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IHeartPeds87

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IHeartPeds87's Latest Activity

  1. 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."
  2. 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?
  3. 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?
  4. 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!
  5. 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!
  6. IHeartPeds87

    HATE my job (vent post)

    Thanks for the support! I'll keep you guys posted :)
  7. 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.
  8. 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.
  9. IHeartPeds87

    Tips/day in the life of an acute care for the elderly unit?

    Anyone?? Please??
  10. I will be starting a new job on an acute care for the elderly (ACE) medical surgical unit at a local hospital. I wanted to hear from people who have worked on ACE units...what are the most common diagnoses? Most common meds? What do you like and dislike about it? My understanding is that staffing on nights for a 24 bedded unit is typically 4-5 nurses with 2-3 aides...does that sound reasonable? Any insight is appreciated!
  11. IHeartPeds87

    Emailing future preceptor?

    Hi everyone! So I'm a new grad and got a job on a med surg unit at a local hospital. I'm excited and nervous! My boss told me who my preceptor would be. I was thinking of emailing the preceptor to tell her that I'm looking forward to meeting her and asking questions like what are the most common meds/diagnoses she sees. i was hoping to do some prep and read up on those meds/diagnoses but I don't want to seem like a tool... should I email or does emailing look/sound bad?
  12. Hi there! I have an interview for an Acute Care for the Elderly unit at a local hospital. As a new grad, super excited for an interview in acute care and was hoping to gain some insight about this unit. Anyone work on one? Know anything about it? My understanding is that it is med-surg with elderly patients. Any tips/information/day in the life/etc? Thanks!!
  13. IHeartPeds87

    Vent: treatment of new grads!

    Thanks for the replies and encouragement. I know that working as an aide doesn't necessarily guarantee me a job, but I was hoping that it would help more so then it has proven to! I know the job search takes time, but it is frustrating for sure.
  14. IHeartPeds87

    Vent: treatment of new grads!

    Hi everyone. This is a vent post. I am a new graduate. I graduated at the beginning of may and passed my nclex in mid-June. The job search is extremely frustrating. I tried to apply months before graduating. Was told there would be no point and needed to wait until I graduated. After graduating was told that doors would open up after I passed nclex. I passed nclex, and the treatment I've received since is upsetting. I have been an aide at a local hospital for over three years, on the same busy inpatient unit. It is heavy work and was difficult to keep up with throughout nursing school, but I did it. Ofcourse, the unit went through a transition around the same time I was graduating and we have a new manager who told me I would have to interview (despite the old manager assuring me that I would not have to interview). Okay, no problem, lets set up the interview. Over a month, my emails have been ignored and my attempts at face to face contact have been blown off. I have been a good aide. Glowing reccomendation letters, numerous customer service awards, great annual evaluations. Everyone likes me, and I like them. What is the hold up? It's frustrating. Three weeks ago, Interviewed on my dream unit...a different unit then my aide work..interview went extremely well. Manager I interviewed with called me impressive, and stated that I seemed genuine and that my interest in the specialty was refreshing. All positive comments. Then stated that the manager would be in touch and that she was busy dealing with other things and would be in touch. I am keeping my fingers crossed because I want this job badly! The waiting game is hard. I hate it. Hate it hate it. Good luck to all the frustrated new grads....hang in there.....I will too....
  15. IHeartPeds87

    When is the appropriate time to bring up a planned vacation?

    Thank you for all your advice. I will bring this up when an offer is being made. I am going to say something to this effect: "Thank you so much for the job offer. I am very excited about the job. There was something that I wanted to talk to you about- my parents have generously offerred, as a graduation gift, to pay for airfare and lodging for a family wedding in Mexico. The trip is four days, but is over christmas and christmas eve. I understand that this is asking a lot, however I would be completely willing to work thanksgiving, new years eve, new years day, or come up with any arrangement that you deem fit in order to attend the trip. The job is more important to me than the trip, and if I can't go on the trip I will understand- but if there is any way to make it possible so that I would be able to attend, I would be extremely grateful...." Does that sound okay?
  16. IHeartPeds87

    How does my study plan sound? (for nclex)

    To the OP: Ultimately, it is of course up to you as to what you want your study plan to be. I personally found the HURST review to be, essentially, a waste of time. The source that I would most recommend is called uworld. It is gaining popularity on this site, do a search for it. There was a thirty day free trial for it and it was extremely useful. The questions were just like kaplan questions if not a tad harder, but what makes uworld stand out are the rationales. They were detailed and most importantly understandable. For example if you had a question on uworld about chest tubes, there would be a diagram of the chest tube with an explanation of what each chamber was for and an explanation for what was normal/abnormal. What I suggest doing: - get uworld and do it mostly on tutor mode. If you are a notecard person like I am, I suggest having some sort of online notecard service open and making notecards of the things that you don't know from uworld (sometimes it's not even necessarily a question but something related. For example, if you get a select all that apply about hypoglycemia and signs and symptoms, a notecard would be like "true or false, tachycardia is a sign of hypoglycemia" and on the other side I would have the answer written. These should be made specific to you though and what you are unsure of/don't know. That's the only way it will be helpful. This way you are learning content in the context of questions, which is honestly the best way to do it in my opinion. - do the prioritization/delegation book...I did not very many of the case studies but it is a very useful resource. - learn infection control mnemonics. Just learn them. do a search for them on allnurses and good ones come up (spiderman, etc). - see if the kaplan decision tree method works for you. I found that it did help me when I had absolutely no idea what a question was getting at. - the nclex mastery app is useful for unofficial studying. I didn't make notecards or anything from this but you don't realize how much time you spend on your phone! You can do this!!