Cr8zyamy

Not an NP but I don't like the bubbles so I very rarely drink sodas maybe a ginger ale a month?

Deb-RN has a point, if you can get back in at the bakery then go for it and switch to Perdiem at the hospital. You'l be payed more money on the nursing side and have the better healthcare from the bakery job. The one thing I would not do is leave nursing all together. You worked very hard to get that degree, keep using it, even if it is only part time.

I am sorry to tell you but I think what you have described is becoming "normal" for nursing. I see this in the L&D unit of my hospital and in the hospital where I had clinicals. The nurses behaved as if having students on the unit was a burden. Now as a postpartum nurse working nights, I hardly ever interact with students but my day shift coworkers will refuse to have students because they say they are to busy or just don't want to do it. I'd like to have a student on occasion, the questions they ask keep a nurse on her toes, I think this is a good thing, if I can't answer the question I better know where to look for the answer. I wish you the best of luck and congratultions on getting that student postion, this will help you in getting a job in that facility.

As Dixielee stated Google is your friend. CDC.gov is a wonderful resource as well. Correct spelling is a must. If you don't take the time to spell correctly, why should anyone take the time to read what you write. An observation meant to help you do better, not to cause you distress or grief. Best of luck to you

Well this is rather off subject and somewhat relevant, at the least it will make you say "What?". As a newly graduated LVN I decided to put a resume on Monster. Okay, no big deal there right? Wrong! My resume was written without the letter B. My keyboard was broken and rather than waiting to buy a new one, I eagerly posted a very creatively written resume. You might think this was a very bad thing to have done but I received quite a few responses to that resume. I even received a telephone interview from a recruiter who was intrigued and amused by it. Sometimes even a badly written resume can get a positive response. Just so you know, I would not do that again.

Congratulations. Next up finding a job if you were not lucky enough to have one lined up already. Good luck to you. Welcome to the team. Just remember if you don't have a job lined up already hospital jobs are tight because of the economy. Keep your head up and be creative in your job search. Apply anywhere and everywhere. The goal is getting experience, you can keep looking for your dream job while working in a job that is your 2nd, 3rd, or even your 8th choice.

Hello, so sorry for your recent loss and congratulations on your child moving to a stable environment. Here are a few suggestions that may or may not be helpful. Considering your background as a parent to what I am assuming is a substantially challenged child, consider looking at local group homes for severely physically or mentally challenged persons. You are uniquely suited to this kind of nursing because of your life history. How about that non-profit you worked for, do they have need of a nurse? Apply to doctors offices and clinics. Hospitals are less likely to hire new/inexperienced graduates. This is not because you are not needed and valuable, with the economy the way it is, hospitals would rather higher a previously retired older nurse with experience then take the time and money to train you. Again the economy not you. Check with the college you attended to see if they need any tutors. Sure, not a clinical job but still a source of income and a chance to stay sharp. Consider your local job industry, do they have an employee health nurse position? Contact the hospital where you attended clinicals to see if they have any CNA openings. Yes you are over qualified and that is not what you went to school for but it would be a foot in the door and hospital like to hire from within. If you can get your foot in the door you are halfway there. Last but not least look at your resume have you tailored it to the jobs you are applying for. Have you listed the skills you have fully? Think of the care you provided to your child, have you put them into your resume? If you provided semi-skilled care to your child for 18+ years that is worth listing. See if the college you attended helps with resume building for alumnus or even job searches. Best of luck to you.

Oh where were you when I was writing my care plans? I so detested NANDA. I wish there was something anything better out there. SBAR does make sense and is easily understood by support staff as well as nurses and doctors. We have a point and click care plan builder that we use and under a tab labeled psych/social is: Risk for postpartum depression. Nothing follows this statement and so many of my coworkers just click on it. Why is the patient at risk for PPD? How is a patient that has not even delivered yet at risk for it? Care plans just frustrate me to no end. I always add to that risk factor by stating R/T preterm infant in NICU, or hx of depression, hx of anxiety, r/t mulitparity and the like.

Do not worry to much, just have a plan in case you need help. The style guide was just "ok". I always had something not quite perfect on my formatting, usually in the reference page. I truly do reccomend the PERRLA program. It will create a database of all your citations that you can just click on to add to another paper. Say you cite your current textbook in a paper two months down the line, using PERRLA you don't have to remember which paper you used it in to do a copy and paste, you'd just click on create a citation then open your database. Point and click.... Love it!

Give Grand Canyon University a look. I am finishing my BSN, 5 week classes all on line.

Not sure what the St Joe's fast track is but I am 6wks and 4 days from finishing the RN-BSN online program. If you don't have statistics yet, get a tutor, they are worth the money. PERRLA is an add-in program for Word that will make writing your papers in APA format so much easier. If you have a MAC you need to make sure you can operate Microsoft Office on it, you will have lots of papers and Powerpoint presentations. Most of the instructors are okay some are great (Lisa Zamudio) and some need to get a whole lot better. Good luck to you.

6 weeks 4 days from finishing. I recommend finding a local tutor for statistics. I still can't believe I passed it, I don't understand any of what I did in that class. A tutor is well worth the money. Look in to a program called PERRLA you can find it online. Awesome program for formatting papers into APA, it is an add-in program for Word. I recommend using a PC rather than MAC operating system, you have to submit your work as word files. I have had some great instructors and a couple not so great ones. Lisa Zamudio is a gem. My work has all been online as I am an out of stater. It goes very fast and you do need to be dedicated. I work full time and a mother of three. My house is a wreak as is my waist but I will have my Big Sexy Nurse degree in 6 weeks and 4 days. Gym time starts in 7 weeks. :)

Good luck going back to her. Sounds like you did everything appropriately. I would suggest upon returning to work, if you have her again consult with the family to see what if any medication she takes for her anxiety. I took over a postpartum patient that had been giving the day shift nurse fits all day, she had a history of anxiety, panic attacks, and manic depression that her family was unaware of. After spending an hour with her getting her oob for initial ambulation, peri-care in the bathroom, and back to bed with major tears and drama, I called for a Xanax order. She was so much easier to get oob the second time. On another note, I had a severe asthmatic s/p SVD patient go into respiratory distress and had to call a MERT (medical emergency response team) for her because R/T was taking to long to respond. I transferred her back to L&D but she continued to desat, called another MERT, ICU doctor responded and wanted to intubate her, pt begged not to have it done. She was moved to ICU and placed on CPAP. She had been admitted to the unit during the pregnancy for acute exacerbation of asthma and inutbated at that time. I was so relieved to find out she was okay when I called to check on her the following night.

Thanks, I'll give their E.D. a call. Thanks for your service. HOOAH!

Please don't take this the wrong way but isn't the use of Magnesium sulfate in PIH to reduce the risk of seizures by relaxing the muscles and not to lower b/p?

Welcome to postpartum! So how many couplets do you have? I am lucky enough to work with only 4 a shift worst case 5. No CNA, or secretary, and no charge RN after 2300, but we manage. Organization comes with time. I used to carry a kitchen multi-timer to help keep me on track, pampered cheff has a great one. I found the hardest thing for me was getting the new charting figured out and joy of joys, we are changing systems this year so I get to learn all over again. I think the most important thing is good patient care. Keep good notes on your report sheet if you don't have time to document right then, and document later. Don't let anyone make you feel bad if you have to stay late to finish documenting after report, we have L.E. for a reason. The patient comes first! You don't have a leg to stand on if a patient has a bad outcome and you were busy charting. Keep your head up, it took me 8 years to even get close to postpartum then another 2 years before I was able to do straight postpartum, you can do this. Sometimes it's a day at a time and others it's an hour at at time, but you will get it figured out.

Try talking to the managers of the 2 L&D units. Ask them what they are looking for in a new hire. You can never go wrong doing time in Med-Surg, it will help to cement your knowledge and gain valuable time management skills. Another consideration is postpartum if they have a stand alone unit. Your next consideration Women's health hysterectomys, tubal ligation, and the like. I wish you luck, remember that a BSN is the hardest degree to obtain according to The Guinness Book of World Records, it will be hard but stick it out. Ask questions, help the nurses with baths, linen changes, and call lights, don't sit in the break room unless you are with your assigned nurse or your instructor. The more helpful your the more the nurses will want to teach you. Oh! You can try for your CNA after completing a certain number of nursing classes, get your certificate and apply at the hospital of your choice, this will give you an edge when applying for nursing jobs in that hospital as you will have some experience. Good luck to you, hopefully the hospitals will be hiring more new grads by the time you finish.

How do you become a SANE nurse? I am six weeks from completing my ADN to BSN program and was wondering where to look for information about this. I live in a major metropolitan area and to my knowledge all sexual assault cases are taken to 1 hospital in an area that has at least 10 hospitals. I think if I received the training and certification I could offer to be on call to the hospital I work at. Do I need to get my MSN in say Forensic Nurse examiner?

Toradol is a wonderful medication and I tell my patients this all the time. Call me crazy but I teach my patients that NSAIDs treat inflammation that can cause the pain and narcotics make you not give a flip that you have the pain. I always encourage my patients to take the NSAIDs that are available to them prior to the narcotics.

We do not take rectal temps on the postpartum unit I work at. Axillary is the mode of choice and is deemed accurate. A rectal temp is done at birth to verify patency of the orifice.

Yes and No Yes I would recommend my unit, ICU and IMC. My husband was treated very well in the ICU and the nurse caring for him overnight did not call me crazy for calling the unit at 0200 to tell her he was hurting and need meds (I called from home, he woke me up). She went into his room to check on him and sure enough he was awake and hurting. My sister was well cared for during her admission. As nurses we have expectations that are high but not unattainable. Meds in a timely manner after being requested, cluster care if possible to allow for the most rest, and advance diet as fast as medically possible. I can not speak to the other units of the hospital, Wait, the peds night shift staff is awesome, they often overflow onto postpartum where I work. My no is because I'd rather not share all of my medical history with my employer or coworkers, I am self conscious enough as it is, I don't want my coworkers to see me in a hospital gown.