awheat

awheat

Med-Surg

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All Content by awheat

  1. Abdominal Binder or Back Brace?

    Which is more appropriate for at home post-surgical recovery from an L-5 S-1 Laminectomy: an abdominal binder or a back brace? I am supposed to do no "bending, twisting, or lifting" for 2 weeks post...
  2. Abdominal Binder or Back Brace?

    I go on Monday, the 6th, for a 0730 surgery. They said I would be going home Tuesday afternoon. No one said anything about a brace or measured me yet, it is all happening so fast. From my time working...
  3. how to locate reputable agencies as a new LPN?

    I was told by a nursing instructor in school that "No reputable Home Health Agency would hire a nurse who did not have at least one year's nursing experience". The reason is, you do not know what...
  4. I have a question for you experienced HD nurses. I have been working in an HD clinic for 3 months (newbie!) and need some advice. Here Goes: New HD patient, did not know he was ESRD until visit to...
  5. Am I crazy?

    An adult can put off immediate gratification. If you can buckle down for a couple of years and instead of "doing other things" get a great education that will allow you to be a role model for your...
  6. Job hopper? advice?

    Start looking for something else & keep your job until you find something else. People in the industry know why nurses are leaving the Med-surg environment in droves, you just need to say, if...
  7. physical demands?

    Keep in mind the chairs are positioned for patient safety, so any sticking/adjustment/hands on the access is done by YOU bending over - my back is killing me today due to 3 catheter patients all...
  8. going rate of pay for dialysis nurses

    How is this: RN, no HD experience, chronic clinic setting, rural TX
  9. Landed My Dream Job "SICU"

    Oh man, you are living my dream! Best of luck in SICU - people (especially family) always remeber how they/loved ones were treated while in ICU - keep up the great tradition of excellent
  10. Developing Steady Hands

    I am entering my 3rd month at an outpatient clinic. I still tense up at the thought of the stick, but now when I get it, I think "yep, got it!" instead of "oh, thank goodness I got it". This is not...
  11. New Grad, New Job, New Role - Advice?

    An issue I found with change from PCA-to-RN status is that the nurse is too hard on herself. You say "so I have hospital experience", and you do, and it is valuable. But, it is completely different...
  12. Drawing up meds

    If I did not draw it up, I do not give it. If the client wants it drawn up for the next day, and is going to self-administer, then I will draw it up, and label it, then chart exactly what was
  13. Call the hospital or not? Patient came in with a subclavian catheter to use while a new graft was healing in her arm. On the end of the 2 ports were claves, not caps. I used to work at the hospital...
  14. can anyone explain how this works?

    Legitimate staffing agencies get their money from the employer side, not the applicant. They get paid by finding a good fit, not by looking in the first place. Find somewhere else. Good
  15. Should I even pursue the bachelors degree now?

    I planned on going for my BSN right away, but the lights of the big hospital caught my attention. After working for 2 years I have NO desire to go back to school and I am a great student who loves...
  16. Chemical safety should be addressed in the MSDS for each chemical - proper handling and PPE is not just for show, it is there to protect you (and baby!). I would talk to the Doctor if you are worried...
  17. New Nurse, when to send a patient out.

    Acute renal failure? Do you treat that at your facility? You did right! Trust your
  18. How did you start in Dialysis?

    dialysis here is a specialty. new hires get 2 months in-depth training (log a lot of hours in classroom with theoretical training and specific detailed information and almost 3x as many hours in...
  19. After graduating and working at my first nursing job I came to the realization after 5 months on a M/S floor that "time management" and "prioritization" is nothing more than choosing what to neglect...
  20. I just suck at sticking people.

    Learned this in phlebotomy class - feel for the vein with index finger of non-dominant hand - the dominant is not as sensitive to
  21. Blood and Dialysis

    I am new to dialysis nursing and still in training - they told us that we really try to stay away from transfusions and work with epo and diligent anemia management as each transfusion increases the...
  22. How long did you stay at your 1st job?

    Two years, honoring the contract I agreed to (to the
  23. HELP! New Grad> Two offers on the table: ER & ICU

    These are two totally different mindsets and patient care issues...ER seems to be about the skill and the procedure - the pt is either "treated and streeted" or sent to the floors/ICU. In the ICU you...
  24. Phone Interviews!

    Get up and get ready/dressed just like you would for an in-person interview. This will help put you in the right frame of mind. Also, smile - people really can hear it in your voice. Good
  25. Try this one" "If I flunk out of Nursing School I always have Med-School to fall back on".