riggy3

riggy3 MSN, RN

Surgical ICU, PACU, Educator

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All Content by riggy3

  1. Unit is Total Chaos

    The information you provide indicates a hospital in a transition from paper to computer documentation working in a situation almost from 1990. The inspection teams should fail the hospital. That is really not a direct reflection on the bedside nurse....
  2. New Grad Can't Find Niche

    Dear Graduate looking for Niche, Reading your concern many novice nurses expressed to me before...... "The only thing I am positive about when it comes to my future is that I DO NOT want to work in a hospital. If I had to it would ONLY be on a...
  3. Set up to fail clinicals

    Dear Setup Maybe prior to the exam the instructor should have given clear expectations and an opportunity to ask questions if something was not understood. I am unclear what term you are in? There is reference you did other clinical exams. You mentio...
  4. Hates Nursing School

    Interesting you have worked as an nursing assistant two years while still hating it... Must be something making you want to continue as a Nurse too.... The part of the job you "HATE" you need to discover before you waste more time and money in school...
  5. Burnt out on Working Weekends and Holidays

    Dear Burnt-out in L&D, I am having a difficult time reading you are burned out after 18 months due to working weekends and holidays. In my career I have noticed many novice nurses experience symptoms of burnout at about one to two years on the ...
  6. NP makes less than RN

    The hourly rate difference between RNs and NP makes me wonder if Nurse Practitioners have saturated the available positions? My observation is many students are going into the Nursing field graduating.... maybe working a year or two then move on obt...
  7. Covered Up a Narcotic Med Error

    This statement is what concerns me. You should face the consequences of covering up the error. At the same time there needs to be a root cause analysis since the "senior nurse" advised not to complete the occurrence report. The findings when loo...
  8. Pediatric Patient IV Infiltration- Is it My Fault?

    An IV infiltrate can happen fast even with the IV controllers pressure sensors they still happen. If there is one thing I tell students is always look at that IV anytime they are with the patient. When infusions are rapid rate these especially need w...
  9. Choices - Which Job to Choose?

    The choice of where to work is ultimately up to you. When I have students ask me similar questions. I encourage time in the medical surgical area first to gain organization and assessment skills strength. Face it the amount of clinical experience you...
  10. The process of the license completion seems possible. My thinking was along the lines of what BladesMom mentioned about not getting an interview. The health care facilities generally have a question on the application about criminal charges. As the h...
  11. Am I too old to become an RN??

    Life experiences carry into the Registered Nurse career. Numerically you are starting at an age greater than many RNs. The critical thinking ability you bring along will make you a strong Nurse. One thing to think about is.... if you do not take the ...
  12. Obtaining the BSN is a long time recommendation by the NLN. When I started out in 1978 the NLN 1985 proposal was in place..... If you did not have a BSN in 1985 the thought was you no longer would be considered a Professional Nurse. We all know how t...
  13. I'm Stuck - Need to Make a Quick Decision

    You mention you are working three days per week full time. There are 7 days in a week. When doing my BSN and MSN both required clinical time, two terms. I juggled my schedule at work to accommodate this clinical. I hate to sound unsympathetic to your...
  14. Gun Owning Nurses

    There is no relationship to owning guns and being a Nurse. Former Army Nurse we were issued weapons. Did not make us any less a Nurse.
  15. Why Do Nurses Quit?

    A great amount of responsibility to a novice nurse quitting in the first year falls back to the schools. The student expectations today are not realistic, many new graduates expect to begin as the Director of Nursing at Walter Reed never doing bedsid...
  16. Give the Lasix. Seems she has her own agenda with substance abuse trying to deal with this at another time would be more appropriate.
  17. MD refuses to sign a telephone order.

    The use of phone orders is one with many errors. Be sure to document the readback of the order to the physician and they confirm. Very soon all orders will be electronic and the responsible doctor will be typing what they want leaving no room for the...
  18. New Grad nurse wanting to join the Army

    Have the recruiters given you any indication of the minimum of BSN to join? Make sure they know your expected date of graduation. Did you try other services Air force or Navy? Each have nurse corp. I hate to recommend other services than Army since ...
  19. Military Nurses - Army Nurse Corps Reserve vs. Navy

    Serving in the Army Nurse Corp was an excellent experience for me. I am now retired after 20 in the Army Reserve. Training and education opportunities were very good. Would I do it all over again today? Absolutely! I made many life long friends in th...
  20. The size of the infant will have a relationship to the ability to do this on your arm. I taught this in many classes as a way to go for help. Supporting the head and neck in the palm of the hand allows control of the airway. The forearm provides supp...
  21. Teacher turned Nurse

    NamasteNurse You mention "Seeing that light bulb go on". In your career change to nursing you will have many opportunities to see it again. Possibly when you orient a new student nurse, graduate or teach something to a patient. Teaching is a big role...
  22. I think I just ended someone's career

    asystole rn, by no stretch of the imagination did you end the lpn's career. you may have saved her life as well as patients lives in her care. what you did was very difficult, also very necessary. from a licensure aspect we as rn's have a responsibil...