myoglobin

myoglobin ASN, BSN, MSN

ICU, trauma, neuro

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All Content by myoglobin

  1. Failed PMHNP - need advice please

    I favor a "gradient approach". Thus, I will take my PMHNP exam on Oct 07th. To date I have used Pocket Prep (about 70% complete) and the Lantern review (70% complete), Boardvitals about 60% complete,...
  2. Why are so many nurses against unions?

    Part of the union process is "voting" for the union by employees. Thus, even those who do not have unions benefit from unions because "as a rule" hospital administration doesn't want unions and try...
  3. I would refer you to the article in US News and world reports that ranks and reviews programs. I believe that it lists USI as admitting around 50%. I do not know how this is spread over the various...
  4. Working smarter, not harder?

    I have worked Med/tele, PCU, overflow (which combines those plus Psych/Baker Acts) and mainly ICU. I'm pretty "ADHD" and a mechanical moron, but these are the things that have helped me the most: a....
  5. Want to open PMHNP business on Oahu or Kauai

    I'm not sure about Kauai, but I feel that there would probably be sufficient business on Oahu especially if I offered "evenings and weekend" hours. Even many restaurants, and stores have limited hours...
  6. Scared to leave nursing

    Anyone who doesn't think about leaving bedside nursing is either one of the few "chosen" by God/destiny or insane. To me the advantages of bedside are primarily three things: The ability to work...
  7. What is it like to work in a good hospital?

    That's a really good point. There is a reason that Walt Disney World doesn't pay that great (for entry level positions) and have so many "barely" paid interns. Because it is a great place (at least...
  8. I lived with my SO, and worked part time and took max student loans to boost our income (hence my massive debt). However, in the scenario that you describe (one year accelerated program) it would be...
  9. Nursing job is making me sick ?

    Could you go down to prn at your facility until you found a new job? Also, have you considered other options such as dialysis nursing, working at an outpatient MD office, school nurse, mental health...
  10. There is a good deal of speculation in your reply including: a. Perhaps he would notice and perhaps not. Working in mental health I can't tell you how many clients tell me "I don't notice any...
  11. PXYIS

    The LPN's definitely could not pull the narcs, and probably should not have given them either. However the floor had 16 beds, 3 LPN's and typically one RN (sometimes two). Since the RN had a full PCU...
  12. Yes but also consider Myoglobin's maxim "You don't know the power of the Dark Side or of
  13. I probably missed this somewhere above, but by all means at least consult an attorney experienced in nursing license law. It may be "unnecessary" and involve a few hundred dollars of money spent at a...
  14. I have struggled with this issue my entire career. We get in trouble if we don't clock out by about 0710. On the other hand we get in trouble if we miss anything in charting. I've gotten verbally...
  15. What is it like to work in a good hospital?

    Not sure about good hospitals, but there are definitely better states (like California) and worse hospitals/states (like Florida where I live). Almost every travel and agency nurse that I work with...
  16. I might wait until I was off of orientation, just to decrease the possibility of "retaliation", especially if it was only a few hours here and there. While on orientation one is very vulnerable to...
  17. Monster Med Passes

    Keep in mind that if I am confused (having not worked in corrections) then it is quite likely that others who read this might experience the same challenge. When I write something here I do it not...
  18. Monster Med Passes

    Then maybe my math is wrong or I'm just missing something about the mechanics. I would have trouble giving 125 dogs their supper in 8 hours or delivering 125 pizzas in my local neighborhood...
  19. PXYIS

    The most important "take away" is never ever admit to something that you don't recall doing. Also, it would be helpful if all med rooms had video cameras on them that recorded and the "digital tape"...
  20. Monster Med Passes

    Perhaps, but my six months as a CNA in LTC only convinced me that the nurses, administrators and essentially everyone else there (including myself) was taking a really big gamble. Other staff told me...
  21. Monster Med Passes

    Still 125 med passes? You still have to do a basic assessment for certain medications (BP/Heart rate for beta blockers) or blood glucose before giving insulin for example. Also, I'm sure that you must...
  22. Giving Tylenol to patient with elevated alt/ast

    There is an important concept at work here "relative contraindication". That is to say the risks and benefits for that patient must be considered. As a nurse I would consider that the MD's primary...
  23. Innumeracy

    In defense of the nurse in question they may have been trying to keep it in "equal doses" without cutting pills (one of the things beat into our heads in NP school was that if you have patients cut...
  24. 265 questions is almost guaranteed if your a male.

    Sometimes it is just gender pay discrimination. For example when my SO and I first moved to Florida. Florida Hospital South (in DT Orlando) offered me as much money with only one year PCU experience...
  25. Usually, they will send you an "offer letter" which specifies your starting pay and other details. I'm not sure if it helps, but I almost always send a thank you card after an interview and I usually...