cjcalimer

cjcalimer

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All Content by cjcalimer

  1. Job Interviews: Highlighting Benefits of NP

    cjcalimer posted a topic in Nurse Practitioners, NP

    I've recently passed my boards (yay!), gotten my liscense, and started the process of applications and interviews. One question that came up that I felt like I had a lame answer for was about the...

  2. Review options to have when STARTING NP school

    cjcalimer replied to BirkieGirl's topic in Student Nurse Practitioner

    We discovered our last semester that our instructors has been snagging test questions from various review books on our tests all along. Makes me wish I had bought them sooner. I just took and passed...

  3. NP programs, online vs. in-class - opinions?

    cjcalimer replied to mgrenwic's topic in Student Nurse Practitioner

    Exactly this!! Also consider how much (if at all) you might want to work during the program and how flexible your work schedule is. I worked full time while working on my MSN part time because my...

  4. need advice from you all I've been charged with a felony but not convicted

    cjcalimer replied to BAP2013's topic in Licensure: Criminal History

    You need to contact your BON and consult with your lawyer about the legal implications of testing without disclosing this

  5. No More ED Report?

    cjcalimer replied to FarmerFNP's topic in Medical-Surgical

    My hospital tried to pilot something similar. We don't have a unified computer system or honestly even working faxes on every unit. So the solution was that the burden was put on the floor staff. We...

  6. Shareholder in a private practice

    cjcalimer replied to orangepink's topic in Nurse Practitioners, NP

    Yes! One of my former preceptors was given the option to buy in to an internal medicine practice after being there for about 7 years. Another also started a visiting doctor service in collaboration...

  7. How to prevent falls

    cjcalimer replied to Karolyte's topic in Orthopedic

    Just to add to the general consensus.... As far as the OP goes...I have no idea! Sure, we have a few patients who buckle. Luckily, PT generally works with our patients post-op afternoon/evening so...

  8. How does your program verify clinical hrs?

    cjcalimer replied to TheDude77's topic in Student Nurse Practitioner

    My school also uses Typhon. We have to submit a calendar at the beginning of the semester and we have a site visit with our clinical faculty. I guess technically they could stop by any day we're there...

  9. Working after BSN or directly to NP program

    cjcalimer replied to guest682402's topic in Student Nurse Practitioner

    Here's one you might not have thought of. If you're able to work and go to school, your job could very well pay for part of your tuition or at least subsidize your living and healthcare expenses....

  10. Arthrocenitis- What medications are given?

    cjcalimer replied to 1fastRN's topic in Orthopedic

    It completely depends on the rationale for the procedure. If it's just to extract synovial fluid for testing (tapping the joint), then nothing is typically injected. Steroids would be contraindicated...

  11. Safe Nurse Staffing for Patient Safety & Quality Care Act

    cjcalimer replied to j0yegan's topic in Patient Safety Issues

    I've been a nurse on an Orthopaedic unit for almost 7 years on night shift. I can say how my night goes has aboslutely nothing to do with how many patients I have. I could have three patients at 7pm...

  12. Ethical Dilemma

    cjcalimer posted a topic in Patient, Colleague Relations

    I had an incident come up recently, but I wanted to see what you all thought. I don't remember all the specifics, but I'll give you the scenario as best I can. I had a patient who had surgery a few...

  13. New grad feeling left out

    cjcalimer replied to lovelylady3's topic in First Year After Licensure

    When I interviewed at my current (and first) nursing job, my now manager briefly and individually pulled two different nurses that had recently started off the floor and and allowed us a few minutes...

  14. nurse rights

    cjcalimer replied to nursetana's topic in Patient, Colleague Relations

    As a nurse in PA, I've always found this thinking espeically flawed. As a floor nurse, I deal with the ER patients once they came to the floor and the Psych patients before they're stabilized for...

  15. 12 hour shift

    cjcalimer replied to haiman7's topic in General Nursing

    I worked two 8's and two 12's for four years before I finally got 12's. I can say hands down I'd rather work 12's. And I think my patients get better care and I'm less stressed. When you work 8 hours...

  16. Running PRBC concurrently with NS?!

    cjcalimer replied to nurseap's topic in General Nursing

    The best thing to do it to check your hospitals policy on blood administration. It doesn't matter what the nurses on your floor say is correct or incorrect, it all comes down to the policy. You are...

  17. How long can a patient go without urinating after receiving a Duramorph spinal?

    cjcalimer replied to willyRN86's topic in Orthopedic

    Our Duramorph patients always keep their foley till 6am POD#1 (which is part of the reason we don't use it anymore). As far as voiding, our docs tends to be pretty laid back about it. I'd bladder scan...

  18. Patients who can do ADLs but want nurses to

    cjcalimer replied to destova's topic in Patient, Colleague Relations

    We actually had a patient who faked being a para just to get a helocopter ride. He was miraculosly cured when we told him his family couldn't wheel him to the lounge in a geri chair, but that instead...

  19. Matrix for Ortho if planning to close each weekend

    cjcalimer replied to casandhoff's topic in Orthopedic

    Our situation is a little different as our Ortho unit is actually comprised of 4 individual units all managed/staffed by the same people. Two of our units open and close with patient flow. One 18 bed...

  20. Post Op Admissions During Change of Shift

    cjcalimer replied to All4Seasons's topic in Orthopedic

    We are a large, level one trauma, inter-city university hospital (I think like 800 beds??). Our hospital has a first call policy, meaning you must take report on the first call. There is no grace...

  21. Managing pain question- best advice

    cjcalimer replied to compassionRN's topic in Orthopedic

    On our unmonitored unit, we generally don't give IV pain meds (never push and most patients come back from the OR with a PCA which is then D/Ced). Once a patient is converted to PO meds, any IV meds...

  22. New grad on Ortho unit

    cjcalimer replied to Marley 08's topic in Orthopedic

    It's important to know your hospitals policies and your doctors protocols. Do foleys and PCAs have to be D/Ced at a certain time? How often do you need vitals and I/O's? What sort of documentation do...

  23. Coumadin vs. Lovenox after joint replacement

    cjcalimer replied to natkat2816's topic in Orthopedic

    Our docs feel that lovenox causes increased serous drainage from the wound and will NEVER (almost) use it. We use coumadin exclusively per a dosing protocol based on INR with the goal being 1.5-2.0....

  24. Is ortho a good area for a new grad RN?

    cjcalimer replied to AJ BSN 2008's topic in Orthopedic

    I started Ortho fresh out of nursing school a year and a half ago and I love it. As a new nurse, it was nice not to be dealing with life and death issues on a regular basis. As far as experience, what...

  25. ORTHO CARE PLAN

    cjcalimer replied to CCFRN's topic in Orthopedic

    Our standard joint care plan covers 7 areas. I'll just list you out what it looks like Pain Management - Pt will verbalize tolerable level or pain on oral pain meds and be discharged on these...