TheSquire

TheSquire DNP, APRN, NP

Urgent Care NP, Emergency Nursing, Camp Nursing

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All Content by TheSquire

  1. What's a good starting career for a new nurse?

    I have said it many times, but I'll repeat it - a nurse new to bedside nursing can start in any unit, as long as the education process and unit culture on the unit are set up to support new grads...
  2. Sepsis in your facility/ED

    Yes, and through now, ACEP still only promotes the 3-hour bundle in the ED...which an ESI-2 should facilitate
  3. To back this up - "cheeto sign" or variants thereof is used to minimize a patient's report of "not being able to keep food down" or other apparently dramatic GI complaint. It doesn't mean "the...
  4. Flu shot advice

    Do you have a reference to
  5. CAB or ABC?

    The CAB switch was in the 2010 update. As others have stated, outside of CPR, the rapid assessment order remains
  6. Flu shot advice

    It's just like throwing a dart. Remember to z-track
  7. Unfortunate Camp Nursing Experience

    My last year at camp I had an 18-yr-old counselor like this. She ultimately came to be for a back pain complaint - I didn't find anything, told her s/s of a UTI to look out for, and told her that at...
  8. Discharging patients on the board

    Or, you could initiate an ethics consult as a last-ditch attempt to deal with the issue internally. Also, since throughput times are reportable to CMS, you can also report this kind of gaming the...
  9. Finish my degree or quit and do nursing

    Depends how strenuous the last of your bachelor's
  10. Demand for Nurses in Chicago

    I wouldn't know about that one - if they're sensible, there are rules that take into account experience, credentials, etc., when determining your initial
  11. "Patient is well-known to the
  12. Who else uses Saline Flushes for contacts?

    I never wear contacts at work - while glasses are no substitute for a full face shield, there have been times I've washed specks of blood off my
  13. ER nurse advice

    As an occasional Charge RN, there are ways around this - while I may load up the rooms of a nurse with an ICU-bound pt, it'll be with patients who can be safely ignored for some time, and/or with...
  14. Does nursing school matter?

    "Not having specialty preceptorships" sounds very fishy to me - do they make everyone do med-surg for their capstones? Also, I'm not sure I'd want to be a new grad looking for work associated with a...
  15. Finish my degree or quit and do nursing

    I have to chime in - finishing your degree will open more doors for you when you look for a nursing school, both with Accelerated BSNs and Direct-Entry Masters
  16. Getting kicked out because of panic attack

    You should be able to petition your program's Admission/Progression/Retention committee to challenge your dismissal - making you repeat the class might be reasonable, but (assuming that your...
  17. Demand for Nurses in Chicago

    NWM pays below-market rates because they insist that it's an honor to work there. Others have addressed Stroger. However...with experience, you should be able to get a job most anywhere else. Check...
  18. What to do when a patient doesn't listen?

    See, I could dig to find out why each poorly-adherent patient from our largely indigent population isn't complying with their treatment modality...but what would that do? I don't have access to any...
  19. Do Employers Desire Nurses With FEMA ICS Certifications

    NIMS/ICS training was included in my initial hire-on training bundle as an Emergency nurse; I repeated it to be a part of the local MRC. If they want you to have it, they'll make you sit through it -...
  20. Mandatory Uniforms

    This thread pops up perennially, but I'll put in my usual $0.02. 1. Color coding =/= the jack-boot of The Man on the throats of bedside nurses. No. Just...no. Get over yourself, especially if...
  21. Demand for Nurses in Chicago

    Most hospitals have 12-hr shifts for ED and ICU; some are 8-hour for med-surg and tele/step-down, while others are 12hr, and others are a mix. If you're a new grad from out of the area, you might have...
  22. Gave up DNP

    As someone who did complete their DNP...I wouldn't recommend it to everyone, and think that making it the entry degree for advanced practice was done for the benefit of the colleges and noone else....
  23. Inpatient Boarders?

    My department may create these ad hoc when we have 3-4 boarders, but that's rare and usually a result of flu season. If a unit is doing this on a regular basis, that's evidence of a structural...
  24. DePaul MENP Program Admissions

    1. 2 years is standard for master's entry; it's the same as the GEM across town at Rush 2. The MSN/MS distinction is entirely semantic, and related only to the history of DePaul's school of nursing....
  25. Since I have a decent amount of emergency experience as an RN (and actually started out in ED - I've never worked a day in Med-Surg in my life), I want to start out working an NP in the Emergency...