turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    Night shift and daylight savings....

    We get paid the extra hour. We always get paid the hours worked. Not getting paid that extra hour and management saying that it "evens out" because you lose an hour when we spring ahead is...
  2. turnforthenurse

    How would you handle this..?

    I work tonight, so if I have a chance to talk to one of our MRI techs, I'm going to ask them and see if they know the
  3. turnforthenurse

    *Dancing for joy*

    Hooray!
  4. Personally I think technology these days is a great thing and nurses should embrace it...as long as it doesn't impede patient care. Yes we use our cell phones during our breaks or during downtime -...
  5. turnforthenurse

    How do you typically check medicines?

    Drug books. My facility has computer charting and on our EMARs you can right click for reference information. We also have Lexicomp built into our computers. I also use Micromedex on my phone (free...
  6. turnforthenurse

    How would you handle this..?

    MRI stands for "magnetic resonance imaging." I still can't find any information regarding Silvadene being contraindicated with an
  7. I honestly think I have a learning disability when it comes to math. But if I can do it, so can you! Nursing math is basic addition, subtraction, multiplication and division. If you have a B+ in...
  8. turnforthenurse

    License and Residency Issues of Relocating

    I want to add that it is very important to inform each state of your change in address/residency status. I know in Texas you can face a penalty charge for not informing
  9. turnforthenurse

    PRN positions

    Most PRN positions require at least a year or two of experience, some require two or more. It depends on the hospital. I say go for it, you have nothing to
  10. turnforthenurse

    HHNK or HHNS

    There is no specific "formula," just simple math. Let's say you want to bring the blood sugar down by 75mg/dL each hour. Patient's blood sugar is 825, so after the first hour it would be 750mg/dL...
  11. turnforthenurse

    Am I burnt out? What should I do?

    Your mom is right :) The same happened to me...towards the end I got so burnt out, but the grass is greener on the other side! It's been nearly two years since I have graduated from my nursing...
  12. turnforthenurse

    Trendelenburg positioning

    The position can raise ICP. I have only seen another nurse trendelenburg their patient during a rapid response
  13. turnforthenurse

    Did I just get thrown under the bus? Or I'm a bad nurse?

    Never hold Lantus without a doctor's order. If you are giving a larger dose of Lantus, speak with the doctor because the dose may need to be adjusted and most of the time they will adjust it instead...
  14. turnforthenurse

    License and Residency Issues of Relocating

    Whatever state you live in (your permanent residence) is the state you declare as your primary state. Maybe it's because Texas is a compact state, but I was able to be licensed in Texas without...
  15. What about e-mailing your local chapter and explaining your situation? The purpose of these assignments is to go out there and network in the community, not just here on AN Good
  16. I would definitely write up an incident report just in case the patient injured their self and it wasn't evident until later or if the patient wants to sue for whatever reason. It isn't an "event"...
  17. You will get over it, I think. I personally hate having my blood drawn...I hate needles! I always have to look away if I'm getting my blood drawn or anything that involves needles...but if I am...
  18. turnforthenurse

    EKG help

    For interpretation, check out Skill Stat: ECG Simulator | SkillStat Learning - Fast, Fun and Effective! For books that help with interpretation as well as treatment, check out ECG Workout by Jane Huff...
  19. turnforthenurse

    Considering ER but not good at starting IV's

    Inserting IVs is a skill that comes with time. With practice you will get good at it. Where I work the ER techs are the ones putting in the IVs most of the time, or if a patient arrives via EMS they...
  20. turnforthenurse

    Clinicals

    yes, this is a must! or Ibuprofen...pick your poison lol. Also chapstick/lipbalm. I actually just carried that in my pocket instead of my bag. I also kept some hand lotion in my bag, just be...
  21. turnforthenurse

    Clinicals

    Typically our first clinical revolves around meeting the instructor, getting to know your clinical group and what the instructor's expectations are. You'll also probably get a tour of a facility...
  22. turnforthenurse

    Best place for online scrubs?

    Allheart.com
  23. turnforthenurse

    New Grad in ICU

    It's really hard to tell...but I think her wanting to tell the DON about you is a good sign. Best of luck to
  24. turnforthenurse

    D5 water and Cerebral Edema

    I'm not a neuro ICU nurse, but this was my thought exactly...because infusing a hypotonic solution too rapidly could worsen cerebral edema, just like how infusing a hypertonic solution too rapidly can...
  25. turnforthenurse

    D5 water and Cerebral Edema

    Blood sugar frequency would depend on the physician. Typically with a dextrose IV we don't check blood sugars any more often than the routine AC&HS checks...if the patient is on TPN, we typically...