Chels911

I don't really know where to put this, but im assuming it iwll be moved if its in the wrong spot...... I'm a senior nursing student and i had a patient who had a hx. of GERD, most commonly occuring at night. He was on Zantac, 150mg daily. When the nurse was helping me with the admission i asked if he was still taking his "Tums" for acid refulx (which was listed as a medication he took at home) he stated that he does not take tums anymore because he was told that calcium carbonate and magnesium actually make you build up more acid after it has worn off. He stated it does help him but now refuses to take them when he his having reflux. Is that true??? I havent found anything in the literature about that.

I would suggest going for BSN right away. LVN (or LPN) are not really getting hired anymore in Hospitals that is. My suggestion, apply to other schools. You have only applied to one. I applied to 4, i was accepted into 2 schools, made alternative list for 1 and declined from 1. Ironically i was declined from the worlds EASIEST nursing school to get into and accepted into one of the hardest nursing schools to get into. Go figure...

Im in nursing school too...so correct me if i am wrong. but isnt an order already the doctors "OK" to give the patient that medication or treatment?? if its on their MAR and is signed off by doctor and reviewed by pharmacist it is OK to give that medication. So you don't have to call them whenever you are giving medications. (Although i DO recal a nursing professor telling me that as well) So im confused why nursing professors tell us this---when i KNOW i the real world, if it is on their MAR, has been signed off by doc/pharmacists then it is OK to give that medication (And if it pt. meets requirements for it) Like if you are giving a BP medication and their BP was 80/40, a RN can sign off to "hold medication" then state the reason. Now for standing orders.....Does this just mean that when a patient meets a set of criteria you can do a certain medicaion or this treatment. For example, if a patient has a temperature of 100+ then give Tyelnol....Or if patient cannot void 8 hrs after foley removal, reinsert Foley and notify MD. So to me...it just means it is a set of criteria you can follow so you don't have to notify the MD everytime a patient spikes a temp or hasnt gone to the bathroom. Yes, they need to be made aware of it, but its no reason to call them at 4am. Its stuff that could wait till rounding in the morning or something. Then if the RN has to use the tyelnol "per standing orders" she will give the tyelnol and there is an option that says "Per MD's Orders" because it IS his or her orders to do so if it is a standing order. I dont know, thats just my take on it and what i have noticed and understand from it. But YES!! i HAVE been told the same thing you have by a nursing professor. Maybe misunderstanding what they mean by that??

Perfect!!! Thanks I'll look into that. I did complete a nurse internship program already. Here a "Nurse Intern" is one who is still in school. We have "Nurse Residency" programs for new grads...similar to an Intern position. It assists in your transition from student to RN. I'm sure being a big hospital they have that, but yes that is definatly another option. Thanks so much! Chelsi

But i really appreciate it, i'll keep them both in mind and will be contacting Nurse recruiters. My advisor and nurse recruiter at the hospital i work at now both suggested around Feburary to start contacting, and applying by March.

Thanks! I've gotten a job offer in Cardiac care :heartbeatat a large hospital here. They contacted me and wanted to interview me. The job isnt avaliable until July. I've talked with them and they are giving me until May to get back to them. Which im kind of confused why they couldnt have just holded off till then anyway....but whatever!! So i didnt take the offer, its the type of job i REALLY want and i would love more than anything. What new grad wouldnt?? But....i really don't want to be away from my fiance and he has a really good job in Detroit. I'm not a huge fan of the detroit area but the surrounding areas are very nice. His sister lives in Ann Arbor, loved the area when we visited this past summer!!! looked at the U of Michigan hospital, didnt see much....especially for someone with no RN experience. So i'm extending my search within an hour of detroit.

I am a senior in nursing school, graduating with my BSN in May of 2011. I am currently on the lookout for jobs. A little early to apply yet, but just starting to look. My fiance got a job as an engineer in Detroit, MI. I am still at school back at home (Wisconsin). I am looking to apply for jobs hopefully out towards that area. We are both willing to commute 45 min- hour if needed. What is the job market like for new grads in Michigan??? Can anyone give me any leads to hospitals that may be hiring??? I am a new grad and have worked as a CNA in a critical care unit for 3 years and completed an internship on a critical care unit as well. This semester i will be spending 14 weeks in the intensive care unit. So its safe to say i've had some good experience considering i am a new grad. Any tips where to start looking?? Good hospitals to consider?? Whats the job market like out there?? Its picked up quite a bit here. I've noticed alot of hospitals last year had 1-2 jobs open/year and this year they have about 20-30 open. Good news for us Any advice would be great!!!!! Chelsi