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How many of you had a different career/education before becoming an RN?
I was a cartographer, meaning that I used to draw street maps for a living.
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Camp Nursing for tweeners undergoing puberty change
I worked at a camp with 72 thirteen-year-olds last year. They kept me very busy. Many girls got their periods for the first time at camp. Since most of the children were undergoing growth spurts they weren't very used to their bodies and they seemed to get injured a lot more than children in other age groups. Between all of these problem and other miscellaneous problems, the health center was usually pretty busy. My advice would be to work with a smaller amount of campers if possible, or maybe even ask for an assistant.
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Misdiagnosed in the ER :(
I once took care of a pt on a medicine unit who was there for three days because nobody could figure out whether she had cellulitis or gout and they weren't letting her go until they knew. I suspect that the two dxes are frequently mixed up.
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taking priviledges away
I also wonder what would move an employer to think that it is reasonable to be so controlling of staff. Please, do tell us what led up to all of these changes. Is finding work elsewhere an option?
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Accelerated/ Second Degree BSN's
The University of New Brunswick has an advanced standing program that will let you get your degree in two and a half years (but it ends up being three once you do the prerequisites)
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Epi-pen protocols?
We do have oxygen at our camp. We were able to rent a portable tank from a local medical supply company for something like $20 or $30 a month. And no, the benadryl isn't IV, it's PO. As for who writes our standing orders, I really don't know, to tell the truth. My camp director handed them to me to get signed by the camp pediatrician, and I'm not entirely sure that our director would know the source either. (I am not at camp anymore, otherwise I would just ask). Every year our camp doctor gives us his signature approving the orders, but if we ever had to have any serious ammendments like the DOH is asking you to make, I'm not sure where I would turn. Is there anybody out there who knows how one would go about making a major ammendment to camp standing orders? If the camp that bonemarrowRN worked at this year came under scrutiny then it probably won't be long until the Massachusetts DOH starts asking for the same type of changes in our standing orders.
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Epi-pen protocols?
I work in a camp in Massachusetts. Our standing orders say the following about anaphylaxis: Anaphylactic shock reaction to bee sting insect bite/food / latex If any of the following conditions apply, administer epinepherine, oxygen, benadryl, call 911 and notify child's parents: Tachynpnea, tachycardia, cyanosis, poor air movement, air hunger, anaphylactic symptoms such as hives, selling of mouth or eyelids, throat itching, shortness of breath, wheezing. Benadryl dose: 25 to 40 lbs give 12.5 mg 40 to 90 lbs give 25 mg 60 to 90 lbs give 37.5 mg >90 lbs give 50 mgs Epinephrine dose (1:1000 aqueous, subcutaneously) 0.1 cc if under 60 lbs 0.2 cc if 60 to 100 lbs 0.3 cc if over 100 lbs Hope this helps :)
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Attributes of a good psych nurse
I think it would be important not to have preconceptions about people with mental illness and to view those who are afflicted as no less human than anyone else.
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Marks to get in?
I also applied as a mature student after having gotten a college diploma. My OAC average was 85% and my college average was somewhere in the upper 70's. I'm in 3rd year now. One more year to go.
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ER last night made me mad!
Well said, smkoepke
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JP drains
I am a third year student in New Brunswick, Canada, but have done a clinical rotation in Toronto. In both places I have removed JP drains, hemovacs, etc. The first few times I would do it in front of the instructor, but after demonstrating competency, I was expected to do it on my own.
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I am a male L&D nurse
:rotfl: :rotfl: :rotfl:
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Filter needle when drawing from vials or not?
I think the vials should be re-designed, not the needles.
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Changing positions after only a few months
If I were an employer judging the situation, I don't think that I would hold it against you. Especially since you were in one position for three years just previous to this one. And I would also appreciate the fact that you were being honest.
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Tips and tricks for new grads in the ED
That's horrifying!