JBMmom MSN, NP

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

Member

All Content by JBMmom

  1. JBMmom

    Lowest Dose of Morphine To Cause Death

    JBMmom replied to thisnurse123's topic in General Nursing

    Agree with others, morphine is generally not what kills these patients. They are dying on incurable diseases (or sometimes old age), and we are keeping them comfortable. I find it sad when families...
  2. JBMmom

    4 Reasons to Love Bedside Nursing

    JBMmom replied to Laura-Lee Nuttall's topic in General Nursing

    Another reason to love bedside nursing is the very direct impact you have with your patient. I am new to my NP role and I'm not willing to give up my bedside per diem job yet because I don't get the...
  3. JBMmom

    New grad to NP. Is it a mistake?

    JBMmom replied to Nursenick123's topic in General Nursing

    There is no 100% right or wrong answer here. I'm sure there are NPs that were brand new to nursing that have been successful in their role. I can only answer from my perspective that I would be...
  4. JBMmom

    Question about assignments

    JBMmom replied to Queenofthesouth24's topic in Critical Care

    In my unit as people come off orientation we try to not give them patients that are the sickest until they've at least become more comfortable. However, with staffing as it is now we've often only got...
  5. JBMmom

    New Grad Nocturnist NP

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

    I don't know about South Florida but that would be a very competitive starting offer here in the northeast. I hope they give you a good solid orientation and you love it. I briefly had a similar...
  6. JBMmom

    Dialysis Nurses! Help me, I'm painfully new and have no experience

    JBMmom replied to D5HalfNormal's topic in General Nursing

    While you may not have specific dialysis experience, your years of experience on the floor will definitely serve you well. You understand fluid shifts, electrolytes, and many other aspects important...
  7. JBMmom

    Nurse at LTACH, need help if it's different than the ICU

    JBMmom replied to Beautiful_Beginnings's topic in General Nursing

    That sounds like a TOUGH place to work! Those ratios with sick patients sound unacceptable and certainly would not allow you to focus the time you need for the patients or your own learning. I would...
  8. JBMmom

    I Made A Serious Medication Error: Help!

    JBMmom replied to Hailey.B's topic in General Nursing

    I'm a bit late and you've already heard from others so hopefully you're reassured. In the future I think that you are likely to look more closely into the policies regarding more complicated...
  9. JBMmom

    Learning to keep quiet

    JBMmom replied to thisnurse123's topic in General Nursing

    Obviously you're here to share what works for you and you're looking for assistance, I just find your description still a bit vague to offer any concrete advice. I guess that given your stated...
  10. JBMmom

    "Cliques" in the Workplace

    JBMmom replied to SilverBells's topic in General Nursing

    I can't think of any job I've ever held where there weren't some cliques. It's human nature for people to find commonalities with others that they work with and then seek to spend time with them....
  11. JBMmom

    Learning to keep quiet

    JBMmom replied to thisnurse123's topic in General Nursing

    Do you find you're chatting too much and can't get work done? Are you expressing opinions that aren't necessary or causing problems? Are you just randomly blurting out words or noises? Your reference...
  12. JBMmom

    Nursing license

    JBMmom replied to Queenien's topic in General Nursing

    I can only imagine how frustrating this is for everyone involved, especially those of you that graduated from reputable programs. Good luck to
  13. JBMmom

    Being Snarky to Get Needed Help

    JBMmom replied to SilverBells's topic in General Nursing

    If I remember correctly, you had a similar problem when asking for assistance in the past and no one completed the task. As was pointed out, when more than one person is given a request, it's common...
  14. JBMmom

    Practicum

    JBMmom replied to e2Bnurse's topic in General Nursing

    Do you know what area you want to work in after school? Much of the complexity in ICU is in titrating drips and doing very focused assessments, so the overall observation part could be a little less...
  15. JBMmom

    Death Bath Myth

    JBMmom replied to thisnurse123's topic in General Nursing

    Interesting study. I would imagine that the ability to have a tub bath is only for people receiving hospice care in their own homes, unless Japanese care facilities are equipped with bathing tubs....
  16. JBMmom

    Post Adenosine Administration

    JBMmom replied to E_R_Nurse's topic in General Nursing

    Lots of things to consider. Was she symptomatic on arrival? Did all symptoms resolve? Does she have a history of falls or syncopal events? If the patient didn't feel strongly I might recommend a...
  17. JBMmom

    How much sexism is there in nursing?

    JBMmom replied to RitzyCinnamonRoll's topic in General Nursing

    You're not really talking about sexism in nursing then, you have highlighted more physician based examples. I haven't personally seen anything like you pointed out, but it seems to me that the...
  18. JBMmom

    Advice For a New Instructor Please!

    JBMmom replied to New-Instructor's topic in General Nursing

    I had technical difficulties quoting your post, but you said EXACTLY what I was thinking, but I didn't take the time to spell it all out. All of the things that you mentioned are what SHOULD be...
  19. JBMmom

    Auscultation of lung sounds = Sexual?

    JBMmom replied to edis8901's topic in General Nursing

    If you haven't consulted an attorney yet, you should do so. They would have a better idea of how to protect your license. Although if you have already had an interview with the BRN you may just have...
  20. JBMmom

    Using Shopping to Cope with Work

    JBMmom replied to SilverBells's topic in General Nursing

    Your coping mechanisms certainly aren't the worst choices, but shopping could work against you if you get yourself in financial difficulty. But do what makes you happy. I like taking my dogs for...
  21. JBMmom

    Advice For a New Instructor Please!

    JBMmom replied to New-Instructor's topic in General Nursing

    Excellent point! I can't even count the number of times I've walked into an ICU room and the patient had the wrong size bp cuff on and sometimes they were on pressors at the time! Familiarity with...
  22. JBMmom

    Dangers of open ICU?

    JBMmom replied to Aloe_sky's topic in General Nursing

    I can totally see the open ICU being a nightmare for complex patients, and let's face it- most ICU patients are complex. I didn't realize that in an open ICU there wasn't at least one attending...
  23. JBMmom

    What's next?

    JBMmom replied to Nrseisme's topic in General Nursing

    You're contemplating some very different options there and all have some benefits and drawbacks. I can't speak much to travel nursing from personal experience, but I know that my hospital is cutting...
  24. JBMmom

    Why Those Who Work the Night Shift Actually Need Sleep During the Day

    JBMmom replied to Nursecon's topic in Nursing Career

    I also swear by my blackout curtains, and I have a sound machine because ear plugs don't work well for me. I have the phone on do not disturb so only my immediate family can reach me and they usually...
  25. JBMmom

    Too Much at Once

    JBMmom replied to SilverBells's topic in General Nursing

    Please reach out through your CAP (or whatever your employee assistance program is called) to find an appropriate mental health professional to assist you. You're clearly dealing with alot and...