myoglobin

myoglobin ASN, BSN, MSN

ICU, trauma, neuro

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All Content by myoglobin

  1. Trouble communicating with patients?

    Try not to take it personally and phrase things as empathetically as possible. Example patient: "I want to take a shower". My response: "Hospital policy requires that I get a written order from the MD...
  2. Should I renew my license?

    It also goes without saying that if you have a license in a difficult state like California you should almost NEVER let it lapse. It is simply too much work to get back if you ever decide to work as a...
  3. New Grad RN Medical Cardiology

    My standard advice: Review as much Khan Academy material as possible including the integrated quizzes (this would include Biology, MCAT, physiology and other relevant sections). Also consider...
  4. I certainly agree that you shouldn't give this sort of information before being hired. However, afterwards is a matter of personal preference and belief system. I believe that most people are loving,...
  5. For me that would be an easy call drop the second job and keep the first. Usually, working a second job involves more "work" than just the hours that you put in (education for example). I wouldn't...
  6. Working while in Nursing school?? Opinions please!!

    I would say focus on your school and your family. If my time with my wife was already being cut due to school (as it necessarily will be) I would suffer a good deal of emotional distress if she chose...
  7. Internal transfer help?

    It can't hurt to tell them as they will find out anyway. Usually, (except in union facilities) the manager must approve transfers. It may help if you frame the transfer in the context of career goals...
  8. Job Flip-Flopping: When Will I Find My Place?

    To me it sounds like the travel nursing offers the best combination of pay, and work-life. Perhaps, this could be made even better by working as a travel nurse in a higher paying state like...
  9. New Nurse Seeking Advice

    That job is like going to "license Vegas" with your savings and only playing roulette (perhaps the worst game in the house in terms of odds). You should keep applying. Not only hospitals, but also...
  10. I wouldn't disclose before being hired. However, afterwards I would "be ready" to apply and activate FMLA, if I had any concerns about disease relapse. Also, keeping a strong immune system (meaning...
  11. Multivitamins and supplements? My vent.

    Personally, I often utilize CAM therapy because I have limited access to mainstream medicine due to lack of health insurance. Thus, for joint pain and depression I utilize SAM-e, Saint John's Wort...
  12. Never feeling good enough, despite milestones

    The questions is "what will make you the most happy" and create the best work/life balance. I remember a Harvard psychologist who did a lecture on happiness. He quoted a study that evaluated the...
  13. Help with behavior-based interview questions!!!!!!!!!

    I take a sort of "Buddhist" approach in that I never want a job too much. Thus, I always try to apply for many jobs while I have "something" in place (even if prn) to pay the bills. In this way I can...
  14. ICU Nursing

    The only bad part of dialysis that I see are the 8 hour shifts. For me at least 50% of the reason for going into nursing was to have 12 hour shifts and only work 3 days per week and to be able to...
  15. Interpersonal Skills Lacking in Healthcare

    My only problem with these "huddles" is that they can take away from time to access the patient, and review patient data. The biggest problem with proper communication is having too few providers...
  16. Should I renew my license?

    I keep my Indiana license even though I live in Florida out of sentimentality. It's where I grew up and lived 40 years of my life. However, if they join the "nursing compact" I would let it
  17. Med passes

    In the ICU I explain that I will attend to their needs absolutely as soon as possible. If it is an emergent, urgent need and I cannot delay my med pass I ask the charge or another nurse to assist. If...
  18. I have been on night shift for 30 years and...

    My personal sleep combo is: 1. White noise machine set to rain plus thunderstorm. 2. Temp set extra low like 68 degrees or less (we live in Florida). Melatonin, plus magnesium, plus 5HTP (must be...
  19. getting into icu

    You may find that it is easier to apply into ICU at a different hospital than the one you are currently at. This is because hospitals hate to lose people who "can and will" do their jobs. This is...
  20. Pumping at work

    That's probably good advice. I've actually listed my hospital, and floor on multiple occasions. My normal attitude is scXXX the repercussions I don't say anything here that I don't rant about at work...
  21. Pumping at work

    Here's the thing there is probably nothing that can be done to offer more benefit to infants than breast feeding them. It has a profoundly positive influence on essentially all aspects of infant...
  22. Las Vegas NP market

    Keep in mind that both Arizona and Nevada are IP states. However, Nevada requires some hours (not sure but I believe around 1000) for IP prescription privileges for some medications. Thus, it is...
  23. Keep in mind that USA requires that some of your clinical hours be from a PMHNP. This can be a challenge where there are relatively few PMHNP's like Florida (and those who are here work for MD's who...
  24. Taking A&P 1&2 at the same time

    IF, I was going to attempt this I would try to pre read the text as much as possible (and work through the Study Guides). I would also try to do as much of the material on Khanacademy.com related to...
  25. Illinois Now FPA State!!!!!!

    Two questions/comments: a. How was this accomplished? Why wasn't it killed in committee after passing floor votes as it was here in Florida? b. Would there by some way for NP organizations to "pool...