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heavenwith7

heavenwith7

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heavenwith7's Latest Activity

  1. heavenwith7

    Inhalers

    How do you triage your asthmatics/sudo-asthmatics? I'm elementary & have some students that routinely receive prn MDIs before PE/recess per mom. Others are just prn. If a student presents with complaints of dyspnea, I assess their lung sounds. If clear, sometimes I just offer sips of warm water to "cool down", sometimes I just send them back (usually my everyday right after recess kids). Of course I get questioned by the classroom teachers:banghead: I have the avoiders that just want to come for their inhaler to get out of class. Often they come in directly from recess, where they've been running like crazy with no problem, are winded & think they need it, or because they can't transition from lunch/recess back to class, and the Health Office is the "escape hatch". I know them pretty well by now. I am also an ER nurse per diem, so I feel that I maybe too cynical at times. Just wondering how some of you handle this "Epidemic" of prescribed inhalers.
  2. I am a new RN; I applied at a medical center in my town for a grad nurse position, which I didn't get. I then applied to a smaller hospital, at which I worked as an LPN in their SNF while attending nursing school, and was hired on the med/surg unit. I was very disappointed when I didn't get a position at the Medical Center, and I applied there 10mos ago. I've been in the small hospital 4 mos. now on a med surg floor. My plan was to stay here for 1 year, then reapply at the Med. Center; where I really want to be. The Med Center called me for an interview on the telemetry unit, (I thought they only kept applications for 6 mos.) I'm so excited, but I'm not sure how to handle the situation. Do I tell them about my current position? I do have some acute care experience now (4mos). Or will it look bad on my part that I'm leaving a position already? I'm thinking that I should be honest & explain the situation as above. Also, the smaller hospital isn't doing very well, & it's financial future is uncertain. Thank You in advance for any advice.
  3. heavenwith7

    embarrassed by former preceptor

    First I have to explain that I was formerly an LPN. 15 years in long-term care. In my former position I had gained much respect from my co-workers, nurses assistants, LPNs & Rns. I worked as a charge nurse quite often, and received a job recommendation that brought tears to my eyes. I graduated 3 months ago, and am now an RN! I am so excited to finally be an RN. I'm working on a med/surg unit in a hospital, something I've always wanted to do. I usually don't tell anyone about my LPN experience, and I quite often feel very intimidated at my new job. I know I often ask questions that I really don't need to ask, but I'm feeling insecure, and just want reassurance that I'm doing the right thing. I'm really enjoying my job very much, I've been there 2 and 1/2 months, and I've been off orientation for about 1 month. My preceptor has been there for 20+ years, she is charge nurse, and is very respected by all the nurses. She is also quite negative, and is rather grumpy.I feel that she's burned-out. I've been trying to not ask so many questions, but sometimes feeling insecure, they just blurt out. The other night I was asking her a question about something she had just said (non-nursing subject) and I didn't really hear her. It was change of shift after a very difficult shift for all of us. d/t staffing mistakes, we were short-staffed, and had numerous admits. There were 3 of us with 22 patients, 8 were mine. Her response was, " If you ask me one more dumb question.....", and she said it in a very loud, annoyed manner, while flailing her arms in the air. There were about 5 other people there, and I just wanted to crawl under a rock. Now I'll feel humiliated when i return to work tomorrow. And I'm not confronting her, I'm the newbie, & she's very, very experienced. But, I'm certainly not asking her anything unless it's absolutely imperative. I'll try to find someone else to ask. I'm a very positive, happy, and, I feel, professional woman. I've worked with various different personality types in my healthcare career; but I'm feeling quite embarrassed right now. It certainly can be exciting, but difficult to start over again.
  4. heavenwith7

    LPNs: Myths and Misconceptions (Part III)

    I just became an RN a month ago, after 22years of practicing as an LPN. When I first started with my LPN license in 1990, I was very proud. Some of my classmates went to work in hospitals, I took the LTC route. After many years full-time, I took a few years off to stay home with my children. When I retruned to the workforce as a per-diem LTC nurse, and substitute school nurse, I had a totally different perception of myself. I felt taken advantage of, never given credit/recognition for my work, treated like an idiot, and almost felt ashamed. So I decided to go back to school. I have more experience than most RNs in the workforce today. I did things in a county nursing home 20 years ago, that are hardly done anywhere anymore. I was treated incompetent, unless I was the only one available & it was convenient, then I was suddenly competent enough. I'm now an RN on a Med/Surg unit in a hospital. Because of staffing, the hospital recently hired LPNs to work in a float pool. I think that's so Awesome!! But I can say first-hand, the Myths about LPNs are a growing trend, it wasn't quite this bad 20 years ago. I can also say, my experience helped to *almost* breeze through a difficult nursing program, and it's also helping flourish in my new job. And I most certainly did use critical thinking when I was an LPN, all nurses use critical thinking for crying out loud. And when I was school to be an RN, I frequently became upset about the way LPNs were discussed; this could be some of the problem.
  5. I will be graduating in 3weeks. Quite a few of my classmates have secured Graduate Nurse positions, but I have not. (yet) I was thinking that I will eventually find a job, I may not find one until I have my license, which should be July/August. But, my preceptor mentioned that I really should start out as a Grad. Nurse first. She said it isn't really a good idea to wait for licensure. Is this true? Will it make a difference if I can't find a job until I have my license? I suddenly feeled pressured to find a Grad Nurse job. Thank You for any information.
  6. heavenwith7

    Disappointed new grad: Should I just forget about it?

    Yeah, I left one more email today. HR was supposed to start getting back to people last Friday, today is Tuesday. This is my last attempt. I'm done. Moving on. I'm afraid I may just have to wait until the summer when I get my license, this Grad. Nurse stuff just isn't working well for me. I was very glad to see your post, perfect timing, it made me feel alot better to know that I'm not alone.
  7. heavenwith7

    Disappointed new grad: Should I just forget about it?

    Sigh....I'm going through the same aggrevation. I am graduating in 4 weeks, the local med center has several grad. nurse position openings. I just completed an internship in the ICU with a Mentor RN that has been there 10 years. I then applied for the Grad. Nurse position in the ICU, my mentor nurse, and one of the other nurses in the ICU spoke with the nurse manager before my interview, and said favorable things about me. I got along really well with all of the staff, and I loved my experience. I didn't tell anyone that I'm an LPN, and they were all impressed with my skills, and the fact that I was always willing to Dive In. During my interview, the nurse manager said that having been an LPN, I must have good organizational skills, which would give me a good headstart. She gave me her card, and said keep in touch if I don't hear from her in a week. She said she had to interview other grads, and that she was flooded with applications, there's more than 1 position. She said I was on her list. It will be 4 weeks this Wed. I call or email her once a week. I'm wondering if some of the other grads were already hired. I'm very upset, I'm on break this week, and spend everyday waiting by the phone. This morning i applied online to the other smaller hospital in the area for a Med/Surg grad nurse position. At this point in time I would be thrilled to get that. I really need a job, but I'll be broken hearted if I don't get the ICU job. My mentor texted me a couple of days ago to ask me if I'd heard anything yet. She said I'm part of the family now. With each passing day, and no phone call, I'm getting closer to giving up. But the way you describe your interview, I don't think I would give up just yet if I were you. Best of Luck to You! Best of Luck to the both of US :)
  8. heavenwith7

    Would you keep lower level certification or licenses current?

    You have your license forever, unless it's revoked for something bad. I let my "registration" expire when I was a "stay-at-home-mom", for 7 years. I still had my nursing license, you have to register it q 3 yrs. or whatever it is. When I was ready to return to work, I requested the registration renewal application, took the online courses (infection control etc.), paid the fee, and back to work. And as someone said, if you are an RN, working as an LPN, I believe you would still be held to the RN standards, so what good is the other license?
  9. I applied for a GN position at a GN job fair a couple of months ago. Some of my classmates got positions, none of which had any medical experience aside from Nursing school. I've been an LPN for 20 years. I have excellent job & co-worker references. I did not get a position. I just completed an internship in ICU with a mentor. There are GN positions in this same ICU, many of my classmates have applied, as have I. Two of the nurses from the ICU (one is my mentor) talked to the nurse manager, they said that they would like to see me get the position. So having just finished my internship, having these nurses put in a good word for me, and having 20 years experience in health care, I'm wondering why I'm not getting called. I know they're calling people back for GN positions, I guess they could still call me next week, but I'm thinking it's too late. I don't think I give terrible interviews, I can't figure out what's going on. I feel horrible. What could I be missing? Thanks for any insight
  10. heavenwith7

    I feel stupid!

    Thank You all so much. I still feel bad, but not so stupid. The child is OK, and is home for the rest of the week with mom. Seems that her Keppra dose had been changed the day before. I am a school nurse (sub), the Diastat is provided by the family, and the regular nurse had told family to bring a new one. I'm trying to figure out why that was still there, but maybe it was fate. I guess she seized last week, and nothing was given, but the seizure didn't last as long as the one I had witnessed yesterday, going on 6mins. by the time I got there, I was called at 4mins. Exp. date isn't one of the 5 or 6 rights, but I may be more mindful of it next time. Again, Thank You all for the support, I feel much better!
  11. heavenwith7

    I feel stupid!

    I'm a substitute nurse today, called to student having seizure > 5 mins. Pulled Diastat, checked order, went to student now 6mins into seizure, gave Diastat, and then realized it had expired. I feel like an idiot! Super said not to worry. I don't know why it was in there, but I should have checked. I feel so bad. Just looking for support from someone that's "been there done that". Thanks,
  12. heavenwith7

    Robert Packer Hospital, Sayre PA

    I live in Elmira, NY apx 15 miles West of Sayre. That's a great hosp. Also nearby is Arnot Ogden Med Center in Elmira. Ithaca, NY is apx 40 miles NW. Binghamton, NY apx 40 miles E. Watkins Glen apx 30-40 miles NW. Of course the Finger Lakes & wineries are nearby. Wellsboro PA is beautiful, "Home of the PA Grand Canyon". Corning, NY apx 40miles W. It would be easier to describe if I knew what area you are in now, but I think it's a beautiful area; Especially in the Fall, lots of countryside.
  13. heavenwith7

    Thinking like an RN

    I'm just finishing my first year(2nd sem) of Nursing at Comm. College. I've been an LPN for 21 years, mostly long-term care. I find that being an LPN really gives me a huge head-start. I did really well in LPN school, am doing really well now. I love going to school, and I love learning more about what I've been doing most of my life. There are 4 semesters of Nursing here, I challenged first semester & didn't have to take it. If you've been an LPN for less than 5 years, you didn't have to challenge, you could just skip it if you wanted. We started with 114, down to 50-60 I think. Some of those whom are gone were LPNs. I think the best advice is to take everything you can (pre-reqs), and take nursing courses by themselves, if that's possible at your institution. I'm taking only my nursing, pre-reqs finished, and it's pretty much full-time, 8cr. Between class time & lab time, and working & kids, this one class is so much, I can't imagine taking anything else with it. (I'm part-time) Try to make it as enjoyable as possible, some act as if they're in a horrible situation & are miserable. I feel so fortunate to finally be able to do this after all these years, I'm very excited, and even though it's work, I'm really enjoying it, I love medical learning. Best of Luck to you, I hope you'll have as much fun as I am
  14. heavenwith7

    spiking an IV bag

    Thank You for the advice. Passed my Demo. It wasn't that bad, just nerves. Thanks Again
  15. heavenwith7

    spiking an IV bag

    Learning to spike IV bags. No problem priming tubing, just spiking bag. I took home an IV bag to practice, but the bags in lab are different. I'm not sure which port to puncture. How do you know which port is to spike with tubing? I don't know what I'm looking for. Not embarrassed to ask in cyberspace. Have demo soon, maybe I'm just nervous. Thanks