JBMmom MSN, NP

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

Member

All Content by JBMmom

  1. JBMmom

    Left the ICU after 1.5 yrs, where to next?

    Having over a year in ICU opens up a bunch of options. Cath lab? PACU? Maybe IR, depends on your organization. OR? Good
  2. JBMmom

    Motivation for New grads!

    Motivation really needs to come from you, so try to figure out the things you can focus on that will maintain a positive attitude. At the end of the day come up with three things that went really...
  3. JBMmom

    LPN to RN regret

    You put a lot of effort into your LPN career and then getting your RN. You should never regret efforts spent into educating yourself and working to improve, congratulations! As for the disappointments...
  4. JBMmom

    Is a career change worth it?

    These are questions that really no one can answer for you. How detrimental was night shift for you? If you were really physically sick all the time then it's probably not the best move. If you were...
  5. I'm replying to myself because I misquote OP. I didn't factor that you're planning another six months to a year before travel. That will help a little as far as time, but the rest of my post would...
  6. JBMmom

    Starting lpn school advice

    You'll do what you have to in order to be successful. No one can really tell you how much to study, everyone learns differently and has different life experiences. If you don't have to work obviously...
  7. I don't want to be negative but I think that going into travel from your experience could be difficult. My ICU is also a small community hospital unit, the acuity sounds similar to yours. A few nurses...
  8. JBMmom

    ER Monopoly

    It's unfortunate that you ended up in this position after you feel you made your feelings clear in the interview. Unfortunately, I don't think your organization was interested in what they could do...
  9. JBMmom

    IV Med Error

    You should take a deep breath, realize that no harm has come to the patient, and move on. Clearly it's not a mistake you will ever make again. And you've now joined one of the biggest groups in...
  10. Not the worst reason to remain in a job. My employment choice was also largely driven by benefits. Good
  11. Clearly you have a reason for being at that hospital, otherwise you already would have moved on with that environment. It sounds like you are making the best of the situation by not engaging as much...
  12. JBMmom

    Is this an Unsafe assignment legally?

    Unfortunately many state laws specify only ratios and do not specify unit arrangements. Certainly your management has investigated so that they're within the letter of the law, but clearly that...
  13. JBMmom

    I Suck at Giving Handoff Report

    You will TOTALLY get better at it, it's all about time and organization. It starts with getting report in an organized fashion so that when it's time for you to GIVE report, there's no need for...
  14. One thing that's often overlooked is that salary doesn't necessarily reflect the total worth of a job. The starting salary at my current job might have been a little lower than other jobs in the area....
  15. JBMmom

    Undecided and out of time

    Good luck with whatever you decide. For me, when I was looking into my ACAGNP program, they were trying to push the DNP route. That was literally twice the price as the NP Program. And the DNP, in my...
  16. JBMmom

    Feeling lost as a nurse

    I'm sorry you're feeling stuck, contracts can be a difficult situation if it doesn't work out as you hope. Did you get any feedback on why you didn't get an offer in the ICU? Any of the options you...
  17. JBMmom

    Seeking Advice: Going Back to School at 53

    As others have mentioned, we're going to get older no matter what, so do you want to be older with your RN or without it? Sounds like you're already well aware of what you would prefer, but you're...
  18. JBMmom

    Could I lose my license?

    Long term care is a hard gig! You were doing what was ordered, and you don't have the time to look into why every medication falls off your EMR. It is more likely that the MD would be the one to face...
  19. JBMmom

    Tell me about your Rapid Response Team

    I work in two hospitals, both smaller community hospitals. In one, we have a rapid response nurse from 7p-7a who always responds. In addition, the nurse open to admit in ICU responds, as well as the...
  20. JBMmom

    Fluid Med Error

    This has become one of the BS parts of nursing administration because it's something they can point to and say "we ensure all of our staff get appropriate breaks". They aren't the ones concerned about...
  21. JBMmom

    Arterial Line Tubing Change

    Our tubing is changed every three days, down to the first hub only because the central line dressing is only changed every seven days. The chlorhexidine impregnated dressings are very expensive and...
  22. JBMmom

    AGNP to ICU

    I work as both a ICU NP and per diem as an ICU RN, (in two different health systems). The only thing that was brought to my attention as a word of caution is that while working in the RN role, if you...
  23. JBMmom

    Fluid Med Error

    As you pointed out there was no harm to the patient in the end so this error presents a very good learning opportunity. You thought you had grabbed D5NS so when the provider changed the order you...
  24. JBMmom

    Advocacy

    I can't imagine picking a preceptor without giving thought to their work/integrity. I was lucky that I had crossed paths with my preceptors professionally before starting school. I don't think I would...
  25. JBMmom

    Advocating for the Integrity of the ARNP

    I wish there were more residency programs! I would have loved such an opportunity. As far as getting paid more, though, be aware that if you're in a union job you don't get credit for things like...