tsm007

tsm007

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All Content by tsm007

  1. Quit?

    tsm007 replied to kl148's topic in General Nursing

    Yes, all LTC jobs are kind of like that, but I'm going to disagree with the PPs and knock off the run far away stuff. You'll read plenty of that here. I've been a nurse about a year now, but I have...

  2. 0200 BP's - Dealing with Tired Rude Doctors

    tsm007 replied to Jennifer in Cali's topic in Patient, Colleague Relations

    I work nights. I am still a new nurse, but I wouldn't have called a doc at 0200 for that BP unless that was protocol for your facility. Most of the facilities call guidelines have been 180 systolic or...

  3. Really stupid charting question

    tsm007 replied to tsm007's topic in General Nursing

    Thanks. A lot of this is I just haven't heard enough heart sounds. Up until 3 months ago I hadn't heard a murmur. And I was almost giddy when I realized hey, I think this is a murmur and checked the...

  4. Really stupid charting question

    tsm007 posted a topic in General Nursing

    Moderators feel free to move to a better area if you see fit. I couldn't figure out where to post this. I have just moved to a new job with computer charting with drop downs and check boxes and such....

  5. Really stupid charting question

    tsm007 replied to tsm007's topic in General Nursing

    Thank you! Thank you! You answered my question perfectly. I do chart what I hear. I guess in my head because I have never had a situation as of yet where I haven't heard s1 and s2 I couldn't think of...

  6. Really stupid charting question

    tsm007 replied to tsm007's topic in General Nursing

    It is Epic that I am using. I guess my bigger question is when would you not check s1,

  7. Medical Assistant as school nurse

    tsm007 replied to smileitout's topic in School

    We don't even have a school nurse in our school district and the one nearby has one for the entire school district. I know this as a parent of an insulin diabetic child it was a royal pain in the rear...

  8. Does Percocet make someone itch?

    tsm007 posted a topic in Patient Medications

    I'm still a newer nurse, but the nurse that told me this is also a newer nurse so just wondering if itching is a common side effect of Percocet. I had a patient the other night that was itching...

  9. michigan Psych RN jobs??

    tsm007 replied to babblingbrook's topic in General Nursing

    Kalamazoo area has lots of RN jobs. Everybody seems to be hiring right now. As far as psych nurse that might be a little more narrow, but I still think you will have no problem finding a job here. I...

  10. Does Percocet make someone itch?

    tsm007 replied to tsm007's topic in Patient Medications

    I have Davis drug guide as part of Nursing Central app and it wasn't listed there. Can you recommend your favorite drug

  11. Does Percocet make someone itch?

    tsm007 replied to tsm007's topic in Patient Medications

    This is what I was thinking. I didn't think Motrin was going to cover this lady's pain. By telling her this the patient wanted me to list it as an allergy and not give her any more. I thought trying...

  12. First job as a new grad RN

    tsm007 replied to Lissla's topic in First Year After Licensure

    I say take the job. It's experience and a paycheck. In 6 months to a year start applying to the hospitals again. I have been working LTC/skilled rehab for the past 6 months and just started applying...

  13. How do you get out of the room politely?

    tsm007 replied to jessimee's topic in General Nursing

    I usually say something like "I'm in the middle of my medication pass right now. I'm going to come back around later to catch up with you. Are you having any pain right now? Is there anything I can...

  14. Fitness Nursing

    tsm007 replied to pedsnurse112's topic in General Nursing

    I interviewed someone in my area when I was working on a project for school that did something similar. She started her own business and she works as a consultant for corporate health & wellness...

  15. Feeling clueless

    tsm007 replied to BLUESCLUES191980's topic in First Year After Licensure

    Well, I was hesitant to vote because I feel the same exact way! I hate it. I keep thinking I need to redo school, but the thing is I *DO* remember what I learned in school for the most part. It's just...

  16. Which way to go?

    tsm007 replied to Nearlynurse's topic in General Nursing

    Okay, I'm confused as to whether you are currently an LPN or currently in LPN school? Can you clarify that please? From reading your post it sounds like your biggest problem is indecisiveness and lack...

  17. Cya basics

    tsm007 replied to Crosobien's topic in Geriatric, LTC

    1. Don't just document in the chart. Call people and notify them of the condition or put it in the doctors book. Call your DON and docs on call and document in your charting that you called them....

  18. We were all wrong about nursing home nurses

    tsm007 replied to Ruger8mm's topic in Geriatric, LTC

    I agree and the idea that this attitude is not found on AN is hogwash. You can go search through the threads here (particularly on the LTC forum) and see there are plenty of nurses that think LTC is...

  19. WGU Prerequisites for BSN Prelicensure(Need Help deciding what to take)

    tsm007 replied to tishalu's topic in Western Governors University

    I would CLEP humanities and growth and development. The humanities one you'll really have to study for if you've never done any humanities, but I used SpeedyPrep to CLEP both of those classes and WGU...

  20. Skin tear narrative note

    tsm007 posted a topic in Geriatric, LTC

    I am working on a cheat sheet for narrative notes for myself because I really suck at these and determined to improve. I never remember all the details to include. So here is what I got for skin...

  21. Want to move from LTC/skilled rehab to subacute/inpatient rehab

    tsm007 posted a topic in Rehabilitation

    If you wanted to make a move to inpatient rehab nursing from LTC/skilled rehab what things would you recommend to spruce up your resume and make you a more viable candidate? I was already planning on...

  22. Getting a head start

    tsm007 replied to nursejoy1's topic in Western Governors University

    I agree with TheCommuter you really can't study ahead for any of the classes. What you could do though is see if there are any gen ed classes that you would need and start working on knocking those...

  23. Night shift for new grads.

    tsm007 replied to Nurse_Brezo's topic in General Nursing

    Here's what I do that's working for me. I have a 1 year old that naps every day at noon until like 3pm. So every day whether I work or not I take a nap between noon and 3. I work from 6p -6a or 11-7....

  24. Can you recommend a medication?

    tsm007 replied to russianbear's topic in Patient Medications

    Um the people you work with obviously haven't been taught SBAR - Situation, Background, Assessment and Recommendation (SBAR) technique. I'd get them some reference material on that. Here's a link for...

  25. Want to move from LTC/skilled rehab to subacute/inpatient rehab

    tsm007 replied to tsm007's topic in Rehabilitation

    Thanks. I'm going to have to get just a little more time under my belt for either of those certifications. I was aware of the CRRN, but was not aware of the stroke certification one. I just feel like...