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Neurosciences, cardiac, critical care

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  1. jelly221,RN

    Should I Take a Different Path to Become a Nurse?

    From my understanding, classes from an ADN program (actual nursing classes) don't "transfer" to the BSN program- the BSN program will just "give" you X amount of credits for having an RN license. Those 60 transferrable credits would be used on stuff like sciences, statistics, sociology, etc. That's how the schools I've looked at work, at least.
  2. jelly221,RN

    California's 2011 New Grad Program

    I spoke with someone at Torrance Memorial the other day- they're not positive, but it looks like the next Versant cohort will begin in Sept/Oct with applications beginning in July. They expect 2,500+ applicants (based on previous cohorts) for 20 spots. YIKES!
  3. jelly221,RN

    Torrance Memorial Medical Center RN Residency

    I spoke with someone the other day- they're not positive, but it looks like the next Versant cohort will begin in Sept/Oct with applications beginning in July. They expect 2,500+ applicants (based on previous cohorts) for 20 spots. YIKES!
  4. jelly221,RN

    Chest Pain and NCLEX

    I just hope NCLEX is up to date with their ACLS algorithms, b/c that's what I go by...
  5. Depends on your state. In CA, there is a provision in the Nurse Practice Act that allows nursing students currently enrolled in a program to perform "nursing duties"- including passing medications. I've quoted it in an earlier post. No one works under anyone's license- we've addressed this above. However, as the RN assigned to that patient, you do retain responsibility for their care. Mi Vida Loca- I'm not saying that the way your school did it was wrong or that you didn't get good experience, much to the contrary, sounds like you had excellent clinicals. But schools are different, and as long as we are safe in our practice and learn to become (hopefully) excellent nurses with high standards, I think that there are accounting for differences in permissiveness. Assuming, of course, that no regulations and/or policies are being violated. Have a great vacation!
  6. My instructors always asked me how long to push IV meds for, I wasn't allowed to give anything until I did that. As far as actually doing it, I guess it's a personal decision that the instructor bases on knowledge of the student and the trust that they decide to place in them. If we had students that were unsure about a certain med, or were giving something like 80mg Lasix IV, the instructor would go with, or ask that another (clinically strong) student went with them, unless the RN preferred to do it. In some of my rotations, we weren't allowed to give narcotics at all. Of course if it's a high risk medication, I can understand the nurse (or CI) wanting to observe. If we ever had vasoactive meds or a large dose of Lasix or pain meds and the pt's vitals were iffy (but no parameters), our instructor would tell us she wasn't comfortable with us giving the med just in case something happened, but it would be up to the RN if he/she wanted to give it. I think it has to be a case by case decision. I would be kind of insulted if my instructor went with me my last semester to make sure that I passed morning meds correctly on every patient. Like I said, high-risk medications or those with the potential for harm (like your morphine example) I can understand. But there also needs to come a point where the instructor isn't telling you when to give/hold medications and is instead tests your clinical judgment to see that you can make sound decisions come graduation day, but still has the opportunity to intervene if you make the wrong decision. That, for us, occurred in the medication room in most instances.
  7. jelly221,RN

    Staffing Sucks

    OMG I'm sooooo spoiled. I'm precepting on a stepdown/tele unit- 4:1 RN and 8-10:1 CNA. Night RNs always start with 3, sometimes they end up with 4. I thought my assignment was bad yesterday with 4 turners, constantly asking for bedpans, changes in condition, calling Drs nonstop and a code to top it off. Kudos to those of you who manage with far more patients- no idea how you do that!
  8. I'm a bit confused about the monitoring for reactions- I don't stand in the room for 30 minutes to wait to see if my pt has a reaction to a PO med. If I'm giving a prn that needs to be followed-up on, I do it in the appropriate time frame. However, if a student has checked the pt's PTT or platelets and is giving SQ heparin that the patient has been receiving for 5 days, I fail to see how this medication could acutely adversely affect the patient. As long as it's given to the right patient and by the right route (hopefully as a 4th semester student you know that) and the instructor has verified the right med, right dosage, right purpose, etc, it seems perfectly safe to me. Maybe I'm missing something...
  9. jelly221,RN

    USC New Grad summer 2011?

    Congrats x a million to all of you who were invited! Out of curiosity, for those of you who are going to interview for CTICU or cardiac ICU, did you do a preceptorship in an ICU?
  10. jelly221,RN

    USC New Grad summer 2011?

    Wellp, just got my rejection letter. Good luck everyone!!
  11. jelly221,RN

    Do you ever....

    The best place to ogle is in the sauna at the gym... heat makes the veins pop right up! There's some decent looking abs in there too, if that's more your taste. Personally, I'll take the veins
  12. jelly221,RN

    Great News! I Finally Got a Job in Med-Surg/Tele!

    ummm, best idea ever. I'll definitely be doing that. Never would've thought to include a sample essay from school... brilliant!
  13. jelly221,RN

    Did I doublecross her?

    congrats!! that's so great!
  14. jelly221,RN

    potential future nurse seeking wisdom from current nurses

    This is exactly what I was going to say. I flip-flopped a LOT between RN-MD while completing pre-reqs and on the waitlist- once I got in the hospital for nursing clinicals, I KNEW nursing was what I wanted to do. I realized that nursing isn't a "stepping stone" to medicine, it's totally different! Yes, they can write orders and we can't... but a fair amount of the time, we're the ones calling and asking for a specific order that we want for our patient. Volunteer in a hospital or shadow some RNs/MDs- that'll help you decide which one is for you. The other thing that's important to consider is Advanced Practice nursing. 100% of MDs that I spoke with for career advice told me to become an NP, as that is how healthcare is trending, and there is so much more flexibility (and less student loan debt). There is definitely NO guarantee of a job as an RN, and many new grads are searching for jobs for a year after graduation. Don't think that'll contribute to your financial security. Good luck with whatever you decide!
  15. jelly221,RN

    To CNA or not to CNA?

    YES a million times over. Not only will it expose you to a multitude of different patients and improve your level of ease at the bedside, it'll get your foot in the door for an RN job once you graduate. I'm graduating in 3 weeks, and I'm hoping that my Nurse Tech (student nurse worker) position will help me out, even if it's not at the same hospital, just to show that I've had hospital experience. The people who graduated from my school last semester who found jobs most easily and quickly were already working in hospitals. DO IT! =D