JBMmom MSN, NP

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

Member

All Content by JBMmom

  1. JBMmom

    From CVICU to ENP (Best route?)

    Practically speaking, I think that ENP programs are much harder to come by than PCNP or ACNP, but that's just a logistical thought. The transition from any bedside position to provider can be a...
  2. JBMmom

    Mandated to Work 16.5 + Hours

    My hospital has been using mandation for years. For those that already work 12 hour shifts, you can be mandated for an additional four hours, which we all know often runs over. I've heard that if...
  3. JBMmom

    Transition to night shift

    Just like any other healthy habit, you have to set yourself up for success by planning for working nights. I LOVE my blackout curtains, white noise machine, bone conduction headphones headband, and...
  4. JBMmom

    2 Nurse Skin ✔ q Shift ❓

    I think it's called a Scout. It's kind of cool technology, but another thing that takes time and is of questionable use to patients. It's really just so the hospital doesn't get dinged for pressure...
  5. I appreciate that this article is well-researched and presented. I do think that a better approach would be to ask which programs provide the BEST education, as opposed to which programs provide the...
  6. JBMmom

    BLS and RQI - Can't do it

    Ours are always broken. One time I had to fashion a hygienic "mouth to mouth" for the baby because the mask contraption was broken and it was the end of the quarter. I think that they do have some...
  7. JBMmom

    2 Nurse Skin ✔ q Shift ❓

    That's crazy. We have a two RN skin check on admission and let's face it, on busy days/nights we all have our go-to friend that we say "hey I'm charting you as the 2 person check on my admission,...
  8. JBMmom

    Lunch Breaks

    One additional thought. Are you the only nurse in the whole facility at that time? I know that when I worked in LTC, our facility was split into four wings. There could be one nurse for 30, 36 and 60...
  9. JBMmom

    Nursing, Like Life, is a Game

    Bringing up the rear here, sometimes it feels like a parallel to life, but things usually work out so I'll make a comeback.
  10. JBMmom

    Lunch Breaks

    Since you cannot legally delegate your nursing responsibilities to a CNA, your facility is 100% wrong in telling you that. As was already stated, you have rights in this area and someone is trying to...
  11. Take a deep breath. Four weeks in an ER is NOT enough time to feel competent or confident. As was already mentioned, it's more about the types of mistakes you're making. Are you rushing in your work...
  12. JBMmom

    Does peritonitis have to be drained?

    You're smart, too! You had a concern for your patient, you did some research and you came this this site where there are nurses with a variety of backgrounds and experience and you asked good...
  13. JBMmom

    The Journey

    Congratulations on all of your accomplishments! Your hard work has paid off and I hope you find a fulfilling career in your
  14. JBMmom

    Transition to acute care

    I made the transition from long term care to med/surg a number of years ago. Give yourself credit for some very important skills you already have from your time in long term acute care. You probably...
  15. JBMmom

    ICU NP

    I agree, go forward with the interview and see how it goes. If you have an opportunity to talk with people that work there, ask them what they thought of the orientation process. The job I took, I...
  16. JBMmom

    Nursing, Like Life, is a Game

    What a creative way to use your experience! Would love to take a roll! I guess if I could go back I would have started in nursing earlier, but since my first career afforded me things I might not have...
  17. I think so many people set themselves up for failure on nights. Don't go in with the attitude that it will be so hard, set yourself up for success! Blackout curtains, white noise machine, eye mask,...
  18. JBMmom

    New Nurse Burn Out ??

    I think from your post that you need to give yourself a little time for things to shake out. Your complaints are pretty non-specific, you say you get along with your patients but if you're getting...
  19. JBMmom

    Oxycodone vs fentanyl

    Is this a school assignment? If you're posting these, it's generally appreciated for you to give your thoughts and then ask for feedback, rather than ask for a whole answer. I'll give you a...
  20. JBMmom

    IR NP

    Are there any NPs in your IR group? I think your best bet would be to find out from someone working in that role. Regulations and guidelines are so rarely a good reflection of the actual role and...
  21. JBMmom

    ICU NP

    My ICU NP interview was conducted while I was already working for the organization in the hospitalist group. I was interviewed by the lead NP and one of the attending MDs. There were some general...
  22. JBMmom

    Pandemic Deathbed Confessions

    I so understand your feelings! I did not have nearly the volume of situations that you did, but I remember intubating dozens of people and one day talking to another coworker and saying I was so tired...
  23. JBMmom

    Stress in ICU

    What particular stress are you concerned about? All nursing jobs have stress, but they're unique to their setting. If you're concerned about caring for critically ill patients, you're not going...
  24. JBMmom

    Vented Trach and PO Intake

    I think this has to be a very case by case decision. If this patient has a history of aspiration, have they had goals of care discussions about the issue? If eating by mouth is an important point for...
  25. JBMmom

    New grad NP help

    I think both of them being new places of business would be my bigger concern, but neither sounds like a bad option. I agree that wanting you to see patients on Monday would be a HUGE red flag. And for...