_firefly BSN, RN, EMT-B

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 able to fix it (a fee, missing paperwork, a specifi...

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 thread?

If you are not specialized in psych, why are you prescribing psych meds? Especially sched 2? Are you actually a cocaine dealer? Be honest!

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 themselves.

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 the bag? Was there bedside scanning to check the bar...

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 reach the heart and be heavily diluted in blood, any ad...

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 personal development goals (making or building rela...

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 Houston pays the best and then Dallas. People like A...

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 as a non new grad elsewhere (probably less). I know ...

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 perk.

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 due for patients? A large number of nurses don’t compl...

I should add, nursing or health system informatics. You may, as a pharmacist, end up there anyway.

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 on an msn while working as a nursing teacher, school ...

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 ICU, the top dog. You can go anywhere, anytime. If yo...

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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 many more groups (pt, ot, radiology, surgery, socia...

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 threatened doesn't mean it won't be ashes this year. ...

This is situational depending on the policies of the institution you are applying to. You should contact them directly before applying.

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 employer. It is not merely a custom of old times, but a ...

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 crush it.

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 liar.

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 jobs. Look there too.

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 family. Why run around like a crazy person when you can ...

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 cater to them like it is a hotel. It is your job to st...

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 focused.