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j-low ASN, BSN, EMT-B

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j-low's Latest Activity

  1. I had an interview recently with an independent vascular access company. I assume this would make me an independent contractor, as taxes are not taken out of monthly pay and a 1099 is issued. Does anyone have any experience in this area? I have not been able to find any recent threads on the topic. What were your taxes/ record keeping/business expenses like? When you factor in wear and tear, insurance, car payments, and gas, was the pay worth it? Do you carry malpractice insurance? Is there supplemental reading/training material you would recommend? Would you recommend it as a career? This is completely different than anything I have ever done, as I have always had employer offered benefits. Any input is appreciated!
  2. j-low

    Bad day in clinicals...

    Relax. And breathe. I assure you that nothing about your post screamed at me "She's going to make a terrible nurse!" What you sound like is what we all did in nursing school-tired, nervous, stressed, and frazzled. It's ok. You've gotten very good advice-take more than what you'll need, slow down and talk yourself through it, and load up those pockets! You're going to continue to have bad days. The next is always better. You're being watched and graded by someone who is watching your every move. That's enough to make anyone nervous! Some days I wish I still had someone to say "Wait before you do that, what are you forgetting?" Make your mistakes. You won't ever make them again. I was always a nervous wreck at clinicals. One time while giving meds I was so frazzled I couldn't even think of what kind of medicine cortisone is! My instructor looked at me like I had two heads. You're going to be fine. You're mindful of your strengths and weaknesses. That's a very good thing. Hang in there. It's just one day.
  3. j-low

    I feel like I'm sinking!

    I used All Nurses throughout nursing school. Since I have become a nurse, my visits have not been as frequent. I read a recent thread and the many supportive responses to it and realized that what I'm feeling would be best received by all of you, so I decided to write this. I began working at a level 1 trauma center in the ER as a new grad RN last October. I had worked (and still do) EMS 12 years prior so I felt that the ER would be my home. Now....now I'm not so sure how I'm feeling. I feel that this learning experience could not be topped by another facility. The vast amounts of things that I am exposed to will make me a better nurse one day. My biggest problem that I had when I started, and that I am still having, is prioritization. So my question to you all is this-how do YOU prioritize? Some things fall out of the Maslows Heirarchy of Needs and ABC's categories. It is currently trauma season, and discharge is a priority at our facility. We often hold patients for long periods down in the ED. There are times that patients are down-graded and discharged after being admitted and they are still waiting in the ED because there was not a bed upstairs. The minute your patient is up for discharge, your room is automatically double-booked. So now you have one to discharge and to prepare for a new one. The new ones sit in the hallway until the room is clean. But I can't just NOT see my new patient just because the room isn't clean yet! My discharges are rushed, if it gets too involved I find myself panicking because I'm not getting rid of my patient fast enough and I already have new orders put in on the new one. We are so short that we often have 5 and 6 patient teams (common, I know). But I don't feel like I can practice safely. I cannot give adequate attention to that many people at one time. And if someone asks for a blanket, water, or a bedpan, my thought had become "this is going to take up so much time, I have so much to do". There was a shift I had two vent patients and an additional 3 patients. Both vent patient's BP's crumped and I was running around trying to titrate drips that I was clueless on how to titrate properly. Last Sunday I had three patients get clean rooms at one time. We have 20 minutes to call report and take them upstairs. I was immediately double booked and hadn't even called report yet, let alone taken them upstairs. I then had three new patients waiting in the hall looking at me wondering why I hadn't spoken to them yet, and three to take up. And of course, a nurse must travel with anyone who has telemetry ordered. In my rush, I saw an order on my screen and all I saw was "K". I hung a run of KCl. While on the phone with the receiving RN, I realized that the order was for KPhos, not KCL. I immediately stopped it and notified the admitting MD. I know no harm was done, but I also didn't benefit my patient. So, I ask you, when things get crazy, how do you do it? I'm just feeling very dejected and like I'm sinking. My co-workers are helpful. When they have time. But to be realistic, there are times it gets so busy that it's very nurse for herself (or himself). I do feel like I improve every time I go back, but it's the getting back part that's hard. I know that I have made huge improvements from my first day on the floor. It's just that some days I'm not so certain that patients are actually benefited because I was their assigned nurse.
  4. j-low

    Adrenergics and Cholinergics

    Esme....thank you. I had gone back in the forum, apparently just not back far enough. Thank you for your help. These are great!
  5. j-low

    Adrenergics and Cholinergics

    Thank you both! You're right, of course, about learning the mechanisms. I have difficulty learning the drugs bc by the time I focus on that, I've forgotten what the beta blocker actually does! I'm sorry, I should be asking specific questions. It's just one of those nights (you know, THOSE nights) where you're completely doubting your decision and yourself and a nervous breakdown ensues. Surely I'm not the only one. My brain is swimming. And to think I was more worried about MedSurg than Pharm before the semester started! Thank you for taking time to help me.
  6. Hello everyone! I am a second semester nursing student taking an 8 week advanced pharmacology course. While I may be completely overwhelmed a little by all of it, I seem to be stuck on one subject in particular-adrenergic and cholinergic agonists and antagonists, beta blockers, alpha blockers, etc. I feel like if I could break it down simply, I may be able to build knowledge from that. I keep reading and reading, but am having difficulty thinking critically about it and applying it. My question is, when you were in nursing school or if you are taking or have taken this course, did you find any helpful supplemental material, videos, mnemonics, or anything that helped you remember and understand the material?