_firefly

_firefly BSN, RN, EMT-B

Informatics / Trauma / Hospice / Immunology

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All Content by _firefly

  1. Newbie RN, ? about Lopez valve

    _firefly replied to gospa's topic in General Nursing

    In my somewhat brief experience, if a pt is on suction via ng tube, they are also npo including oral meds. But lets say it is a kangaroo pump. Then, pause the pump, flush, tutn the valve a quarter...

  2. Accelerated Nursing Program

    _firefly replied to gonz.jpg's topic in Pre-Nursing Students

    Slow down. Nursing school is competitive also and very expensive at a University. Do you think a PA program is going to look positively upon someone that just committed to another program is now...

  3. What is considered an acceptable length of new grad residency or orientation?

    _firefly replied to CEMMDRN's topic in General Nursing

    Acceptable? Zero. No special training aside from shadowing a nurse for a bit is the historical standard and still was is common many places. What you can hope for is 10+

  4. The life or death squatty potty

    _firefly replied to remotefuse's topic in General Nursing

    No. Why would you lie to enable the patient's delusions which are detrimental to your coworkers and other patients? I just explain the purpose of the stool and how critical it is to others. Then take...

  5. As a RN, which would you choose?

    _firefly replied to GenieToBe's topic in General Nursing

    If there is a question about the legitimacy of the documents, cpr begins. If the staff is confused on the issue or something doesn't add up, cpr begins. Then again, documentation can be fine tuned as...

  6. As a RN, which would you choose?

    _firefly replied to GenieToBe's topic in General Nursing

    Yes. I think EMTs would defer to medical authority (MICU or MD) to call this. I was taught back in the day to find the supporting document if possible. On a real level, if that patient is a total...

  7. Paramedic to RN bridge program.

    _firefly replied to NYCNative21's topic in Pre-Nursing Students

    Also you will need to get admitted to a new grad program and spend a year somewhere under supervision and possibly in a few classes. So 31 when you are a free agent and just starting to pay off the...

  8. Paramedic to RN bridge program.

    _firefly replied to NYCNative21's topic in Pre-Nursing Students

    My advice, slow down. I graduated nursing school at 39 - my third degree and career. If it's what you want it's not going anywhere, you'll get it. You actually have great grades. ADN programs are an...

  9. Starting over

    _firefly replied to Ad515's topic in Nursing Career

    Like any job, you will see that your med surg job is very redundant with only so many things to learn. At first it is all new but shortly it becomes almost automatic. For meds, you will see the same...

  10. Help!! New nurse that hates Med/Surg!

    _firefly replied to M0nk3y007's topic in Nursing Career

    First, I truly believe no nurse likes Med Surg nursing. You spend 10-15% of your day documenting, maybe another 30% ordering, hunting for, and giving meds, 10% coordinating care, and the rest is...

  11. any good rn to bsn programs with national AND regional accredidation??

    _firefly replied to DILLON RN's topic in Student Registered Nurse Anesthetist

    Duke University, as an example, requires NLNAC or CCNE accreditation whereas USC just states accredited Bachelors and it doesn't even have to be a BSN. I would focus on the requirements of the top...

  12. Writing order and having Dr sign later..your thoughts?

    _firefly replied to mzsuccess's topic in General Nursing

    From my own experience I have called every time. If it can wait for either the next batched call or more reasonable hours, etc then I make a note and wait. I know some nurses have that pre-established...

  13. Should I feel bad for not picking up shifts?

    _firefly replied to cheesypuff's topic in General Nursing

    Why do so many hospitals use threats and guilt trips to try and control staff. Restaurants seem to behave the same. Recognize it is a partnership based on what you agreed to when you accepted the job....

  14. Jobs in a hospital setting without a degree

    _firefly replied to helloego's topic in General Nursing

    Transporter is a really good one. Ideally at a hospital that hires new grads. Then you have a foot in the door and can check out what units you like / don't like. Many students work as CNAs as it is...

  15. Moving out, per diem status, and nursing school

    _firefly replied to kikid's topic in General Nursing

    Consider enlisting in the Navy or Air Force for Nursing. That would solve all your problems. Otherwise, Federal loans are offered to every student and will cover most or all of your tuition. Find a...

  16. Pyxis report question...being falsely accused!

    _firefly replied to Jasper676's topic in Patient Medications

    I know this is an old question. Here's the answer anyway. On the Pyxis server there are settings for each medication indicating if it should be on blind count (ask the nurse to count first) and...

  17. Best online place to get CEU?

    _firefly replied to sparrowRN's topic in General Nursing

    My time has finally come to do my first RN renewal. I do actively work as an RN so I cannot use a hospital's LMS system to get good, free classes which would of been my first choice. So I am...

  18. What is the Registered Nurse Patient Ratio at your hospital?

    _firefly replied to LinenP's topic in General Nursing

    I'm in California. The rule is you can have 5 patients on med-surge as long as none are tele. If one or more are tele, 4 is the max. ICU is 2

  19. CHPN Certification

    _firefly replied to DisneyNurseGal's topic in Hospice, Palliative

    I passed using the core manual and the Mometrix chpn practice questions book which has decent rationales. The test is right out of the core book but there is a lot of material there. Also most...

  20. BRN Survey Response (New grads unhirable)

    _firefly replied to Stale Grad's topic in First Year After Licensure

    I was a new grad a year ago. My entire class found jobs within about 10 months. So it is still possible. I suppose you could get in as a case manager per diem maybe at a place that hires new grads and...

  21. One Healthcare Risk Manager's View Of Individual Nursing Malpractice Insurance

    _firefly replied to RiskManager's topic in General Nursing

    When I looked into it at NSO, there were no options on the nature of policy you purchase. There were merely standard packages based on your job type. I guess you could attempt to understand all the...

  22. Med school vs NP? Your plans and opinions?

    _firefly replied to StayOrthostatic's topic in General Students

    As a nurse, the transition to NP is definitely easier in that you don't have to take organic chem, physics, additional biology and chemistry classes, nor take the mcat. The time in school and debt...

  23. CHPN certification

    _firefly replied to Elle23's topic in Hospice, Palliative

    I retested finally and passed. Experience definitely makes it easier to associate all of the symptoms they give with the proper management, though with work these can also be learned through reading...

  24. CHPPN/CHPN exam-HELP!

    _firefly replied to elb3006's topic in Hospice, Palliative

    There are a lot of 'what should you do first' for this patient questions. There are only a small number of equianalgesic questions, and almost no pediatric questions. The complexity of this test for...

  25. CSU San Marcos ABSN - Fall 2015

    _firefly replied to hangonavocado's topic in California Nursing

    Unless things have changed, it is a rolling acceptance process. This means the school ranks all current applicants and selects a few at regular intervals, perhaps monthly. If you are a strong...