wannabecnl

wannabecnl

PACU, presurgical testing

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  1. My kid is THAT kid

    My younger daughter was in 1st grade during the really tough part of my nursing school years. I swear the school nurse called me twice a week with her in the office because she had bumped her head or...
  2. New nurse-what do I bring daily for work?

    Absolutely get the mini-sharpies with a keyring that you can loop around your badge. On my person I carry 2 pens, a penlight, 2 brain sheets (I made my own after a couple of months), scissors, Kelly...
  3. let go during orientation, needs advice?

    Just one point to play devil's advocate. Another month of orientation might work, but I would ask for a new preceptor. I had a 3-month orientation with one preceptor when I started in my department,...
  4. Your Uniform....

    When I did my public health nursing clinical in an elementary school, the school nurse (my preceptor) wore scrubs every day, but I was required by my nursing program to wear street clothes. Some of...
  5. A question for the COBs

    No idea about the use of Notes on Nursing in earlier years, but I have to say that I LOVE that book. My mom bought it for me before I even went to nursing school, and I have read and referred to it...
  6. You can probably get into a float pool at your hospital, but that isn't likely to expose you to the specialized areas like ICU, PACU, ED, maternity, etc. My recommendation is to shadow. I knew the...
  7. Do all nurses need 20/20 vision?

    This isn't the level of vision problems you're talking about, but vision is starting to become an issue for me. I have been very nearsighted for many, many years, and when I entered nursing 3 years...
  8. Peds patients in PACU?

    Take PALS, PEARS, and any other pedi courses you can, especially if you don't have a lot of pedi cases over the course of a week. Find out what pts come to your PACU and which ones go to NICU/PICU....
  9. Ambulatory to hospital PACU?

    You'd be a shoo-in at a hospital that is willing to train new grads into OR, PACU, and other periop specialties--with your experience you'd be ahead of the curve; you'd benefit from the acute care...
  10. Certification in pacu

    Start with ABPANC's website (Home | American Board of Perianesthesia Nursing Certification | ABPANC), take a certification review (even at the early stages, it helps you get your head going in the...
  11. Some Days I Can't Stop Crying

    God bless ER staff, first responders, and the like. Most of us (even in acute care hospitals) will never see what you
  12. I was a candy striper some 30 years ago, and to this day I balk at rolling an empty wheelchair forward into an elevator. I think we were the only nursing school that learned, "Oh, our old, trusty...
  13. So...What Kind of Nursing Task Do You LIKE?

    In reading this, I realize that while PACU lets me give 1:1 care, which I do love, and we do all our own vitals and frequent assessments, etc., we don't get nearly as physically involved with our...
  14. My cohort of nurses (recent grads, 2nd-career) have a reputation for quitting after 2 years. I have made it past 2.5, but I don't know if I can keep this up. I don't want to be yet another quitter...
  15. Advice for a new grad in the PACU?

    I was a new grad in PACU 3 years ago and am still learning. Here are some quick tips: 1. Airway, airway, airway. Then breathing. Then circulation. Then airway again. Then pain. Medicate for...
  16. Any thoughts of USA infant mortality rate

    ~pedsRN~, I think that would be GREAT! Even just the follow-up phone calls I received after my eldest's birth were incredibly helpful; my assigned lactation consultant shared a wealth of knowledge...
  17. New grads in specialties without the basics

    We're discussing this exact issue in my PACU, largely because of me. Back in the day, PACU was largely staffed by former ICU and ED nurses, but that is no longer the case: I went into PACU straight...
  18. What nursing task do you loathe???

    I HATE running IV antibiotics. We don't do it often in PACU, so it takes me forever to program the pump for the abx as well as the fluid it's running into (and how the heck does the pump figure out...
  19. Why don't you just read the chart?

    As a PACU nurse who brings patients to the floor or phase II all day long, I'll weigh in. First, I have receiving nurses who say, "I've read the SBAR" and don't want to hear anything else. This...
  20. How do you leave it at work?

    I'm almost 3 years in and still struggle with this sometimes. Part of it is empathy for the patients, and part is just plain worry that I missed something; the worry tends to hit in the middle of the...
  21. Do you get really nervous before a shift?

    I work PACU, and even though we do the same sort of thing over and over with each post-op patient, the patients themselves bring a huge variety that gives me fits many days! I do have issues with...
  22. Incivility: Beyond the Nurse

    I find a lot of these points interesting, especially seeing how top-level management decisions are often being made without consulting nursing or considering how they will affect patient care....
  23. "Don't Work" Isn't An Answer

    I was fortunate to not work while in school; I was in an accelerated direct entry masters program which ran at a psycho pace, but I really don't think any nursing school curriculum is a cakewalk!...
  24. Staying comfortable vs. hastening death

    I agree with the posts saying to discuss the matter with the patient and family whenever possible. I lost a dear friend 2 years ago to breast cancer with spine and lung mets; she was able to spend...
  25. Anyone only use 1-3 resources and pass NCLEX?

    Took the NCLEX in 2011 after using just the Saunders book and passed with the minimum number of questions. I didn't find that the questions were all that similar, but the discipline of working...