sbostonRN

sbostonRN

Med/Surg, Rehab

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All Content by sbostonRN

  1. Need help with labs!

    It gets easier with practice. For the most part you don't have to know exactly what every lab value means but you do need to know what to assess for when something is abnormal. For example, if your...
  2. Change of shift report - advice wanted

    We use a systems approach in our hospital. Start off with the patient's name, dx and doctor. Then go head to toe: orientation status, IV access, respiratory, cardiac, GI/GU, last BM, any edema,...
  3. Dietary orders

    CC could also mean controlled carbohydrate (diabetic diet). That's what it means in my facility anyways. HO could mean honey-thick liquids, though I'd want that clarified if it wasn't on the...
  4. What do you want your CNAs to do in a code?

    Our hospital has a code team and there are 2 CNAs on the code team each day. They act as runners: bring the code cart, vitals machine, glucometer and anything else that's needed. They could also be...
  5. We have allllll been there. I'm just a bit past this stage right now. The best way to get through this is to just work through it. There isn't really much you can do to prepare for it...you just...
  6. My first code-feedback appreciated!

    Great job!! I have only been in a code once, when I was shadowing in the ER as a nursing student. I think it's totally different when it's your patient who you've been taking care of all day, and...
  7. average age of a nurse?

    Average? I'd say the average age is around 40-45, judging by the places I've worked. I see a lot of second-degree nurses. I started working as a nurse when I was
  8. LTC does not equal RN experience?

    I have never heard of shadowing before getting hired, unless it was as a student. JMO but I would think that would be a huge liability for the facility with the risk of HIPAA violation... I worked on...
  9. Things a New Med/Surg RN Will Need

    Scissors! Everyone always steals mine lol :) Here's what I normally keep in my pockets or on my person: stethoscope, scissors, highlighter, dry erase marker (for pt info boards), Sharpie, two pens,...
  10. New Grad Pay rate in Boston

    That's on the lower side for Boston but your experience there will give you a huge advantage in the future. As a new grad you're not in a place to negotiate as far as I'm concerned, especially in...
  11. I think 6 weeks is standard. Find out if it's 6 weeks total (including the classroom stuff at the beginning) or 6 weeks of actual preceptorship where you're working on the floor with
  12. Giving the wrong meds.

    I'm sure the new nurse felt very sorry for her error. In nursing, it's very difficult to separate work from personal life, so I can see why she wouldn't want to call and check on the patient. Plus,...
  13. Nursing schedules

    Typical shifts in a hospital: 7-3, 3-11, 11-7. Different weekend requirements for each hospital. Some hospitals have 12's: 7a-7p and 7p-7a are typical I think. Some nurses only work weekend 12-hour...
  14. New grads & CNA experience

    It doesn't have anything to do with your tasks and duties. It's about showing the nurse manager how strong your work ethic is, and being a team player. I worked in a non-patient care role at a large...
  15. How do you learn to manage it all?

    No advice, just hugs. I am in the same situation. I worked for a year at a SNF with 20 patients on a rehab floor. A month ago I made the move to a rehab hospital with an average pt load of 5....
  16. What is rehabilitation nursing?

    Really the major difference between a acute-care RN in a traditional hospital, and a rehab RN in a rehab hospital or LTAC, is that the rehab RN is more focused on getting the patient back to their...
  17. Kindred hospital orientation

    No, I work for a locally owned LTAC hospital but from what I've read about Kindred, it's similar in the type of
  18. What's up with Wonder Wink scrubs??

    I haven't found this to be the case with any of my new Wink scrubs...I have been drying them on medium to prevent them from getting too hot and shrunken in the dryer. That stinks because Wink scrubs...
  19. Kindred hospital orientation

    I think you will be fine. Maybe the others who don't have clear backgrounds have something to worry about but it sounds like you've passed everything and are just waiting for the rest to catch up....
  20. I'm not saying it's reasonable but in my new job we're not supposed to punch in/out more than 7 minutes before or after our shift without prior approval. Which stinks for me because I prefer to get to...
  21. New RN grad, work in Boston.

    I worked at MGH for over 5 years in a non-nursing role. Even though I knew many doctors, nurse managers, etc, I was not able to secure a position there when I graduated with my RN (ASN as well). Of...
  22. MSc in Nursing???

    As long as you have your BSN now, you have all you need to get into a staff nurse position in a hospital/clinic/nursing home. Get that job, get some experience and focus on your masters later on....
  23. RN to MSN, skip the BSN?

    The cost difference is about 15K for the BSN and 25-30K for the MSN. But if I am eventually going to go for the MSN anyways, now I'm looking at 45K or more total for both. Costs are always going up...
  24. My worst fear come true.

    I was in the same situation as you in my second semester of nursing school. Second to last day of clinical and my lapse in judgement caused me to fail the course. Those extra clinical hours will...
  25. Congratulations! Keep your eyes open for positions in Skilled nursing facilities. I worked for a year in a SNF floor of a LTC and gained a ton of experience. The pay wasn't as good as hospital pay...