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Beta Blockers
I always check the trend of the HR before giving a beta blocker if it's on the low side. If it has been consistent I'll usually give it. At my hospital we aren't allowed to use our own judgment and hold any medication. 90% of the time there is no parameters either. So we make a lot of phone calls.
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Please help!!! I need advice..
This is me. I have a horrible memory (I mean to the point where I have to carry around a census sheet in my pocket just so I can remind myself what my patients are in for). But that is just what I do...constantly remind myself. Don't know what a disease it? Look it up. Don't know what a medication is for? Look it up. The resources are there and I take full advantage of them. Eventually after about the 3rd time of looking something up I can remember it. Oh, and ask questions! My charge nurse must dread seeing me come his way because I ask TONS of questions. But I don't care what he or anyone else thinks because I do it for my patients. You'll be okay! I am evidence! And congrats on your graduation by the way!
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As good as, Better or Worse than you thought it would be...
Worse. It was my dream since I was young to be a nurse and nursing school pretty much validated what my "dream" would be. Nope. Nada. Not what I was expecting. I could have shadowed 100 nurses and taken 100 extra clinical hours but until I was the one doing it and on own I really didn't get the big picture. I like what I do but I don't love what I do. And that makes me really upset. But I'm also not working in the department that I want...that could have something to do with it.
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If you can say one thing to your boss, what would it be?
It would be thank you for giving me this opportunity. Thank you for being so open to opinions and suggestions. Thank you for listening. Thank you for caring about patients. And thank you for caring about your employees. My boss is awesome.
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Do your family members "get it"?
I work nights also and my family is pretty understanding about it now. But I had to work on them for a while. I remember a conversation as follows with my mom after she called me at 3pm (I didn't answer). I called her back that night... Me: "Mom, do you realize that you called me at 3 pm today? Your 3pm is my 3 am." Mom: "Well, yes, but I'd thought you'd be up!" Me: "Why would you think that? So can I give you a call at 3 am this morning?" Mom: "I don't know. Oh gosh no!" Me: "Well please don't call me at my "3 am" or you'll be hearing from me at your 3 am." It was all in a joking tone but I think she got the hint because she hasn't called at that time since. lol
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IF you WEREN'Ta nurse, what would you be???
I have no idea! I never made a plan B for my life because plan A (nursing) WAS going to work out! Definitely not a desk job...I know that for sure.
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Shorter orientation than I thought... what to do?
I'm in the same situation. I've been in orientation for 5 weeks and I get my wings tomorrow. And it's also my first night shift. To say the least I'm terrified because the shift I'll be working is all new nurses also. (like less than 1 year experience)
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What do you carry...
My ID clips onto my scrub top. In my pockets you can find: different color pens highlighter black marker dry erase marker (to write on pts board in the morning) tape flushes alcohol swabs scissors chapstick small gloves (impossible to find on my unit) penlight little pieces of paper to jot stuff down
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Voicing an opinion
I agree! And for my last semester of school I did have to write opinion based paper. Granted, it had to be backed by some form of evidence based article. I loved that they gave us the opportunity to have some voice. Several policies at my local hospital have been changed in the past due to these papers also.
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The start of a career in nursing!
Keep applying and give it more time. It took about a month for me to get a call for my current job. Have you been applying in person?
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New grad starting in Emergency department next week! ahhh advice?
I'm a new nurse also (graduated in December '09) and the only advice I have for you is to ASK QUESTIONS. Any and all questions that you can think of. And take every single opportunity you can a make it a learning experience. I work med/surg but any free time I have I use it to look up drugs, read through my patient's chart, watch the other nurses do their rounds/procedures. Stuff like that. But good luck! I spent a weekend orienting in our ED and I realllllyyy enjoyed it!
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A question to new Nursing school grads who were able to find a job.
Louisiana. I graduated December '09 and got hired end of March this year. I was shocked to her my manager who interviewed me say "We want new grads. We need new grads". I'm 1 of 5 newly hired new grads. I really lucked out.