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littlerayofsunshine BSN

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littlerayofsunshine has 6 years experience as a BSN and specializes in MS, OB.

littlerayofsunshine's Latest Activity

  1. littlerayofsunshine

    Insulin drips patients on L&D

    Our patients were kept on high risk area of birth center when on insulin gtt. We did monitor closely and would have 1:1 care when laboring. Our nurses were trained to titrate per our protocol.
  2. littlerayofsunshine

    Incompetence or bad night?

    You're right. I let the chaos get to me. This is what bothers be. I usually thrive in chaos. I can't figure out why this got to me.
  3. littlerayofsunshine

    Incompetence or bad night?

    I've been a nurse for 6 yrs. Work in ob gyn which I love. Without giving too much detail, I can describe my what happened the other night. We are a super busy, fast paced unit which I love. Think ER for women. It started with my patient needing an IV before transfer to another unit. I'm usually very good with IVs. I do tons them. For a variety of reasons I failed miserably. Other weird things came up. The whole encounter was a hot mess --- physician kept interrupting me to talk to pt., delays and more. Patient began getting upset with me which I know contributed to my feelings of failure and incompetence. Someone else did come and finally place an IV and pt went on her way. But I'm sure this patient thinks I'm an idiot.w I apologized along the way and tried to keep a calm cool exterior, but inside I felt myself spinning out of control. Today I am going over this in my head and feel really stressed out and worry that I losing my confidence. I want to add that I'm an older career changer, and generally not prone to these feelings in other areas of my life. I just hate these thoughts in my head telling me I am incompetent. So the question to turn them off and get my act together? Thanks for listening to me vent.
  4. littlerayofsunshine

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

    @juandelacruz. I know that people can be under enormous pressure and fear for their jobs. I get that it can lead to us acting in ways that are not within our normal practice. Horrible systems and people in power can break us and it's hard to stand up to these situations. I have felt pressure to do things that I wasn't comfortable with. I get that this happens. But I just can't get past the fact that she pulled a med via override and did not read the label to make sure it was correct. That takes seconds. No system can ensure she reads. And are nurses so prone to not read labels that we need machines to save us from.killing patients? Maybe we are too reliant on technology and in too task focused. Who's to blame for this?
  5. littlerayofsunshine

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

    I want to sympathize with RV, but honestly I can't. No matter how much we are pressured to work faster and with fewer resources, we still have basic standards of practice to follow. She failed to act as even a first year nursing student would. As RNs, we've all been under pressure to do our jobs under less than optimal circumstances. But it takes just a few minutes to read a label and follow the 5 rights. There is no excuse for this level of sloppy nursing. I know that's a harsh statement. Like others have said, mistakes happen. We have all made them. But this nurse practiced so far out of any established standard that I question her competence. I hold the hospital accountable too, but RV needs to take responsibility for blatant negligence. I find it hard to believe that this type of sloppy practice was a one-off. But if it was, nothing I've read about her situation justifies her multiple lapses. For example, from my experience having an orientee usually slows me down because I'm explaining every little thing-- being extra careful to model exceptional nursing practice. Clearly not the case here. I Would rather take the hit for being slow and late to my next patient, than rush through giving a high risk med. Sad situation all around.
  6. littlerayofsunshine

    Any facilities actually using an AccuVein? Any thoughts?

    We do. I have had mixed results using it. I find it a little fiddly to use even with the stand. However, if you really can't see anything, it does give you somewhere to look. I really thought I'd like it better but I hardly use it anymore.
  7. littlerayofsunshine

    Moving to Greensboro area

    Hi, We are moving to Greensboro this summer. Anyone have any experience working in this area? Are there plenty of jobs available? What is the average pay for an experienced RN? I have done some of my own research, but always like to get updated info. TIA LROS
  8. littlerayofsunshine

    What to expect during L&D???

    To add to what everyone has said--- try to make your main goal: healthy mom and baby. In my experience, the more rigid the patient is about their "ideal" labor and delivery, the more disappointed you will be. As for going natural vs epidural-- it is possible to have a non-medicated birth if you want to. I had 3 of them and did not die. I'm not saying that you should avoid an epidural, but keep an open mind. You might surprise yourself. Everyone's labor course is different. If you come in in active labor you might just roll along and deliver fairly quickly. Inductions tend to lead to epidural because it drags out and no one want to be uncomfortable in the hospital for hours and hours. Try to labor at home as long as possible. Walk, take a shower..the longer you stay out of bed, the better. Others may disagree, but I find that the women that move during labor go faster. As I said, our ultimate goal is always to have a healthy happy mom and baby. How you get there is your personal choice. Good luck and congrats!
  9. littlerayofsunshine

    Cone Health Greensboro

    We are relocating to NC. Does anyone have information about nursing and pay at Cone Health, especially the Women's Hospital? Thanks in advance.
  10. littlerayofsunshine

    Best practice exam for OB RN Cert

    Does anyone have recommendations for a practice test online for OB-RN Certification exam?I have some books, study guides, videos, etc. But I am still nervous about this. I am willing to pay for a quality, realistic, practice exam. Any and all tips for success are welcome! Thanks in advance! LROS
  11. littlerayofsunshine

    St Joseph Hospital Nashua RN salary

    Hi...anyone have information on RN salary at this hospital?
  12. littlerayofsunshine

    LDP RN Warsaw IN

    Hi, We might be moving to Warsaw, IN area...very early stages of a job hunt for my husband. However, I'm looking ahead to a job for me. Have experience in L, D, PP Antepartum (including high-risk pts), as well as Med/Surg. However, I'm really most interested in staying w/OB. Any ideas about where to apply? I'm not sure where we'd live but I'm willing to drive up to 30 mins or so from home. Thx in advance.
  13. littlerayofsunshine

    L&D Nurse

    Hi Thinking of moving to ATL area and wonder which hospitals are best for Ante/L&D/PP RNs. At my hospital we do it all, but am okay w/L&D only. Thanks for your input!
  14. littlerayofsunshine

    LDRP Interview advice please

    Thanks for the advice. I will check out that resource. I got the job! Turns out it's all about fit with the new unit and willingness to learn. I'm super excited and nervous to start learning!
  15. littlerayofsunshine

    LDRP Interview advice please

    I know there are other threads about this topic, but I'd appreciate any fresh advice. I've been on a surg/med unit for 18 months and while I enjoy my job, I have always wanted to work in L&D eventually. Fortunately, I landed an interview and now I'm sort of terrified that I"ll blow it. I want to prepare, but I am not sure where I should focus. I have fair amount of post-surgical experience from my current job, but as far as the rest of it - assessments, labor, newborn assessments, etc., -- I am overwhelmed by the prospect of reviewing all of this stuff. I am looking at review materials online - does anyone have a recommended or favorite book that I should get? The interview is in 10 day. Thanks in advance!

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