foggnm

foggnm

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All Content by foggnm

  1. I didn't read through your whole post, but if you're discontent with your preceptor, ask for a different one. You are right that orientation in ICUs and ERs is generally not pleasant or enjoyable, but...
  2. Should Obama care be repealed?

    While I always thought it would be nice to have a gov't system like Canada or England, my experience in working in 2 different government funded healthcare agencies has made me suspicious of the...
  3. Where are all the "older" nurses?

    I started my RN career at 34, but even then knew that hospital nursing was not what I'd want to be doing when I was 50. Sure plenty of people do it, but they usually have back problems and other...
  4. Orthopedic salary for new grad FNP

    Go to indeed.com and type in nurse practitioner and your locality. It will give you the average salary. Or type in ortho NP and don't put a locality and it will give you some national figures. I...
  5. Acetaminophen use, liver damage, and ICU

    Most places I've worked used 33. However, that research is now being acknowledged and protocols are changing and ICU attendings are on board with the new research showing that such extensive cooling...
  6. There is a huge demand for mid-level psych providers. You could probably get your school paid for if you go in to that specialty. If you goal is to be a provider, I'd say get nursing experience in...
  7. Asking is probably a good idea. I usually even ask people "is it ok if I press on your belly?" As nurses we listen to heart sounds way too much. Unless you're working in a cardiac ICU or trauma, heart...
  8. Take a pay cut to go to office

    This is my take as someone who did 7 years in the hospital.....You'll always get better pay in hospital jobs with call/overtime/irregular hours. If you can do without the extra $20K or whatever per...
  9. I need help supervising!

    Learn how to engage in honest, direct communications and be fair in any discipline you have to hand out. Learn your facility's policies and current priorities. Lead by example. Don't play favorites....
  10. I would consider getting a certified educator certificate in the area of health that you're interested. Like a Certified Diabetic
  11. ADN or RN

    I think you're asking ADN vs BSN. If you're getting your ADN from an affordable community college then it is a great way to do it. Then you can get a job where they pay for you to do your RN to BSN....
  12. Hourly charting

    "No change from initial assessment" or "No change
  13. Middle School Clinic

    How big of a middle school is it? That's a lot. If you're seeing a lot of the same kids every day then you can cut down on their visits by speaking with their parents ("Suzy has been in the nurses...
  14. How to Leave My New Job for Another

    The letter is very nice and professional of you. But I would just go to your supervisor and give your 2 week notice and present the letter at that time (as they sometimes need it in writing). Don't...
  15. Favorite RN Position

    I also like that my current job (in the school) involves no adrenaline. The running to the next crisis and getting your heart rate up and coming off that adrenaline high gets old really
  16. Injecting into a cannula; does syringe size matter?

    Next time ask your charge to cite the evidenced based practice he/she is using for that guideline (and/or hospital policy). It is OK if you challenge other's in your profession, it will advance your...
  17. Should Obama care be repealed?

    I definitely think the affordable care act has created some unnecessary expenses and bureaucracy. But the bigger problem to me is just how fragmented and confusing our medical systems are. All the...
  18. Should I self report?

    That's not really a nursing board issue since it doesn't involve narcotics or patient harm. Don't beat yourself up over it, just be careful when you pull meds in the
  19. Favorite RN Position

    I could never see myself doing the same nursing job for more than a couple years. I find they are almost all very repetitive and tedious as you do the same thing over and over every day. I've...
  20. How do you deal with workplace drama?

    Play it like a dude. Because we just do our jobs and stay out of the b.s. Though sometimes if you're surrounded by drama/negativity it can get old. If the b.s. is likely to be a permanent fixture in...
  21. Can I vent please??!

    Maybe turn the suction down on your pump. Seriously though, I find in the school system that people are frequently passing the buck to others. For teachers I get it because ultimately all the crap...
  22. Does your school health policy support you telling parents what medicines to give their children before school? Parents should be able to give their kids medicines for pain/fever. I think the...
  23. Unsolicited Advice..do you get this, too?

    God grant me the serenity To accept the things I cannot change; Courage to change the things I can; And wisdom to know the
  24. Nurses pulling rank on assignments

    Some people like getting their assignments back and some people like mixing it up. Generally seniority is not used as a decision point for assignment making, but experience might be if a patient had...
  25. Start first job saturday. Tips??

    You will adapt to your environment and learn, like any new job. LTC is a tough environment and you will be very busy. Maybe you will find you love that work and never want to do anything else. Maybe...