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mariebailey MSN, RN

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  1. After several years of working as a nurse outside the hospital setting, I took a job working med-surg. I have realized that hospitals take great strides to put standards & guidelines in place to hold nurses accountable for their performance, but nurses are rarely given a reasonable workload that makes it possible to adhere to such standards/guidelines. In the end, you are forced to compromise your values to stay employed. Potential solution: Safe staffing needs to be a priority, & federal legislation to limit nurse to patient ratios.
  2. mariebailey

    Help with interview outfit

    My suggestion: make yourself stand out.
  3. mariebailey

    What nursing task do you loathe???

    I loathe the responsibilities that are delegated to nurses that do not require a nursing license to be carried out: -ordering jello or whatever else a patient suddenly craves when you have a million other things to do -administrative work for another employee, like making copies, printing labs, etc. when they are perfectly capable of doing it themselves -answering the phone/call buttons while the nurse techs sit on their behind watching -putting in maintenance requests It's not that I think I'm above doing these tasks, but sometimes you're just to busy to deal with the "just let the staff nurse do it" kind of attitude.
  4. mariebailey

    Patient to nurse ratios

    https://www.amsn.org/practice-resources/care-term-reference/staffing/question-what-suggested-nursepatient-ratio-and It was a 1:6 ratio for days & nights for Med Surg where I work, & I'm located in the Southeast.
  5. mariebailey

    Nclex and cohorting patients

    If you're asking for a description of cohorting, here are my 2 cents. When private rooms are unavailable on a unit, patients who are colonized with or infected with the same organism may be grouped together in a room to avoid transmission to patients not colonized/infected with that organism. Examples include patients with C Diff or MDROs like MRSA.
  6. After several months of day shift in med-surg, I'm a/b to start working nights on a psych unit. I'm in a part-time Psych NP program, & I feel this will help me build a stronger foundation in Psych. However, as with anyone, I feel that adequate, regular sleep is crucial to be alert on the job, mentally healthy, & content. For someone who works nights or has made a similar transition, what can I do to ensure a smooth transition & routinely & peacefully sleep during the day? Any tips are appreciated! Thanks!
  7. mariebailey

    Reasons patients turn on their call light

    Happened on my shift a couple of times too!
  8. mariebailey

    Become a Nurse without Nursing School

    I don't have an accounting degree or a CPA license, bit I strongly encourage you to let me do your taxes.
  9. mariebailey

    Need an emotional support dog

    I take my emotional support monkey with me to work EVERY single shift. He actually passes all the meds on my behalf!
  10. mariebailey

    Does the bad pop up for Pearson Vue mean you fail?

    Have you seen my baseball?
  11. mariebailey

    Become a Nurse without Nursing School

  12. mariebailey

    Funny Things Patients Say

    A transfer from a psych unit arrived in the ICU after she fell, broke her arm, and was unarousable after orthopaedic surgery. This elderly woman eventually came around, but she had mania-induced psychosis. A cardiologist who was consulted visited her while I was in the room, & she asked the cardiologist if he could see the black cat spying on her in the vent above her. He said, "No ma'am, I don't see a cat anywhere." She said to the cardiologist, "Well, you're obviously stupid."
  13. mariebailey

    Win $100! June 2015 Caption Contest

    Look sir, I admit that nurses are also housekeepers, secretaries, therapists, punching bags, bell boys, waitresses, etc. I'm sorry I can't be your electrician too.
  14. mariebailey

    Need assistance.

    Saunders Online Review for the NCLEX, found at Elsevier's website. I passed on the 1st try with 75 questions.
  15. mariebailey

    Giving 25mg IM injection with 50mg prefilled syringe

    You would only recap this way for a needle that has not been used on a patient yet. Hospitals should have needles with some sort of safety device that you employ after the injection. There's no reason to recap a dirty needle.
  16. mariebailey

    Clinical educator has made me depressed.

    This is not what I would consider to be "constructive criticism". Telling you something like that only serves to kill off what little confidence you do have. I understand why you're upset. Maybe you can solicit feedback that actually helps you improve by approaching her. Don't give up; just do what you can to make it through this clinical successfully. Good luck.