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Nurse Beth MSN

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Hi! Nice to meet you! I love helping new nurses in all my various roles. I work in a hospital in Staff Development, and am a blogger (nursecode.com), author (Your Last Nursing

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  1. Nurse Beth

    Are O2 sats a vital sign?

    Pulse ox is a standard just like a B/P and doesn't require a provider's order. Now capnography is becoming more widely used. I checked with the CA BRN and an order is not needed for capnography.
  2. Nurse Beth

    when should i tell my manager i'm pregnant?

    There's no downside in telling her but there are downsides in waiting. You do not want her to be the last to know, or hear it from others, like @traumaRUs said. You'll feel better knowing you don't have to conceal anything.
  3. Nurse Beth

    New Grad Leaving at 1 Year

    Dear Nurse Beth, I am currently working in an icu setting as a new grad. I've been working for 6 months and my 1 year mark is up in August. I am planning on moving to a new state in September. I feel guilty quitting so early but I don't really have a choice. I really love my job and want to leave on a good note all though I am leaving earlier than I initially anticipated. It would be ideal to have a job lined up before moving, so I'm wondering when would be a good time to apply for the new state's license/start applying for jobs? When should I tell my current manager about my plans? Thanks so much for your time. I sincerely appreciate the assistance! Dear Moving at One Year, The best time to tell your manager is when you give your 2 weeks notice. Any time you give notice there's a chance the employer can respond with "Thank you and you can leave today". Another reason for keeping it to yourself is that employers and even nurses on the floor will most likely to be sad to lose you, and some will even feel betrayed at having put time into your development only to have you leave at the point where you are starting to practice independently. These feelings are understandable, especially in facilities where there is high turnover. This is not to guilt you, because in your case you said you have no choice. It's to know what to expect when you announce your plans. I would start applying for endorsement to another state now. Some states are notoriously slow, some not so much. As far as applying for a job, it depends on the market where you are going. It's better to start sooner rather than later, as HR processes and interviews can take awhile. By sooner, think May-June with a start date of Sept. In many areas, recruiters are glad to have new hires in the pipeline. Once you have a job offer, ask if they provide any moving assistance- sometimes it's not given until you ask for it. Best wishes, Nurse Beth Author, "Your Last Nursing Class: How to Land Your First Nursing Job"...and your next!
  4. Nurse Beth

    Nurses Call the Governor of Tennessee

    Breaking news: The Institute for Safe Medicine Practices (ISMP) supports Rodonda Vaught. In a statement released today, the ISMP: Believes we have an obligation to change the culture of blame, abandonment, and isolation towards second victims States there were no effective systems in place to prevent removing and administering a neuromuscular blockade after override Does not believe criminal action will improve safety Urges leaders to be accountable, avoid the severity bias and establish a Just Culture
  5. Nurse Beth

    Nurse Charged With Homicide

    Breaking news: The Institute for Safe Medicine Practices (ISMP) supports Rodonda Vaught (RV). In a statement released today, the ISMP: Believes we have an obligation to change the culture of blame, abandonment, and isolation towards second victims States there were no effective systems in place to prevent removing and administering a neuromuscular blockade after override Does not believe criminal action will improve safety Urges leaders to be accountable, avoid the severity bias and establish a Just Culture
  6. Nurse Beth

    Nurses Call the Governor of Tennessee

    Sometimes I hold 2 opposing thoughts in my head. And allow them both to sit there.
  7. Nurse Beth

    Pre Reqs at Community College

    Dear Nurse Beth, Should I do my pre reqs at a community college(currently doing now) and then go to a uni for my nursing program? I'm doing the RN to BSN route. Dear Pre Reqs, It's good you're planning on getting your BSN. Doing pre reqs at a community college can save you money, and then you can transfer to the four year college for your nursing program. Just be sure your credits are transferable. Some community colleges have agreements with universities which facilitate transfer of credits, and some innovative community colleges are offering RN to BSN programs to help meet the need. Best wishes, Nurse Beth Author, "Your Last Nursing Class: How to Land Your First Nursing Job"...and your next!
  8. Nurse Beth

    Loan Forgiveness for NPs

    Is your area an MUA or HPSA? I did know a nurse who worked an Indian reservation for loan forgiveness.
  9. Nurse Beth

    Loan Forgiveness for NPs

    Employers sometimes offer NPs loan forgiveness as a recruiting tool. I have seen this in clinics in underserved areas. But that's the employer's choice.
  10. Nurse Beth

    Do I Need my BSN to Travel?

    Dear Nurse Beth, I am considering to go back to school to get a BSN. I would like to travel and I am wondering if a BSN is more attractive to employers. I have been in the Dialysis section of Nursing for about two years now. Dear Wants to Travel, It is important to get your BSN and I hope you will. You will have a lot more career options with a BSN. As far as traveling, it's not required to have your BSN. Agencies do not require it, although it's possible a hospital may prefer or even require their Travelers to have a BSN. When a hospital hires Travelers, it's because they are in need and what is important is experience. Travelers are expected to hit the ground running. Best wishes, Nurse Beth Author, "Your Last Nursing Class: How to Land Your First Nursing Job"...and your next!
  11. Nurse Beth

    Nurses Call the Governor of Tennessee

    Thanks, HomeBound, I respect you, too. I agree with you, that's why I chose the words "to let him know what you think about this choice"
  12. Nurse Beth

    Nurses Call the Governor of Tennessee

    Here's a synopsis of the Denver case mentioned by @juan de la cruz In October 1996, a medication error at a Denver-area hospital resulted in the tragic death of a newborn infant. The error involved intravenous administration of a large dose of penicilin G benzathine. Penicillin G benzathine is insoluble and must never be injected intravenously. Many who learned about the incident were quick to focus blame for the death solely on the nurses--because nurses are responsible for knowing about the potential dangers of drugs they administer. The District Attorney of Adams County, Colorado, brought the case before a grand jury. The three nurses involved in the infant's care were eventually indicted for criminally negligent homicide. In preparation for the trial that followed, a systems analysis was performed by the authors on behalf of the defense team. The analysis revealed over 50 latent failures in the system that contributed to the tragedy, allowing the accident to occur. After being presented with the evidence during the trial, the jury delivered a 'not guilty' verdict. Through their verdict, the jury also sent an important message to health care providers: We must look beyond blame and focus on the multiple, underlying system failures that shape individual behavior and create the conditions under which medication errors occur.
  13. Nurse Beth

    Nurses Call the Governor of Tennessee

    In one study of inattentional blindness, 5 radiologists viewed a chest Xray with a missing clavicle. Not one identified the missing clavicle. Then there's the famous gorilla in the background You Tube. We see what we expect to see- confirmation bias.
  14. Nurse Beth

    Nurses Call the Governor of Tennessee

    They are making critical decisions and do have distractions. Pilot Sully is a national hero. So are countless nurses I've worked with. The difference is it's not built into a pilot's job description that they are purposely and routinely interrupted while making said decisions. Pilots aren't going to answer the light of the passenger in Row 1C who wants a drink. Whereas nurses are expected to mange call lights, push meds, answer their phones, and so on. As if they are not making critical decisions.
  15. Nurse Beth

    Nurses Call the Governor of Tennessee

    Guilty as charged, it's me. Apparently I can't be quiet when I'm passionate. The 3 threads are related, but separate. The first was an article back on December 1, 2018. Next was a short poll 2 months later when she was arrested. Then a short call to action with contact info for the Governor and DA. Honestly, if she goes to court or is sentenced, I will probably write another article.
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