RN1980

i remember a question on toxicology about antidotes for tricyclics and digoxin..bicarb and digi-bind. of course the questions were formatted in a scenerio type sittuation.

hey guys, i have a few younger nurses in my er that have been studying to take the cen. some of us that already have the certification have done our best to help prepare them for the exam. however i'm someone that believes that you can learn alot or pick-up on important things from specific content threads. in order to help my new people and others out there wanting to pass the exam i would like to start a cen exam pearls thread. any suggestions or cen important content would be most helpful from cen certified nurses or nurses that have taken the exam. also, any questions that stick out in your mind from the test would be a great bennifit too. thanks.

they know that most of the time they can get away with it since ther is hardly any punishment for them. i know our adminstrators turn a blind eye often to keep from ******* off the little piggy banks of the hospital.

what do yall think of the recent blood lettings at umc? a pal of mine was let go from surgical dept basically was told he had too much time under his belt and was making on the higher end of the rn payscale. basically to old, to educated and paid to well. all you young nurses thinking about getting on there need to remmember this.

i work prn at nmmc tupelo, been there in the icu for about 4yrs now. i thought it was alittle difficult to get my foot in the door there. they sort of have a long drawn out interveiw process, 1st i got called into human resources for a breif interview with a low ranking hr bean counter who basically asked me questions she read off a computer screen. then about a wk or two later i went back again and had a interview with whom i think is a mid level hr pencil pusher who basically did the same thing, later in the month i finally had a face to face with at the time was the asst. unit manager and i was showed the unit and so forth.it basically took me about 1-2 mos to get in the system.

often i find the whine babys care for only their needs at the sake of others.

i feel your pain brother. come down mississippi way and work in "meth belt" not the "bible belt" anymore....

thia idea has been looked at a few times at my full time er job. we have had several consultants come through explaining things to the head bean counters about the pro and cons of this. there are a few er's in my state that have started this and has impressed a few folks here. things are going to have to change here in mississippi, there is no easy answer..govt reimbursements are going down the toilet and hospitals are losing services cause of the high number of indigent care we give. from what ive been exposed to, i think pay up front could help off set some waste and abuse from the public.

yep, it used to be a big pain in the ass for everyone, but like i stated before all our rooms are stocked with new nihon kohden monitors and they record the vs in our computer charting automatically. however on non urgent pts we are only required to get a temp on admit and d/c, unless they are febrile. the vs policy use to be real laxed but we got a new medical director thats anal about getting vs.

all routine pts get vs recorded q 1hr, urgent pts get vs q 30min, every emergent vs q15min. we are lucky enought that our monitors atomatically update our computer charting system with vs, so we just apply the cuff, leads and probes set the timer and go. every pt get d/c vs.

ive never worked in a icu here in mississippi that has lpns staffed as regular staff icu nurses. now i have heard of smaller type units in small rural parts of the state that might have a lpn II but i think they are pretty much being phased out. i figure since a lpn has thier own licsence i am not responsible unless i sign behind them on something, but i may be wrong.

well dont read the thread then. you should be studying for school anyway.

your missing half the picture as far as getting things lined up for anesthesia school. what about the other half..financial aspects..this is almost just as important as qpa and exp. please do yourself a favor and get $ issues taken care of too ( if you have any issues that is). if you are in the clear concerning financial regards then good luck and learn as you go.

i think you are worrying too much about other things...call the pacu manager stat!

you are so right on this post. though i have been fortunate enough to avoid having any dealings with my states own bon i do know of some nurses who have stood in front of the bon for many different reasons, some legeit and some bogus. the ones who recieved the lightest to zero punishment all had legal representation from a lawyer that specialised in nursing practices. it is common knowledge that the bon dislikes the very idea of nurses comming before them lawyered up.

i prefer the title "nurse commando"

there is only one discipline in healthcare that doesnt require a 4yr or university based degree besides nursing....who is it? really, only one?

its called core measures.

i dislike the idea or requiring to have a bsn in order to do work a asn can clearly do. however, from a pure financial reason, i look forward to the day when it is required that you have a bsn in order to sit for the nclex. unfortunatly this will cause the closing of many 2 yr/cc programs ( over 15 in my state). however this should thin out the rising tide of nurses that are pouring into the market and hopefully place the balance of a shortage in our favor.

good luck london, you survived the blitz and you will surely survive this.

i checked out quite a few scholarships when i started the nursing school thing, and found little that offered anymore than 2 or 3 scholarships for a entire region per yr. with those type of odds of course i didnt get the cash...so the army i went.

a hospital i work at part time just went to all 12hr shifts about 2mos ago. everybody from nsg to lab is now 12hr rotations, some do 7 on/ 7 off, some do a 4 and 3 split type routine. it really upset alot of folks when they first went to it and some nurses evan left the facility. like some posters stated the 12hr shift can be rough on folks of have to use child daycares cause here in my are not many of them stay open past 7pm, so say you get out of the hopistal around 1915 and take 10-15min to drive to daycare you are gonna be hammered with late childcare fees! by going to mandatory 12hr shifts they have taken away one of the "old time" allures to nsg, and that is to have the chance to have many different shifts available to you to work.

you are screwed if looking for funds..i basically had to join the ******* army and doing a tour in the nat. guard to pay for school. good luck bro.

it is simply a supply and demand, the nursing pool is just too full right now and is getting fuller after every graduation cycle. it drives pay and opportunities down for everyone.

i agree with above post, you need to figure out why you are a bad nurse, surely this is something you can correct on your own. litsen, you went through alot of training, passed nclex and have spent time in the trenches as a nurse. after 8 yrs you should be well on your way of finding niche in nursing, not second guessing yourself. i suggest getting away from pt care for awhile and do some non-hands on nursing jobs. but you really need to take a look at yourself and decide if you are a safe and practicle nurse or not, and correct the failures you have or move on. good luck.