NPOaftermidnight

NPOaftermidnight MSN, RN, NP

Pediatrics, Women’s Health

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All Content by NPOaftermidnight

  1. Ever refuse a follow-up?

    NPOaftermidnight replied to Chen808's topic in Nurse Practitioners, NP

    Why would you call and complain to their insurance??? Kissing/grabbing someone without their permission is a form of sexual assault. You could call local law enforcement and file charges. This goes...

  2. Not transferring transcripts due to bad grades?

    NPOaftermidnight replied to AdventureAddict's topic in Pre-Nursing Students

    This is really, really bad advice. Your old transcripts certainly could hurt your chances, but you are obviously doing much better now and your current grades reflect your commitment. The schools...

  3. New grad struggles

    NPOaftermidnight replied to Pook_girl's topic in MICU, SICU

    Have you talked to your manager about this at all? If you aren't meshing well with a particular preceptor, it is perfectly acceptable to let your boss know. This happens pretty frequently where I...

  4. Can I ask to work exclusively day shifts?

    NPOaftermidnight replied to kassiahgp's topic in General Nursing

    Find out how the hospitals in your area are run. I'm surprised to see on here that so many do rotating shifts still. None of the hospitals in my area do these, if you apply and are hired for a day...

  5. AMA discharges

    NPOaftermidnight replied to jdub6's topic in General Nursing

    I agree with many others, I've never had a patient who left AMA who would have stuck around long enough for prescriptions. I'm not sure if we would give them or not, to be honest. I once had a...

  6. Sterile water to flush feeding tubes?

    NPOaftermidnight replied to nursesky's topic in Patient Medications

    Here is a recent similar discussion: https://allnurses.com/sterile-water-enteral-feeding-tubes-t610144/ I have never flushed an NG/NJ/OG with saline. Nor have I heard of anyone doing

  7. Being blamed for fall after shift

    NPOaftermidnight replied to notyetnurse's topic in General Nursing

    I respectfully disagree with you. Mobility is extremely important, getting the pt OOB was the right thing to do. Had they been confused, I would agree that they should not have been left up without a...

  8. Why did you pick your NP Program?

    NPOaftermidnight replied to oldsockventriloquist's topic in Student Nurse Practitioner

    Honestly? It's the only program within reasonable driving distance. Luckily, it also happens to be part of the hospital I work at, has a solid reputation in the community, and has affordable state...

  9. Does your ICU use CHG wipes for bathing patients?

    NPOaftermidnight replied to fatrabbit's topic in Critical Care

    We have done this for a few years now in all of our

  10. RRT vs ICU transfer

    NPOaftermidnight replied to kflavi2's topic in Critical Care

    I agree with the others. I think you did a good job within your scope on the floor, but the patient should be at least on a step-down service for closer monitoring and a full

  11. New Grad Position

    NPOaftermidnight replied to thinkkpinkk's topic in Neuro Intensive Care, ICU

    Congrats on the job offers! Unfortunately, 12 weeks is just not a sufficient orientation period for a new grad into an ICU. At our hospital, it's almost 6 months. Experienced nurses (but new to the...

  12. What path would be easier to get a job in with no experience?

    NPOaftermidnight replied to Eeramsey's topic in Nursing Career

    You're right to be worried. The vast majority of candidates will have experience, putting you at a big disadvantage. Is there a reason that, as a nursing student, you like nursing enough to want to...

  13. Meaning of your username?

    NPOaftermidnight replied to Flightless Bird's topic in General Nursing

    gremlins.

  14. Balancing Nurse Practitioner School/Career and Motherhood

    NPOaftermidnight replied to melp4's topic in Student Nurse Practitioner

    I'm a part-time FNP student (6-9 credits per semester), I work part-time (40-52 hours every 2 weeks), and I have a 4 month old. My husband works full-time and is in an MBA program full-time. We are...

  15. CRRT and mobility

    NPOaftermidnight replied to dec2007's topic in MICU, SICU

    This sounds a little too aggressive to me, I don't know that I would agree to ambulate such a patient. I have, however, gotten "stable" CRRT patients OOB to cardiac chair. I wonder if there is any...

  16. BSN premium on the table.

    NPOaftermidnight replied to tokmom's topic in Collective Bargaining, Union

    Unfortunately, you do not have the ability to dictate how others respond to your posts. The internet does not work that way. What fun would that be?! And because I can, I would like to say that I also...

  17. Sterile Water for Enteral Feeding Tubes?

    NPOaftermidnight replied to med_geek's topic in Critical Care

    We use sterile H2O in all of our ICUs, but per our facility's policy tap water is fine. I have used tap water on occasion to help dissolve certain medications, but most seem to do just fine in room...

  18. New Grad FNP job hunting

    NPOaftermidnight replied to EDNURSE4LIFE's topic in Nurse Practitioners, NP

    No, it's not engineering or medicine. It's nursing. I'm wondering why you and PsychGuy are members of a profession that you obviously have no respect for. You can choose what kind of nurse you want...

  19. Ileus

    NPOaftermidnight replied to SBURNSTEVEN's topic in Critical Care

    The NGT is providing symptomatic relief, decreasing discomfort/nausea/vomiting, so this definitely does include gastric contents. The narcotics certainly could have contributed to the patient's...

  20. Lied to in Interview

    NPOaftermidnight replied to westieluv's topic in General Nursing

    Wait, are there nursing jobs that don't involve staying late and constantly getting calls/texts about

  21. Do I aspirate too violently?

    NPOaftermidnight replied to lorelei13's topic in General Nursing

    What setting do you work in that you are constantly giving all of these IM

  22. New Grad FNP job hunting

    NPOaftermidnight replied to EDNURSE4LIFE's topic in Nurse Practitioners, NP

    OP I'm so sorry to derail, but is this guy freaking serious?? I certainly hope to make significantly more money when I finish my FNP program next year, but to say that RNs don't have the ability to...

  23. NG insertion Doctors VS nurses

    NPOaftermidnight replied to BendyEm's topic in Critical Care

    We insert all of our NGs with the exception of certain ENT patients (radical neck dissections, glossectomies, they usually place them in the OR and suture them in place). I was taught by another...

  24. Reinfusing gastric residuals

    NPOaftermidnight replied to Rach4231's topic in MICU, SICU

    Similar to what others have said - per our policy, we return up to 250mL and if the total residual is over 500 we hold tube feeds and notify MD. You return the residual manually with a toomey. This...

  25. Epidural responsibility

    NPOaftermidnight replied to MrPopeye's topic in Certified Registered Nurse Anesthetist, CRNA

    I'm assuming it is like this everywhere, but I can only speak for what we do at my hospital. Anesthesiologists/anesthesia residents are the ones who place epidurals. We have an "Acute Pain Service"...