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nurse grace RN

nurse grace RN BSN

med/surg, TELE,CM, clinica[ documentation
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nurse grace RN has 15 years experience as a BSN and specializes in med/surg, TELE,CM, clinica[ documentation.

pisces, love all kinds of music,2nd career RN

nurse grace RN's Latest Activity

  1. nurse grace RN

    Nurses secretive about getting another job

    Some people like to keep their business private and don't appreciate people nosing around their business. The information could cause problems when schedulers hear about and make assumptions.
  2. nurse grace RN

    Online classes: Who? What? Where? Why?

    I am in my last class for my RN-BSN on line and it has been great. I have had to stay very motivated to do it but it has been worth it. I am considering an on line Masters but wonder how much more difficult the classes are.
  3. nurse grace RN

    How old is too old to become an APRN? I am 57. is that too old?

    Wow, there is hope for me then I will see how I feel after I finish this BSN program. I would love to do an MSN and then be a FNP. I am 53.
  4. nurse grace RN

    The Patient I Failed

    Beautifully written and this happens more often than it should. And yes , this is the type of family that will "sue". The poor patient, when my parents became too ill to have a meaningful quality of life we followed their wishes and their . "living Wills'.
  5. nurse grace RN

    From a single candle: Words from an RN Pinning Ceremony

    Wonderful articl brought tears to my eyes. I find it inspiring also and it reminds me of why I also became a second career RN.
  6. nurse grace RN

    What Precepting Means to Me

    I was asked to be a preceptor by my manager and at first I was unsure of whether to take on such a responsibility. Did I have the skill? Was I proficient enough? Did I have the patience to do this job? Could I be successful in this new task? Preceptor Qualities A preceptor is an exemplary person who can teach but also sit back and review new grads as they progress through training. A preceptor will always be available whenever needed. Preceptors should follow and adhere to a learning contract to insure that the preceptee has successfully learned all of the tasks. Preceptors also must meet a certain criteria to be allowed to precept other nurses. They should attend inservices and be knowledgeable about personality types and the different phases of reality shock for the new nurse. The preceptor should feel a strong sense of accomplishment and pride whenever the preceptee graduates. I did a lot of soul searching and decided that I would accept the challenge. I became a preceptor and jumped in with both feet because I wanted to be the best preceptor possible. I wanted to be a preceptor that any new grad would want to have and to be very different from what I received as a preceptee. I knew that to be a brand new grad on a med-surg floor could be an extremely scary thing and my first task was to have my preceptee trust me. I knew trust was key in a successful relationship. I began by developing an open and honest communication style with my preceptee. I stressed that she could come to me with anything and that "no question was stupid". I also was not afraid to praise her when she did well and to never criticize her in front of others. I also emphasized that I was always there to help her out if or when she needed it. My preceptee soon blossomed into an eager, caring nurse and she was enjoying her days as a med-surg nurse. She started out with one patient and soon was able to handle two and then three. I could see her growing into the confident nurse that she would be. She began to develop her critical thinking skills and to learn to listen to her intuition and know what " the hair standing up on the back of her neck', was telling her. She soon was drawing blood like a pro and began starting IVs with ease. She was rapidly progressing from novice to beginner. I watched her as her confidence grew in her interactions with doctors and residents. She soon felt confident enough to make suggestions about patient care. She also started to question medications and procedures and if they were appropriate for the patient. She also took on more and more difficult assignments because " she wanted the challenge". The weeks went on and she continued to grow and become more confident everyday. Soon she was handling the entire assignment of six patients on her own. She had also learned to delegate appropriately and to prioritize her care. She also was eager to take a new admission when they came to the floor and to even help if she was caught up. It was soon ten weeks into the program and soon she would be on her own. I wanted to be sure that she was ready. We reviewed all of her documents, we discussed -"what if" scenarios. We had practice codes and practice METS, we had skill tests and talked about medications and interactions. We had covered it all. And now my preceptee was ready to go on her own. I had watched this young nurse as she went through all of the phases of reality shock during her orientation from the honeymoon phase through resolution and she was soon going to experience it all over again as a new nurse. I watched her as she began her first day on her own. She was a bit scared as she started out but soon a resident came to the desk and asked- " who is the nurse for 456 bed a"? She stood and said " that would be me, how can I help you? I knew she was going to be fine, she was spreading her wings and flying solo and I was proud of her and also thankful to have such a noble opportunity.
  7. nurse grace RN

    Lost job over HIPAA violation, what is employment potential?

    I am aware of people being fired over HIPAA violations and others who have had lawsuits with judgements involving jail time. HIPAA guidelines are getting even stricter so I agree that this nurse must be mature enough to realize the mistake and never do it again. How do you know of the patient was hurt? Was it a humorous picture from a funny dx? a very good looking person? a gruesome wound? If the patient did not give permission how do you know they were not hurt? and if they gave permission did they approve forwarding the picture to others? I know I wouldn't want someone to take my picture and forward it ti friends if I were sick in the hospital. When I was a nursing student one facility I trained at took pictures of patient wounds on admission--- with three documents the patient had to sign in advance!!!! So facilities do not take HIPAA lightly. I wish her luck in finding gainful employment but it may be in a less attractive setting than she was hoping for.
  8. I believe that the fact that you asked on this forum made you suspect that what you did was not a good idea. I remember very clearly from 1st semester nursing school-- it was drummed into our heads- "NEVER EVER chart anything, you did not, do , see, hear,etc. except for certain emergent situations. Your friend is , your friend now, you don't know what could happen in the future-- you could be left holding the back and then -- you have made false statements on a medical chart and a lawyer will have a great time with that. I would not do it ever again, I would offer ways to help your friend be more able to get her own charting done. Also, I would be very careful about info you divulge, even on a forum such as this because you do not know who is on as a guest and just looking for info to use against people. I think you will be more aware in the future of the implications of charting--sometimes we just do things to help one another but be more careful--even co-signing in a pyxis or other medication cabinet can come back to haunt you.
  9. nurse grace RN

    BSN or certification in case management first?

    I think you would be wise to do both. I am an ADN with a diploma and a BS in another field. I work as a CM and am looking for a BSN program to start this fall. I also will take CM certification test once I have worked the required hours.
  10. A MS with no bedside experience is no better than any other new grad with no bedside experience. But, you will expect a higher salary won't you? Just my opinion.
  11. nurse grace RN

    Please help me out with this...

    I am not sure but you may be shown a series of patient scenarios on a computer and asked how you would react to it: ie. you walk in the room and patient is unresponsive etc-what do you do 1st? or-- you have a patient presenting a certain series of labs ie BUN 65, creat 3.9, poor skin turgor, circles around eyes, dry mucous membranes etc---- what is likely dx-- interventions etc. I had a test like this on a part time job a couple of years ago- they can gear them according to your experience level whether you are a new grad, med surg, tele , ICU. Or I may be totally off base , but they did give similar to the new grads as well. Wish you alot of luck and future success, be yourself and be honest and open in the interview. Just my:twocents:
  12. nurse grace RN

    Insensitive nurses

    Your statement is so true, we should always be aware of what we say in front of patients, and family members for that matter. Also, our voices carry from the nurses station to the patient rooms- so we should give evreyone the dignity and respect that we would like people to show us if we were the patient. One of my biggest pet peeves is nurses or staff who "assume" that CP or other patients with handicaps don't understand what we say or realize we are verbally abusing them. They are very aware of it and we should be aware of what we say even in the unconcious because when they wake up they remember what was said and done to them. Just my .
  13. nurse grace RN

    Move Over, Norma Rae

    I agree with Daytm
  14. nurse grace RN

    Insensitive nurses

    I am very proud of you for having the professionalism and fortitude (both traits lacking in that insensitive manager as well as a few other basic human traits I would assume), to report such unacceptable behavior. Please, please, please, do not allow this incident and poor example of nursing to make you turn you back on what I believe will be a wonderful and rewarding career for you. You have already shown compassion, empathy, honesty, critical thinking, and the ability to advocate for you patient,,,, you are well on you way to success as a professional nurse. I am so sorry that this experience happened period, but also that it happened during clinical. I remember clinical as some of the most enjoyable times of my career because rarely will you ever have as much time to spend with your patient one on one, once you are a staff nurse with a full assignment. Good luck with the rest of nursing school and what I am sure will be a very successful nursing career. You will do our profession proud!
  15. nurse grace RN

    Negativity? On allnurses???

    I have noticed negativity but I think we all just have bad days and we just vent from time to time. What I find difficult to deal with is nurse on nurse hostility on the job but that is another topic anyway. I think we should still support each other EVEN IF we get negative from time to time because we are human after all!
  16. I would take a little less pay for a guaranteed M-F schedule with less stress any day. The CM job goes on and on and on and on. It is a difficult one and can be so gut wrenching at times because regs and insurance guidelines tie your hands and there is only so much funding available. Who knows what reform will bring.