MedSurgeMess

MedSurgeMess

Med/Surg, ICU, educator

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All Content by MedSurgeMess

  1. Thinking about becoming an RN

    keep in mind, you may have to work nights for a while starting out, depending on where you end up working, as many times the day shifters have seniority. Also, as previously mentioned, you will have...
  2. Sending a patient home w/o a physician's d/c order

    Regardless of the unit, I've never heard of d/c'ing a patient without an order. I mean, you really would have to look at d/c orders to be able to do the patient d/c teaching, and follow-up info, in...
  3. Need Advice on Relocating

    My sister lives right across the border in Mississippi, low cost of living/real estate area, and low crime rate in Olive Branch. 15 minutes to cross the border and be at the hospitals there. You...
  4. Did you get a master's degree?

    no, you need an MSN to become an APN, like a CNS or NP in many specialties, or even to become a nurse anesthetist. Also, concentration is offered in management. They all definitely open doors along...
  5. Any Tips for New Grads Seeking Employment ?

    Right now it's really hard, this economy. I know that there's not any advice that's really helpful. Just be persistent, and you'll find something. Also, at the facility where I work, we get resumes...
  6. Most programs that I know of require chemistry for the BSN. Some states even require it for the ADN. Chemistry isn't such a big bad monster. Like lisamc1, not my interest, but still got an
  7. What 's your thoughts

    Maybe she had worked there as a student? Maybe related to someone (I hate to even say this, but we all know it happens). I'd ask, but not confront. If you want days, see if there is an opening in an...
  8. IM injection alternating site

    This is the case where I teach as well, and we follow the same practice where I work. Dorsogluteal site has been removed from the usable sites d/t the risk of hitting the sciatic nerve and doing...
  9. Nursing is not what I thought...hate my job...need ur opinion

    There are soooo many different areas in nursing, don't let the tele experience ruin you. See how soon you can transfer to a different area. Shadow in other areas to see if you like the experience....
  10. What is your biggest nursing pet peeve?

    I hate people who call me at home, knowing that I'm a nurse, asking to write me a Drs note because they missed x days of work. Sorry, guys, but I ain't allowed to do
  11. Education vs Experience

    Most HR people will take experience over education, because you can always send someone to school, but experience is a qualification that no school can teach. Some MSN programs insist on x amount of...
  12. just starting

    You will need to contact the state board of nursing to answer questions about nursing
  13. Medical diagnosis is based on the physiologic or medical condition. Nursing diagnosis on the other hand is based upon the response to the alteration in health (medical condition). I hope this helps,...
  14. The Josie King story

    Everyone who is involved in direct patient care at the hospital where I work had to watch this. It was mandatory for all, so that anyone in our facility can help family initiate for a critical...
  15. Notes to Physicians

    We have a communication log that is kept to the front of Dr order section. When the note is written, there is a section for date, time, who writing, who being written to, and the comment. The page...
  16. ACLS question

    Like FlyingScot said, I'd make sure your dept director knows about this just in the case of an adverse event. It sounds way to fishy to me too. Someone else jumping in on my patient and pushing any...
  17. Thorazine

    My hospital doesn't even stock it
  18. ACLS question

    not that I'm aware of. I asked our ICU director as well, she says she doesn't think
  19. ICU Training

    I don't wanna sound mean, but if you want the "drama tv stuff" then keep on watching tv. The real stuff is better, but is nothing like what you see on ER or House--nothing ends up the way it does on...
  20. If pay was not an issue, would you still be a nurse?

    yes. As crazy as it makes me some days, I love
  21. Juggling multiple patients

    prioritize. Also, "bundle" your care--gather all of your supplies needed, have all assessment tools together, and any other anticipated gear. Everyone does things different, depending on what works...
  22. Nursing students

    I like having students. They give me the opportunity to teach them, and make me keep current on skills and
  23. If they can ask for it..they aren't too sedated...

    Like prior poster stated, I hope you documented your findings, CYA! When things like this happen to me, I always document respirations, neuros, and just general alertness. When I determine that it...
  24. Should I Continue Fighting For What I Want?

    You can always try, but many times it still just boils down to if there is a seat available--you say that there are still seats available, but possibly not everyone has signed up yet--and what the...
  25. New grads how did you land a job?

    I think there are areas where there is more need than others. Some geographic areas, on the other hand, are having an overflow of new grads. The economy hasn't helped in these areas, as the cost of...