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NurseNature's Latest Activity

  1. NurseNature

    new grad vs 1 yr exp. orientation to ICU

    I am interested in ICU; however, I felt starting in medsurg would give me some time to learn a few basics first, as I just graduated in May. So, my question is this: If I want to transfer to ICU after just one year of medsurg... will I get a good, long orientation to the ICU unit, or will I have a shortened one and be expected to know a lot more than a new grad orienting to the ICU unit? I am in my last week of medsurg orientation right now and I feel like I don't know anything - kind of like most new grads on here have stated as well.
  2. I am a new grad RN and I am currently on the night shift. I love the night shift; however, I do not feel I am getting nearly as much skill practice/knowledge as I would be on the day shift. All drsg changes are done on days, unless oozing or something... which I haven't come across yet. Foley's are not often put in at night, or taken out. I've been working for two months now and I just don't feel I have aquired many new skills or have had the opportunity to. Will I get a lot of experience if I stay on nights for a year or so? I don't want to have a whole year of experience and then transfer to another unit or dayshift and not know how to do anything. I think I would like to try ICU, in time, but I would like to learn a lot of basics before trying to jump into that. What do you all think? Am I being impatient or are nights just not optimal for new experiences?
  3. NurseNature

    poor people get poor tx?

    Clearly, none of the examples I posted, other than the first b/c I didn't explain why he was admitted, were not simply "frequent flyers." And I would have had no problem if the med student would have tried twice, or even three times to insert the IJ; however, after the third time when the pt had a seizure and was clearly extremely uncomfortable, IMO, it was time for the doc to say enough is enough and I will insert it. I suppose I need some advice when it comes to advocating for the pt's in real pain, whether addicts, not frequent flyers, or not, need it. I am a bit timid at this point, as I am still in orientation technically, to say more than the situation at hand, when speaking with a doc. Many of the docs I talk to are new also, as we are a teaching hospital. I don't know. I think the hardest part of the transition from student to nurse, so far, is that things are not as they should be according to school. I know an extra dose of such and such pain reliever is not going to cause detriment to my pt that is writhing in pain, but I cannot seem to do a darn thing about it. I want the ivory tower ideology when it comes to my pt's or anyone else's for that matter. Keep the comments comming... I really appreciate all responses.
  4. NurseNature

    poor people get poor tx?

    I am a new grad RN and I feel I work in one of the best hospitals in my city. I have mostly seen equal tx of all pt's and a good majority of our pt's do not have insurance- I believe we were told about 40% of our pt's do not have insurance. Although, there have been a few situations that have really peeved me off. I would like your opinions on the following. 1) A homeless pt was subjected to a new med student putting in an IJ when a PICC was actually called for. The doc wanted her to get the experience. The student finally got it inserted on her FOURTH try and after causing a significant deal of pain for the pt and not to mention, a seizure during the third attempt. 2) Pt's that come in with illegal substances in their system do not get adequate pain control. We have many many of these pt's. We were taught over and over again in school that addicts may have built up tolerance to opiods and we should advocate for them appropriately. Doesn't seem to work with the doc's at all. I've had so many pt's that were writhing in pain and probably withrawling at the same time and only have prescriptions for a lortab or even one pt with a children's dose of pain relief. Grrrr. 3) Pt came in w/seizure and fell on rocks face first. He had a CT and urinalysis and once those were cleared he was let go with ABX and 10 tylenol 3's. This was his first seizure ever, he had a suspected broken nose, an injured shoulder from the fall... no xrays ordered, and the blood was not cleaned off his face enough before discharge to even see that a rock had pierced through his lip completely. Grrr. So, if these pt's were known to have insurance and/or did not have illegal drugs in their systems... would they have recieved this same tx? I know I am new and don't know a lot, but come on, even I can see there is something wrong here. My offering of a warm blanket or an ice pack is not going be enough for any of these mistreated pt's. Thanks for letting me vent and I look forward to any and all comments.
  5. NurseNature

    Is Rehab the wrong place to start out?

    I just started on a med/surg floor and I was actually just wishing I had taken the rehab floor offer instead. I feel it will take a long time to get used to using the hospital forms and policies/procedures, computer system and everything else that is overwhelming when starting as a new nurse.
  6. NurseNature

    The 10 Commandments for Healthcare Professionals

    I am not Catholic and I enjoyed it! I did, however, question the "fertility is not a disease" quote and believe infertility comes from disease, thus, infertility can be a treatable disease. Apply the boat story to infertility and one could argue that many treatment options are comprable to the three boats God sent to help the man. And, no, the Sabbath doesn't mean there should be no work on Sunday. That didn't even cross my mind as I read that section. My interpretation concluded that rest is vital to all and we should take care of ourselves physically and spiritually. Nurse burnout might actually drop as a result of this practice. I also don't quite understand how extraordinary measures can be deemed as comprable to idolatry. Everyone has their own definition of what extaordinary measures are and no one is under the illusion that we can ever keep a body from ever dying. Thanks for the article!
  7. NurseNature

    good shoes for big girl?

    These (ryka's) do look very comfy and they are not outrageous in price. I think I am going to try them, thanks!
  8. NurseNature

    good shoes for big girl?

    I am currently pretty overweight and my feet are pretty particular as to which shoes work and which do not. Anyone know of some great shoes for a big girl like me? I've tried many kinds but the few comfy ones either didn't last very long before wearing down or they had heels that were not fully covered and that doesn't work well when you have to walk backwars for any reason as they become a huge fall risk for the wearer. Thanks if any other bigger girls have some suggestions!
  9. NurseNature

    HOPKINS: 20 minutes into the show

    Did anyone watch the new series "Hopkins" on Thursday night? I was very excited for a "reality" hospital show as I had hoped for one for years now but figured it would never happen b/c of HIPPA. Well, now that it has come to fruition... It's not at all what I was expecting. After I got over the fact that it was completely Dr. centered (which really angered me at first) I was able to enjoy it, mostly. I wish nurse's roles were shown as I was very much looking forward to seeing other nurses in action and possibly even learning a thing or two. How did you all feel about it that were able to see it?
  10. NurseNature

    Stroke Care

    I had an instructor tell the class that TPA is actually too dangerous for most doc's to choose to use. He said that he only saw it used twice and both pt's died. Is this bologna (sp.?) or is there some truth to what he said? (Obviously, for ischemic strokes only, in the right time frame, and fitting the criteria.)
  11. I am getting ready to start at St. Luke's Hospital and just wanted to check in and see if anyone else works there or has worked there. I am very excited to get started. I researched a lot of local hospitals and feel this is the best fit for me. The gym has a swimming pool AND a raquet ball court??? I am so pumped!
  12. NurseNature

    Prepping for the NET

    I actually asked my husband to re-teach me all the elementary math and basic algebra. I had him take me through step by step and he made me some worksheets with practice problems. I probably can't lone you him, but maybe you have a friend or loved one who can do the same for you. I am definitely math challenged and need someone to patiently explain it all to me or I just won't get it. Math drives me crazy because there is never an anwer to "Why?" other than "Just because." Oh, OK, now I get it, thanks!?!?! I also made sure to read as much as possible before taking the NET simply to quickly boost my reading speed and comprehension somewhat.
  13. NurseNature

    anti-coagulant question

    Why would it effect one and not the other - in regards to venous vs arterial? I think I am missing something here, or possibly part of my brain.
  14. NurseNature

    anti-coagulant question

    Thanks to all! So, if many asthmatics are sensitive to asa, how about COPD-ers, pneumonia, etc...?
  15. NurseNature

    anti-coagulant question

    Why is vitamin K contraindicated with Warfarin, but not with other anti-coagulants like dipyridamole and aspirin? Also, I read somewhere that dipyridamole and aspirin together (agrenox) was to be used with caution with asthmatics and such. I cannot come up with any reasons for this. My Davis drug book doesn't always expand as much as I would like it to sometimes. It is awesome, but I would like even more detail if there are better books available.
  16. NurseNature

    Anyone else let down by their school?

    Thank you all so much for sharing your disappointments with me. I am usually a positive person and enjoy positive stories, but, right now, I am in a slump and just wanted some companionship down here. I don't want to discourage anyone or bring anyone down, but rather hear that I am not alone in feeling my school has big problems. There are actuallly 6 instructors that are quittting/being let go at the end of this semester because of messed up circumstances our class has had to perservere through. Nursing school is largely self-taught and I don't have a problem with that at all. I do ask questions, but usually not during lecture; however, many times my questions cannot be answered because the teachers don't want to wait five minutes to answer them. My clinical experiences have been a complete mess- similar to the one listed above. We have had clinical instructors throw and break things in the clinical setting. We have been cursed at by them. We have been belittled in front of patients on many occasions. Our class started with 74 and now we have 32 of the original class in our last semester with us. Of those, many may not be graduating. Yes, nursing school is grueling, but come on - these circumstances are not okay and we are left feeling completely powerless and taken advantage of. Thanks again for sharing your experiences that have been less than warm and fuzzy. :heartbeat