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CT stepdown, hospice, psych, ortho
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cb_rn specializes in CT stepdown, hospice, psych, ortho.

Growing old in my late 20s, about to move to CA for the USMC (military wife), starting NP school {in need of preceptor!!}, 3 boys age 5 and under, thinks faster than she can type....yeh, that's me!

cb_rn's Latest Activity

  1. cb_rn

    What is the true future of Nursing 2010 and Beyond?

    The old perception of a nurse as just a doctor's assistant is hard to overcome. I think you're always going to get the mix of people that think you're a professional and those that think nursing is the same thing as being a sitter. Its a weird mix, if you know what I mean, I think nursing is one of the most respected jobs in the world and also one of the least respected. just kind of depends on who you are dealing with.
  2. cb_rn

    Think I have to resign...

    Not to be trite but look before you leap lest you jump from the frying pan into the fire. Another agency might have better pay but crappier hours or more call or crap coworkers. Lots of times there is more money offered for a reason. I'd try to line up another job but perhaps you can renegotiate with the employer if they want to keep you. They possibly are willing to make the deal a little sweeter if they know you aren't inclined to accept a lowball offer.
  3. cb_rn

    Verbal Orders - MD to RN to RN without Chart

    How did RN #1 perform a verbal read back and verified by physician (a requirement in every facility I've ever worked in) if he didn't actually write said order down? I second the posts calling for taking a blank order sheet and stamping it with patient's name for filing later. I know its a difficult spot for RN#2, esp given that RN#1 is her boss. RN#1 dropped the ball in my opinion.
  4. cb_rn

    First code- sort of a vent..

    Yes, this was a change. At this particular hospital you didn't chart an assessment until midnight because the shift before did 1500. No vital signs until midnight either so the CNA didn't know. The patient was alive when the trays were picked up after dinner. What happened after that, we don't know. I'm not saying it would be terribly unusual for a busy nurse to go in and find a patient with no pulse and no respirations but uh call a code? try a little cpr? The nurse? She didn't get immediately fired but did a couple of other really bizarre things and ended up never coming back after one of her shifts.
  5. cb_rn

    What are the worst call in excuses you've heard?

    so as uncomfortable as the following situation can be, I'm not positive its cause to call in for a 1500 - 2300 shift when you obviously already knew you had a problem. "I can't come in, I'm really constipated." ...
  6. cb_rn

    For all of those on Medicaid

    So I've had medicaid before when I was young and not a nurse and was scraping by on minimum wage with a child by myself so this is not some over-generalized statement. I was grateful for the help I received, it was a huge relief to be able to take my child to the physician when he was ill. I never abused the system, kept my appointments, and got off of medicaid as soon as I got a job with insurance. Many people (though certainly not all) that utilize medicaid are under educated and do not understand that there is actually money being used to pay for the services they receive. Even if they understand that there is money exchanging hands, so to speak, I honestly believe it does not dawn on some of them that the government receives money by taxation. I would have said something here as well too. I see no problem in matter of factly telling patients things like this. It doesn't make me a bad nurse as long as I say it gently and appropriately and do not treat them any differently (even though I try my hardest not to pass judgement mentally, I am only human) no matter what they may say.
  7. cb_rn

    First code- sort of a vent..

    Kudos to you for calling a code and starting CPR. One night we had a new nurse fresh off orientation do an assessment at midnight and find a person (not a DNR) had expired. She did not call a code, she noted in the chart the person was dead and went about her rounds before informing the charge nurse roughly 2 hours later. ... (I left at midnight and thus missed the rest of this saga in person but believe me we all heart about it ad nauseam as we had to redo competencies and have inservices out the wazoo) I was glad not to be charge that night. You will lose patients in your career and sometimes it will happen in the blink of an eye. I know it is hard to absorb and not second guess maybe what could have prevented the occurrence but please don't worry yourself about it. It sounds like it was just the lady's time to go.
  8. cb_rn

    Less blood and guts in psych nursing?

    I worked in a state run mental hospital for 8 years while I figured out what I wanted to do with life and the whole time I was in nursing school. During that time I saw urine, blood, feces, and spit being deliberately thrown at staff. Took bleeding patients to the ER after they shoved a finger up their nose to make it bleed, split their head open after taking way too many sedatives and fell, dehised with an abdominal surgery, had their nose broken during a patient fight, were infected with c diff and had uncontrollable diarrhea.... Maybe check out clinic nursing?
  9. cb_rn

    Career help?? (Nursing vs Education)

    This economy is not being very kind to new nurses. Something to think about. Will it recover? I hope so but there is no telling when.
  10. cb_rn

    Did everyone flunk their college writing courses?

    Kudos to you OP. Who cares if they flame you? My humble opinion: if you can't string together a mostly comprehensible sentence (not counting simple typos, punctuation errors, etc) then I highly doubt you have much to add to an intelligent conversation.
  11. cb_rn

    military nursing school

    well I've learned something today! Thanks for the information. I'll have to rub it in my husband's face a little too he and i were just having this discussion a couple of weeks ago because I was asking about the resident physicians at the naval hospital and if they were going to school while in military or if they joined after graduation.
  12. I agree with you to a point but OP said she'd be willing to do straight nights too. It sounds like she's the only one working some back and forth see-saw schedule. Trading shifts with someone symphathetic sounds like an EXCELLENT plan if she can find a kind soul willing to do such.
  13. cb_rn

    military nursing school

    As far as I know, there is no such thing. However, please read further. Once you are in the military or are a VA employee you can apply to go through the army's CRNA program which is based out of Texas and then you get sent to GA for some clinicals as well. You are probably referring to ROTC. My sister in law did ROTC and had her schooling paid for and then she went straight into the Navy as a commissioned officer. She applied while still in high school and got accepted (depending on where you live there is a very, very, very competitive process for these programs). During school you are in the military program and do physical training and military classes on top of your regular classes. My husband and brother in law also did ROTC in different fields and joined as officers. I'm hoping my children do it as well when it is time for college. There are military colleges such as VMA and other I know there is one here in GA near the Fort Benning base but as far as I know (and I know many,many military being a wife) there is no join and then get sent to school. I would be extremely skeptical of any recruiter that told you there was a way to do it. Enlisted is very different training from an officer. BTW they may tell you that you can join and become a corpsman. They can start IVs and give meds and do treatments however only some states allow you to become a nurse based on this training. In fact, I don't know anyone that has done it. Maybe someone else can chime in on this. My best advice would be to google college ROTC and see if you can find some information.
  14. If they want to play coy, play it right back. I say drop the hint that you may need to get put on early maternity leave if you don't have a regular shift because your body is so exhausted. And when I say drop a hint, I mean tell them flat out that you're going to have him take you out if they don't fix the schedule now. Be prepared to be a doormat after that because mgmt often takes it personally when the accomodating learn that it doesn't always pay to take one for the team. I would use my maternity leave to investigate other employers and, if you have 6 kids, I understand the need for you to work and have the money and stability but swinging like that can't be easy on them either. I have 3 so I can understand where you are coming from. Every consider home health? Once you get acclimated to the differences between HH and hospital nursing, its so liberating. The pay of a 12 hour shift job (more, in my case) and often done before the kids even get out of school.
  15. cb_rn

    Online or campus education

    Several great schools do online Rn-BSN. UNC Chapel Hill is one. PS If you think you might want to go even further, look into doing a RN-MSN. Usually the bridge is 10 courses or less, probably less than what you'd end up doing in a traditional BSN program. Check out University of Southern Alabama. I've been eyeing them for a doctorate after I finish up my FNP MSN at Gonzaga. I almost wish I had found them first - BSN-DNP in 3 years full time. Not that I really wanted my DNP (PhD was a dream of mine) but since the NPs are going that way in 2015 anyhow, might as well get on the boat.
  16. cb_rn

    Expert!!!! WOW!!!!

    congrats! It feels so good to be validated by someone instead of having the little things you forgot or didn't get to nitpicked on! Hold your head up and put a little swagger in your step!

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