diane227

diane227 LPN, RN

Management, Emergency, Psych, Med Surg

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All Content by diane227

  1. I am still looking for a job. I have had no luck at all. I left my last job in June after ongoing conflicts with the manager over safety related issues. I resigned but the former manager will not...
  2. Float pool for new grad?

    Don't do it. You need the stability of one location in order to get yourself organized and to know exactly what you need to do. Plus, there are advantages to being in one place and forming...
  3. Will the facility allow a transfer that soon with you only being on the floor less than one year? Some facilities will not. Do you think you can handle the load on a tele floor? How long will they...
  4. Scope of Practice Question

    Generally no, unless your facility has given a specific class on these procedures and you have been checked off. Lancing a boil is not just a matter of getting the pus out. If you do not use the...
  5. What was the underlying condition of the patient? Did he have co-morbidities? What was the chief complaint of the patient? Had the patient received IVF prior to coming to your unit? There is...
  6. Hospital Politcs

    You have politics everywhere and it much of it depends on your manager and the tone set for the unit. If you have a strong manager willing to take on problems and back you up, then you can avoid some...
  7. How to deal with a rude classmate?

    Trust me on this. You need to take her aside in private and talk to her one:one about what ever is going on with her. And you need to be direct and up front. I had a fellow nurse basically harass...
  8. Missed diagnosis - just a vent

    One should never rely strictly on a test to make a diagnosis. Frankly, I would write a letter of complaint and let them know that you have no intention of paying the bill. Make sure you notify the...
  9. Should I stay or should I go?

    I have been a nurse for 32 years. I left my job on a med surg floor in June due to ongoing safety issues. It was not uncommon for us to discharge 8-10 patients and get 10 admits or transfers on an 8...
  10. 1. Are you sure that you have a properly working cuff? 2. Are you palpating for the artery before placing your stethoscope over the area? 3. Are you sure that you have the diaphragm of the...
  11. Standing around doing nothing. Chatting with fellow students. When you are in nursing school it is important to be friendly and assertive to the staff. Most nurses will teach and show you things if...
  12. words of wisdom..anybody?

    Everyone get nervous so that is normal. Perhaps you are just not sure what you want to do with your career. I had this same problem. I changed my major about 4 times before I decided to go into...
  13. Not Getting "A's"

    Good for you guys. Keep doing your best but I guarantee you that no one is going to ask what your GPA was in college unless you plan to go to grad school. I always made my A's in clinical but was a...
  14. You have to go with the flow when in school. They really focus on that nursing diagnosis stuff etc but you won't use much of it after you leave. I am like you. I think of putting a puzzle together...
  15. I was a bad girl.

    If that is the worst thing that you have ever said to anyone, your lucky. My mouth gets me into lots of trouble. And not because what I am saying isn't correct it is just the way I say it. and...
  16. Looooong narrative notes

    Most nurses learn to shorten their notes as they go along. It is no uncommon for a nurse who is using a flow sheet with check boxes etc to repeat that information in the narrative portion of the note....
  17. Have you ever been audited?

    I strongly believe that all nurses should be required in all states to have a minimum of 20 hours of continuing education annually and that evidence of it should have to be present in order for one to...
  18. not looking "put together"

    I do see this and I think it is horrible. Some people come dressed for a fashion show and some come like they just got out of bed. I believe strongly that when you are delivering health care you...
  19. My husband works as an RN in a large neuro ICU at a very busy large hospital. All nurses are required to wear an attachment to their badge which says RN in big bold letters. It helps to identify who...
  20. CNA prior to BSN?

    If you have an opportunity to work as a CNA while you go to school, do it. You will learn a lot and it will help you in school more than you know. It gets you comfortable with the hospital...
  21. PLEASE... what ever you set up, make sure that there is a terminal in every room plus a rolling terminal to use in addition. Have every other system interface with your documentation system... Labs,...
  22. What is my license worth?!

    Do NOT allow anyone to "use" your license for any business venture that you are not directly involved with yourself. And before you get involved in any business where your nursing license is required...
  23. can someone help me?

    Basically, you can't. You will have to learn very quickly to set your priorities and put out
  24. What type of nurse does this?

    PLEASE, PLEASE, PLEASE do yourself and the patients a favor and don't go right into an ARNP program without working as a nurse first. Your learning curve will be too steep and it will make it hard...
  25. Messed up with a transfer request

    Transfers are tricky. In a county hospital where I used to work, if an employee wanted to transfer they could do it be simply contacting the manager of the unit where they wanted to go. They were...