Always_Learning BSN, RN

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All Content by Always_Learning

  1. Always_Learning

    "No Complaints Voiced"??

    Yup...if the patient is A&Ox4, then "no complaints voiced" is pretty straightforward. If, however, there is some sort of deficit, I try to be a little more specific: e.g. if the patient has a...
  2. Always_Learning

    I'm grateful for you crusty old bats

    I'm a baby
  3. Always_Learning

    The happy policy

    New Press Ganey question: on a scale of 1 to 10, with 1 being "someone just kicked my dog and told me I have a terminal illness" and 10 being "Hot da$%, I just won the lottery," how would you rate the...
  4. Always_Learning

    Who has more stess RT or RN?

    Not that I can speak to being an RT, but I think both jobs would be stressful, just in different ways. An RN is responsible for coordinating all aspects of care, which can get very hairy. An RT does...
  5. Always_Learning

    nursing diagnosis

    I have to break down all that "r/t" and "AEB" and put it in my own words. First things first: you have to pick a nursing diagnosis. So here's the process in my own words: 1) Nursing diagnosis ("What...
  6. Always_Learning

    difference between right sided and left sided heart failure

    I came up with a simple saying to remember how right and left sided heart failure manifests: "Left is lungs, right is remote." (Meaning left sided heart failure has pulmonary symptoms, and right sided...
  7. Always_Learning

    Pain assessment: do you believe your pt when...

    Something to keep in mind also is the patient's baseline BP...some run low to begin with and that is their "happy place." Another thing is that you can always ask for something to support pressure...
  8. Always_Learning

    Pain assessment: do you believe your pt when...

    If pain is managed well before it becomes excruciating, you will actually end up using less medication. I enjoy teaching this to patients, because it never ceases to amaze me how many people try to...
  9. Always_Learning

    As a nurse, do you ever......

    Umm...like, every day. Except for the adorable
  10. Always_Learning

    Why aren't new grads getting hired?

    Wonder if our society's being so litigious prompted nursing schools to do less and less clinically? Hmm...ok, back to regularly scheduled thread before I go off on a rabbit
  11. Always_Learning

    What would you rather do than go into work this weekend?

    I'd rather pluck my eyes out than go to work this weekend. Oh wait, maybe that's not what you were
  12. Always_Learning

    Should I ask Questions? Need Advice Fast!

    If they haven't gone over base pay and benefits with you, they need to. Ask whoever hired you ("I'm really excited to be starting; would you have a few moments to outline the orientation process for...
  13. Always_Learning

    Why aren't new grads getting hired?

    By the by, I am not trying to have you divulge anything personal, but if getting a job is a matter of your safety and your children's, you might consider being reeeeeally unconventional. Military...
  14. Always_Learning

    Why aren't new grads getting hired?

    aubrn, keep at it, dear. There may be jobs to be had that are just not what you imagined. Be flexible; sometimes temporary positions can turn into something permanent, and sometimes applying for areas...
  15. Always_Learning

    Why aren't new grads getting hired?

    I don't think it's the experienced nurses hedging us out or anything; I think it's just too many qualified applicants. Think about it: with any downturn in the economy, you might expect several...
  16. Always_Learning

    Why aren't new grads getting hired?

    "In your goat
  17. Always_Learning

    Why aren't new grads getting hired?

    Not necessarily. An experienced nurse might need facility orientation (policies, where to find stuff, etc.), but clinically speaking, they can hit the ground running. Another nurse I was in...
  18. Always_Learning

    Why aren't new grads getting hired?

    Also, you can just about count on the fact that after spending that money to train a new grad, a good percentage will leave within a fairly short period of time. When I got hired recently, we went...
  19. Always_Learning

    ratio for fresh CABG pts

    At our facility, fresh CABGs are actually 2:1 (2 RNs to one
  20. Always_Learning

    Confidence level

    I felt this way too as I neared graduation. In my humble opinion, I think this feeling is a good indicator that you take your education and soon-to-be job seriously, that you are aware that you have a...
  21. Always_Learning

    Night shift, CNAs and homework

    I work nights, and while I am going to school, I do not bring homework with me to work. In my opinion, they are paying me to work, and even if my patients are OK, there is probably cleaning or...
  22. Always_Learning

    Things that nurses say that may seem inappropriate to lay people

    LOL...funny you should say this; when I first started working in a hospital (non-clinical staff), I saw "SOB" and thought, "They can WRITE that? Right there on the chart?!" I was equally confused by...
  23. Always_Learning

    Things that nurses say that may seem inappropriate to lay people

    "THUMP HIM!!" (precordial
  24. Always_Learning

    A nice little story

    This reminds me of a favorite quote from the book "ICU FAQs" by Mark Hammerschmidt, RN (it's a fabulous book/website by the way). He says, "...Here’s one thought you might hold in mind: every day,...
  25. Always_Learning

    Careplan at work

    Yes