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Music in My Heart

Music in My Heart

manifesting Philippeans 4:8

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  1. Music in My Heart

    New job and looking for another one

    I totally get the notion of looking to supplement your income. HOWEVER, my advice is to cool your jets and get settled in to your new position for a bit before you immediately look to add another gig. Are you an experienced nurse? Are you looking for another HH gig or to get into an acute care position? My very short take on it is that you're going to dump this HH position the second you get what you're looking for. If I see it, your boss probably will, too. As a newbie PRN nurse, it's very easy to cut you loose. Personally, I'd shore up my present position and go from a position of strength.
  2. Music in My Heart

    I want to leave nursing!

    Telephone triage, telephone advice nursing... still nursing but without much of what you dislike.
  3. Music in My Heart

    Which is a better path?

    Well, I know ICU nurses at our hospital who've come from the floor but we've had a number go from the ED to the ICUs. At least in our facility, the ED would be much better choice because we already take care of ICU patients anyway... vents, titrateable drips, PA caths (in theory)... all the basics (we don't do EVDs or balloon pumps... we've had ECMO set up an run in our ED but that's a specialty team). We also handle more codes than the floors and, at our facility, the floor codes are run by the code team. Your mileage may vary but in my hospital, the ED provides a much better proving ground for the ICUs than do the wards.
  4. Music in My Heart

    Leaving my job

    The longer, the better. IMO, the best approach is to offer up a long notice (say, 1 month) along with a request that they permit you to leave earlier if they're able.
  5. Music in My Heart

    Refuse to Renew Status

    Houston, we have a problem... There are certain things upon which nursing boards really frown... violence and... theft. The problem is compounding... the original infraction might likely have prevented your renewal but the failure-to-report... yeah, they're not real tolerant of that, regardless of excuses... ignorance of the law and all that. And that's a very good thing... but without a license, you're useless to them. Not much time to get it resolved... As someone already posted, you need to be working on your contingency plan right now... you're only looking out a couple of weeks... And not to be the bearer of more bad news but, generally speaking, being terminated/suspended for cause will preclude receipt of unemployment benefits. A lot... probably $300/hour or so. If your state is anything like mine, 12-18 months is not uncommon Certainly. If they're willing to keep you on with a sanctioned license (which generally includes terms like not working alone, limited access to narcs, random drug screens), you've at least got a chance. If you wait and blindside them, that bridge will be burnt to a crisp. Who knows... I doubt it, though... at least not quickly and easily... Get an attorney NOW... like, right now...
  6. Music in My Heart

    Help! I quit my first nursing job

    For certain, your previous boss acted inappropriately. Unfortunately, there is no shortage of people like that sitting in managerial positions in hospitals around the country. That said, you also blew it by running away rather than stepping up to the challenge that you faced. While continuing to look for other jobs -- and yes, you need to list that employer because it will turn up on background and you could then be terminated for lying -- I would go back and throw yourself on the mercy of the manager. If you showed yourself well during your four months, you may have a shot at it. However, given that you say your 3-month eval was poor, they may take a pass (truth is, I probably would... ) And to emphasize what someone has already stated: Be prepared to demonstrate how this won't happen again. It's a big hit to the organization to orient a newbie only to have them quickly flame out. I hope you can find a spot that's more compatible with your personality.
  7. Music in My Heart

    Open Fracture During CPR

    Since I started the thread, I guess I have the right to jerk the tangential acceleration {Note: Jerk is the term applied to the rate of change of acceleration... that is, the derivative of acceleration or the third derivative of position} The username came as I was fiddling around and seeing if I could register with extended ASCII characters. This is the only site I've tried which accepted them -- though I did receive a message saying that I would have to change it... they never forced it, though. Some characters are obtained by using the "Alt" codes (on a PC)... that is, hold down the "Alt" key and simultaneously type a 4-digit number on they 10-key keypad: ALT-0181 = µ ALT-0176 = ° ALT-0177 = ± The note symbols can be found using the character map (generally found under Program Files -> Accessories -> System Tools. From there, they can be copied and pasted. If I try to log in to AN from my phone or a computer which doesn't have the character map, I Google my pharmacology flashcards and then copy/paste the username from the thread. OK, back to your regularly scheduled programming...
  8. Music in My Heart

    Med Admin

    Well, I have no idea what they're looking for and you haven't provided a clear problem statement... morphine would never be ordered by volume. You say that you're going to give 0.2 mL which, given the 10 mg/mL concentration means 2 mg (which is a common starting dose for morphine). The quickest and safest way to give the medication would be to grab a 10 mL flush, discard 1 mL, and then draw up the entire morphine contents from the vial giving you a syringe with 10 mg of morphine in 10 mL of solution... or 1 mg/mL I can give you more guidance if you post the problem statement VERBATIM
  9. Music in My Heart

    Anyone else feel this way?

    As with all diversity, it changes the dynamic of the unit. With certain patients, it's often helpful to have men who can assume the assignment. This is typically with male patients who are sexually inappropriate or with the misogynist types. And the truth is, when patients become combative, it's nice to have several large, male nurses who can help pin them down while the gals apply the restraints and hit 'em with the meds. In terms of just regular old nursing, gender makes no difference whatsoever.
  10. Music in My Heart

    Job prospect for males

    I guarantee you, your gender has nothing to do with your lack of job offers. There are lots of men in nursing, particularly in the ED and ICUs. You say you've applied for a dozen jobs... that's just scratching the surface. I personally know people who've applied for well over 100 jobs throughout the country. Several of our new hires are graduates of local schools who moved to NY, TX, CO, IL, and WV to begin their careers. If you're only applying locally, you're severely limiting your options and you should expect it to take a very long time to find a job.
  11. Music in My Heart

    Open Fracture During CPR

    In my mind, it is actually "music" although "song" works as well. When I first submitted the username, "music" is what I was thinking.
  12. Music in My Heart

    How important are minors?

    The only minor that matters at all is one in a foreign language, presuming that you've acquired that language during your studies. If you eventually want to be a nurse manager after acquiring sufficient experience, an MSN and/or MBA are useful. To be a "pediatrician" nurse is simply a matter of orienting to a pediatric unit and perhaps earning a peds-specific certification such as those offered through ENA or AACN. If by "pediatrician" nurse you mean a pediatric nurse provider, you'll ultimately go back to school as an NP or CNS. Regardless, a minor really confers no advantage that I can discern.
  13. Music in My Heart

    Critical Care IV Drug Calculation.. Please Help me!

    Look at it this way: Say the titration *does* matter to this problem... Do you have enough information? Clearly not because the obvious question is "help maintain the patient's blood pressure to what?" The answer to that depends on the clinical situation and the physician's goals for that particular patient. You get this, you just don't realize that you get it.
  14. Music in My Heart

    Nursing school help???

    There's nothing special nor unique about nursing courses nor the two that you've specifically mentioned. As with all courses: + Study regularly and routinely... that is, every day.. + Break up your study sessions into blocks of about 45 minutes and then give youself a few minutes away from it. + Use those last 20 minutes or so while you're in bed, falling asleep, to review topics that you've studied + Capture the down-time of waiting in line, waiting for class to start, walking to your car, etc to review flashcards + Repetition, repetition, repetion + Always look for "why" something is or is not important and how it relates to other topics + Know your vocabulary... if you can't speak about something concisely, you don't really get it And courtesy of medical education: See one, do one, teach one (even if you're playing each role)
  15. Music in My Heart

    Should urine catheterization hurt?

    Anecdotally, every time I've seen a nurse use lido jelly, they don't give it any time to work and then conclude, "oh, it doesn't make any difference." The research studies that I've read typically leave the jelly in place for 30 mins and utilize an external stricture or the patient's grasp to keep the jelly in place. From my observations in men, it makes a huge difference. If I ever need a Foley and I'm alert enough to know, I will demand the lido and insist it's used properly. I actually had a doc give a patient a whiff of Amidate prior to inserting a Foley.