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Bariatric surgery, orthopedic surgery.
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Steve_e has 4 years experience and specializes in Bariatric surgery, orthopedic surgery..

I like many things, fishing, cars, airplanes, cooking.. You name it.. Easy going like to laugh alot and love to party.

Steve_e's Latest Activity

  1. Steve_e

    IV Insertion Difficulty

    My advice before you give up would be to not give up. Some people just aren't good at them and that is ok. But You will learn that you will have good runs and bad runs. Maybe you'll sink 2 or 3 in a row, and then miss 2 or 3. It's just how it goes, sometimes. My advice. Warm packs, if the patient is mobile enough, have them hang the arm off the edge of the bed, low, for a few minutes, this allows blood to pool to the extremity thus "puffing" up the veins. Tourniquette a couple fist squeezes, if they can. Look and feel, don't feel with a glove because you wont feel anything. A big one, I tell all my students, don't stick them if you don't feel or see anything, that would just be silly. Constantly mess with your own hands and arms, not actually sticking, but feel where your veins are, see what makes them puff out and what makes them hide, chances are your patients will be similar if not the same. Also, chances are where you have a big vein, your patient will have one in that GENERAL area too. Lastly, if you don't see or feel anything, there is no shame in calling the vascular access specialists, if you have them, and having them use the ultrasound machine to find a nice deep big vein. As far as the poke, find your spot, try not to go anywhere it is bifurcating or if you are so blessed to be able to feel valves, obviously avoid those. Stabilize the vein, hold a finger or a mental spot of exactly where that sucker is if it isn't visible. Another good trick keep the corner of your skin cleansing pad right at the point you want to insert, this way you won't lose your spot. Have everything prepared, stabilize the site with one hand, and insert the needle at a moderate angle, the angle depends on how superficial the vein is, and this I can't really describe in words, you kind of just get a feel for it. If there is no flash back right away feel free to maybe advance a very little bit, or pull back a very little bit and slightly reposition and re-advance, be patient, do this until you get blood. Don't give up after the first 30 seconds. Sometimes it takes some finesse and a whole lot of praying . Don't give up, keep practicing. The only way to get good at them is to do them, and try.
  2. Steve_e

    Profession for some...attempted by many..

    Haha this is kind of an interesting post. I more or less agree with the OP. Med/Surg is really the most well rounded "see all you can" area to really get a good, extensive knowledge base. The people who have been on a med/surg floor for under a year and are ready to move on are kind of interesting. When I started on the med surg floor I work on now out of my ADRN program I literally dreaded it every day. Not because I didn't like it but because I was scared, and there is SO Much to learn! You feel like everything is falling or collapsing around you yet you don't wanna look weak and call uncle so you just muster it up and figure it out! But, that is just me. I wasn't "anxiety free" going to work til I would say about 18 months on the floor. Even now 4 years later, do I know everything, HELL NO! But I know who to go to, who to call, if sh*t does start going down, and much of what I feared when I started I have learned to handle myself. Handling things yourself and becoming competent is what med/surg does for you. I went on for my RN,BS, and now I am in NP school. To the OP, any NP school that is taking people w/ 6 months of med/surg or ANY experience is kind of silly. My program required 3500 hours to even apply, which works out to around 2 years. Steve E, RN,BS
  3. Hello All! I'm a fairly new nurse, started working on a m/s floor about a year ago (mar 19 to be exact). I have learned quite a deal of things since the beginning, and some days I hate it and most days I like it haha, I think that stands true for anything though.. In any event, I have been thinking about picking up a small part time job doing something a little different to gain a little more experience in a different area of nursing and also have a little extra cash. I sent a resume to a nursing home in the areas for a part time nursing supervisor for nights, I work days now at the hospital.. They called me back right away I had an interview, seems they really liked me and I'm pretty sure if I want the job its mine. It is every other week-end, 10p-6a. So only 4 days a month, 32 hours a month. Really not too bad if you ask me... I am up in arms whether to take it or not. My question to all of you is,, is there any reason someone can specify why I shouldn't or should definitely take this job? Most times a few smart heads thinking about a question is better than just my own!! Thanks for any input I appreciate it -Steve E. ,
  4. Steve_e

    Med-Surg floor sucks, and nursing unions

    Guttercat, what do you want aurora to do, pack up her belongings, family, and move to where, Cali? and rent a 1 br apartment for 1400 a month? or buy a house for 3/4 million? Like me here in upstate NY, I have a house thats mine, don't owe a dime on it. All my vehicles are paid for, so yeah I may be only making 25 dollars an hour, but I don't have any bills.. Other than gas, food, and gas&electric. I'm very comfortable. Moving to cali would put me in debt up to my eyeballs, I know many of my friends who made that move and came back with their tails behind their legs because they couldn't afford it Just a comment about the california thing, yeah they may start new grads out at 28,30, or 32 an hour which is awesome! But, the cost of living in Cali is so much higher than many of the other states, that someone making 20 or 22 an hour in like Indiana is probably making more in terms of cost of living than the person in cali making 30 or 32.. Just my 2 cents.. Im in upstate NY and my base is 25/hr. But here it's also dirt cheap to live, you can buy a VERY nice house for 50-60 grand here.. You can prob get a cardboard box with a hole in the top for air in cali for that much hahaha.. Nice thread though I like it!
  5. Steve_e

    Just put an end my misery if...

    Interesting scenario's presented here for sure, and while I speak of not much experience, I know what you all are saying. I work with a fellow at my part time job, and his mom is in really dire straights, has been for years it seems. She has parkinsons, can't talk, doesn't know who anyone is, where she is, who she is, or probably even what she is. He is the only person in her family that still visits her. He visits her probably 2 or 3 times a day, everyday in the Nursing home, and she is admitted to the hospital probably once every 2 weeks for infection. She either has a UTI or an infection in her peg site area almost always. From running so many antibiotics to combat those infections she almost always has C-DIFF as well. He rants and raves about how "nobody is doing anything" or about "how can they not know where the infection is coming from!" and I can't help but think to myself, why don't you just let it go man, this woman is in her 90's, probably lived a great life, and now he is prolonging this misery for her with all of these awkward hospital visits, re-insertions of peg tubes, probing this, poking that, testing this. I have never visited this dear old woman but I am certain she would be much happier if she were where she is headed already.
  6. Steve_e

    30 bucks an hour starting salary???

    Cool topic to be able to reply to hahaha. I'm a new grad newly licensed, just got hired this week actually, starting pay is like 24.76 base. If I want to take a nights rotation I will get 20% more than that, so right around 30. So I guess it is possible!! Come to new york, nurses who can't find jobs! Syracuse area hospitals hiring nurses every week!!! Even new grads like half of my graduating class is already employed (we graduated in december!) and we're all 2 year associate RN's. I may have had a little advantage because I already have over half the classes toward bachelor degree completed though.
  7. I'm not so sure this is really all that funny, but I guess it is what it is. I'm not going to ramble on about what should be done because I am just a Nursing Student myself, but it seems to me like there should be a better way to train the new graduate nurses, and I'm also not sure laughing hysterically is going to solve anything either.
  8. Steve_e

    Can you be a nurse if....

    llaura, While I am not a RN at the moment, I am in my second semester of nursing school as we speak. I would not take my advice as professional advice, but here is my input and thoughts on this subject. I would say it depends on what kind of speech issue we are talking about. If you simply have a little trouble pronouncing certain letters or letter combinations I can't see why that would make or break you. However, if you have an issue where it is very hard for you to communicate effectively I think it could be a battle trying to be a nurse, because much of what nurses do is communicate to patients, other nurses, doctors, and other medical professionals, it just comes with the territory I suppose. So, if your issue if just a mild one, pronouncing certain sounds, and nursing is what you want to do, I would say go for it and give it your all, I am sure you will be a fine nurse.
  9. Steve_e

    Anyone used Evolve Bundle?

    I used the evolve bundle package last year in Nursing 1. It really was pretty great I think. There is a bunch of stuff that you can do to study for tests and practice clinical skills right on your computer at home. I thought it worked out well. Last year our bundle did not have that option to have a code unifying all of the books, but there was a lot of online stuff. The web-site we used was Welcome to Evolve! , maybe check that out see what you think. For next year we are going with a bundle-set of books that seems awfully comparative to what you are describing. I think it sounds great though, being able to look up exactly what info you need from your text through the computer, rather than flipping through the pages of 7 books, having them all on one program or however it will be work will be nice. ---Steve E.--- Nursing Student @ Morrisville State College in Upstate NY.
  10. Steve_e

    OH NO! the A & P classes are FULL!

    A&P is always going to fill up quickly. I have not heard of a school where if does'nt fill up right away. But the above posts are correct for the most part - watch the classes when tuition is due, and be ready as soon as someone does'nt have their ducks in a row for tuition for them to get dropped, and you take their space. Also, keeping in close, friendly contact w/ the actual A&P proffessors is also a very good idea. Also might I add, be ready for A&P, its hard. and depending on the school, it may be very hard,.