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joaks BSN, RN

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joaks is a BSN, RN and specializes in Surgery/ICU.

joaks's Latest Activity

  1. joaks

    Lateral Violence

    I hate hearing more stories of nurses eating their young aka lateral violence. It happened to me for two years. I switched hospitals. I precepted two new grads before I left. I gave them all my advice, praise, and encouragement to deal with the "dinosaur" nurses on our floor. My parting words, were if they couldn't find a happy medium, follow in my footsteps and leave after your 1 yr of experience. Honestly, it was my managements problem. I complained, gave examples/scenarios Other nurses wrote these nurses up-which just started a ridiculous frenzy of nurses writing up other nurses. Management was "laissez faire" style-nothing was going to change. That floor had been like that for close to 10 years-it had a reputation. So I got out. Best move I could have made. I'm at a magnet hospital now-what a culture difference!
  2. When it comes to my career as a nurse I consider myself lucky. I did not consider myself lucky in the beginning of my career. But hindsight is a beautiful thing, if self-reflection has taught me anything. I am not one of those nurses who loved their bachelors' program and reflect fondly on memories of clinicals, lectures, and professor reviews. Most of these events were traumatizing and left me in tears. My first experience with "nurses eating their young" began in nursing school. I should have counted how many professors told me I would make a terrible nurse. (It is a pleasure to work with my patients today, and the cognisant ones all are very appreciative of our 12 hours together.) The summer before my senior year in nursing school, I was accepted into a nursing residency program. It was one of the best decisions I made in nursing school. I learned more working with my preceptor in this program than I did in all my clinicals combined. I had the best preceptor; we are friends to this day. She did not talk behind anyone's back, she was constructive, she gave me praise, and she let me form my own opinions about nursing and the workplace. She was everything my nursing professors lacked. She was such a positive influence on my experience with nursing; I choose to work in her unit upon graduation. She was my preceptor while I oriented to my new role as an RN. Upon the end of my orientation she went on maternity leave with a pending promotion to return as our assistant nurse manager. The veil was lifted from my eyes in her absence. My sign on bonus/contract was for two years in this specific unit-no transferring to another unit. These two years did not pass quickly. I experienced more "nurses eating their young," generation differences among co-workers, poor scheduling, day and night shifts in the same pay period. I ended up going to a gastroenterologist for stress induced health issues, and seeing a therapist regularly. My friends called less because I only complained about work; my boyfriend developed a "no work talk ever" policy. My negativity seemed to spread through all parts of my life. One pay period after my two-year contract ended I began in an ICU at a magnet hospital. The things that people complain about in this new setting pale in comparison to my first job. I am actually enjoying being a nurse for the first time in my career. I am no longer thinking I chose the wrong profession. I am considering going to graduate school in nursing. There are many stories of nurses eating their young. But I have read few articles that address solutions to this problem. AACN has the "Bold Voices" commitment, which states the importance of identifying problems and creating change to make the work environment positive. I signed this statement for my new job. The culture in this ICU is phenomenal compared to my first job. It is our responsibility to treat our colleagues equally and respectfully. We cannot decrease the shortage if we cannot keep our new nurses in the field. We must consider the trickle down effect.
  3. joaks

    How many SATA ?'s did you get?

    babymaica-on the nclex you just put in the numerical number-no units.
  4. joaks

    How many SATA ?'s did you get?

    i got 16 SATA, 4 med, bunch of who would you see first, and a bunch of infection/disease control questions-hope that helps!
  5. joaks

    Anyone Up For Random FACT THROWING??

    Thanks for the congrats everyone !
  6. joaks

    Anyone Up For Random FACT THROWING??

    hey all, so I've only been on allnurses for a couple weeks but it helped sooo much! Thank you for all the facts. I just found out I passed NCLEX today. Took it on Tuesday. Did all 265 questions-major migraine afterwards-totally thought I failed-I think everyone does though. Had every topic-16 SATA, 4 med. Lots of questions similiar to Kaplan-if anyone is doing that I think you'll be pleased with their program-i found it helpful. I'll be sticking around though-I know I'll have a lot of questions when I start working :)
  7. joaks

    Anyone Up For Random FACT THROWING??

    Thanks jadu1106-that i can remember :) Enough studying for saturday...off to bed for now!
  8. joaks

    Anyone Up For Random FACT THROWING??

    hi all, Does anyone have a good way to remember, decorticate and decerebrate posturing. I know what they look like but always forget which is which. Also, for cranial nerves I learned a picture-type mneumonic device where the "7's" faced eachother for the frame of the face, "1" was the nose, "2" were the eyes, "8" were the ears, I can't remember all of were everything went-anyone heard of this? and remember what it looked like? 1. Woman with systemic lupus can get pg after 5mo. of remission or 2yrs after first diagnosis. 2. 6mo: sit with support 8mo sits unsupported 9mo pulls self up, can say "mama" "dada" 3. Gemfibrozil (Lopid)- lipid lowering agent, se abd pain, gall stones. Take 30min ac. Check liver fxn tests. 4. Terbutaline (Brethine)- preferred over ritodrine (yutopar) b/c no BP s.e. S.E. include maternal tachycardia, nervousness, tremors, HA, pulm edema. Fetal s.e. tachycardia, hypoglycemia. 5. Ranitadine (zantac)- decreases acid production, Take HS, prevents stress ulcers (which are usually duodenal). 6. Pinworm testing- pinworms crawl outside the body first thing inthe am to lay their eggs. Collect specimen in am by touching scotch tape to childs anus. 7. Technique for removing abd dressing with penrose drain, remove gauze one layer at a time to avoid dislodging drain.
  9. joaks

    Anyone Up For Random FACT THROWING??

    I'm new to this website, but I'm finding it super helpful! Thank you for all the facts!! 1. N-acetylcystine-anticdote for acetaminophen 2. Amiloride HCL (Mildamor)- K+ sparing diuretic 3. MAOIs- Tranlcypromine (Parnate), Isocaboxazid (Marplan), Phenelzine (Nardil) Can cause hypertensive crisis with MAOIs: epinephrine, norepinephrine, levadopa/methldopa, amphetamines. 4. D/c oral hyperglycemics 48hrs prior to IVP (pyelogram). 5. Glascow come scale 6. Positive symptoms for Schizophrenia: delusions, hallucinations, incoherent thoughts (excess or distortion of normal functions) Negative symptoms for Schizophrenia: poor eye contact, poor grooming, inappropriate affect, social isolation (loss of normal functions)