rnrainy

Holistic nursing is many things. The way I started to understand this concept was to understand Maslow's Hierachy. When you care for people as a nurse, you meet the basic needs first and THEN you can address higher needs. This includes spirituality, love, emotions, what the person needs beyond physical. A holistic nurse doesn't need a certificate to be caring. Research nursing theorist Jean Watson and her 10 carative factors. If you want to be holistic, try to attend a nursing school with a holistic focused nursing theorist model (all schools have a theorist they chose for the focus of their teaching). Nurses take care of people, doctors take care of peoples illness. Holistic nurses understand it is more than a lasix drip for congestive heart failure, or a medication to reduce cholesterol. It is forming a trusting relationship so the client (usually you take care of very short term) can share his REAL needs. Sometimes you will be the only person they will be able to talk to about the REAL issues, and therefor, have holistic healing.

I am a nurse case manager with a large home health care company based in southeastern Michigan with multiple divisions. We have positions available with great pay! Send me a message if you are interested in long term care, in home.

There will always be that one client who will make it worthwhile. You are only responsible for yourself and can't help what others portray...that being said, you don't know the dynamics behind each family and client. I once worked on a floor where no one was grateful for all the extras I did, until MANY years later, I met three previous patients I had cared for. Not only did they remember me, they thanked me profusely for my loving kindness, calmness, and consideration. So you may not get a pat on the back today, but remember it all adds up in the end!

It really depends on the type of floor and number of beds. The hardest part is knowing your resources! On my old cardiac floor, a nurse case manager would depend on the nurses on the floor to interview each patient to find out what their needs where upon discharge. They would have daily meetings with the CM and report the patient's status with testing, etc and any new information they find. My advice as an external case manager is to please be kind to others, we are all new at one time! Good Luck!

I would be scared of a company hiring a fresh nurse...most case managers I know where nurses for 10+ years. I know after just 2 I got a good position with a high ranking home health care company as a nurse case manager, and it is all trial by fire. Good Luck. My best advice is to DEMAND a comprehensive orientation and find yourself a senior nurse to refer to.

It really depends on how much you need the money NOW. I say this because you need to give 100% to nursing school, or it may cost you in the end (paying for another semester, not passing your boards, etc). Since you are in your last year, I would not go above and beyond, you have your whole nursing career to do that! Give what you can, and don't feel bad when you decide what's more important to you.

One more thing....KAPLAN's answer tree...

Pretty good!

I grew up as a Jehovah's Witness, so here's what I know. Witnessess believe blood from others is unclean, and this is supported by scripture. When Witnessess go to surgery, I have seen better recovery times, perhaps because the surgeons take more time to clamp off blood vessels and they lose less blood. Also, Witnessess accept plasma, their own blood, or iron to increase hemoglobin... The majority of blood is volume (plasma).... Your care plan would not include any knowledge deficit, because this religion educates from very young what their stance on blood products is, although we as nurses may think there is a deficit there, this is experience speaking... Perhaps you can find a nursing dx to address values/beliefs and psychosocial needs? So, besides the BLOOD issue, you would treat it as any other MVA...what are your interventions as a nurse? Do you have a care plan book? I loved mine and could not have made it without it.

Besides IV compatibility, it is important to consider why the fluids are prescribed and the patient's medical condition. For instance, I wouldn't bolus any fluids AND piggyback without very close monitoring on a patient with CHF. I have seen flash pulmonary edema occur more than once!

I was on a cardiac step down unit for a year before going to psych and it is not easy, or easier! My unit is 8 hours, probably because 12 hours is too much for a person to deal with, so I am now on midnights, 5 days a week. Days/Afternoons have alot of work to do, I've stayed a few times and must give those shifts props for maintaining each and every day! My shift: between 7-11 patients, addressing issues not dealt with by the other shifts, intakes and admissions, and mostly, dealing with the patients who can't or aren't sleeping. Most of the time, it is just maintaining a safe environment for staff and patients with safety rounds, redirecting others, and the occasional 1:1. Good luck!!

I had a year on cardiac tele before going to psych, and for that I am forever grateful. I can't see being turned off from nursing because a certain floor/field doesn't work for you. Each field has psych issues and you don't necessarily need to be a psych nurse to appreciate it! I loved both psych and oncology in school and took the first opportunity that came up. (So I now want to go back to oncology, that's where my heart lies). Don't forget you are young in your career, there are many years to do what you want to do...gain those skills and nursing opportunities rise on their own. Good luck!

I've been on my psych floor for 6 months now and I know ALL units are different but most interviews I have been to are the same. You need to give honest answers to such questions like "What are your strengths" "Give an explanation of a conflict you had with a coworker and how did you resolve it?" "What do you need to work on?" "Where do you see yourself in 5 years (or 1 year)". Remember that people who are in the position to interview you are very skilled at seeing through the bull..Prove that you are HONESTLY willing to try anything with 100%!! And don't be afraid to be proactive and interview the person interviewing you. It is JUST as important that the position fits your needs and personality. Good luck! If it doesn't work out, chalk it up to experience for the next interview.

I attended Baker and got in my first try with less than perfect NET and a 3.9 GPA. Then I know of people who had a perfect 14 points and were refused after 3 applications (the most Baker allows). I loved Baker though, and am priviledged to be an alumni. I would go back in a heart beat, no matter WHAT the cost!!! I love the small classroom sizes and the personal attention. The bad thing about Baker is most classes don't transfer to other colleges expect maybe Madonna University (Baker's sister school). Whatever you do, keep your dreams alive and keep trying!!! As for the course materials, remember this. All that other junk (A and P review) is FYI. In nursing classes, you ONLY remember "What would a nurse need to know in this situation".

After spending a little over a year on a cardiac/tele unit, I switched to psych. Nurses on this unit are not pulled to any other unit on the hospital, because the focus is mainly mental health. While I can't speak for any hospital or state other than the one I work in, my hospital will accept internal transfers based on interviewing with the manager of a new floor, co workers letters of recommendation, and your skills. It's kind of "the right place at the right time", kind of thing. Psych is so specific, that there is often a lack of focus on the other needs (think Maslows). The most important thing is to be where you feel the best. If you must take a job, take it, but always plan ahead. It's ok, in my hospital, to spend 6 months on a floor to feel it out. Also, there is job shadowing. This is a great option for networking...just meeting people and showing interest or compatibility may get you in where you want to be. We all have our own experiences that we base our advice, just like you need yours. Good luck!