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IV Pumps--have you used Baxter's Sigma Spectrum??
We have been using these for the last couple of months, and I really love them. They are expensive though, at around $4000 a pump.
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Anyone ever heard of anything like this?
Yeah, so hypothetical situation. A nursing home just has an administrator and a DON working there. The administrator fails to change one of his 137 patients. Who's on the phone to the police first?
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termination from nursing school
Your story is eerily familiar. The exact thing happened to me, the only difference is the clinical instructor was also the director of nursing for the program. She said multiple times in lecture and at clinicals that "men don't belong in nursing'. She took every opportunity to fail men out of her program. We started with 4, at the end of the program I was the only one left. Two months before graduation, she tried to work her magic on me. I showed up to the hearing with the dean, documentation in hand, and escorted by my legal counsel. She denied saying it. Fortunately, I had tapes of lecture, with her comments. The look on her face was priceless when the tapes were played. She was fired that very day, and I was back in the program. I also got an apology letter from the dean. I was lucky though. A friend of mine was an attorney and showed up with me, and the instructor was stupid enough to say her comments during lecture. It could have easily gone the other way. I really wish you well, in whatever you decide to do.
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(RN) Salaries
Rural Missouri. $17.50, $2.25 night dif. I am however paying $250 a month to rent a two bedroom house.
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How many mEq's of K would it take to kill a 54lb woman?
Look up for potassium chloride: Lethal Dose (LD 50) Efective Dose (ED 60) and Therapeutic Index. I will get you started :) Lethal Dose 50 is the amount of a drug to kill 50 percent of the lab test animals, usually rats because they are genetically similar to people. For KCl the LD 50 is 2.5 g/kg.
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Sudden Hypertension
Over the summer, my BP was running about 115/70. I was running 3 miles a day, and enjoying my summer off from nursing school. I just checked it today and I'm at 151/81. I'm only concerned because I always have a headache now, and during sex, the headache builds until orgasm where it feels like a migraine. How fun is that? Im not running everyday like i was, and the stress of nursing school this semester is almost unbearable. I'm an uninsured student, but we have a campus clinic I could go to. Should I go? Or do you think it's stress induced and will resolve on its own. Thanks.
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Help! Nursing diagnosis
Well, the list of NANDA approved nursing DX that I have, I would go with: Impaired Urinary Elimination related to side effects of pregnancy as evidenced by.... blah blah blah.
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older students- RN to MD?
I asked this same question to a friend, and she gave the best advice ever. "You could be 60 and NOT a doctor." I say go for it.
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What is the D-ring on my pants for?
I used to keep my common sense tethered to the D ring in my pants, but upper management has made me lock it up in the pyxis, it saves money that way. :) I imagine a good pair of scissors could go there?
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Asking pay rate before being offered the job...
I find out about pay rate and compensation BEFORE I even apply. I just make a quick call to HR and ask what the pay range is for X qualifications and what other benefits they have. I've never had a problem at least getting a basic range to consider if it's even worth my time to apply. I never bring it up in the interview.
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I burned my bridges 4 years ago....(need advice)
I wouldn't reapply. She immediately jumped to the conclusion that you were a liar and had you fired without so much as a phone call for clarification first. Do you want to work for a facility where those in charge have a severe lack of judgement? I wouldn't entrust her with my trash, much less my nursing license. I vote for find employement elsewhere.
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Past work history in hospital background check??
I disagree, credit a good indicator of financial planning and financial responsibility. Not the same thing. I bet Mother Theresa had a poor FICO score with her self employment and transient lifestyle. But to the OP, if they are going to run a credit check, they are required by the Fair Credit Reporting Act to: 1. Get your written authorization. 2. The authorization must be on a separate sheet of paper. So if you don't see that, they aren't going to run one.
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Just Fired, Need Interview & Resume Advice
I'm sorry you got fired, that must be difficult for you. I really can't fathom how you could be fired over one customer complaint. Don't beat yourself up over it. It sounds like management did you favor with not having to deal with them anymore. But on to the resume and interview question. From reading your first post it seems that you would regard putting down anything less than "terminated" on your application as a lie. The world is hardly so binary. HR might say, "Terminated: Left child's remains in sink" while I would say "Incompetent morons promoted to management, spends too much time with customer surveys and not enough time with patients. Left to purse other goals." So the real truth in why you don't work there anymore is open to interpretation depending on your perspective. So where do you go from there? I as in a similar situation before. I was fired and didn't know where to go. Here's what I figured out. 1. Information Gathering: Find out what the hospital is going to say about you. This will help alleviate your anxiety and give you good direction on what to do next. Have a good friend call the hospital HR as an employer, and see what information your friend can get. I mowed my friends yard for $10, so she was my employer. Most likely, HR won't disclose anything without a written authorization. Fill one of those out and fax it in to see what comes back. Possible outcomes: A. Most Likely: Nothing, they won't say anything at all. From an HR perspective, you don't work there anymore, so they don't want to spend any time/money on you (IE getting you a new job). B. Less Likely: They call/fax back saying you worked there, giving dates, and your title. C. Least Likely: They call/fax back saying you worked there, giving dates, your title, and that you're not eligible for rehire. D. Extremely Not Likely: They call/fax back saying you worked there, you were the most awful employee in the history of nursing. You spent most of your time digging in the sharps containers for used morphine, frequently bit patients, possibly have rabies, and you kicked service animals on your lunch break. In case A and B, it doesn't matter what you put on the application or say in the interview, because it can't be verified. Now, I'm advocating just making things up like saying your title was “The Empress of Taipei.”, but you can find some kind of middle ground for the “why I don't work there” reason. Focus on a reason that put you in the spotlight and not the employer. Career growth is a good one. Commute times. You can find some reason that's the truth. Case C is the stinker. They are basically saying you were terminated without saying it. But again, its open to interpretation because the employer isn't going to verify it. So I'd simply tell a quick story about how I overlooked a hospital policy about biological waste cleanup. I was fired over it, and I took these steps to correct the problem. Case D is the lottery. They lied, and as a result of that lie, they are damaging your income. You sue the hell out of them. If you end up winning $13 million, I demand a puppy. Hope this helps.
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MD ordered placebo for pain PRN~would you give it?
Ha ha, dose? route? The MD left that part out. :) Your primary role as a nurse is patient advocate. And unfortunately there is no magic machine that monitors pain. If a patient says they are in pain, then I believe them, I have no choice. Standard practice demands a nursing intervention for pain, a placebo does nothing. Doing nothing for pain will get you in BIG BIG trouble with your state board of nursing. Would you consider doing nothing for a patient with a BP of 65/42? But for the sake of the argument, let's say you decided to give the medication. The only ethical way to give the medication is to walk into the room, introduce yourself and say, "This is a placebo the doctor has ordered you to take, it does nothing and has no side effects, do you have any questions?" "WHY IS THE DOCTOR MAKING ME TAKE A PILL THAT DOES NOTHING!" "I'm not certain, lets call him/her." My first call would be to the physician to verify the order. MD chicken scratch can be so hard to decipher sometimes. Perhaps the MD means to give some narc pain med that starts with P and ends with O, and is a train wreck of spelling errors in between. If the order is correct, then the MD and I are going to have a very frank and candid conversation about his rationale of treating pain with a placebo. I'm going to try and convince him for a new order. If he refuses, then I'm calling someone else. Nurse manager would be a good start. You have to do more than simply refusing to give the medication, you actually have to look out for the patient.
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Does nursing have to be your "calling" for you to be a great nurse?
I think your friend is being shortsighted in suggesting that everyone lands into the perfect fitting job field the first time. It takes time to decide if a particular field is right for you. It sounds like you were not happy in law and are willing to try something else. Personally, I've worked in Information Technology for the last 10 years, and I hated it. I loved computers, but working in the corporate world just wasn't for me. I hated putting on a shirt and tie working 9 to 5 with the only personal satisfaction coming from making our bottom line more efficient. For me, it was a life without purpose. I was unhappy and changed. I'm now in my second semester of nursing school, and I can't imagine doing anything else. So I say go for it. If nursing doesn't work out, you can always try something else.