SHGR MSN, RN, CNS

nursing education

Member

All Content by SHGR

  1. SHGR

    Why can't I do everything a RN does as a LPN? We should be equal.

    SHGR replied to SweetPoo's topic in Diploma, ADN, BSN

    I think you read only the first half of that
  2. SHGR

    Informatics for the physician office?

    SHGR replied to trein's topic in Nursing Informatics

    It would probably actually be better for you to find out how your practice is using the EMR (some of the behind-the-scenes things). Do you use registries? Do you have a superuser or is there a need...
  3. SHGR

    Why can't I do everything a RN does as a LPN? We should be equal.

    SHGR replied to SweetPoo's topic in Diploma, ADN, BSN

    No, the poster did mean to say hypokalemia. Insulin drives K+ into cells (out of the bloodstream...we measure it from the blood, not from the cell). Insulin can make a normokalemic pt hypokalemic,...
  4. SHGR

    How many attempts

    SHGR replied to BlueLightRN's topic in Case Management

    BlueLightRN, I am in the same boat as you. Document, document, document. I don't send certified letters but I use other methods, find hidden old phone numbers, keep every contact from an insurance...
  5. SHGR

    How do you approach parents who refuse pediatric vaccines?

    SHGR replied to Pachinko's topic in Nurse Practitioners, NP

    I am wary when someone blanket refuses all vaccines. There has been a level of safety in the US for so long where we didn't see the ravages of polio (and there are still many polio survivors in my...
  6. SHGR

    The job market is tough... "How tough is it?"

    SHGR replied to Guttercat's topic in Job Search, Interview, Resume

    The automated rejection is just demeaning. I applied for an internal transfer for which I more than met the qualifications listed. Weeks later I got an automated "do not reply...you do not meet our...
  7. SHGR

    Train wrecks!

    SHGR posted a topic in Patient, Colleague Relations

    I cringe every time I hear this phrase, "train wreck." It's so dehumanizing. I heard a fellow nurse say it today. I said, "do you mean a patient with multiple comorbidities?" OK, so that went over...
  8. SHGR

    Train wrecks!

    SHGR replied to SHGR's topic in Patient, Colleague Relations

    Thanks, everyone. I appreciate the insight and
  9. SHGR

    Nursing and waitressing/food service industry

    SHGR replied to nursefrances's topic in General Nursing

    The best part is that simultaneously there is a thread wherein the staff nurses had to bake cookies for their patients. In an easy-bake
  10. SHGR

    Informatics for the physician office?

    SHGR replied to trein's topic in Nursing Informatics

    Informatics are being used more and more in the outpatient setting but I think it's more that it is a part of a lot of different people's standard work now- not one specific person. IT builds the...
  11. SHGR

    Pre-Nurse interested in MSN

    SHGR replied to nursepve21's topic in Pre-Nursing Students

    There are also non-medical routes to counseling such as via social work (licensed professional counselor, MSW). They cannot prescribe, which you mention wanting to do, but they diagnose and would...
  12. SHGR

    PF - Danskos or Naot?

    SHGR replied to CarolineGarcia's topic in Scrubs, Uniforms, Gear

    I vote for Naot hands down. The different lines have different fit. Once you find a line that fits you pretty well know that all the shoes in that line will fit you well, for instance the Shell line...
  13. SHGR

    New Nurse to Family Practice Needs Advice!

    SHGR replied to HelloNurseLisa's topic in Telephone Triage

    It is helpful to have protocols. We use the Briggs telephone triage book. It is a wonderful resource, and per policy, the reference used by all nurses in our office. When something does not fit the...
  14. SHGR

    Urinary cath rant!

    SHGR replied to DedHedRN's topic in General Nursing

    Picture all of us standing behind you backing you
  15. SHGR

    Can anyone offer insight to a distressed RN?

    SHGR replied to MrJrod's topic in Student Nurse Practitioner

    I don't understand why these threads always turn into arguments. OP comes looking for advice/help; other people turn it all about themselves. It's just kind of
  16. SHGR

    Neutropenic Patient Concept Map

    SHGR replied to KarlaNolan's topic in Nursing Student Assistance

    I think you have a great start. The risk for loneliness/isolation would be a great place to start for communication. Is he going to be getting Neupogen? Other dx's you might want to consider:...
  17. SHGR

    Can anyone offer insight to a distressed RN?

    SHGR replied to MrJrod's topic in Student Nurse Practitioner

    Right, there are tons of threads here for that. I (most of the way through an APRN program) found that the "fluff" actually is helping me be more insightful about healthcare, our profession, and...
  18. SHGR

    Nursing and waitressing/food service industry

    SHGR replied to nursefrances's topic in General Nursing

    I second waitressing as a great choice to put yourself through school, learn to multitask, and serve people. In many ways it is very similar to being a nurse, and you also make tips, sort of like...
  19. SHGR

    Tattoos

    SHGR replied to niico's topic in Canada

    That sounds like a good solution. I am not a fan of wrist area tattoos for health care workers because covering them impedes good handwashing, but what you have decided on would be easy to cover when...
  20. SHGR

    A paper

    SHGR replied to nina44's topic in Nursing Student Assistance

    Yes, definitely the school librarian, then the writing center if your school has one. For a topic like "the flu" you could start with either the CDC (general info and stats on the illness and the...
  21. SHGR

    Urinary cath rant!

    SHGR replied to DedHedRN's topic in General Nursing

    Same here. You might even need a policy of two nurses to do a foley for a while. Patients have not had serious injuries with this going on? No one had bladder distention that then required going...
  22. SHGR

    CNS vs NP vs CWOCN-AP

    SHGR replied to mrosette's topic in Wound, Ostomy, Continence

    If you get an MSN with education focus (which you could do online), you could then obtain a post-MSN certificate as a CNS or NP. This might be a less expensive route. CNS, like NP, are APRNs....
  23. SHGR

    Is managed Medicaid the worst of CM?

    SHGR replied to Joe NightingMale's topic in Case Management

    I just wanted to say I love you guys. I work in a clinic that takes mostly Medicaid and it is such a treat to have a patients that have Medicaid HMO's vs Straight T19 because there actually are...
  24. SHGR

    It's hard losing classmates...

    SHGR replied to SopranoKris's topic in General Students

    I totally believe this and am trying to turn a version of this philosophy into my capstone project. Skills can be taught. Attitude- many believe it
  25. SHGR

    Charting Disruptive Patient Behaviors: Are You Objective?

    SHGR replied to SHGR's topic in Ambulatory Care, Clinic

    This sounds like my worst nightmare. I always try to chart as if I would have to defend it five years from