_firefly

_firefly BSN, RN, EMT-B

Informatics / Trauma / Hospice / Immunology

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All Content by _firefly

  1. CA RN License TEMPORARY vs PERMANENT

    I have had renewals stuck in the process before. They are pretty good at communicating about your status if you write them, at least in my experience. If there is any problem you will most likely be...
  2. Just watch season 1, episode 1 of Chicago Med. literally every single medical decision is wrong. I feel we could discuss for days. How do I start a
  3. Schedule II Meds

    If you are not specialized in psych, why are you prescribing psych meds? Especially sched 2? Are you actually a cocaine dealer? Be
  4. Was this a paper or electronic note? Either way, notes should be banned. They just create this kind of confusion. Doctors should stick to orders and putting them in
  5. Gave vancomycin wrong

    Usually when an error like this happens, it is due to multiple mistakes. For example, why was the drip scheduled at the same time as the loading dose? Why wasn’t the vial for the IV bag attached to...
  6. Diluting IV push meds

    In general, I don’t think it is good practice to dilute meds and I’m curious about your reason. Consider that you should be flushing saline before and after the med and that the med will quickly...
  7. I feel very lost

    My two ideas for you: 1) spend some quiet time alone really thinking about where the pressure to keep moving is coming from and what it means. 2) rather than setting only career goals, set...
  8. NICU Nurse Salary Austin and Dallas Texas

    First Austin is 17.4% more expensive than Dallas to live in mainly due to home cost. From Payscale the median to upper 10% for Austin $31.33-$42.08. From job postings in Dallas, $41-$48. Apparently...
  9. I wouldn’t worry about fitting in. Just be helpful, friendly, and open to constructive criticism. You are not expected to be perfect. Remember, you only need about 12 months experience to be get in...
  10. Help me decide on which offer to take!! Please!!

    I think you are looking for both the most varied experiences and the most support so I would go with med/surg ICU. Less Covid patients is an added
  11. How to establish a rhythm during med pass...

    I don’t understand why your experience would vary within the same facility. The MAR should be the same and should list times, doses, etc wherever you are. Do you keep notes on times meds will be...
  12. Fiancé considering starting all over to become Pharmacist

    I should add, nursing or health system informatics. You may, as a pharmacist, end up there
  13. Fiancé considering starting all over to become Pharmacist

    There are plenty of outs without spending 6 or so years and 6 or so figures. Here’s a few: medical device teaching, clinical research (small amount of school), medical device or pharma sales, work...
  14. Anxious, depressed, and might need to go to HR.

    I hate that so much of nursing and even nursing school operates on threats and intimidation. Corporate jobs do not. You can be out of there on a travel nurse contract in a matter of weeks. You are...
  15. 12 hr night nurses-how many recovery days?

    Many night nurses would never consider days with the extra drama of families, doctors, leadership rounds, joint commission, more awake patients, discharges, admissions, less money, coordinating with...
  16. Mandatory Vaccination

    If you are seriously asking, check PubMed or Google Scholar for statistical evidence and studies. Deadly infections follow the same pattern as wildfires. Just because your neighborhood hasn't been...
  17. Bridging program requirements?

    This is situational depending on the policies of the institution you are applying to. You should contact them directly before
  18. Is Giving 2 Weeks Notice Ancient Practice?

    Two things happen when you leave: a need exists to fill your responsibilities and a record is updated at the business. Notice is a courtesy first to your customers/patients and secondly to your...
  19. Difficulty Level: ABSN vs NP school

    You should have access to Alumni of the program you applied to. Use them. They are your best resource on pitfalls and risks. I have a feeling you'll have some long days and sacrifices, but you will...
  20. I think it really depends what you do and where you work. Some areas have very little turn over. On the other hand, if you work in med-surg and tell me you love it, I'll call you a
  21. What can I do with my nursing degree?

    I'm torn between Biscuit Maker and Blacksmith. I love biscuits, metal, and fire. Maybe I can do both? Or just make metal biscuits. Is there a market for that? There are many medical device consulting...
  22. Baby nurse doo doo doo doo....

    The patient was in enough distress that it required multiple rapid interventions from respiratory, cardio, hospitalists, ekg person, echo tech, nursing, etc... not to mention communication with...
  23. Accused of not giving dilaudid

    Patients can and will find or create things to complain about / report you for, but most won't. Some try to manipulate you. Set clear boundaries. It is actually not your job to make them happy or...
  24. Offer Dilemma

    No question,you have to pay your dues in rehab or med-surge/tele if don't start in ed or icu, etc. For your goals, dialysis is a bad call if you can avoid it. Stay