Double-Helix BSN, RN

PICU, Sedation/Radiology, PACU

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All Content by Double-Helix

  1. Double-Helix

    PRN Question

    My first nursing job was similar. It was a new "full-time flex" role where I essentially gave them 5 days of availability per week and they could call me in 2 hours before my shift any of those days until I had met my hours (3 shifts) for the week. I...
  2. Double-Helix

    Discharging Patient With Opioid in Hand?

    No way. If the patient wants their next dose of morphine before going home, they can hang out until 1800 and be discharged when it's swallowed.
  3. I would strongly advise against posting any details on this forum or anywhere online if there is potential this may go to litigation. If you don't have your own malpractice insurance, this would be an excellent time to get one- before any official ac...
  4. Double-Helix

    PICU as a new grad?

    I started in PICU. It was not easy and I couldn't have done it without an exceptional supportive staff who were willing to teach me long beyond the end of my orientation. If the unit is committed to taking the time to nurture a new grad, it's definit...
  5. Double-Helix

    PEG Tube Splash

    You were sprayed with meds and water, not blood and body fluids. You called it when you said you were a bit of a hypochondriac.
  6. Double-Helix

    False accusations

    So you insult women, claim to be joking, and then insult women in defense of your joke? Interesting.
  7. Double-Helix

    Pediatric Stethoscopes

    You can't go wrong with a pediatric Littmann Classic II. Good quality and half with price of the cardiology stethoscope you mentioned. I think you'll find that the extra $100 doesn't really provide you with that much acoustic improvement. If you were...
  8. You stated that the testing was going to have to be repeated anyway because it was done before the child was 24 hours old. So regardless of whether you obtained enough blood at the time of your attempt, the test was going to have to be done again, is...
  9. Double-Helix

    RN Program Restrictions Regarding NCLEX Registration

    OP, if this is the case and your program is not accredited (please understand that "approved" does not mean "accredited") than another state's BON will likely not accept your education as sufficient to grant you licensure. You can try obtaining your ...
  10. Double-Helix

    Please Help! Abandonment and Retro Pay

    A verbal promise of a pay increase does not constitute a binding contract. The nurse manager may not even have the authority to offer salary increases without higher approval, so her text messages mean nothing. You accepted the position at the origin...
  11. Double-Helix

    RN Program Restrictions Regarding NCLEX Registration

    I asked the program name so I could check if/by what institution they have been accredited. I understand why you may not want to post it.
  12. Double-Helix

    Medication administration confusion???

    As was stated earlier in this post, the pharmacist is not directly observing the tech draw up the medication, print out the label, and label the syringe. The pharmacist is verifying the the information on the label and volume in the syringe match the...
  13. Double-Helix

    RN Program Restrictions Regarding NCLEX Registration

    The school does not submit your application. You have to submit the application for licensure to the BON of whatever state you want to be licensed in. Part of the licensing application is provision of transcripts from your college/university. If they...
  14. Double-Helix

    RN Program Restrictions Regarding NCLEX Registration

    By whom is your program accredited? NLN? CCNE?
  15. Double-Helix

    Medication administration confusion???

    This is exactly what happens when the pharmacy sends a pre-filled medication syringe or bag to an inpatient unit. You didn't see the pharmacist draw up the medication either, but do you go to the nurse manager and refuse to give the medications sent ...
  16. Double-Helix

    Whats in your bag?

    One if my classmates used to transport her books/supplies in a rolling carry on sized suitcase. The kind of 4 wheels and zippered compartments. Looked a little odd, but super useful and you almost never have to lift it.
  17. Double-Helix

    8-times and passed nclex-RN

    Congratulations! I'm glad you were successful on your eighth attempt. However, that's not usually the case. The statement made about you being less likely to pass if you have failed multiple times is not an opinion (prejudiced or otherwise). It's bas...
  18. Double-Helix

    Friending patient families on social media?

    Don't mix personal and professional. Ever. Just don't. I understand that you build relationships with these families, but more harm than good could come from inviting patients to have access to your personal life. I'm sure your NICU already has mech...
  19. Double-Helix

    Facility Policy or State/Federal Requirements

    Yes, an order is required for some of the nursing care you described. Foley insertion requires an order. Removal usually does not. But there are other caveats. If the facility has protocols for voiding tests written by the physician that include fole...
  20. Double-Helix

    Becoming a Nurse Recruiter

    Getting some recruiting experience would be a great place to start.
  21. Double-Helix

    Missing nursing program deadline

    Is the application done electronically? Is there any way you can apply and submit what grades you have and then add the rest later? Or send in your chem grade by mail? Did you speak to an admissions advisor?
  22. Double-Helix

    Can nurses live a luxurious life?

    In general nurses get paid very well compared to other bachelor or associate degree professions. As a bedside nurse with no experience you may not be living "luxuriously" but you should be comfortable. As you climb the ranks and move into more leader...
  23. Double-Helix

    First Job Struggles

    I'm not sure what the job market is like for diploma PNs in Canada. Did your classmates who got a job have something that sets them apart like previous experience as a tech or other employment in a healthcare setting? Many first jobs are gotten throu...
  24. Double-Helix

    Is this considered bullying?

    The length of your orientation should have been planned and discussed with you in advance. If you aren't sure how long you will be given for orientation, ask your manager. It seems like a good solution would be to have a sit down with your preceptor...
  25. Double-Helix

    Impact indicator?

    So your group's objective is to improve communication, but that's not specific enough to measure. Your group needs to identify metrics. That is, you need to specify what will be improved and how. There are two kinds of metrics: outcome metrics and p...