GonnaBSN
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All Content by GonnaBSN
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A key skill in nursing is being able to voice when you need help. And as a new nurse, we are eager to please. But remember that you can't do it all, and when you stop asking questions, and never ask for help -- these are symptoms of a problem!
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It's a good sign that your hospital is wanting to spend the resources to train you well. I would never work anywhere that didn't have an on boarding plan for me
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Agreed! We all make mistakes! Just report, document, and learn from it.
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Chin up!
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The majority of my time is spent reviewing patients' medical records. I gather clinical data and input it to an online portal which runs it thru an algorithm. I also work w/ the quality improvement team to report on trends in the data.
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On questions like this, you can call your hospital pharmacy for a quick response. I think that's the safest way to care for the patient.
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I work as a NSQIP SCR, although I'm brand new to the position. The NSQIP program is brand new at our hospital, and we're in the process of creating the program. I just wanted to follow the string, as I'm eager to connect with other SCRs
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Right, but if you have no idea what they take, how do you determine what's gonna be too much? Just follow VS's?
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I am an attorney who went to nursing school, so I'm "just a nurse" to some people now. Generally these folks hate their job and hate that you went and did something that you wanted to do, rather than stay in something you hate because everyone else expects you to. I cut people like this out of my life. I'm a master level psychologist, got into nursing for more job opportunities. I loved my work before, but it was too hard to find a new job when I needed it- so I had to get into other areas like research. That ultimately led me to nursing. Second career nurses bring a very different perspective to the nursing profession IMO. We know about the corporate world, nonprofits, the healthcare industry, and so on. So we are a bit more thoughtful on the "way it's always been done". I see this as our collective strength. We have power to make really great changes, if we can figure out how to wield it.
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Penni, you are so right with the crazy amount of narcotics! I've already noticed that. Advice/thoughts about managing pain for patients who come in on a baseline of lots of narcotics... Whether or not they tell you it's the case? I get worried about respiratory failure when Im giving so much!
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I meant to say, "it's all about repetition" :)
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I agree, you're normal. You have way too much info in your head to recall things off the cuff sometimes. Part of orientation and our first year is sorting thru all you know and figuring out what is relevant to your setting/patients/unit. For example, I'm on an ortho floor, and the other day my brain print out said my pt has history of CAD. I couldn't remember what that stood for. I knew it was in my brain somewhere, but I just has no idea... So I asked. Yes I got a funny look from my preceptor, but I don't care. Heart diseases are not top of mind on an ortho floor... Sometimes you can't get to the info in your brain because of the context. Dont worry about it. It's all about reporting! I can't tell you how many times I've asked, "what does WBAT mean again?" ... That acronym wouldnt mean a thing to a critical care nurse. (weight bearing as tolerated)
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I cared for a pt this week who had stage III wound ( it was 4cm deep, MRSA positive, and horribly painful!). This pt was documented as "MR" and lived in a group home. According to my pt, the cause of this wound becoming so bad was that a nurse (LPN) who worked at the home "popped" it like a pimple, spreading the infection to the proximal area. Then they delayed treatment for two days -- a doctor advised them to take her to the hospital, but they waited. Is this something that should have been reported as abuse?
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I have an assignment to do an interview w someone who is 75 years or older. It consists of a bunch of reflection questions. Trouble is that I dont know anyone over 75 that fits the criteria ("living well" ie healthy). Is anyone out there willing to take a look at the questions and consider answering them? You can decline any that you are not comfortable answering! Total anonymity of course!
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I have the same assignment and it has to be someone 75 or older... I don't know anyone!
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Hi there! I'm curious about what happens after graduation and once you've accepted your first job. I am about 1/3 the way through the "accelerated" route, and worry that I know enough to be dangerous. I call my accelerated BSN program "a big drink through a firehose". It's impossible to remember everything, and passing a test most certainly does not make me a competent (self-assured) RN. So what happens during the first year out of RN school to get me to the point where I don't hurt anyone!?
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And pick up a Saunders NCLEX book... outlined forms of your textbook material
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Good Luck! I'm in an Accelerated BSN program right now. I use my holiday breaks to set up a calendar so I know what I need to read and turn in every day. It's impossible to keep track of things if you're not highly organized.
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agreed on the Practice, Practice, Practice. There are several formulas you can use. Me, I prefer the "Dimensional Analysis" method because I never have to memorize a formula. Google it and look for a video. In essence it puts everything in a fraction format, then you just cancel out the units, and multiply across, then divide
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Head to your public library and check some out or flip thru them to see which ones suits you best. BTW, I prefer SAUNDERS - our school uses it as a framework for lectures, and we have a pretty good pass rate with the recommendation
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Wow! Nice summary. It helps bunches. I know it took time to write out, and I appreciate it!
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Hi! My clinical instructor insinuated that my approach to nursing is disorganized. The trouble is, I've never been shown how to organize my day on the hospital unit. I've been shown how to do a head-to-toe assessment, then our instructor mumbled something about doing a "focused assessment", but never told us how to decide what that means for each patient. They have us fill out a care plan, but not how to use them. They have us fill out an "assessment sheet" and chart, but again, not how to use them... so what it all ends up being is a bunch of worksheets that amount to busy work. I think I'm just not making the connections, and haven't seen anything done well! Can someone help me plan out my days? I'm getting worried because I'll have a new clinical instructor who is completely the opposite of my current one. The first one was too lax about things, and the next one runs a tight ship... eeek! freaking out! Please help!
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but warranty wise? would Littmann honor the warranty?
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Hi and thanks for reading, I'm wondering if I purchase a stethoscope on ebay, will the warranty be honored by the manufacturer? I'm looking into a Littmann; I like that they have a lifetime warranty, but not sure how it ties to buying from a person vs. a store. Thanks!