turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    The night before my NCLEX RN exam....

    turnforthenurse replied to Lizzo1984's topic in NCLEX Exam, Programs

    I took that Buszta course - if you prepped how they told you to you're in good hands! My entire Buszta "class" passed and I have had several friends take the review course, too, and everyone in their...
  2. turnforthenurse

    heparin bolus and continous infusion

    turnforthenurse replied to mspurple's topic in Medical-Surgical

    Every facility is different and they should have their own heparin protocol in place. We need to make sure there is a baseline CBC, PTT, PT/INR and heparin assay documented in the chart. You bolus...
  3. turnforthenurse

    Tips on Adjusting to Night Shift?

    turnforthenurse replied to JulieL's topic in General Nursing

    I'm one of those nurses who revert back to "normal people hours" when I am off, but that is because I do my three nights in a row and end up with usually 4 days off in between. On my first day off I...
  4. turnforthenurse

    Clinical nursing jobs with "normal" hours

    turnforthenurse replied to AlphaPig's topic in General Nursing

    There is school nursing. Work during school hours M-F, weekends off, summers off, all holidays off :) It seems like a lot of ambulatory clinics are staffed as 8 hour shifts. My husband is military...
  5. turnforthenurse

    Group projects

    turnforthenurse replied to NICU:)'s topic in General Students

    And this is exactly why I hated group projects in school. There was always "that one person" who would slack off and not do their portion of the work required. If speaking with her doesn't help,...
  6. turnforthenurse

    From experience, has anyone had a relatively low stress nursing job ?

    turnforthenurse replied to studentnurse9806's topic in General Nursing

    I agree with a low-stress job being postpartum. The patients are for the most part healthy with very few (or no) comorbidities. You do a lot of teaching in postpartum, or sometimes none at all if...
  7. turnforthenurse

    diagnostic tests that require npo

    turnforthenurse replied to BacktotheBeach's topic in Medical-Surgical

    Second to keeping them NPO to be safe rather than sorry. Most patients have no problem with being NPO if you explain things to them. We have a cardiologist who is notorious for coming in late at night...
  8. turnforthenurse

    diagnostic tests that require npo

    turnforthenurse replied to BacktotheBeach's topic in Medical-Surgical

    With oral contrast they need to be NPO for at least 4 hours, then once the patient drinks the contrast radiology is notified so it can be timed...they typically go 2 hours after the contrast is...
  9. turnforthenurse

    One lead off

    turnforthenurse replied to CAnurse2012's topic in First Year After Licensure

    Did you assess your patient? What did they look like? This is why you need to assess your patient and treat, not assess and treat the monitor. I would expect a patient with a HR of 20 to look very...
  10. turnforthenurse

    Is 7 the new 5?

    turnforthenurse replied to Capco56's topic in Medical-Surgical

    Interesting study in the November issue of AJN regarding nurse burnout (increased workload!) and nosocomial infections: Potera, C. (2012). Reducing nurse burnout might reduce hospital-acquired...
  11. turnforthenurse

    Sedation nurse

    turnforthenurse replied to KatieBug713's topic in Nursing Career

    Perhaps you are thinking of a nurse who administers conscious sedation? There is really no such thing as a "sedation nurse"...but there are nurses who administer conscious sedation and most of them...
  12. turnforthenurse

    Is 7 the new 5?

    turnforthenurse replied to Capco56's topic in Medical-Surgical

    And they thought by INCREASING the workload they would have a lower staff turn-over? The med-surg units at my hospital typically are 1:6 but they have pushed to 1:7-8 in some cases. I work on a...
  13. turnforthenurse

    What are your white board goals?

    turnforthenurse replied to BiohazardBetty's topic in Patient Education

    I actually watched a vignette where a nurse asked her patient that question and I thought it was brilliant so I implemented it. Patients get really surprised when I ask them this question because I...
  14. turnforthenurse

    Is it worth it to become a CNA on my road to becoming a nurse?

    turnforthenurse replied to sucess2012's topic in Medical Assistant, CNA/MA

    I agree, CNA experience is invaluable. I was never a CNA but I worked as a PCNA (basically the same thing) and a nurse tech (same as a CNA plus we were allowed to draw blood, start IVs, do dressing...
  15. turnforthenurse

    medication question: adderall, zoloft, wellbutrin and synthroid mix

    turnforthenurse replied to LindseyOh's topic in Neurological

    We are not allowed to advise because this results in giving medical advice which is against AN TOS. This would be a question to ask your provider or
  16. turnforthenurse

    stroke question

    turnforthenurse replied to Mrsladysoul83's topic in General Students

    If the stoke was ischemic in nature, the blood pressure control may be different. It depends on the physician/neurologist. I remember taking care of a patient with an ischemic stroke and the...
  17. turnforthenurse

    random fact throwing: PCCN/CCRN edition

    turnforthenurse replied to turnforthenurse's topic in Critical Care

    Beck's Triad (cardiac tamponade) - the three D's 1. distant (muffled) heart sounds - because there is an accumulation of fluid in the pericardial sac 2. decreased (narrowed) pulse pressure - SBP drops...
  18. turnforthenurse

    Noc Nurse perspective...

    turnforthenurse replied to exit96's topic in General Nursing

    We once had staff meetings that lasted four hours...until we were under new management. I LOVED those 16 hour days! Especially when I had to come back that same
  19. turnforthenurse

    Noc Nurse perspective...

    turnforthenurse replied to exit96's topic in General Nursing

    We always get the "dayshift scraps" and end up cleaning up the break room because dayshift always leaves it a mess... But on nights we sometimes bring our own food and have night shift potlucks. My...
  20. turnforthenurse

    How would you handle this..?

    turnforthenurse replied to crichards00's topic in MICU, SICU

    Because of the reports of burns from Silvadene and the MRI according to Esme's post, but everything seems to be as a precaution. On a side note, I'm very sorry for your loss,
  21. turnforthenurse

    I'm No longer a Pre-nursing student..Thanks ALLNURSES! Got Accepted! Spring 2013

    turnforthenurse replied to ArrowRN's topic in Pre-Nursing Students

    Congratulations!!!
  22. turnforthenurse

    Blood Stream Infections (BSI) in your unit

    turnforthenurse replied to traumasurgRN's topic in Critical Care

    My unit pretty much utilizes all of these practices and each year we have zero BSIs. We don't use chloriprep to access ports, though, just an alcohol
  23. turnforthenurse

    Start preceptorship in L& D Tuesday- tips??

    turnforthenurse replied to pugmom79's topic in Ob/Gyn

    I'm not an L&D nurse, but with any preceptorship, go with an open mind and seize every opportunity as a learning opportunity, even if you are just observing. And ask questions! Good
  24. turnforthenurse

    What is it with nurses and cell phones? Just a vent.

    turnforthenurse replied to fakebee's topic in Nursing Professionalism

    In this case, yes, it is a problem. As I mentioned before, as long as it doesn't impede patient care, I don't see a problem with it. In this example, however, there is definitely a
  25. turnforthenurse

    Pearsonvue Trick - Does it Work Every Time? Part 3

    turnforthenurse replied to Silverdragon102's topic in NCLEX Exam, Programs

    When I took the NCLEX, my results were on hold for a couple of hours. They could be on hold for whatever reason, really. It was an agonizing couple of hours lol but they were eventually submitted so...