All Content by jaimealmostRN
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Did we do the right thing? 23 wker
Out of curiousity: why was it up to this 1st doctor to decide the DNR? Why not the parents? Or why wasn't a medivac team available to transfer to the NICU? I'm honestly asking, b/c it seems it should be up to the parents (even though they may not understand what a tough road the baby would have). ???
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Grey's Anatomy Premier!!! + How to Contact Show Creators
Uggg, not again! Those hollywood types must have never been in a hospital, birthing center, LTC facility, etc. I love that Patrick guy (from 'Cant buy me love') but theres no way I'm watching if its "ER part two." Just show me were to send my angry letters!
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ER Orientation - Anyone like to share theirs?
Sorry forgot to add: We have the ENA modules....oops. :)
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You know it is going to be a bad day in the ER when...
I love it, TriageRN!!! Especially 14 and 19. :)
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ER Orientation - Anyone like to share theirs?
I can only tell you about #1. I'm a new grad starting in the ER. For the past three weeks (and for two more) I have been on a Med-Surg floor learning the pyxis, documentation, the computer system, pt-oriented stuff that a new grad may not know yet... HIPAA for instance. After that, I'll go down to our ER where I'll begin in Minor Care then work my way up to the Emergent section...at some point I'll float over to Peds for a few weeks (were only required to float there in a real emergency, mass call outs,etc, so very rarely). I hope this helps, I can tell you more in the next few weeks and months. Good luck.
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Best And Worst About La...
Best: Celebrities around every corner, starbucks, fred segal, everywhere! Beautiful weather, the beach :), CNA, UCLA, Big Sur, all the, ahem, interesting people! Worst: Earthquakes, how everyone you meet is trying to be an actor/musician!
- Funny Names for Nurses
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Can diastolic be higher than systolic?
The sys. is the contraction of the heart and the dias. is the relaxation so its not possible....
- Why I hate DC
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New start-feeling so depressed
Sorry I couldn't put this in the Break room, but it wouldn't let me. Anyway, this thread is a bummer, but I just have to vent. Just started a great new job, but still in orientation. I moved up to be near to the job (about 45 min away), away from the EX, my friends and my family. Now, suddenly I miss the ex (ekk), and of course, miss the friends and family. They're not that far away, but is it normal to feel this way? I keep bursting into tears and had to come home from a class at work today b/c I kept having to running out. Has anyone else been thru this?
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ER RN salary
NJ-$30/hr for new grads on nights, $24-28/hr for days depending on hospital. :)
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Out with "Nurse" In with...?
Thanks for the help Alicia18! Yeah, I guess I'll email brian soon. Thanks everyone!!!
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scrubs vs dress casual
RN. All RNs get $75 2 times a year, unless the hospital supplies you (ICUs, L&D).
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Out with "Nurse" In with...?
Actually I AM a Registered Nurse now....haven't changed my name yet . (Does anyone know how to do that???)
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Out with "Nurse" In with...?
I somewhat agree with the OP. I think the term nurse has be abused by other people in healthcare to where it doesn't really have the same meaning anymore. For example, I met a home health aid (not registered or anything, just did it by word of mouth) who was a truly not great person (IV drugs, theft, etc). To her elderly pts that she helped at home with cooking, cleaning,etc, she called her self a 'nurse.' I personally use the term, RN when I am introducing myself and I think that sounds fairly asexual...so thats my vote!
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scrubs vs dress casual
I agree! We even get a uniform allowance thats automatically put into our paychecks twice a year.
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5 things a new RN must have...
IMO, 1. Dansko clogs!!! OMG, after 13hrs I have NO leg or feet pain...they are heaven. 2. Good steth (littman personally!) 3. A wonderful preceptor (s)! 4. A long/good orientation so you feel comfortable with basic procedures like IVs, foleys, admissions, discharges, ordering, the comp. system, and the general environment where your working. 5. Great friends who are in the "same boat" so you can celebrate and comisserate together. Snowfreeze's #6- a spine to be a pt advocate. I found this out today when I had to tell a veteran tech that she should pay less attention to her meal tray and gossip and more to our confused, manic patient (not violent, but risk of self harm, wandering, injuries, etc, ect, ect!). She was unhappy and complained LOUDLY about me, but my preceptor, the other staff RNs and the NM all told me I had done the right thing! What a feeling! :) 7. An awesome online forum to share your crazy and rewarding expirences...guess which one!
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Learning thread (ER medicine)
Dolls' eyes (oculocephalic response) is: 1. Normal reaction = eyes move in direction OPPOSITE to head movement when head is turned. 2. Abnormal reaction (brain stem problems) = eyes remain in fixed position in skull when head is turned. This is from pg. 1909 of "Med-Surg Nursing: Clinical Mng't for Positive Outcomes" by Black, Hawks, Keene. 6th ed. This should only be done on unconscious pts without spinal injuries. But use of succs (or other neuromuscular drugs) or Meniere's disease can cause an absense of oculocephalic response.
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For those who have already taken NCLEX
I took the Kaplan class, and used the Saunder's question only book. I tried to do 100 questions a day, but honestly didn't! I did 30 questions one day, then 125 the next, then forgot for a few days! LOL, but I passed my 1st time with 75 questions. I was scoring about 70+% on the Kaplan quizes, but thought the NCLEX was much easier than the CD. Good luck!
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Static Electricity is Slowing me Down.
Another vote for fabric softener sheets, even if you just rub them on your hands and carry one around with you, they work well. I lightly rub them over my hair when I get those static-y fly aways.
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How to deal with this moral/ethical question...
Can you present this to the Ethics committee? I'd document this man's exact words, ie. "I'm not coming back b/c I'm so cold and cannot use my blanket anymore," oral temp 94F, dialysate warmed to x degrees F. Pt. shivering and pale, covered with 10 blankets, skin pale....etc." Also, can you get one of those "bear-hugger" blankets? Like the ones used in the OR (they blow hot air (like your co-worker) into this bubble blanket). Good luck :) .
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When to report a classmaste to your clinical instructor.
Umm, I think an unprimed IV tubing IS a life and death issue. Although a PB tubing isn't very long, this student may not understand the importance of priming ANY tubing, giving her/his pt a PE. But I think the OP could mention to the teacher that maybe he/she could supervise a little better (in a nicer way of course :) ). Students can be involved in lawsuits ,so this is to the students benefit. And why there is not really anything wrong with giving heparin in an insulin syringe, a student shouldn't be doing it that way. It most likely means that they do not know the difference...but I guess only talking to this student would be the best way to answer these questions. Good luck.
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I Passed!!!!!!!!!
YEAHY!!!!!!!!!!!!!!!!!!!!!!!!!!! I know that feeling! Congradulations RN!
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Patients You *Know*
When I was a teenager I went to my local planned parenthood for b.c. 2 of the RNs AND the CNM were my Mom's friends!!! eek! On the occasions I saw them, they quickly reminded me that everything was confidential and legally, they could not share my info with anyone. This helped me relax and be honest. They also refrained from talking about mutual friends, upcoming events, or anything non-health related.
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Schwartznegger on Hannity and Combs tonight..
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