SHGR MSN, RN, CNS

nursing education

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All Content by SHGR

  1. If you are on Medscape, try this article- I just did a quick Medscape search for "blood glucose testing inpatient" Medscape: Medscape Access "A new clinical practice guideline (CPG) from the Endocrine...
  2. Not true at all. While different people may respond a bit differently to different brands or types of insulin, generally speaking, a unit is a unit (assuming we are talking about U-100 insulin). The...
  3. SHGR

    Taking the CDE

    For me, the hardest content areas were the program planning and the more Type 1 related questions like insulin pumps and correction doses. (YMMV). It's all multiple choice and a lot of the...
  4. SHGR

    Tired of hearing about the kids.

    Sharpiemom, I just laughed so hard!! Good thing I wasn't drinking coffee. Brilliant and hilarious...and I may have to steal your
  5. SHGR

    Taking the CDE

    CONGRATULATIONS!!!
  6. Good for you- I think some people that never would otherwise get care, get it in jail. I hope you are able to make a positive impact on the inmates' future health. I got some good resources from...
  7. SHGR

    Taking the CDE

    Just saw this now- did you take it yet? If so how did it go?
  8. One unit of U-100 insulin (the vast majority of insulin) is 1/100 of an mL. One unit of U-500 insulin is 1/500 of an mL, which is much more concentrated and rarely used. There are a few other...
  9. I ran into this today. http://www.effectivehealthcare.ahrq.gov/ehc/products/18/124/Insulin_Clinician5.pdf It's short with some good takeaways. There is a diagram on page two that might help you...
  10. SHGR

    Co-worker dynamics

    ignore, ignore, walk away, and don't let her control you. She doesn't sound mean-spirited or like a bad person- just someone whose immaturity needs some limits set and a good role model for...
  11. Hey there- Having worked extensively in both areas, I would highly recommend working in a primary care clinic to get your nursing experience in, rather than as a floor nurse or a med-surg nurse. (ER...
  12. SHGR

    Medical Charting in Family Practice.

    yes, we are supposed to chart "triaged per telephone triage for nurses, briggs abdominal pain (adults) protocol, pp
  13. SHGR

    should i pursue a career in nursing?

    ...the program is too full...i wasn't entirely sure about nursing. well now its december and i'm still really interested in nursing... i was actually taking inorganic chemistry this semester and i...
  14. SHGR

    Medical Charting in Family Practice.

    In other circumstances (RN working as LPN for LPN pay, APRN working as RN, that kind of thing) the person is held to the standards of their licensure, not the position they are working as. (really...
  15. I think it's great that you are interested in this. Feet and wounds are some of the most disrespected things in health care! Also, Saudi's have really high rates of T2DM so this is something very...
  16. You're kidding, right? Why would a nurse unless she anticipated an order or a change in therapy? Why would she be checking a psych patient's temp at 3am, for that matter? Wow. That's a disgrace to...
  17. SHGR

    Medical Charting in Family Practice.

    grntea, i agreed with everything you said until the above part, for real. i just have to say, protocol, protocol, protocol...know yours and use them religiously. at our office, we use perry and...
  18. SHGR

    Personal advice needed!

    Totally agree with all of the above support and advice. I always tell myself that God lets bad stuff happen to me because it makes me a better nurse. I've had a lot of health setbacks, and it...
  19. SHGR

    What are the chances of me being fired?

    Was he also wearing a waist or vest restraint though? We never used wrist restraints without restraining the torso also, for
  20. SHGR

    CNA "not a good fit"

    That's a good point too- but to me, "mediocrity" is an attitude, and not a skill set per
  21. SHGR

    CNA "not a good fit"

    This is exactly how I love to work with patients. Like if they are missing or forgetting their meds, or having a hard time with following diet instructions- or whatever- ...help them figure out what...
  22. SHGR

    CNA "not a good fit"

    CNA is hard work, and it's not for everybody. I did it for a couple years in nursing school and then worked on a unit that had no aides for night shift- so RNs were the CNAs too! It's physically...
  23. A job - any job- that you don't like is depressing. Helping people and having job satisfaction are like the opposite of depressing. Any patient or client you come into contact with in health care...
  24. Since the online postings show what time they were posted, you basically have proof. We had to sign something saying that plagiarism is not tolerated. So, you reported her, you did your part. I...
  25. SHGR

    Have CNAs bullied nurses (RNs/LPNs)?

    At the LTC facility where I worked, RN's got bullied by CNA's and LPN's. It was not a nice place to work. The CNA's bullied each other,