stram87

stram87

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All Content by stram87

  1. So I work two per diem jobs. One in psych and one in critical care. I am back in school working on my doctorate to become a psychologist so I can't work full time. I usually work 2 shifts a month in critical care and 4 shifts in psych. The psych hos...
  2. Should I resign(quit) my job?

    I guess I should edit my post. I am a nurse but my long term goal is not to stay a nurse. Unless I end up also doing mental health NP. Thanks so much for your quick replies. I have been thinking about this for 6 months and its a tough decision but I...
  3. Dehydration and PEG tubes

    I've found that when pegg tubes clog it usually means someone hasn't being doing the water flushes...but that being said I don't take care of pts longer term with g-tubes.
  4. PMHNP job discription

    I applied for the fall to go to PMHNP school and I spoke with one of the advisers there regarding my career goals of providing counseling and therapy and she said that the PMHNP program would work for that. However I spoke with a social worker with ...
  5. PMHNP job discription

    No I decided to wait another year. Might move across country. Not sure yet.
  6. I think the key word is initial assessments. Data collection I believe is considered follow up assessments. But the real question here is what is the scope of practice in the state the OP works in.
  7. This may vary from state to state but every state I've worked in LPNs cannot do initial assessments. I quote from the link below "While LPNs can do data collection, they cannot do patient assessments." http://www.nysna.org/images/pdfs/practice/scope/...
  8. A bizarre question

    You should be fine. I wouldnt worry too much.
  9. A bizarre question

    How long till the drugs tests? Did you only take one of the "incorrect" type of pill? I dont know if this is the best site to figure that out. You might try googling other sites that might have more information about the half life of drugs and how lo...
  10. Something flew in my eye!!!

    I'm sorry to hear this happened to you. However this does not mean you dont have to right to practice in a SAFE work environment. We always talk about patient safety but health care provider safety is equally as important. It seems like your taking ...
  11. PMHNP job discription

    So would it be better to get a different degree? I want to open my own practice eventually.
  12. Did this ever happen to you?

    So I've been working in an ICU for about 5 months. So still very green. I had a patient who had a ischemic stroke but was stable. No interventions at this time. I did neuro checks on her q1 hour just incase. Around 4am she started to be a bit more co...
  13. Which ICU job to take?

    I would take the level II trauma center. Seems like you will get a better experience. What happens if you leave before the 3 years? Does the 16 months count?
  14. Starting in May

    So I got hired for a per diem position at a stand alone psych hospital. I do not have any psych experience at all. I currently work in critical care. The orientation is less than a week. I believe 3-4 days. I think they keep you on probation for awhi...
  15. Did this ever happen to you?

    Thanks for all the feedback. Certainly learning something new everyday.
  16. Wait do hospitals not hire people with Hep B? I never heard that before.
  17. Has anyone ever been accused of elderly abuse

    Nope. Never. Though I work in an ICU so its not like a nursing home type situation. Have you been accused of elder abuse?
  18. Lost my dream job

    Don't beat yourself up. Your soo close. Much closer than many. Use this as motivation to complete your BSN and get that dream job. Just because you were passed up this time doesn't mean there wont be other opportunities. As an experienced nurse you s...
  19. .45% NSS usage

    So I came into my shift (I'm new to an ICU I work nights). Pt was hypotensive recently weaned off levo. He was dry so they had him on maintenance fluids of 200ml/hr of .45% NSS. Plus boluses of LR. He was loosing a lot of fluids out of his abdomen (...
  20. All it takes to be an ICU nurse?

    So I am close to finishing my orientation to an ICU. My night manager said to me "What we are looking for to let you off orientation is safe nursing practice and seeing that you know who to go to for help. You don't have to know everything or even k...
  21. I use epic where I work and we never have problems getting emergency drugs. The doctor just puts the orders in afterwards. Hopefully these issues get straightened out for you.
  22. Critical Care Education

    Hey, I am new to an ICU unit. I completed their in house critical care course and basic dysrythmias class but I still feel like there is a huge knowledge defiect between me and the other nurses. I still got about a month of orientation left but that...
  23. Code on the way to CT scan

    Has anyone had their patient code on the way to CT scan? What do you do? Obviously chest compression but if your in the elevator do you call a code for where your getting off? We have "cell" phones that you can call the operator and have them page a ...
  24. RN feeling discouraged, can't find niche

    I worry that I'll have this same problem. After almost a year in critical care I'm thinking of switching to psych but now I'm even more discouraged.
  25. Meditation or Yoga (non traditional training)

    I have never seen any of those used in "traditional" hospital nursing. I thought about getting other certs in holistic medicine (yoga, massage, acupressure, ect.) but seems like a waste of time in most cases. Many patients aren't open to the idea of ...