JKL33

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All Content by JKL33

  1. JKL33

    How Has Covid Affected Nursing?

    Well that explains not only why things won't be improving any time soon, but also exactly how they got this way. It is really hard to understand why there is such a persistent disconnect around...
  2. JKL33

    PTO?

    Are you talking about the math? Divide the # of accrued hours by the # hours in a day of work for you (shift length). Ex 195/12 =16 full days/shifts off in which you would normally work a 12...
  3. JKL33

    I feel like I'm being bullied.

    ? This is why I don't think it's great advice to tell new grads to try to short-cut the formation of workplace relationships and manipulate new coworkers by bringing things like donuts, baked...
  4. JKL33

    Handling med errors

    @KKstillcares, You cannot put your own self and your patients in danger because of a dangerous, chaotic environment. Medications should not be charted before they are given. I'm sure there's...
  5. JKL33

    Need help

    Hello - This is not an appropriate intervention, it is the assessment that you have already done. You have chosen a nursing diagnosis. What kind of diagnosis-related goals are appropriate for...
  6. From the samples you have posted I don't think there is a significant problem with the words you are using. The main area for improvement will be charting what is relevant and leaving out what...
  7. JKL33

    Struggling With New Job

    Were you adequately oriented to the areas in which you would be working? If there are areas where you have almost no familiarity I would ask them straight up for a little more time orienting in those...
  8. Well, I can say what purpose it did not serve, and that would be the well-being and safety of health care workers caring for sick patients during a pandemic. You chose the word embarrassing. I...
  9. Frankly I consider it problematic because it was *not* stupidity; it was very purposeful. Just like the emergency bandana
  10. I have been suspicious of them almost from the beginning because I feel I had an excellent orientation by experienced/expert-level nurses on the unit into which I was hired years back. I had about 6...
  11. JKL33

    Manual blood pressure!!

    This will get much easier with time. It's one of those things that is much easier to hear once you're used to hearing it and know what the sounds are. Since checking a blood pressure is nothing...
  12. JKL33

    I feel like I'm being bullied.

    I also am very sorry to hear of your experience and would echo a lot of the previous poster's comments. Anyone who acts like this has a problem. Period. If there were a student who was really...
  13. JKL33

    COVID: It's Time to be Outspoken

    I remember when I was a newer nurse I had a patient who had been treating himself for lymphoma with a regimen of increasing daily drops of ingested peroxide. It was one of those moments you never...
  14. JKL33

    COVID: It's Time to be Outspoken

    No. That is completely incorrect. I am surprised you would even write that as a psychiatric nurse. One of the things in which your specialty is sometimes involved is involuntary admissions and various...
  15. JKL33

    Have debt but don't know if I want to be an NP?

    I view this whole problem in a much bigger context. I think it is beneficial to do so. 1. Nursing itself is a quasi-profession subject to significant manipulation from the outside. We want to be...
  16. JKL33

    Which skills allowed during clinicals?

    I would not do anything that you heard the manager say not to do. Then I would do as asked and call your instructor when you need to administer medication. That's exactly the kind of thing...
  17. JKL33

    Switching to ER

    Your experience will serve you (and patients) well. Sheehy's Manual of Emergency Care is a resource that has been recommended quite a bit. Available through Elsevier and booksellers. I...
  18. JKL33

    COVID: It's Time to be Outspoken

    It makes sense that being retired you will only hear the latter and not the
  19. The ER/ED issue is irrelevant; it isn't any kind of gotcha. Both are used in the
  20. JKL33

    Anyone work as a case manager in the ED?

    Hope you get some actual experienced replies. Coming from the perspective of having worked in a system where they were utilized (but not having filled that role myself), I believe a lot of their...
  21. I have a few of the items. But really the essential things I carry "as a nurse" are my phone, my keys and my wallet. The cringe I apparently honed in on were these: Kind of makes it...
  22. Thank you very much, @Lunah - I am already done with the exam (passed). It just happened to occur to me today to write the post about the fees.
  23. So, because I could not decide that one of these two certifications was tangibly superior to the other in some significant way, I decided to register for both exams and take whichever one would let me...
  24. JKL33

    4 Strategies to Avoid Nursing Burnout During COVID-19

    Here are my strategies: 1. Don't take responsibility for others' poor decisions 2. Understand that you/your life is completely separate from your patients and from your employers' needs. How...
  25. Yes, that makes it all the more unacceptable. To all of you new/newer nurses, think carefully. The line from employers has for years been that there is a massive nursing shortage. That schools...