All Content by ItsyBitsySpider
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Yearly Evaluation
We do get yearly eval's from the supervisor of health services for the school system. No eval with our schools administration though. I do not send anything to teachers asking them to evaluate me. I really don't think most have much of a clue what I do on a day-to-day basis anyway, other than the few that bother to ask.
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Frustrated !!
ITA with Miranda. Be blunt and to the point. That is ridiculous.
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Why do you send a student home?
I would not send a kid home for puking r/t getting hit with a soccer ball. On good days (most) I am very picky about what goes home. My office is very busy and I have alot of FF. Suspicious ortho injuries ("jammed" fingers, wrists, ankles, etc) will go, suspicious rashes, ear pain (legitimate), tooth pain if there is an obvious problem, also will go. I know there are more but those are the most frequent. On bad days I will sometimes send them all home. I know it's a bad idea but the school I work for is filled to the brim with alarmist, freak-out on a hangnail staff that I sometimes don't have the energy to battle. I am a strick believer in these students needing to be in school if they can. Often a quick nap, snack, or hug will "cure" them. Hope this helps!
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Adults or Peds
I think you should choose the one you are more interested in. I had many peds questions when I took NCLEX.
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New & Ready To Move On To Bigger & Better
I think it's safe to assume that most nursing students expect, at the least, to be respected and valued. I'm sure they also expect to work in a supportive, SAFE environment. I also don't think these are unreasonable expectations. Unfortunately, they are, in alot of hospitals, unrealistic. This is the reason why I have chosen never to do bedside nursing and I don't regret it. Unfortunately the amount of nurses taking the crap far outweigh the ones who don't and as long as that is the case, we are fighting a losing battle at the bedside. As far as being respected, you absolutely have to demand respect. In the face of an ego-inflated MD, know-it-all nurse, demanding family member, or whomever else feels that they can treat you like crap. You may catch slack for standing up for yourself but once you've established that you won't be licking anyones shoe soles you'll be ok. Please don't regret going into nursing. There are too many options for you to feel you have wasted all that time. Please do just a little research, there are many jobs out there that you will enjoy, feel valued, and get paid well to do. I have found mine and it didn't take long at all. Good luck.
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Flu shots for your kids??
My kids got their flu shot. My daughter is a passer outer too and she didn't feel a thing. I think it's definitely worth it.
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Songs to play in the Waiting Room
The theme song to Jaws would be fun... Da na......da na.......dunt dant dunt dant dunt dant.......
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Highest paid nursing field?
If you are so content and fufilled with your choice to be childless, then why would you feel the need to list your justifications? I know I'm happy as a mother and I don't need to justify that. I also wouldn't trade them for a clean house, free time, or a million dollars. I also don't feel the need to tell you, or any childless person, what they are missing out on by not having children because I respect their choice and firmly believe that some people are not cut out to raise children.
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ER Only Background for CRNA??
If your experience is in a Level I Trauma Center then LSU Health Sciences Center will accept that. http://nursing.lsuhsc.edu/AcademicPrograms/Graduate/MN/NurseAnesthesiaProgram/FAQ.html
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Healthy women schedule C-sections to prevent vaginal stretching
I really cannot imagine why any woman would choose a c-section over lady partsl birth. I'm not talking about for health or safety reasons. I've had both and I'd have 10 lady partsl births over 1 c-section any day, episiotomy and all.
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Anybody else just recertify their PALS??
I'm re-certing on the 19th, thanks for the heads up. I don't even have my book yet. :uhoh21:
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New Orleans Nurses
We absolutely need all the help we can get. Sorry no one replied sooner, I've found that this section is used mainly by nursing students who just may not know. Please contact West Jefferson Medical Center, or East Jefferson Medical Center, Tulane University Hospital and Clinic, or Ochsner Medical Center and see what you can do. I'm sure one of them will be happy to help you get out here. Thanks!!
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Do u know any hospitals that may pay off my Nursing student loan of $40,000?
If you're interested in moving to New Orleans and working here for 3 years I may be able to help you.
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GI/ endoscopy clinic nurse
Is this a clinic or hospital endoscopy? It really depends on which it is. If it's hospital, then I would say it is pretty physically demanding. There are alot of patients that have to be moved, turned, etc. It's not quite the same in a stand alone clinic though. My advice would be for you to observe there for half a day (preferably in the morning) so that you can get a good feel for it. I know most managers don't mind and I definitely wish I had done that. You could always look into nursery or NICU where most patients don't weigh more than 10 pounds. Just an idea!
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GI/ endoscopy clinic nurse
The "lots of gas" is something you do have to get over but after immediate over-exposure to it you hardly hear it anymore. It's not an easy job, the hours are good, the call is so so. We get called in quite often so I don't enjoy it so much. I'm not quite sure why it's such a pay cut for hospital Endo because it is very busy and very specialized. I guess because of the hours. We go to CCU, ICU, ER, etc. and do cases. When we're on call, we do all cases with one tech, one RN, and the MD and that can get tough depending on the situation. Obviously you won't have these issues if you are working in a GI clinic. I've worked in both and there are positives and negatives with both. I've found that working in the clinic you will mostly do colons and EGD's, day in and day out, rotating admit, circulator, and recovery with the other nurses. This can be great because there is no call but I find it to be a little mundane after awhile. The majority of patients are healthy and that's always a plus. There won't be multiple IV drips to deal with, intubated patients, bleeders, foreign bodies, etc for the most part. In the hospital environment there will be much more to do. Colons, EGD's, ERCP's, liver biopsy's, bronchoscopy's, ballon dilitations, banding, the list goes on. RN's in hospital Endo are expected to know all aspects of this position from the admit paperwork to cleaning the scopes because there is a good chance you may do it alone one day. If you aren't already you will be proficient at starting IV's very quickly because we do lots. If there are any specific questions you have, please ask and I'd be happy to answer.
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Cellulitis and spider bites
The poor spiders get blamed all the time. I'm not saying that some cellulitis isn't caused by spider bites because of course it is. It's funny how the majority of people assume the cellulitis was caused by a spider. Cellulitis can be the result of any insect bite, mosquito, ant, whatever, or any break in the skin. We do see alot more cellulitis in the summer time. Probably because people are outside more and are being bit by everything.
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My 1st colonoscopy - draping & pain questions
It's really not possible. There would be nowhere for that patient to stay for the duration of their prep, there is only one bathroom for the entire unit, and there is no guarantee that after X amount of hours the prep would be satisfactory. Not to mention it would hold up an MD for however the length of time it would take for the patient to finish their prep. Many of our MD's work at several hospitals and have only limited blocks of time per day to spend in our unit. Usually the patient is scheduled for the following day and if that's not possible then they are rescheduled at their convenience, depending on their circumstances of course. Please don't be distressed at my comment. I didn't think you actually believed the nurse was a liar you were probably just more disappointed that you had some pain or discomfort. I can understand that. I guess I just wish MD's would take a little extra time to explain the sedation to patients so that they may have realistic expectations.
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My 1st colonoscopy - draping & pain questions
What would they have done to remedy it? If you didn't take your prep properly there is really nothing that they can do but give it a shot and see if it works. As far as the people that have had trouble with sedation, I find the more anxious people are, the more difficult they will be to sedate. If someone has convinced themselves that it is going to hurt than it probably will and vice versa. The medications given are conscious sedation and not anesthesia and minor discomfort does sometimes occur. I'm not trying to be insensitive to anyone who has had a difficult experience with endoscopy but it is difficult to be called a liar, as stated by the previous poster, day in and day out, by patients who are upset that they were not unconscious during the procedure. I never, ever make promises that anyone won't feel anything. Tortuous colons are difficult to manuver and we absolutely do our best to medicate and keep everyone as comfortable as possible.
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Colleagues who call in sick, but aren't.
After 2 years of no call-ins, no lates, nothing I called in because the girl I switched with had a family emergency at 10 pm the night before and could not cover for me. I received a scathing, how-could-you-be-such-an-irresponsible-nurse phone call from my NM and I got over the guilt of calling in completely. It makes no difference to me who calls in for what. If they are abusing the system their time will come. Sometimes taking a day off to take your kids to a baseball game is as important as taking a day off when you're sick.
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Score- MD=1 Beary=0
Don't let MD's or anyone else treat you like crap. If they get away with it once you are sunk. I don't care what kind of "reputation" this doc has. Even if you can't think of anything to say in the moment, a simple, "I'm not going to tolerate you speaking to me like that" and walking away is better than standing there and being his punching bag. It really amazes me that even the most pompous, arrogant, obnoxious MD's know exactly who they can crap on, and exactly who they can't.
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The best place
You can come to New Orleans! Ok at least I tried..
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Ack! My Mother is "That patient"
I would have taken the coffee, and gotten her some donuts.
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Finding camp work..
Great suggestions. Thanks y'all!
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Finding camp work..
Hey all, I am interested in camp nursing but I was wondering how you all go about finding a position. Do you all search online? I haven't seen any ads in the paper. Any help would be great! Thanks!
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Er
I do not wear my badge if I'm there after hours. I do keep it in my purse or pocket for the parking garage, doors, etc. What drives me are the employees, nurses especially 'cause I feel they know better, who bring in their family member or themselves in for some BS that should be at the MD's office. I'm not taking about a migraine at 0200. I'm talking about otitis at 1000, a boil at 1400, the list goes on and on and on. 99% of the time with the statement, "I knew we would get in and out quicker if we just came here." We do go out of our way to get employees in and out and maybe we should relax that policy a little bit. I get annoyed when we are running around and an employee slides in the back wanting to get seen "real quick."