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ER, ICU, Education
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jlcole45 specializes in ER, ICU, Education.

jlcole45's Latest Activity

  1. jlcole45

    Army Nurse Reserves process

    Age cut off is 42 but for the reserves you can request an age waiver. I'm 47 and just applying now. I'm in good health and reasonable shape so I'm hopeful. I have my BSN, 20 years of experience and working on my MSN in nursing education. We'll see.
  2. jlcole45

    IS Gluttony a Disease or Choice?

    It's a choice ... we choose to eat more then we should... we choose not to go exercise... we choose to sit in front of the computer (as I am right now). I think everyone is forgetting this is a fairly recent phenomena. It has to do with a change in our work - from physical work to desk work, the change in our food - more and more people eat junk, fast food as regular meals with fewer home cooked meals, and the introduction of tv and computer based entertainment - so our kids don't go outside and play any more they sit for hours and hours playing video games. Check out the CDC's site on state obesity rates for the last 25 years .. what the map and how it drastically changes Obesity and Overweight for Professionals: Data and Statistics: U.S. Obesity Trends | DNPAO | CDC So scary stuff!
  3. jlcole45

    How did you get started as a nurse educator????

    I'm working as a clinical instructor in two different programs - one is with the NA's and the other with the ADN students. Most community colleges are always accepting applications for clinical instructors, get your foot in the door, gain experience and when a full time position comes open you will be in a stronger position to compete for it.
  4. That's like asking has there ever been an incident that made you regret getting married? So yes there have been brief moments .... when they admit the foul mouth, over dose who is kicking, bitting and spitting at everyone. And I have to call the local police to help hold her down so I can give her a sedative injection. Perhaps we should ask -- Overall do the negatives of being a nurse out way the positive? Then my answer is no. Most days I can come home from work and feel like I've done something good for someone.
  5. jlcole45

    Question about staff ratios?

    "The generally accepted ratio has been 1:7 max on days and 1:8 max on nights." Your kidding right? Exaggerating? OMG that seems so unsafe. BTW this is not just a tele floor for those who haven't taken care of fresh heart and lung surgery patients. They are like you unstable medical tele patients. And they can go down the drain in an instant! I worked on a similar floor a few years ago and I struggled with 4 of these patients, nevermind 7! We didn't do med tele just surgical hearts/lungs. On day shift we also had to get them OOB for every meal, walk them 3 times, our drips included, dopamine, amio, neo., (for the lungs who were often hypotensive post op bec of the epidurals). How in Gods name can you deliver safe care? There is no way! If you have any chance of changing jobs I would leap at it. It sounds like your manager has sold her soul to the corporate devil.
  6. jlcole45

    Nursing area that provides the most patient education

    You can educate in any nursing setting. It's really up to you as the nurse on how much pt education you choose to do.
  7. jlcole45

    ADN: Is it worth it?

    A lot of places do not pay more for a BSN vs an ADN. Both have an RN degree. What is it that you really want to know? You will never get rich as a nurse.
  8. jlcole45

    How do you stay sexy in nursing school

    Are you kidding me? Is this a serious question?
  9. jlcole45

    When do I initial the M.A.R.?

    After the patient takes the meds.
  10. jlcole45

    Are these teachers the norm, or just lucky?

    It really depends on what you love to do as a nurse. Yes the pay is lower but there are often other benefits such as state insurance and teachers retirement. And as you already mentioned better hours (unless you work in a program that does evening or weekend clinicals). That said, when you work a 9 or 10 month program you can work during the time off to earn extra money and keep up your own clinical skills.
  11. jlcole45

    What have other nurses done that have freaked you out?

    After 20+ years, this is the first time I've ever heard of this .... a new grad hired in a long term care facility reported that during orientation that her 'preceptor' another nurse, told her that if the residents refused to take their oral medication - to give it rectally!!! Oh my God that is wrong is so many ways. Wrong route, the fact that some meds are engineered to change once they reach the gut to the usable form of the med (specifically the liver), the wrong Ph, the fact that it might not be absorbed at all, or absorbed all at once, etc.... Has anyone ever heard of that? I told the new grad to report it immediately to her DON. (I didn't work with her, but if I had I would have reported it - and I'm not one to run to the boss but that is soooo wrong).
  12. jlcole45

    Platelet Transfusion Rate

    Usually as fast as you can give them. If they need them they need them right away.
  13. jlcole45

    Allied Health Coordinator

    I am interviewing for a Allied Health Faculty Coordinator position in a few days. This is a position in a local community college and is over the CNA program. I have some teaching experience - as a clinical instructor in a nursing program. My long term goal is to work as a full time instructor in a nursing program. I am wondering if this position would be a good introduction to the community college system as a FT employee and if it would be good experience to help prepare me for a full time nursing instructor position. Here is the basic job description: * Teach Allied Health courses as assigned, maintain course records, and assist with course scheduling.
* Advise students concerning course requirements, counsel students, and conduct student conferences as needed.
* Assist in selection, orientation, training, evaluation, and updating Allied Health faculty.
* Assist in updating, maintaining, and distributing course outlines and materials for Allied Health courses.
* Assist in coordinating clinical sites and course offerings for both traditional classroom and online delivery for Allied Health curriculums.
* Assist in reviewing textbooks and software.
* Evaluate and assist in the selection of supplies and equipment for Allied Health program.
* Assist in the recruitment and marketing activities (including creation and maintenance of brochures, mailings, databases, and directories) as needed.
* Represent the College at appropriate meetings, activities, and conferences.
* What do you, who work as Nursing Instructors think?
  14. jlcole45

    Troubles as a new manager

    I've been working as a NM now for 3 months and I hate it and have given notice. It is just not a good fit for me. I am an educator and mentor at heart and as a result I want to be on the floor with the staff all the time -- the staff love it but my bosses not so much. Not that they don't want me to bond with the staff but my other NM duties are neglected - the reports and such (which I hate doing anyway). So I guess my question to you is this. Do you feel that management is a good fit for your skill set? I've realized very quickly that it is not for me and so I am making changes because I to was loosing sleep and working 60 hour weeks. I'm at a point in my life where I don't want or need this sort of stress. Good luck.
  15. jlcole45

    are filter needles necessary?

    Filter needles are not a new idea or practice in the US - I've been nursing more then 20 years and they've been around the whole time.
  16. jlcole45

    Teaching at a proprietary school

    Thanks for the information.