Welcome to the pit of despair that is nursing! Burn out among nurses is incredibly high because of the situation you are experiencing. The work is getting more and more stressful as patients get...
AHHH, LTC's. I was thinking about an LTAC..which I am now assuming that these are not. Sorry for the confusion. I will say, however, that it is pretty correct for the acute care setting. I'll use 2...
Be_Moore replied to violetrose's topic in Geriatric, LTC
Definitely not, and as an RN I disliked working with LPN's at my previous job...not because I dislike LPN's, but because my license was on the line every time I had to cosign an assessment or give an...
Be_Moore replied to HeartsOpenWide's topic in General Nursing
Consider this a golden opportunity! MOVE. Put your finger on a spot on the map and start calling hospitals..or browsing HR websites. There are jobs available all over the place...just pick a place you...
Seriously? Really? My argument to that is that if said nurse worked in the ER, she was probably ACLS certified...and if you have your ACLS, you don't NEED a doctor to even be present at the code. Most...
I'm can see both sides of this argument, but I am in agreement with legwedz. While there probably should be a miminum (such as 1 year critical care), an extensive minimum causes a nurse to potentially...
Welcome to the morally gray areas of nursing! You have the knowledge of what to do. You have the expertise. You have the skills required. But you can't do it because you don't have an order, and the...
It is a great thing that you care for your patients, but thicker skin is necessary. The problem wasn't with her and her family member...the problem is with a society that is too attached to their...
Be_Moore replied to Spoiled1's topic in MICU, SICU
Phew! Do this now: Go buy a CCRN book. Start reading it. State your intent to obtain your CCRN. Explain that you are studying now in preparation for the job. If you study now maybe you can impress...
Be_Moore replied to june2009's topic in MICU, SICU
So, a little more research led me to a phenomena that might fit the bill of your patient. Lown-Ganong-Levine syndrome. It is similar to what I described above EXCEPT: In LGL you have an accessory...
Be_Moore replied to june2009's topic in MICU, SICU
She's right. On a lead with a positive R deflection (such as lead II) a junctional rhythm will exhibit a negative deflection that is either prior to, during, or after the QRS, and this is always. The...
Be_Moore replied to Spoiled1's topic in MICU, SICU
Hope this isn't too late, and if it is, hope it went well anyway! 1) Don't act cocky, because they know that as a new grad you don't know anything. Focus on what you DO know. Did you take an EKG...
Be_Moore replied to Riversurfer's topic in MICU, SICU
In agreement with the above poster. In addition, at my facility, the ONLY new-grads who are hired into Critical Care are those who have done an internship, externship, or worked on the floor as a tech...
Experience is the key. As you practice nursing, things will become intuitive such that you don't have to think about them as much. For example, if I am going to give digoxin I already know that I need...
1) Take the job you want. Money shouldn't be a huge issue. Are they not comparable in pay at least, +/- a couple dollars? 2) Take the job you want. 3) Union is nice, but realistically the protection...
If these people "can't find work" it leads me to believe one of two things. 1) They can't find the job they WANT. 2) They aren't looking hard enough. When I moved to Colorado I was bummed because I...
I'm currently rocking Cherokee Workwear scrubs, 2 pocket tops (which I love) and elastic band cargo pants (which I have a love hate relationship with). I love the pockets and the waist fit, but I hate...
The idea that they are always looking for "male nurses" is pretty sexist and it would actually be illegal to hire you just because you are male. So that part is untrue. The other side of it is that...
Be_Moore replied to hyalophora09's topic in Men in Nursing
That's ridiculous. Nursing is an amazing job for guys and there is no "going soft" because of it. I guess if going soft means spending your working life seeing and doing things that most of the world...
The lasix did not cause the respiratory arrest, they just happened to be next to each other chronologically. Likely she had pulmonary congestion (CHF) on top of the above problems. Even if she didn't,...
The above reply is 100% correct. A mantra that I live by is "There is no truth, there is only perspective." What this means...any time you have to write something, especially something with rhetorical...
I agree, tell them the partial truth...Critical Care is your primary choice, ED is your secondary, but you'll do Med/Surg if you have to (pick a Tele floor if you have to, it's a great way into an...
I think Hekate nailed it. Occum's Razor would dictate that the BG is most likely climbing related to dehydration. But then you say "But the patient isn't eating, either!'' Odds are that the BG is...
I will either add credibility to the above posts (or beat a dead horse), but Saunders is an amazing tool. The key to the NCLEX-RN is remembering what it is...it is a test of PATIENT SAFETY. Keep that...