turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    New nurse feeling overwhelmed!

    It can take 6 months to up to a year for a new grad to become "comfortable" with what they are doing. There is a huge learning curve and there are a lot of things you learn while on the job,...
  2. turnforthenurse

    Interested in becoming a Clinical Instructor

    Check the schools or contact your state BON. I know in Ohio, you could be a CLINICAL instructor with a BSN. To teach a nursing class, though, you needed an
  3. turnforthenurse

    on forgetting...

    There is a big learning curve, especially for a new grad. Sounds pretty normal to me! It will all come together
  4. turnforthenurse

    anyone work as a PCNA for the Cleveland Clinic?

    They will probably ask you in your interview what your goals are or "where you see yourself in 5 years" (or something along those lines), so I would go ahead and put the fact that you are an RN on...
  5. turnforthenurse

    Question about Ativan

    Yup, the order needs to be clarified with the MD. It could be that the MD forgot to d/c one of those orders, whether it be the PO or IV dose. I also typically do not see 4mg ordered unless the...
  6. turnforthenurse

    First night working with a vent

    First look at your patient - is the airway PATENT? how are they breathing? check your vent settings. know your pressure alarms. Typically high pressure alarms are due to coughing or a blockage...
  7. turnforthenurse

    What is on Med calculations Test?

    Med calc tests can vary depending on difficulty and also the type of course you are taking. We had a med calc test for every nursing class with a clinical component in school, but they were also...
  8. turnforthenurse

    anyone work as a PCNA for the Cleveland Clinic?

    I worked as a nurse tech in Ohio when I had my RN license, but I was licensed in Texas. I was just waiting to move. As long as you don't identify yourself as a nurse and stay within your scope of...
  9. turnforthenurse

    Is it easier to get a job if you already work in hospital?

    I would say yes. Some hospitals will consider their internal candidates for a new grad nursing positon (looking at their nurse techs) before looking into external
  10. turnforthenurse

    How many semesters are clinicals?

    Depends on the program. I went through a BSN program and for our sophomore year, we had one clinical/semester. First semester was Fundamentals 1 and we were primarily in LTCs; second semester was...
  11. turnforthenurse

    anyone work as a PCNA for the Cleveland Clinic?

    I worked there as a PCNA on H80, which is an internal med/telemetry floor. I only worked there for a short time though because I found a better position that was also much closer to home. With that...
  12. I think it's good to be open with your options. Some students knew what what type of nursing they wanted to do right from the start; others had some options and others were just completely unsure....
  13. turnforthenurse

    So...you've had a bad day?

    I do agree with your point of view however, nurses are human, too, and we're allowed to have a bad day and complain about it. Especially now with increasing patient acuity and being short staffed....
  14. turnforthenurse

    Golden Key Honor Society

    Does your school have a Sigma Theta Tau chapter? That is a nursing honor society. The Honor Society of Nursing, Sigma Theta Tau International There is also Chi Eta Phi, which is a nursing sorority...
  15. Army wife here. I knew my husband was going to get stationed in Texas so I knew that is where I would be moving. I went to nursing school in Ohio, took an NCLEX review course there and took my NCLEX...
  16. turnforthenurse

    On call requirements

    That is pretty ridiculous and have never heard of that. Where I work, we're only ever put on call if the census is low (and it's our regular shift to work) or if we're in overtime, we're the first to...
  17. Are you married or a single mom? The reason why I ask is because of the benefits...usually PRN positions offer a little higher pay in lieu of benefits. Usually the only benefit they offer is a...
  18. turnforthenurse

    When do you do your charting?

    We have computer charting at my hospital. Anything that requires me to write an actual note, I chart as I go. Otherwise, assessments and things (where we just click boxes) usually wait until
  19. turnforthenurse

    New Grad in ICU

    ICUfaqs is a GREAT source. I know it seems like a lot of is tailored towards the author's own place of employment, but it is a goldmine of information if you take the time to read through it. For...
  20. turnforthenurse

    Anyone has used PCCN review books/CDs/software?

    Today is 9/21...looks like their 50% off special is still going on! I just went on the site and tried it and it worked, too!
  21. turnforthenurse

    Chronically high triponin levels

    Troponin leak from heart failure or renal failure. We get patients with critically elevated troponins but after being seen by a cardiologist, it is non-ischemic in nature and due to their...
  22. If a nurse had that patient before or they were there the other day and had a specific group of patients, we try to keep the assignments the same where I work. Unless they specifically say they do...
  23. turnforthenurse

    When a patient states "something isnt right..."

    Thanks for your replies, everything! I'm just trying to see what else I can "do" when a patient says this. I once had a patient tell me something wasn't right but everything was WNL...the...
  24. turnforthenurse

    PVT says test on hold?

    Yes, on hold has nothing to do with pass/fail. The PVT won't work if your results are on hold; they have to be submitted. My results were on hold for a few hours for whatever reason, but then...
  25. turnforthenurse

    A fib in the 40's??

    I have seen Afib that slow. In fact, when my patient was sleeping his HR suddenly dropped to 31 (still Afib)...I ran in there and he was asleep. Woke him up, no symptoms, all other VS WNL....