core34

core34

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All Content by core34

  1. St Joseph's College of Maine FNP program students

    Any St.Joseph's students from Massachusetts doing clinicals? I am told they aren't accepting Mass residents because the Department of Higher Education hasn't approved preceptorship in the state. Any insight?
  2. "Right to Sit"

    Our boss is implementing a "no-sitting" policy, we are not allowed to sit at the nurses station to document - we are only allowed to stand at our computers out in the hallways. We are only allowed to sit during our breaks. Some union reps have posted...
  3. This vaginal bleeding could as be a side effect of chemotherapy. Did she receive any palliative chemo recently (specifically Cytoxan and/or Ifex)? This vaginal bleeding is called hemorrhagic cystitis, the drug Mesna is typically used for this side ef...
  4. Kayexalate + Hyperkalemia

    Hi there -- Quick question. In order to lower a high K+ level with Kayexalate, does there need to be a successful bowel movement (i.e. is the K+ excreted with the stool) The reason I ask is that we have a patient w/K+ 5.4. She is receiving Kayexala...
  5. RN job offer during the hiring freeze era??

    I was just offered a position at Anna Jaques (med/surg)...I have been working as an RN for the past 6 months in geri/psych at another hospital but I'm still considered a "new grad."
  6. Appropriate?

    Hi there -- I'm coming up on my 6month mark and relocating soon, so I decided to put out my resume to see if I could 1)get something closer to my new house & 2) get into something more medical (I'm currently on a geri-psych floor). One place resp...
  7. New grad salary in Boston hospitals?

    Correction: New grad at Mt Auburn 29+/hr Eve diff 2.25 Night diff 3.25 Weekend diff 1.75 Weekend night diff 5.00
  8. Ok-- I'm pretty disturbed by this. I hate confrontational situations. I work on a Geri-Psych unit and something happened last night that upsets me. 11-7, one of our patients became pretty upset -- unsettled, anxious, etc, around 130am. She NEVER sle...
  9. Patient claims abuse (sorry Long!)

    FYI: Nothing ever came of it. Turns out she was being very manipulative, etc etc -- and had been saying it about every male caretaker. We have all covered our bums and do care in pairs:) Thanks for everyone's response! Great advice--I have a lot to l...
  10. Just Changed Jobs because...

  11. hobbies to keep dementia pts happy?

    Great question! I would love to hear what other people are doing out there! I currently work on a Geri-psych unit and I struggle with this daily. We have a basket of clothes to fold as well. We also have a bin of nail stuff for the ladies. Some of t...
  12. Home Med Documentation?

    I'd like to know if there is a protocol at other facilities for situations like this. Currently, there is none in place for mine. Here's the scenario. Patient "Ed" is admitted from home with a bag full of bottled RX's. Some are controlled. At my fac...
  13. Bad Day!!!

    I'm sorry you had to experience that. I'd be upset too!!! If it were me -- I'd show up for the next scheduled shift, head high, keep to myself, bust my butt to show I'm valuable and can handle these situations, etc. Then I'd go to my NM and let her k...
  14. What illness do you have today?

    I have "New Grad" Bipolar disorder.:o
  15. Kayexalate + Hyperkalemia

    hahhaha, seriously!!! no blow over 11-7! we're working on the BM but she's been dehydrated and this is normal for her. we'll see what happens when i go in tonight. i'll prob end up being the lucky one!!!!
  16. Kayexalate + Hyperkalemia

    Update: 12/15 K+ = 5.4 , 12/17 K+ = 3.5 and still no BM. Worked like a charm!
  17. Private Duty Nursing

    I worked for a few private duty cases and the highest I was paid was $42/hr. I'm also a new grad. Although this figure seems high (especially for a newbie) you have to figure in how much to take out for taxes. When you work Private Duty you are consi...
  18. Need some help!

    all those courses will go towards a nursing degree so it can't hurt either way. for your science electives i'd suggest microbiology & chemistry (some nursing programs require chem, mine didn't but one i was applying to did). i'd like to reiterate...
  19. New grad training programs

    I (luckily) found a job in Boston w/an ADN in Nursing. Graduated in May, started my search in January and began in September. It is not my ideal floor (Geri-Psych) but its a starting point/foot in the door. I just talked to my friend who graduated wi...
  20. VA vs Private Hospital

    5 nights is really tough. say goodbye to those 7 days off. the thing with working 5 8's is that you can barely switch with anyone either. if you haven't done 5 11-7's, i would advise against it.
  21. Quick survey question

    25/female/2
  22. Ugly Comments From A Nurse Friend

    lazy my ass. LAZY is being able to push IV haldol when a patient acts up at the drop of dime on a medicine floor when they already have a line in. MINUS ALL THE PAPERWORK. i'd love to hear someone call me lazy after 4-pointing or chemically restraini...
  23. can anyone help

    You always acknowledge patients who undergo trauma, that what they did in the situation was the best thing to do. They may have suffered physical/emotional injury, but being able to live through it is the ultimate victory. If you confer that there we...
  24. We practiced injections on special injection pads. And once we passed on that we could do it in clinical. Inserting IV's or drawing blood was not taught in school. Around here (MA) you learn on the job if it's required. Most hospital's in Boston have...
  25. For the nightshifters.

    12's!!!!!!!!!!!!!! I work 5 8's and it's very disorienting. I don't always get 2 days off in a row and if I do, the 1st day is usually wasted. I have to do 5 nights in a row if I want 2 nights off which can be sooooooooo draining. And one night off i...