Jump to content

Jeana18 MSN, DNP, RN, APRN, NP

Emergency Department, Trauma, Med-Surg, Telemetry
Member Member
  • Joined:
  • Last Visited:
  • 62

    Content

  • 0

    Articles

  • 1,853

    Visitors

  • 0

    Followers

  • 0

    Points

Jeana18 has 6 years experience as a MSN, DNP, RN, APRN, NP and specializes in Emergency Department, Trauma, Med-Surg, Telemetry.

DNP, MSN, FNP-BC

Jeana18's Latest Activity

  1. 2 hours into a 12-hour shift, a smiling, cheerful, and embracing patient is received into my room BIBA from home by EMS. She is positive and optimistic on what is actually facing her right now. Intake complete. She is made comfortable and jokes and stories are shared. But, little does she understand, her oxygen saturation is 65-70% on room air. She is still smiling. I embrace her positivity and attempt to educate. She becomes frightened, but remains somewhat stoic. She smiles still. 2 hours pass, she is still smiling but no improvement. She is sure she will get through -- she questions the plan of care, reassurance is given. She smiles and embraces my hand, squeezes it tight and says, "I know I got this. I know I do. What is meant to happen will be." 1 hour passes, decisions must be made. She is unable to breathe comfortably, she knows she needs the tube, but she questions it; she begins to take our conversations into consideration. She is a fighter. Anesthesia and RT is at the bedside. I am by her side, donned in PPE, appearing as a stranger but yet feeling like the only one who knows her well. Her request, while anesthesia is at the head of the bed, vent at the bedside; "I just want to take to my children." I stop, despite the urgency, pick up the room telephone, dial the number -- instantly her children are there. Her embracing smile has returned. She grasps my hand tight. She relaxes her muscles and looks me in my eyes and the glimmer shines through; her positivity hasn't left. She nods as I tell her "everything will be okay, I'm here by your side." She smiles one last time and whispers, "I know I got this. It will all be alright. Bless you!"
  2. Hello! Just wanted to see if anyone could recommend or share any good resources for a new Cardiology Nurse Practitioner . This is my first job and I'm interested in getting resources that I can keep on hand or in my office -- looking to expand my knowledge base. Thanks
  3. Jeana18

    Pharmacology Flashcards

    Hey, Just remember that pharmacology changes every year and even multiple times a year. Make sure your resources are up to date and always read. I'm in a DNP FNP program and I am taking advanced pharm now; MedScape, UpToDate, your pharm book, and this one book from B&N that is a good book to learn all the meds is helpful. I will get the name for you! Good luck!!
  4. Jeana18

    Are Nurses First Responders?

    I will have to add that just because someone has a BSN does not make them more qualified to handle "first responder" issues. I think it comes with time, experience, and situation.
  5. Jeana18

    New to ED with 3 years under belt

    Thank you all so much for your advice. It makes me realize that this must not be as bad as I thought it was going to be; the sky is blue on the other side. I look forward to learning more and really deeply developing myself as a nurse :)
  6. Thank goodness for this post! I swear I am in the same position right now. I just recently got hired and I'm on my first month, almost, of working in the ED. I'm experienced, about 3 years in, and I feel so incompetent. Everyone's comments were very helpful. Thanks!
  7. Jeana18

    Anyone seen an MI from septic shock?

    I've definitely heard of this happening r/t compensation (but rarely). Just like with patients suffering from dehydration and/or renal impairment with elevated troponins, etc. Did he get enough fluid resuscitation?
  8. Jeana18

    Thoughts of an ER Tech

    I think this becomes a major issue in the ED environment, because as we all deal with, what we are used to doing is difficult to overcome. I think some techs forget that they are not in this role (EMT) while in the ED, and they are working under the license of whatever nurse is currently on shift.
  9. Jeana18

    Thoughts of an ER Tech

    I think this becomes a major issue in the ED environment, because as we all deal with, what we are used to doing is difficult to overcome. I think some techs forget that they are not in this role (EMT) while in the ED, and they are working under the license of whatever nurse is currently on shift.
  10. Jeana18

    Thoughts of an ER Tech

    I will say this is an interesting post. I won't take offense to what was said. I will agree and say that without techs, I think our job would be a million times more difficult as nurses. But in defense of nurses, our job is not easy. The purpose of delegating is not to load you with "unnecessary" and "meaningless" tasks, but it is to help carry on the care of the patient -- as best possible. Communication is key, so I will agree, if something you are doing is urgent, state that. If not, then take the request with a full heart as we are all doing what is best for the patient. I hope that nurse changes her mentality, but I also hope you do as well. Good luck!
  11. Jeana18

    New to ER

    Try the ED, they love tele nurses. I went thru a recruiter, they always have connections.
  12. I just made the transition from a med-surg tele/observation floor to the ED, with 3 years of experience under my belt in that atmosphere. It has been quite the challenge, especially when we are in our "habits." I find the most difficult task is changing my mentality to be aligned with the ED, but I am hopeful! If anyone has any advice on how to make this transition mentally, I'd appreciate it! Also, any tools to help with the "task orientation" of what needs to be done in the ED for particular cases would be great :)
  13. Jeana18

    Going to the ER from floor nursing -telemtry!

    I just made the transition as well, coming from a med-surg tele/observation floor for 3 years. It has been quite the challenge, especially when we are in our "habits." I find the most difficult task is changing my mentality to be aligned with the ED, but I am hopeful! If anyone has any advice on how to make this transition mentally, I'd appreciate it!
  14. Jeana18

    Are Nurses First Responders?

    I certainly do think that ER nurses should be considered first responders. It's a tough job and many times we are still the first to respond. Along with our EMS partners :)
  15. Jeana18

    B.S. in Biology Grad gone RN ...

    Thanks so much for the other outlook. I'm currently in a tough program and I work two jobs (one night shift and one day shift, over full time). I figured I would still apply and it would help and I would let them know I do plan on bridging to a Masters program. I've been a CNA for 7 years and I'm currently working as a Critical Care Tech in the step down unit for UCI which has been attractive even enough for Yale to want to hire me. Just nervous about the whole nursing portion. But seriously, thank you so much, I feel a bit better now knowing I'm not alone lol
  16. Jeana18

    B.S. in Biology Grad gone RN ...

    Hi All: So my background basically is that I graduated in 2011 with my Bachelor's in Biology. I decided that medical school wasn't for me and now I am in school and will be completed with my RN in April. My question for people who have similar situations is where do I go from here? I've known that a majority prefer a BSN but I do have a Biology degree with my RN which is more intense than BSN pre-reqs in the sciences. Should I take a few courses to go for my MSN as a bridge before applying to jobs? Should I just take the few classes to get my BSN? Or should I just apply as an RN with a Bachelor's in Biology also? I'm having a tough time with this decision and would like to make the right moves career wise. I look into my future and I would like to get my DNP eventually down the road with enough experience, nursing is definitely for me. Thanks in advance
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.