amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

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All Content by amzyRN

  1. how to perform basic neuro check, not the NIH scale

    I usually ask orientation questions. Where they are, time, situation, seeing if they are A and O x4. I look for facial symmetry and tongue deviation. I test shrug, grip, and dorsi/plantar flexion and...
  2. I'm considering agency work and would need it to be full time. Of course I'm looking at staff positions, but want it as a back up plan. I don't know if it will even be an option because I only have...
  3. What experience level is competitive?

    I can do med surg; but I work on a tele/step down floor now. I'd prefer to work in a similar setting. I would feel more comfortable traveling with a solid 2 years under my belt. I am still asking...
  4. What experience level is competitive?

    Thanks for the info Ned. I actually want to/need to move back to CA and the market is crazy for staff positions. I've had some interest from MGA, but I've heard that even if an agency takes an RN with...
  5. I have 1.5 years experience on a tele/step down unit but will need to relocate back to CA soon. I have an ill relative I need to be closer to. I am worried about the job market there, not being able...
  6. Hi Been there, done that, I tried to PM you back but it says your inbox is
  7. I don't care much about please and thank you's either as much as I do yelling and screaming and throwing things. Some people just don't say please and thank you. Maybe it's a cultural thing or...
  8. How do you know you are ready?

    I think I would really like to work in the Emergency Department, but don't know when I will be ready. I'm still a very new nurse, working on a tele floor. I still have a "brain sheet" that I carry...
  9. I think the nerves go away with time. It's like driving; in the beginning it would make me nervous; now I get into a car and can drive anywhere in most road conditions and feel like I have it down. I...
  10. Priority setting is the most challenging thing to me as a new nurse. I get priority setting in critical situations (I have the ABCs down), but there are subtleties that I sometimes miss. If two meds...
  11. SoldierNurse22 gave some good advice. Make/use a good brain sheet and write things down that you need to do. With passing meds be fully present when you are giving meds, thinking about what you are...
  12. I want to go back to school and get my NP license someday. I don't really know what area yet, probably FNP because it seems like I'd have the broadest opportunities. I only have about 1 year of real...
  13. I know there are people who go straight through; but in this economy some people who do this are left without a job. I don't want to spend thousands of dollars on a graduate degree and be left hanging...
  14. Needlestick ugh...

    That sucks; sorry this happened to you. I stuck myself 3 times with an new insulin syringe and was very glad it wasn't a dirty one. I was still upset that I did this though. I've gotten blood on my...
  15. I usually call on a DPB>100 right away, or a SBP>180 if it's a new occurrence. The DBP >100 is a little more alarming to me. It depends on my priorities though; I remember my ABCs. Always...
  16. Exploring other jobs after 6 months

    Stick it out 1 year. It will look better on your resume and you might be able to transfer to NICU. Leaving after 6 mos might look kinda flaky. It's never a good idea to burn bridges with any facility....
  17. Already burned out?

    Yeah it's normal. I also found orientation more draining and was glad to be done. I think it's normal to feel exhausted until you get a "flow" down. Once you are able to prioritize, it won't feel so...
  18. I've always thought I've been a compassionate and patient listener. Many people tell me that all the time, especially my friends. Lately, I've been feeling so drained by dealing with family. I've been...
  19. IV push and wearing gloves

    I don't always use gloves. I try to though because it's another layer of protection for me and the patient. If I'm in a hurry though, I'll wash hands and do the IV push and skip the gloves. I know...
  20. Two Offers, ONE choice! Which one?!?

    I guess it depends on the type of PACU. Most in patient PACUs require ICU experience first. I'd go for the MS spot because you will get broader experience. It depends on what you want to do in nursing...
  21. Dating former patient

    I see a problem that he has/had psych issues and it would be healthy to get involved with this person. Being a former patient doesn't seem unethical to me, since it was a former (not current) patient....
  22. Med/Surg fail x 2. Now what?

    I wouldn't recommend LTAC because I've heard it's like the ICU but you get worse ratios and the patients are sicker. The only difference between that and a hospital is the patients stay for a longer...
  23. I met another nurse at my work who had an adverse reaction to a vaccine and now has to take expensive steroid shots. I don't know if it was the hep b or what, but each shot is like 5000 bucks. Luckily...
  24. Delegation

    Delegating to nurse aides is something I find challenging. Some of the aides are very good and I don't have to ask them to do much, but sometimes some aides seem to resent when I ask them to do...
  25. Feeling lousy

    Your mistakes don't seem that bad. Everyone makes mistakes. I've learned to slow down a bit too, especially when I have an unstable patient. I'd rather be late on charting than harm a