SHGR MSN, RN, CNS

nursing education

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All Content by SHGR

  1. SHGR

    Give regular insulin 30 units every am?

    SHGR replied to Blackcat99's topic in Diabetes, Endocrine Nursing

    Critical thinking is looking at the patient over time. Having the doc adjust the dose, the timing. People with Type one are insulin dependent- they will need insulin with a meal even if they are low...
  2. SHGR

    Give regular insulin 30 units every am?

    SHGR replied to Blackcat99's topic in Diabetes, Endocrine Nursing

    Basal insulins can in fact be given any time of day (same time every day of course) and many people on large doses split the dose by 12 hours. HS timing is just based on tradition and timing of NPH...
  3. SHGR

    Lost my benefits

    SHGR replied to dontwakeme's topic in Collective Bargaining, Union

    There are other ways to deal with this, like consolidating units when census gets low. You have valid concerns and could go up the chain of command. Patient safety is not an
  4. SHGR

    Why am i not getting a call back? it is my resume??

    SHGR replied to Nurse J1112's topic in Job Search, Interview, Resume

    I would definitely highlight the fact that you are bilingual somewhere toward the top. Spanish skills are in demand. Do you have any certification or proof of your fluency? Is it spoken/listening...
  5. SHGR

    How serious is it to start my BSN by 2015?

    SHGR replied to Nurse J1112's topic in Diploma, ADN, BSN

    Most RN to BSN programs are online now. You could take just one class at a time if you want. The only thing holding you back is
  6. SHGR

    Cops and Nurses

    SHGR replied to GundeRN's topic in General Nursing

    True story... pulled over for speeding after PM shift... cop noticed that I had my nurse's uniform on. She asked why I was in such a hurry, I said I was just on my way home after a long shift. She...
  7. SHGR

    So, you think you want to be a cm..

    SHGR replied to d'cm's topic in Case Management

    INo, I meant the position that you are being recruited for. It seems like they want the person to have a lot of authority. Is it really a CM position? It almost looks like they want a physician in...
  8. SHGR

    So, you think you want to be a cm..

    SHGR replied to d'cm's topic in Case Management

    Um, wow. I have never seen a job posting that long before. There are expectations in there that I've never seen listed in a CM job posting. "Utilizes advanced conflict resolution skills as...
  9. SHGR

    Patient education

    SHGR replied to Tandoadam's topic in Diabetes, Endocrine Nursing

    The literature definitely shows a positive correlation between diabetes self-management education (DSME from CDE's and RD's) and cost-savings as well as avoidance of complications, hospitalizations,...
  10. SHGR

    Do you ever feel like a social worker?

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

    It's the office of the Inspector General for dept of Health and Human Services. They have actually called me back personally. The fraudulent requests seemed to have died down but now are resurfacing...
  11. SHGR

    Ashamed of Disability

    SHGR replied to BeOne77's topic in Nurse Disabilities

    Hi again, yes I was thinking of a clinic setting. I work in family medicine, also known as family practice. So it's "cradle to grave" care and we do everything from well visits, chronic condition...
  12. SHGR

    What are your plans for celebrating after...

    SHGR replied to Brian's topic in General Students

    When I started grad school my friend gave me a bottle of Ouzo and told me to save it for when I graduate. So, there's that. (December 19th, 2014!
  13. SHGR

    Ashamed of Disability

    SHGR replied to BeOne77's topic in Nurse Disabilities

    Have you considered looking for work in a primary care setting? The pay is lower than inpatient settings, but in many ways the work is less stressful, at least in my experience. Our clinic has an...
  14. SHGR

    Do you ever feel like a social worker?

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

    I'm sorry your workplace is like this. You know what though? Those requests for member pumps and back braces are a scam and fraud, it's Medicare fraud for real. I take a Sharpie (I buy my office...
  15. SHGR

    Do you ever feel like a social worker?

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

    Advice? Highlight the patient's strengths. Everyone has at least one strength. Listen to find it. You can't solve every problem, but maybe you can solve one today and if the patient feels that you...
  16. SHGR

    Personal Admissions Statement

    SHGR replied to nikki6866's topic in Student Nurse Practitioner

    Your statement needs to include your passion for serving as an FNP (which yours definitely does)!! Yours has a lot of great things going for it including desire to serve the community in Appalachia....
  17. SHGR

    Which nursing schools are easy to get into?

    SHGR replied to tsullivan807's topic in Pre-Nursing Students

    Schools also consider other factors besides grades such as any work in health care (paid or unpaid)- having experience in the field shows your potential for success in it. Your admission essay and...
  18. SHGR

    PhD Student Seeking Textbook Advice

    SHGR replied to astanton10's topic in Post Graduate Students

    Amazon did buy some of my books back for more than 50% of what I paid. I was very surprised- plus they give you a free shipping label to print. It's a very easy system to
  19. SHGR

    PhD Student Seeking Textbook Advice

    SHGR replied to astanton10's topic in Post Graduate Students

    There are some textbooks that you will pull out and reference over and over again, your patho book for example. We used the Hamric text (Advanced Practice Nursing) in several classes. Evidence Based...
  20. SHGR

    CE for CCM exam

    SHGR posted a topic in Case Management

    I will be applying for the next testing window in April. I'm doing my 30 hours of CE through the CMSA website (the webinars). Is this how most people do it? Or are there other things I should be...
  21. SHGR

    Homeless Patients: Considerations

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

    I have several patients like this. It's sad that this is the reality for many people. We do what we can for them but the need is so
  22. SHGR

    You think the "Nursing Glut" is bad now?

    SHGR replied to Guttercat's topic in General Nursing

    Totally, totally true. Well-put,
  23. SHGR

    nursing isn't for everyone

    SHGR replied to ceccia's topic in General Nursing

    Beautifully written and perfectly put. This should be required reading for people considering nursing as a
  24. SHGR

    Nursing student theft

    SHGR replied to beeker's topic in General Nursing

    So let me get this straight- the school was internally building a case and trying to keep it all under wraps, and then she went and got herself arrested because the hospital people actually knew how...
  25. SHGR

    help!!! insulin sliding scale

    SHGR replied to AdoreMyBeautyy's topic in Nursing Student Assistance

    These are based on how insulin-sensitive the patient is. What CDEwannabe is describing is the way a person with type 1 diabetes would manage on a day to day basis. In the hospital you will see a...