TakeTwoAspirin

TakeTwoAspirin MSN, RN, APRN

Peri-op/Sub-Acute ANP

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All Content by TakeTwoAspirin

  1. New Grad Job Offers Advice

    Just my opinion, but I would not accept an offer in pain management as a first position. I think the cardiac job will give you a much better skill base, and frankly is probably more highly regarded...
  2. Second career nurses: what if you ended up not liking nursing?

    What you are really asking is for us to know you better than you know you! There is no definitive answer. Personally, nursing was a second career for me too and I proceeded very carefully because I...
  3. I need help. =(

    It's not clear what is going on. Are they taking you out of the ED and putting you onto a med/surg unit for a month to see if you do OK there? If this is the case, then they sound like they are...
  4. Palliative care in nursing

    I'm curious as to why you were taking vital signs on a patient who was DNR? Once a patient is "comfort care" with DNR orders we stop doing vital signs because, really, what difference does it make...
  5. Being Bullied

    SMH.
  6. Not getting charge nurse position

    frisky, believe me, I hear you with that. We are the same age and while I loved bedside nursing I realized that my days were numbered because physically I was burning out. That's what drove me to...
  7. Not getting charge nurse position

    OK, I'm just going to put this out there to be devil's advocate. Just because you have years of excellent nursing experience and are a competent and effective bedside nurse, it does not necessarily...
  8. Marijuana and type 2 Diabetic / school nursing

    How old is this student? Are we talking high school or college? Why can't you test? If he is underage your responsibility is much greater than if this is an adult making their own
  9. Tourniquets?

    Having been both a circulating nurse and PACU nurse, I have to admit I would have flipped also. Even though the cuff was not inflated, when you place a cuff on an extremity you put it on the...
  10. Be honest . . . medical school?

    I keep hearing about all this tension between Doctors, PAs and NPs. In my reality, I haven't witnessed it to any significant degree. Certainly not jealousy between NPs and PAs, and very few...
  11. I think that as you gain more experience you will learn to depersonalize such experiences. It doesn't sound as if you did anything wrong, she just didn't connect with you. That's OK. It's not about...
  12. Tablets

    I have a Nexus 7 which I love. It's not over-priced and is very easy to use. I'm a technophobe myself and if I can use it, anybody
  13. SRNA looking for advice

    Usually, the circulating nurse is busiest at the beginning and end of the cases. Be mindful of this. Make sure that you have everything you need to receive the patient and intubate them without...
  14. Deliberate sabotage?

    Good management would be for her to inspect the rooms, note any deficiencies, and speak privately with the nurse who set the room up to discuss any additional training needed in order to meet the...
  15. Foley placement

    Our policy is "no urine return, no inflation of balloon". If there was 100cc of urine in the bladder, if it was placed correctly you should have been able to get some kind of a return. Ask someone...
  16. Showing appreciation for our surgical techs

    If there is a beauty/massage school close-by, you could ask the school to send students to come in one day so that they could practice chair massages for all the
  17. IV order to discontinue?

    What does your facility's policy say about the removal of
  18. Nurse retention

    If you are a regular reader here, you might notice that when people are talking about "should I leave, or should I stay" the most often cited reason for wanting to "get out" is the quality of both the...
  19. Pain relief without fostering addiction

    I think we are bundling addiction into one nasty catchall that everyone is vulnerable to. I don't believe this to be the case at all. For a start, there is physical and psychological dependency. In...
  20. No time for ethical dilemmas

    This is a pretty big question and it would help if you could give an example of what kind of ethical dilemma you fear. However, very broadly speaking, when faced with an ethical dilemma I pretty much...
  21. Casualty of the System?

    Aside from working on getting your professional life back on track, I would urge you to talk to someone about your panic attacks, anxiety and depression. It sounds to me like you are in a very bad...
  22. Foster Care Physicals

    I would write something like: First visit with this patient. ___ time spent on H&P. No labs or previous records available at this time. While this may not seem to be "nice" it would be the only...
  23. So long as everyone who has been present in the room is documented as part of the record (in and out times, etc) I would be OK with it. Even with electronic records, the final nurse taking care of...
  24. Fitzgerald Review Course

    I second what JulesA says. Particularly at the start of the program you will have your hands full with taking on a lot of new knowledge and review courses will just add to the feeling of being...
  25. Do Male Nurses Get More Respect?

    Yes, I have seen this. Not everywhere, not everyone, but I have seen