JBMmom MSN, NP

New Critical care NP, Critical care, Med-surg, LTC

Member

All Content by JBMmom

  1. JBMmom

    Work ICU during chemotherapy?

    JBMmom replied to Laura Page's topic in Health, Stress Management

    So sorry to hear about your daughter's diagnosis. Is she unable to take a medical leave during her treatment? Truly work should not have to be her main focus, but I understand not everyone has the...
  2. JBMmom

    Question about Kidney failure

    JBMmom replied to Meow28's topic in General Nursing

    This patient would not be stable enough for any dialysis related treatment. The immediate concern would be the lack of perfusion which will kill the patient faster, and cause further kidney injury....
  3. JBMmom

    Combining Multiple Credentials Into One Career

    JBMmom replied to Lifelong Learner's topic in General Nursing

    I think the first place to start would be to identify which of these areas of interest would be the primary driver. Unfortunately, in reading the list over, I do not see a truly underlying thread...
  4. JBMmom

    Code Access: Central line or IO?

    JBMmom posted a topic in Critical Care

    When responding to codes on the floors we often need additional access quickly. I'm a newer NP in my ICU and I've asked numerous times why we don't just place a IO for quick access rather than having...
  5. JBMmom

    NG and OG tube securement in ICU

    JBMmom replied to Tary's topic in Critical Care

    Our NG tubes have a specific securement device that's just a bandaid type material shaped for the nose that has an adhesive end to wrap around the tube. Our OG tubes are usually just taped to the ET...
  6. JBMmom

    Health at Any Size?

    JBMmom replied to Emergent's topic in General Nursing

    I think part of the problem is that many healthcare providers AREN'T approaching this with basic human decency. I have heard healthcare providers speaking to patients in the hospital that have a...
  7. JBMmom

    Precepting After 4 Months Off Orientation

    JBMmom replied to MDelainy's topic in General Nursing

    That's such a load of crap. Another example of someone behind a desk with no real knowledge of the job coming up with a "brilliant idea". I'm sorry that happened to you, they're missing out on having...
  8. JBMmom

    Seeking nurse mentor: ICU new grad

    JBMmom replied to GigiC's topic in General Nursing

    Hi Gigi, This is a great place to come for advice and support. There's the ICU page, but it doesn't get as much traffic as this one. There are also some critical care facebook pages that get decent...
  9. JBMmom

    Patient Abandonment

    JBMmom replied to DanT103's topic in General Nursing

    @DanT03, not sure whether you're coming back. Hopefully you've seen that the concensus here is that patient abandonment does not appear to apply here. I think that while on orientation, if someone...
  10. JBMmom

    Precepting After 4 Months Off Orientation

    JBMmom replied to MDelainy's topic in General Nursing

    @MDelainy, I feel for you and appreciate that your concern is for the other nurse coming into the field that you will precept. While you have a few years experience overall, I understand that you're...
  11. JBMmom

    Dual Certification Dilemma: AACN vs. ANCC for Career Advancement

    JBMmom replied to alexyanet's topic in Advanced Practice

    I wish this was the case. I took the AACN exam in 2021 and my first employer delayed my employment offer by a few months because they were not sure whether my certification would be accepted, or I...
  12. JBMmom

    New Graduate Job Offers: OBS, ER, or ICU

    JBMmom replied to Sam the New Grad's topic in General Nursing

    I think the observation unit is a great option for starting out. You're comfortable with the unit and coworkers so that's a huge part of the starting process you're all set with. Then it's just...
  13. JBMmom

    Crusty Old Bats

    JBMmom replied to Been there,done that's topic in General Nursing

    I'm sure I haven't been practicing long enough to join the CoB club, but I do remember flip night with the paper charts in my LTC facility. And paper charting all meds in the
  14. JBMmom

    Other Options

    JBMmom replied to JenMH88RN's topic in Nurse Practitioners, NP

    I apologize if my post came across as though teaching is a profession that requires less thinking. I only thought that if the OP had stress about diagnosing patients, but had the proper credentials to...
  15. JBMmom

    Surgical Clearance

    JBMmom replied to Diana M.'s topic in Nurse Practitioners, NP

    I'm not positive but I think that's going to be a question specific to the organization you're working for. In my hospital, the hospital medicine group does the pre-op risk stratifications and I think...
  16. JBMmom

    Other Options

    JBMmom replied to JenMH88RN's topic in Nurse Practitioners, NP

    I'm not sure about jobs that would require your NP without diagnosing and treating, but perhaps you're more suited to an educational role. I'm not sure you can get away from thinking anywhere in the...
  17. JBMmom

    Is it worth becoming an NP at 45 years of age?

    JBMmom replied to Sage1's topic in Student Nurse Practitioner

    Another second career nurse here. RN at 38, NP at 48, well worth the investment for both. You're going to get old either way, may as well get old reaching your goals rather than wishing you had gone...
  18. JBMmom

    BIOLOGY/BIOCHEM DEGREE TO NP

    JBMmom replied to chemist11's topic in Student Nurse Practitioner

    I'm a little confused by your statement that the NP would be a better route to get your RN. You can't go that in that order, you do know that, correct? If I were you I would look into a community...
  19. JBMmom

    Newbie

    JBMmom replied to Anastasia Franklin's topic in General Nursing

    It's a lot of pressure to put on yourself thinking your job at 25 years old will be your forever job. Sounds like you're excited about the position and that's the most important part. I'm sure you've...
  20. JBMmom

    Return to bedside part time - or not?

    JBMmom replied to Peachpit's topic in General Nursing

    Sounds like there are enough positives to the new job that it's worth a shot. The downside might be that if you don't like it, you're not likely to get your old job back- (but it doesn't sound like...
  21. JBMmom

    Have you ever wanted to see a coworker fail?

    JBMmom replied to SilverBells's topic in General Nursing

    You don't have to accept anything of the sort. You never know what's going on behind closed doors, or things that you just wouldn't have any way to know. Don't make any assumption that someone else is...
  22. JBMmom

    Have you ever wanted to see a coworker fail?

    JBMmom replied to SilverBells's topic in General Nursing

    I think this sums up my answer better than my original one. I do not mean to portray myself as saintly, but I don't want to give myself the stress of caring that much for someone that bothers
  23. JBMmom

    What was she thinking?!

    JBMmom replied to pharmanurse11's topic in General Nursing

    As others have mentioned, the IV issue was protocol. Patient leaves hospital with IV in place, it's a call for welfar check with police. I'm surprised the officers weren't well aware of it. Doesn't...
  24. JBMmom

    Made a mistake, help!

    JBMmom replied to Alovesmusic z's topic in General Nursing

    I'm not familiar with pediatric nursing, nor getting permission for PRN medications but it sounds like you did all that you can do after the mistake. It sounds like you know it shouldn't happen again...
  25. JBMmom

    Specialty pay

    JBMmom replied to Nursemom1234's topic in General Nursing

    I'm pretty sure that would be up to the