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OR, Pediatrics
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JHRN2BE has 1 years experience and specializes in OR, Pediatrics.

Wife, Mom of 2

JHRN2BE's Latest Activity

  1. JHRN2BE

    Rapid Response Team?!?!

    We have RRT's at our facility (large pedi hospital in Houston) and they work great. We do not have specific parameters as far as VS go, but there are guidelines such as rapid change in condition, family/parent concern, etc. I have called several and they work fantastic to help get the patient transferred to an ICU environment rapidly, if needed. We call *9999 and tell the operator we are calling an RRT and to what room. Nothing is broadcast overhead EVER. It is all done through pagers/spectralink as to not alarm patients/families. Who responds...NICU MD, Residents, RT's, NAC's, Charge RN (who is involved when calling RRT), PCA's. It is fast and effective. I am grateful for RRT's as I have had 2 out of the 3 pt's I have called RRT's on be transferred to PICU.
  2. JHRN2BE

    Where do you work?

    Texas Children's Hospital in Houston on surgical/ortho floor (pre-op/post-op). LOVE IT! :wink2:
  3. JHRN2BE

    Humalog IV?

    I am an IDDM w/insulin pump (which uses Novolog OR Humalog) and work at a Pedi hospital. Personally, I have only heard of Regular insulin to be given IV. On my floor we don't give insulin via IV, so things may have changed since nursing school. Humalog is rapid acting, so I would 'think' that would be too rapid and cause more problems. ?????
  4. JHRN2BE

    Pediatric Urine Collection

    I work at a large children's hospital and we use cotton balls...usually 3 or so in the diaper for urine glucose checks while on TPN. Works great!!!
  5. JHRN2BE

    Texas Children's Hospital not what I thought

    That's a shame. I have been working at Texas Children's for over 2 mos. as an RN and LOVE IT!!! I love the floor I work on, the staff, the patients, the management, the benefits, the pay...EVERYTHING!!! I drive a ways, but it is worth it and I do it with a smile because I've worked at a local hospital and they aren't even in the same league. It is hard to get on at TCH. You can tell by the job listings. there usually aren't many RN positions open. To each his own...some things may be good for one person and not another. Just means that it may not be the place for you. You'll find it! Best of luck to you!!!
  6. JHRN2BE

    the houston dilemma-need your help!!

    I live in Houston on the edge of Cypress & Tomball. If it were me, I would choose The Woodlands. It is beautiful!!! The 2 hospitals out there are Memorial Hermann & St. Luke's - The Woodlands. Also, there is Conroe Hospital just north of The Woodlands. There are PLENTY of surgery centers around here. Spring Creek Surgery Center, Sterling Ridge Surgery Center are 2 that I can think of off the top of my head. Best of luck to you!!! J
  7. JHRN2BE

    When has your intuition saved the day?

    Have you ever heard of a "medical intuitive"? This is an amazing gift!!! Intuition is like a muscle..the more you work with it and trust it, the stronger it becomes. Good for you, "Dr. Robyn"!!
  8. JHRN2BE

    When has your intuition saved the day?

    Yes. I have felt things, too. This is exactly what we learned about in Massage Therapy school. It is possible to 'feel' other people's ailments, pain, emotions, etc. I posted previously about using "What's mine is mine, what's theirs is theirs." There are also other visualizations to use such as grounding. I have used grounding (meaning visualizing a cord or tree trunk passing through the body out the bottoms of the feet and connecting to the center of the earth. Then a golden cord coming up the spine out the top of the head is connected up. If a tree trunk is too strange..then use candy canes, whatever you wish.) This is meant to help you stay focused in the present. As far as intuition, there are so many books out there to help develop intuition and learn techniques. If you have trouble visualizing this, a teacher once taught me to visualize myself as a stick figure. As with anything, use your best judgment as to what works for you. If I hadn't been to massage therapy school, I would have NEVER known about this. It has been great information to have as an RN. Best of luck to you!!! Hope this helps!!! JH
  9. JHRN2BE

    What Do I Do????

    Since you already have a BS, you can enter an accelerated RN program (13 mos.). Check the universities in your area. My friend in Colorado took this route and said it was rigorous. I went the ADN route and it was tough, too. You also mentioned becoming an NA...did you mean CRNA? If so, I believe you need CCU experience as an RN before you'll be accepted into a CRNA position. I work in the OR and there are many CRNA's as well as AA (Anesthesia Assistant's). I asked the AA about his position and basically it is a PA for anesthesia. There are only a few programs in the country, but they do NOT require CCU experience. In fact, you don't have to be a nurse. Search it up and check it out. Hope this helps!!! Best of luck to you!!! J
  10. I am new to the OR (it's been about 5 weeks) and love it! My preceptors have been helpful and are right there with me guiding me as I prep the patient, position, paperwork, etc. It is an EXTREMELY stressful position with SO MUCH to learn. Don't worry about catty nurses. If it's what you enjoy, then go for it! OR orientation can take 6 mos. and that is a long time for anyone to be working with a new grad. It takes a great deal of patience!!! But as a PP stated, if you are putting for the effort to perform new skills and get in there, then it is easier on you. Best of luck!
  11. JHRN2BE

    Negativity; questioning nursing school

    Congrats to you on your goal to become a nurse! I'm a new nurse myself. It isn't all negative. There are so many options as a nurse and MANY specialties to go into besides med/surg fresh out of school. The good FAR outweighs the bad. As with anything, take a step back and look at the big picture. Sure, there are frustrating days, but there are plenty of good days, too. Best of luck to you!!!!! JH
  12. JHRN2BE

    When has your intuition saved the day?

    I am a new RN and am a former massage therapist. In massage therapy school an instructor taught a simple affirmation to say before working on clients. "What's mine is mine, what's theirs is theirs." To me, this means that anything I'm dealing with in my life is mine and vice versa. What you are describing is that you are 'empathic'. There are so many things you can do to help you not take on other people's 'stuff'. It helps to know there are tools to use to keep the focus on the pt. AND help us as nurses avoid being drained physically and emotionally. Hope this helps!!
  13. JHRN2BE

    need some encouragement :(

    I graduated in May with my ADN and have had several friends who had to fill out the form for review (can't recall the name) b/c of MIP or whatever. My school recommended we get it taken care of at the beginning of the our last year to ensure we have our necessary paperwork before graduation. One of my friends sent hers in the last semester and got it back pretty quick (I think a month). Hang in there!!!
  14. JHRN2BE

    Working with new circulators

    Thank you for your post! I am a new circulator AND a new grad a month into orientation and it can be overwhelming! I have had 3 preceptors over the last month and I am beginning to understand why it is so challenging. You are correct in stating that there is no education for the OR in school and we are starting fresh in the department, unless you have worked in the OR before. Now, on the floor as a new nurse, it seems that generally you have some autonomy in taking care of patients, but in the OR there are MANY eyes watching you at all times. When prepping the patient whether it's a foley or preparing the surgical site, there is the anesthesiologist, scrub tech, preceptor, and possibly the Dr. and a PA, sometimes tech students AND nursing students AND possibly a rep if it's an ortho or CV case. IT IS NERVE WRACKING to have that many eyes on you watching!!! Some days it feels like everyone is on your case about one thing or another. I keep telliing myself that I've only been in the OR for a month and I am still VERY new and can't know it all yet. Some days I have felt like beating my head up against a wall, but for the most part I truly am enjoying it and am looking forward to the day when I'll be off orientation and on my own. It is tough to be a preceptor and the newbie. I have told my preceptors that I know it is challenging and requires patience to do all the teaching. I've been on the receiving end of some negativity and it stinks, but I certainly know how NOT to treat the new people. For the most part, it has been great! I work with some knowledgeable people and am learning from everyone. My hats off to all OR nurses out there. So many people think that circulators have it easy, but BOY ARE THEY WRONG! It is an EXTREMELY CHALLENGING JOB!!! Thanks again for bringing this topic up!! I needed to hear it!!!
  15. JHRN2BE

    Getting into OR nursing

    I just graduated in May and accepted an internship in the OR and the only experience I had was a month of training to be an evening OB scrub tech in a slow unit in another city six years ago. I couldn't tell you anything about instruments, so it is true that you can get a job in the OR w/o experience. They didn't care about my grades....just that I passed exit HESI and passed my boards (which I took yesterday and am awaiting my results as we speak!). The hospital I work for is one of four in the surrounding areas and this hospital was the only one which offered an OR internship. They accept 2 new grads a year...1 in spring...1 in summer. I suggest researching online the hospitals of interest for the types of internships they offer OR call the Nurse recruiter at the hospital you want to work. Just a few suggestions. I spent the last 2 semesters at the hospital I was offered a job with...we were told that it is helpful to do clinicals where you want to work and it has paid off for everyone that I know in my class. Also, we had several students working as CNA's/PCT's and each of them were offered positions with the hospital AND most of them were offered more money b/c of their experience within their department. It certainly doesn't hurt to work as a CNA, but it won't hurt you either. Best of luck to you!!
  16. JHRN2BE

    Freaking Out Now!!

    i just took nclex-rn today (wed. 6/6) and i heard someone got their results the next day. works for me!!! when i log into pearson vue it says in red exam results not available or something like that. that test was interesting...cut off at 75. someone mentioned that you can go to the bne website and verify licensure, too. i know that myself and many of my friends from class were able to look ourselves up to verify gn status. i've checked that, too and it says "no results found" or something like it under registered nurse licensure. good luck!! jh