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fromtheseaRN

fromtheseaRN

RN
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  1. fromtheseaRN

    Nursing accessories for ER/ED?

    I got raptors about 2 years into my ER experience. Yes, they're $65. But when you need to do an open thoracotomy on a trauma that just landed, they get the clothes off in a split second. They have been well worth it in my experience.
  2. fromtheseaRN

    ER Duties

    I agree with the above. However, I was told by an ER doctor who is originally from Australia that the nursing scope of practice is very different there, so you need to take those limitations on your practice into consideration.
  3. fromtheseaRN

    2017 Nurse Corps Loan Repayment Program

    I was out for part of last year after having a baby, and thought my D/I ratio would increase... however, when I looked at my submitted application, my employer POC input my standard yearly pay on my employment verification, not subtracting the 3 months I was out without pay. Super bummed, I was hoping that would give me a leg up.
  4. fromtheseaRN

    My Orthopedic Nurse Certification Exam (ONC) Heartbreaker

    I'll second what was said above, that's a great score for walking in cold. I'm scheduled to take mine at the end of January. I work inpatient ortho, so our patients are elective joints and traumas, and I also worked in the OR on mostly ortho cases. I have the practice test disc that you can buy from NAON, and the areas I struggle in are the ones you see in clinic and not in the hospital... your spondyloarthropathies, gout, etc. Not seeing these things in practice make them hard to remember for me. Aside from the female athlete triad, any other bizarre topics you remember? Thanks for the help!
  5. fromtheseaRN

    Leakage of septic arthritis after surgery

    For hardware removal in a septic joint, we typically see a copious amount of drainage, at least for the patients at the hospital I work at. With time on the ortho unit you'll start to know what's normal for infected joints and what's not. For the drainage, I would have just let the surgeon know when they rounded that day (or the next). If I wasn't expecting them in within the next day, I'd call and let them know. That being said, I've never had a surgeon say it's abnormal. For a new joint with a lot of drainage or any surgery where infection was not expected or known about, I would call right away. The wrist pain is concerning, even if it was typical of her RA flares, the docs need to know so they can rule out a spread of infection of adjust her RA meds to treat the flare up.
  6. fromtheseaRN

    How to prevent falls

    All of our ortho patients have bed alarms on at all times. Our beds allow you to set the alarm to 3 different levels of movement sensitivity, and ours are set to only alarm if the patient actually gets up. It is the hospital policy, and it has prevented many, many falls on our unit (which funny enough, are mostly the young, fully A&O patients who underestimate how much the surgery and meds affect their ability to safely ambulate, and roll their eyes when we educate them about it). If a patient wants to be on our ortho unit with our staff specifically trained for orthopedics, they have to follow our rules. We are more than happy to find another room to accommodate the patient on another unit if they don't want a bed alarm... and each time we have the patient has requested a transfer back in order to be cared for by our ortho team.
  7. fromtheseaRN

    what's it like to be a patient sitter in Arizona?

    In the hospital system I work for, patient companions can have homework, computers, etc in the room. Patient sitters are not allowed to have anything- you have to have your eyes on the patient at all times. You have to wear scrubs. So really, it's going to depend on the hospital's policy as to what you can do. And the ease of the job will really depend on your patient, as a previous poster stated. Good luck!
  8. fromtheseaRN

    How to switch from bedside to OR

    Find out who the OR manager is and send an email asking to shadow for a day. That shows that you are interested, and will also give you an idea if it's something you'd really want to do. I went to the OR from an ortho unit. I was hired with 3 other nurses, and 2 of them went back to their floors within 2 weeks because it was not what they had imagined.
  9. fromtheseaRN

    Any OR RNs get their FNP?

    I've seen/met several who have gone back for their FNP so they can first assist, and make a living off of it. A couple were already RNFAs, but said Medicare would not reimburse their services if they did not have their NP.
  10. fromtheseaRN

    Ortho certification...

    We are reimbursed for the test, up to $250 (the cost for NAON members to take it). but that's it. I'm currently studying for certification, and am learning a lot. I know it sounds cheesey, but the extra knowledge I am gaining makes it worth it for me to become certified.
  11. fromtheseaRN

    My story and some questions from a confused older student

    I floated to the ED the other day and asked about this. Only 1 of the PCTs I worked with had their CNA. The others were hired as nurse assistants (non-certified), and Banner trained them in IVs, foleys, etc. One thing I've learned about the nursing world is "rules" about what certifications you need to work certain jobs are very fluid and change from week to week, from department to department. The best bet is to get whatever certifications you can to always give yourself a leg up.
  12. fromtheseaRN

    My story and some questions from a confused older student

    I work for Banner and this is not the case- we use CNAs on the unit. CNAs take vitals, do bed baths, etc. We use PCTs in the ED. They start IVs, insert foleys, draw blood, etc. Our CNAs and PCTs are not interchangeable. You'll have a avery hard time getting a job with just an ADN. I had almost 400 applications out before I did, and that was almost 2 years ago. The only reason I was hired was because I enrolled in a RN-BSN program. Go straight for your BSN- it's the same amount of time and you'll have a job sooner.
  13. fromtheseaRN

    Arizona Hospitals

    i'm at a non-profit hospital up in the Phoenix area. We've been code purple for a few months straight now... however that hasn't helped our staffing situation. We are extremely short staffed and are not hiring many new nurses at all. Needless to say, we're all grumpy and stressed!
  14. fromtheseaRN

    Orders to hold meds?

    I always notify the doctor if I hold a med that doesn't have parameters on the order, but I would not wake up a doctor for that. I work days, and often night shift lets me know if they held anything, and I will let the doctor know (and also ask for parameters if there aren't any).
  15. fromtheseaRN

    I just can't do this anymore...

    i'm sorry to hear that your husband is not supportive of your wishes. that is a hard road to navigate, and i hope it goes smoothly for you. so, what do you not like about nursing or your job? you have many avenues available to you, you do not have to do direct patient care, or put up with a lack of benefits. if you don't like direct patient care, a friend of mine is a lvn, and works for the government in an office job. she reviews medicaid patients records, and makes the recommendations and approvals for their needed home health care. she works monday-friday 9-5, and has amazing benefits. usajobs.gov or your local department of health will list these types of available positions on their websites, if you're interested. good luck to you, i really do hope you find a better fit.
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