turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    Early prandial administration to hyperglycemic patient?

    If the patient's blood sugars continue to be elevated, its time to collaborate with the physician/provider and maybe increase the dose of preprandial insulin or increase the sliding scale (maybe from...
  2. turnforthenurse

    A word of advice for a strange question?

    I agree that anything can be turned against you in a situation where a patient has altered mental status or becomes violent...but based on the picture you posted, I cannot even see the pins you are...
  3. turnforthenurse

    How is Nursing School really like?

    You can't just memorize material like you can in pre-reqs and other classes. With nursing content, you have to be able to understand and apply the material to real-life situations. There is some...
  4. turnforthenurse

    Blackout curtains

    I would just fold up a dark sheet or something at the top, but that's
  5. turnforthenurse

    Heart and vascular help!!

    and Cardizem. You might even see Lasix and Octreotide. Not all stepdowns have pressors, it just depends on the floor and not all floors are created equal. On my floor we can have dopamine drips up...
  6. turnforthenurse

    Noise level at night

    I agree, there are some things that you cannot help. We turn down the lights at night time and shut the door for most patients to help keep the noise level down. Staff mix also makes a big...
  7. turnforthenurse

    Hourly Rounding

    I know a nurse who got fired for doing that. She came in at 0700 and signed her initials on every single time on that hourly rounding sheet. She didn't see the hospital CEO visiting with the patient...
  8. I studied. On the 4th day, I did nothing. I used that day to relax. IMO, if I didn't know it then I wouldn't know for the NCLEX the next morning. Good
  9. turnforthenurse

    Is there a chart of how the job task duties differ

    That is not true. Although the previous posters are right, the job description varies based on the facility, state and country. LPNs work under the supervision of an RN or physician. LPNs are...
  10. turnforthenurse

    CCRN anyone?

    That's kind of how I'm feeling about the Pass CCRN CD. But at the same time, I'm surprised I'm doing well because the PCCN doesn't go over invasive mechanical ventilation or invasive hemodynamics....
  11. turnforthenurse

    I got in so what do i do now?

    Take a breath and relax! The work will come soon enough so don't start diving into health assessment and patho. If you want to review anything, just brush up on some A&P.
  12. Honestly, if you get an offer for the position you interviewed for, I would take it. I personally do not think you owe your employer anything unless you signed a contract with them. And it sounds...
  13. turnforthenurse

    What shoes brand is good?

  14. turnforthenurse

    Best Nursing Shoes

    I personally love Alegria shoes. Very comfy and they come in a variety of colors and styles. Those shoes + some compression socks really help. It feels like you're walking on a
  15. turnforthenurse

    Can I ask about male:female nurse ratio?

    I think that's a rather odd question to ask and may get your potential employer wondering. Nursing is predominantly female even though there are more males entering the profession. I work on a PCU...
  16. turnforthenurse

    Cant decide which is better shift

    For me, I would prefer the three 12's vs. five 8's. I enjoy having my four days off as opposed to two, even though those days seem to fly
  17. turnforthenurse

    are you happy in the state your in?

    Texas is an employed at-will state but I love living here. I didn't move here by choice...the military brought us here. I will be sad when we have to leave because of my husband's PCS
  18. turnforthenurse

    not that it really matters....

    I have only saw one female doctor wear print. She would always wear her leopard print Danskos with black scrub pant bottoms and some sort of print top, usually animal print. She was an intensivist....
  19. turnforthenurse

    Med surg vs icu

    New grads can start out in ICU, they just need a long, thorough orientation, as with any new grad position. If ICU is what you want to do, make sure your employer has that long, thorough orientation....
  20. turnforthenurse

    Hourly Rounding

    We do hourly rounding, too. We have a little sheet that we have to sign. Nurses are supposed to round on the odd hours and CNAs are supposed to round on the even hours. We initial, write the time...
  21. turnforthenurse

    "Difficult" Patients

    Kill them with kindness. eatmysox is right, though. There are some patients out there that no matter what you do, won't be pleased. I still try to kill them with
  22. turnforthenurse

    They call me the "spaz" on the floor. :/

    I also agree with getting yourself a good brain sheet. Write down tasks to check off. If a patient needs a UA or something, I write down "UA" and highlight it. If a patient's K was low and it was...
  23. turnforthenurse

    Rhythm interpretation a fib

    It could be that the nurse(s) just are not paying attention and happen to accidentally chart a-fib as being regular. We have computer charting at work and I have accidentally clicked "regular" along...
  24. turnforthenurse

    Night shift

    I work 12 hour nights, I always do three in a row and then end up with 3-4 days off. The night before (for my first shift), I stay up as late as I can (usually until 0515, my husband doesn't like it...
  25. turnforthenurse

    What shift does the 7am med pass?

    Synthroid should (ideally) be given in the morning at least 30 minutes before breakfast and should given at the same time each day (or as close to the same time as possible). If a resident gets their...