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IHeartPeds87

IHeartPeds87

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  1. IHeartPeds87

    Favorite nursing job or specialty

    Pediatrics!! I love the variety (you can have a 14 year old in one room and a four day old infant in the next). There's an underlying optimistic tone in pediatrics and I feel like I'm making a difference!
  2. I also suggest cuing them into the assessment signs that you look for that would indicate that the child might be able to start eating. Stating something to the effect of "babies aren't very good at the coordination of breathing and eating, so when their breathing is a problem one of the things that we do to help maximize the amount of oxygen they are getting is to stop feeding them for a little while. Some of the things that we look for to see an improvement is the respiratory rate, we like that to consistently be under 60. We also want them to look like it isn't hard for htem to breathe (I point out accessory muscle use, head bobbing, etc). We are definitely keeping an eye on things and if you see any of those things definitely point them out to me so I can let the doctors know and we can all be on the same page. I know that it sucks when your kid can't eat and is fussy, but we all want what is best and this is what is medically best for your child. We will re-evaluate the child's status in (I usually say about two feeding times, so if kid typically eats every 2 hours I say 4 hours, if its every 3 hours I say six hours) so that we make sure to stay on top of it." Honestly, cluing into parents is usually the best way. One of the best "customer service" type of tips that I ever got (I know it sucks, but it is the way right now and I like to pay rent) is to sit down in the room with parents. I literally will pull up a chair, put all my brain sheets away except the one for their child, pull up the child's chart on the computer in the room and go over the plan of care. If I set that up where I can do that within the first couple hours of my shift, I usually have it go much better. It usually only takes about 5 minutes per patient but makes the entire experience way better. And give yourself a break, there are some parents that no amount of reassuring/explaining/etc is going to make them calm down. Do your best and then try to let it go.
  3. IHeartPeds87

    How to Support a Coworker Who Has Made a Medication Error

    Tell her that! Paraphrase that statement and it would be perfect! Tell her that in your opinion, she is an excellent nurse, is well-liked by the patients and staff, and a great resource. Tell her that even this is a learning opportunity, and atleast the "first med error" transgression can be crossed off her 'hasn't happenned yet' list. After stating that, I would then ask her why she thinks it happenned. Take her aside and be like, what was occurring at the time when she made the error. Brainstorm with her tactics that she can use to hep prevent this from occurring in the future. I hung the wrong primary bag on one of my patients. Thankfully, no harm had come to the patient but I was rushing and had grabbed the wrong bag. One of the more experienced nurses who cought the error told me that I should try to scan the primary bags too- that would have prevented the error. She also told me that she understood that it wasn't always possible to scan the bags so what she started doing was she just slowed down and when she was labeling the bags with her name she also started putting a check in one of the corners of the sticker that meant, to her, that hse slowed down and checked the bag against the orders. It was a great tip and is one that I have implemented. So much about nursing boils down to HABIT and routine. Small alterations to a person's routine/habits can really have a large impact on patient safety. My point is to focus on helping her alter her behavior to help prevent future mistakes. Also, brainstorm with her if she thinks any system errors also played a role in the error....could the two cards have been placed further apart so that they aren't so easily confused? If so, encourage her to discuss it with the DON. My point is help her change her thought process from "oh no i'm an awful nurse and an awful person and I just suck" to "this is the problem, this is how I contributed to the problem, this is how the system contributed to the problem, and lets think about how we can fix the problem."
  4. So I've been feeling way better about work lately. I've felt more confident and things have been going better. One of the MANY things i've adapted to includes some changes I've made to my pre-work routine. I bought myself a pair of nice earrings (studs, work appropriate). I wear those, put on light makeup before I leave - makes me feel better. And also, I always play the Demi Lavato song "Confident" when I enter my hospital's parking garage. It is the last thing I hear before I clock in. I've done that every shift I've worked for the past couple weeks and I am going to continue! What is your pre-work routine/is there anything that you do to help get you mentally prepared for work?
  5. IHeartPeds87

    question about getting labs

    Hi there. I work on a pediatric unit and when we put in IV's, if there is lab work ordered we draw labs at that time as well to save the child a poke. I have a question about getting labs. Sometimes we have infants who we get labs in microtainers for (these do not have additives at the bottom and are very small quantities). Let's say that I have to do blood cultures and a CBC on an infant. The CBC would be in a lavender microtainer. The blood cultures container sort of "sucks in" the blood. I was told by some experienced nurses that you always do blood cultures first and by others that when there is a microtainer you get those first because the blood culture tube "sucks up" more of the blood. what do you guys think?
  6. IHeartPeds87

    Job Fairs is it worth it??

    Job fairs, in my experience, have been extremely useful. A facility that is typically holding a job fair is in need of a large number of nurses. You get to have face to face contact with recruiters and managers. All positive stuff....go for it!!
  7. IHeartPeds87

    Leaving at 6 months in?

    Here is what I will say about the whole "fear of being labelled a job hopper." Do I think that leaving one job six months in will make you look like a job hopper, particularly in the same company? No, no I do not. However I do urge the OP (or anyone reading this) to try and make sure that the next place you are going too is a job that makes sense with you career goals. For example, in the case of the OP L&D is the specialty she wants so I say go for it. A friend of mine is a med surg nurse and wants to do ICU, but left my med surg unit for another med surg unit....and that, I believe, was a bad move. Don't leave just to leave....it needs to make sense....because if you can't explain it to yourself how does it look on paper!
  8. IHeartPeds87

    New Grad Help

    I think you are fighting a losing battle. I hate to say this, and I am sorry, because I know it isn't what you want to hear. A unit where other nurses are constantly going over your head and reporting things to educators/management is not where you want to work anyway!
  9. IHeartPeds87

    HATE my job (vent post)

    Thanks for the support! I'll keep you guys posted :)
  10. IHeartPeds87

    First Job As A Nurse! HELP!

    I work in acute care on a med-surg floor. I have, one time in the past six months taken 11 patients. I will never do it again. NEVER. I have made a vow to myself that I will refuse anymore than 8 patients. In truth, the number should be six but I need to pay rent so my limit to live with myself is 8. Anywhere that has told u that they have had 12 patients in acute care....please...run.
  11. IHeartPeds87

    HATE my job (vent post)

    Hi everyone. I hate my job. I am extremely unhappy. I got a job at a busy urban hospital on a med-surg floor at night. I was thrilled to have a hospital job as a new grad. The experience, in reality, has been terrible. Patient load is atrocious. At night we routinely have anywhere from 6-8 patients. Sometimes I'll start with 7 and get an admission, other times i'll start with 6 and get two admissions.....it's a lot of patients with high acuities (many times we get patients and in report it will be "this patient was supposed to go to the icu but they are full so....") First of all, the orientation. Excuse me while I barf. The "extensive" orientation was a grand total of 5.5 weeks....and I had to beg for the last week. Also, more than half my orientation wasn't an orientation as much as it was me doing everything while my preceptor did her homework for her BSN classes at the desk. The vast majority of the aides are useless. There a few minority who are awesome at their jobs, extremely helpful and I can't thank them enough. Unfortunately they are outnumbered by the vast majority of lazy aides with very bad attitudes. Attitudes like when I say "hey i'm going to get pain meds for 22, can you take the patient in 20 to the bathroom" they tell me "no, you can take them after u pass meds." And I don't need a lecture on how maybe it's my tone or attitude toward the aides...no, it is not. I was an aide for over three years at a hospital and I did not do that and I have respect for the aides having been one myself!!!! My nurse coworkers are...okay. The ones who are nice are awesome but they have such a heavy patient assignment themselves that they can't help anyone else. The mean ones are...well..mean. I have been at the job for 5.5 months. It has been terrible. They have already put me in charge with NO training. I didn't even know what responsibilities the charge nurse had and they were like "oh you are charge." This has happened three times. the first time I asked the day shift charge a few things before she left (what exactly do I have to do and where can I find certain things). It is terribly unsafe. One of the nights I was charge I had 7 patients and was charge...the other two nurses had 8 patients and we were short aides. I have applied for an internal transfer on a peds floor at the same hospital...while I know that peds has its own set of issues and stress I love kids and am hoping that a patient population I like will help me like going to work. I hate my job. My unit is always short of nurses. They have hired three new nurses on nights so I am quickly becoming one of the "seasoned" people. I hate my job. I really hope I get this other job....I need something to look forward too. Thanks for reading.
  12. IHeartPeds87

    Leaving at 6 months in?

    Here is the thing about being loyal to an employer. I don't think it is the way it used to be. There is no loyalty from the employer to the nurse so why should I be loyal to my employer? I was told that I would have an extensive orientation, that I would have regular meetings to discuss progress and would have 4-6 patients. I was lied to. My "extensive" orientation was about 5 weeks total, 3 of which I was basically left to fend for myself while my preceptor did her homework for her BSN classes. I did not have regular meetings to discuss my progress, I had one meeting at the end of orientation. And 4-6 patients? Please. I routinely have anywhere from 5-8 patients....yes, some shifts I have six but I often have 7-8. So no. I, personally, do not have any loyalty to my employer. Also, my unit has hired a bunch of new graduates after me, mainly because no one but the "I need an RN job to pay my rent" variety would last on my unit...and even they are dwindling. My unit did not "do me a favor" by training me. The work conditions are such that they cannot attract anyone but new gradues to work there. I understand why preceptors lose interest in training new graduates, but perhaps places need to start looking at WHY they are unable to keep people and WHY there is such a high turnover. Some of it may be because newer nurses don't have the same loyalty as their once was, but sometimes it may just be that it is a terrible place to work. In the case of the OP, even if your current job isn't terrible I say go for your dream job. Your employer does not give a rat's a** about your career . What you owe your employer is to be at your scheduled shifts on time, for the duration of your shifts, and to do your absolute best for your patients and coworkers during the shifts, and the required amount of notice while quitting as per your company policy. Beyond that, you owe them nothing and believe me, they don't feel for you either!
  13. IHeartPeds87

    The ONE thing that will make your nursing life easier

    Appropriate staffing FOR SURE!!!!!
  14. Hi there is a job that I am interested in that is posted online. There are multiple postings of the same job online (same shift and everything too). Should I apply to all of the multiple postings? Seems like it would appear desperate but I would hate to miss out on a job because the slots for "job Id number x" were full when the slots for "job id number y" were open. Advice?
  15. IHeartPeds87

    children's hospital of michigan?

    Can anyone tell me what it's like to work here? I am an aspiring pediatric nurse and wanted some insight on what working at the hospital was like. How is it like working for a for profit hospital? Is there support for nurses? adequate orientation? What are the ratios like? Enough supplies? Do you enjoy working there? Pros/cons? Any information is appreciated, thanks!!
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