Double-Helix BSN, RN

PICU, Sedation/Radiology, PACU

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All Content by Double-Helix

  1. Double-Helix

    Discussion with doctor

    It would depend on what information specifically was shared. If all details were general and there was no way for the physician to identify the patient based on information provided, no, this is not a HIPAA violation. Which is not to say that your e...
  2. Double-Helix

    Assisting patients with change of physician

    If the patient requests information about changing physicians, I would explain how they can go about initiating that change. You are simply providing information about the process that the patient may act on, should they choose to do so, not assistin...
  3. Double-Helix

    S.M.A.R.T goals for preceptorship?

    What would you like to learn, accomplish, or experience by the end of your preceptorship?
  4. Double-Helix

    Tachycardia and Hypotension in Asthma

    The heart is responsible for pumping blood through the body. One of the essential elements in that blood is oxygen. During an asthma attack, there are inadequate levels of oxygen in the blood. The heart tries to compensate for low oxygen levels by pu...
  5. I think you already identified what you need to do to improve. Be on time, arrive on the floor ready to go when (or earlier than) expected. When you take a break or lunch, clarify with your instructor exactly when you are expected to return. Don't "d...
  6. You want the premeds to be effective, which means you need to allow time for onset prior to starting the transfusion. If your patient is allergic to platelets, for example, and you give the premeds immediately before starting the transfusion, they ma...
  7. Double-Helix

    RN on probation trying to find a job

    A violation of facility policy? Sure. Mishandling controlled substances? Maybe. But being reported to the DEA? Drug tested by both the facility and the travel agency? License restricted by the BRN despite zero drug unaccounted for? Much, much less li...
  8. Double-Helix

    RN on probation trying to find a job

    I think there is more to this story. A pharmacy audit would have revealed that you removed 10mg of morphine and documented a total administration of 10mg. There would be no drug unaccounted for. This sort of thing occurs routinely at my facility as l...
  9. Double-Helix

    Associate's RN or A-BSN RN?

    Consider the area where you want to work as a nurse. If your goal is a hospital position and your area a desirable area, institutions are Magnet designated or pursuing Magnet, or the area is saturated with new graduate nurses, the BSN will likely giv...
  10. The question speaks for itself. If the Texas BON wanted to know about depression diagnoses, they would ask. If you've gotten a speeding ticket and an application question asks about misdemeanor convictions, do you feel obligated to check "yes"? The ...
  11. Double-Helix

    please help

    I didn't say that the employers couldn't/wouldn't check credit (though I highly doubt they are looking at the credit of every applicant). I said that credit is not the determining factor given that OP is a new grad in a saturated job market and write...
  12. The BON asks about these disorders specifically for a reason. They do not ask you to disclose depression or any mental health diagnosis. If you have not been diagnosed with those specific disorders, you would answer "No."
  13. Double-Helix

    please help

    As other have said, LA has a lot of nurses competing for positions. You are not being rejected because of your credit score.
  14. Double-Helix

    LPN or CNA

    Depends on the job market in your area. Do LPNs find jobs pretty readily? Exactly how much time will you have left in the program when you are eligible to take the exam? How quickly does the BON move in your state? If you have to apply for licensure...
  15. Double-Helix

    Hesi petition

    This post is over three years old, so the OP's situation has more than likely resolved itself. That being said, there will be material on the NCLEX that students have not been exposed to and no one is going to get sympathy if they complain the NCLEX ...
  16. Double-Helix

    Preceptors: Advice for New Grad Nurses

    I expect my new grads to ask a lot of questions. I know that they don't know everything, and I respect them more when they are honest and confident enough to admit what they don't know and ask questions so that they can learn. Be clear about what yo...
  17. Double-Helix

    First Day Jitters

    Keep an open mind. Coming in jaded about the work environment and staff is going to make every slightly negative or neutral interaction seem worse. Understand that there are many factors that play into workplace culture/politics and the people that h...
  18. Double-Helix

    Ideas to keep busy

    I really enjoy refinishing furniture. If you have a garage and a budget to buy some basic equipment like a paint stripper, power sander, etc and well ventilated space to work, you may consider trying it out. Shop yard sales and consignment shops for ...
  19. Double-Helix

    Need help to boost my GPA higher

    Have you already completed your undergraduate degree? I'm assuming that you have, given that you have BSN in your screen name and note 3 years of experience. In that case, it may not be possible to raise your GPA. Generally, once you've completed a d...
  20. Double-Helix

    Transfer old credits or start new?

    It's unlikely that your 10 year old course grades will be accepted as transfer credits. Even if they do transfer, I would retake them and aim to do better than a C. Science courses are more heavily weighted in some programs, but overall GPA still mat...
  21. It's not the size of the catheter that matters, but rather the size of the vessel. A larger vessel with greater blood flow will do a better job carrying the med into the blood stream than a small vein will. This will lead to less pain/vascular irrita...
  22. Double-Helix

    interview help

    Will you be doing peer reviews for an insurance company?
  23. Double-Helix

    Informed Consent

    Think of it this way: a patient who has been recently given narcotics is not capable (actually they may be, but for the purposes of this question they aren't) of signing their own consent form. Their signature is as invalid as if someone else had sig...
  24. Nursing school is meant to prepare you to pass the NCLEX exam and enter the workforce with the required basic skills to practice safely. It is rigorous, and rightly so. So, no, nursing school doesn't cater to the 50+ unique needs and schedules of eve...
  25. Double-Helix

    Flashback blood collection needle working safty

    When using a new needle, what does th flashback of blood indicate? Why might it be a problem if the ability to see a flashback was compromised?