Sonjailana

Sonjailana

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  1. Nurse safety

    The laws don't matter if your employer won't enforce them or there is a culture of not reporting patients or calling the police.
  2. RN to MSN?

    You enroll in a master's or doctorate level nurse practitioner program. First you practice nursing for a bit so you actually have some first-hand experience, figure out what area of specialty (for NP) appeals to you, and go for it.
  3. Quality Improvement in End of Life Care

    Question for you, StefO. Why is EOL care happening so frequently in the ICU? Why aren't we having these discussions far earlier and providing for much better deaths for our patients? When should these conversations start?
  4. If you could just pick up and leave, where would you go?

    Somewhere SUNNNNNNY!
  5. Did your school's reputation affect getting hired?

    Yes! I went to a school that is nationally ranked in the top five for my specialty, and it has opened several doors for me.
  6. My mom doesn't believe in me.

    I had some majors issues with my mom too OP. I think the earlier you can address this and set appropriate boundaries, the better off you will be in the long run. It sounds like your mom does not respect you as an adult. See a therapist ASAP. I can't ...
  7. am i reasonably resigning?

    Wow.. so much drama from saying "Back in the day.." NO ageism here, respect your experience, but acuity is NOT the same as it was in the past, and so don't just suck it up and take it OP! It's not worth your mental health!
  8. am i reasonably resigning?

    What kills me here is so many nurses are saying, well, back in the day I had.... Today's med-surg floor is so different! In my 7 years of nursing acuity has soared! Med-surg almost always has tele now and very very sick people. 11 is not safe! Run!!
  9. Cyclical vomiting syndrome

    Yes! I had a pt with this and we de-toxed him. Put him on suboxone and kept him..it did work..but took like 5 days..and it was miserable in the mean time.
  10. What kind of car do you drive for those 1+ hour commutes?

    Honda Civic..gets 40mpg highway!
  11. What is your de-stress?

    Petting the cat Calling my mom to whine (we have an open post work whine policy..it works well) Taking a bath Reading a goood book Drinking a beer Spraying things in the yard with the hose Zumba Reading blogs
  12. One Of The Saddest Things I've Seen... Can't Stop Laughing

    We had a two week old nursing assistant training a new nursing assistant the other week...they actually had her assigned two of them! So, I took one away..but talk about blind leading blind..
  13. Small talk with patients, what to say?

    How did you sleep last night.. What did you think of that game (whomever is local) You picked a good to day to be here (if there is horrible weather..often in Michigan) Did you get breakfast/lunch/dinner.. Oh your flowers/hat/grandchild are soo beaut...
  14. G tube to gravity drainage

    A couple months at best..likely less than that. We usually hydrate these pts pretty aggressively IV wise too.
  15. Morphine/Phnergan IVP...to give or not to give?

    Just say No. Seriously, if a pt had a peripheral IV, I would NOT push phenergan undiluted. Can you say extravasation? I have no problem telling a pt, "that's fine that the other nurses did it such and such way, I'm doing it this way." Do what's best ...
  16. What do you think of Clinical Nurse Leaders (CNL)?

    We have CNL's and they follow the patients 'story.' Honestly, they don't do any bedside care, and tell staff nurses what to do without having any authority. It seems really like a miserable position. They do 'bedside rounds' and keep some stats. Hone...
  17. Helping patients with migraines

    As a hormone induced migraineur.. I can say, cold, quiet, dark room. Anti nausea meds. Sometimes excedrin. Massage is good sometimes..sometimes I do NOT want to be touched. Really, not too much out there.
  18. Getting Sick at Work

    Fell down went boom. Went to work, Soooo painful. Worked for like 90 min, my manager is like, are you ok? I said, no, and said I need to go to ER. My leg was so swollen it was stuck on my scrubs. Broken tibia...and my manager asked if I wanted to tak...
  19. Are you a sensitive person too?

    I'm sensitive in my personal life, but I try REALLY hard not to be at work. I let it roll off my back. (and cry when I get home..you know it) Being in tune with what your pt needs and being a sensitive person are two very different things, however.
  20. The introverted nurse

    Your patients will tell you that you're a calming presence. The last thing they want is someone with another 'presence' to be dealing with. As long as you are able to communicate when it's needed, I don't think it should be a problem. You probably h...
  21. how old is to old for medsurge

    25! Hahahaha, just kidding. It feels that way sometimes. I would say you need to be able to walk five miles over the course of the day, squat, bend, and lift. Consider some gym training if you needed it..my employer actually provided an enrollment fe...
  22. Anti-Intellectualism/Autonomy in nursing

    I would say to really judge the situation. If your pt really needs an 02 mask, put on a @#$@ mask, then call MD, RT, RRT, and get the pt transferred. It's not helpful to you or the pt for a charge nurse to tell you they don't belong on a med-surg flo...
  23. nursing care r/t pregnancy termination

    OP, did you learn about giving Methotrexate IM for an ectopic pregnancy? At my hospital we admit pt's to the med-surg ward if we expect any loss of pregnancy. If a pt is hemorrhaging, you need to get them to OR, and get them ready before they go. Big...
  24. Nurses can do their homework independently.
  25. Knee, work, weight..ugh!

    Hi Fellow nurses, I am a surgical oncology floor nurse and I fell on the ice two weeks ago. Initial x-rays said bone chip and PA said sprain, follow up with doc said sprain. Two weeks later, my left knee is still swollen and painful. I went in yester...