lady who is chronic COPD, with severe anxiety. Try so hard to be sympathetic, but hard when she is on the call light every minute...I just left her room from repositioning her (BTW on contact iso...
  19. Heres one, Crying and paging your MD will not get you more pain meds, just get me more annoyed because I have to deal with the doc telling me to get you to stop calling. Cursing and slamming doors...
  20. Med Error

    Hi, Please don't beat yourself up. Even in a well staffed hospital mistakes happen. I have made a few (luckily without harm to the patient), and have felt AWFUL each time. What's important is that...
  21. Had this problem the other night with a male patient 60 something who was in for syncope. Stank to high heaven, but not homeless (lives with his mom...go figure!). I asked about a bath, he said no,...
  22. Anyone else start in tele?

    Please let us know how you are doing. You sound really excited and up for the challenge. Don't let things like tests, checklists, etc. intimidate you! Just remember, you are new at this, but you...
  23. Yelled at yet again

    I am sorry you had this experience. When I was new, I had several bad experiences with MD's who I now get along with great ( because I have learned how to deal with them). I remember once I called to...
  24. Anyone else start in tele?

    Hi, Good choice! I am on a telemetry/medicine unit (our cardiac stepdown is PCU), and I love it!!! I started there right out of school, and have never looked back. I always thought that I would not...
  25. How to have confidence in what you do?

    It's all in the attitude. My first 6 months or so were the worst! I felt like I knew nothing, could not perform a simple skill competently, and I would always get those questions from patients or...