Jory MSN, APRN, CNM

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All Content by Jory

  1. Jory

    Hooking up epidural line

    Absolutely not and as a traveler, I would refuse to do it. It's his job to do the initial loading dose and connect the infusion to ensure it's running properly and making sure the patient is not...
  2. False charting happens all the time and there are ways to pick it up. When I review vital signs and noticed that for the entire shift, for example, the patient had a HR of EXACTLY 88, and a blood...
  3. Anyone who backs up what RV did needs to read the case. She purposely, and willfully bypassed at least seven safety checks. Purposely and willfully is NOT a medical error, that is GROSS negligence....
  4. Jory

    FNP Made to Work Alone?

    I would refuse to work alone. That is a safety issue. If your nurse is out, so are you and tell them, "Yes, I expect to be paid that day." NO WAY would I do
  5. You don't need gloves for every flush or administration. It's not a standard of practice unless under certain conditions. I always washed my hands very well before I handled anything IV related....
  6. Jory

    Being on an interview panel

    I think peer interviews are a poor way to evaluate candidates for this very reason. If you have tons of internal candidates, it turns into a popularity contest and internal candidates will always...
  7. Come to the mid-Atlantic region. All you have to do is throw a stone and there are tons of
  8. I am so sorry that happened. What did she expect you to do? Throw the milk away?. It's her right to have that milk if she wants it. They are cleaning house at the L&D where I work. Major...
  9. Simple: PMHNP's are specialists and spend their entire clinical time working in one area. There are not many PMHNP programs and like you said, not many people want to work in psych. I firmly...
  10. Jory

    How would you handle this ....

    But unfortunately, the way our healthcare system is set up, you can't fix everyone. I have a close colleague who is an FNP hospitalist, so I hear quite a bit of what goes on in the rest of the...
  11. Jory

    One NP with online education

    But is she wrong? I refuse to precept student from any for-profit college or university. I used to take them all but not anymore. There was a distinct difference in students from for-profit schools...
  12. Jory

    IV Push Meds

    I completely disagree. When I still worked the floor I diluted narcotics on a regular basis for various reasons. If it is compatible with saline or sterile water, you don't need an order to dilute...
  13. Jory

    IV Push Meds

    When you start working, ask the pharmacist where you can look this information up. Hospitals have this information more difficult to find than it should be. Never, EVER trust what someone else...
  14. Jory

    New York State RN App Denial

    I will be saying a prayer for you that you find your path. You are an example of people that should be given a second chance. Yes, felonies are serious in our society and should be a big deal. But...
  15. Jory

    One NP with online education

    Many reputable midwifery programs do not require OB experience. In fact, sometimes the students that don't have OB experience do better on testing because the entire model of midwifery is very...
  16. Jory

    New York State RN App Denial

    My heart truly breaks for you. At my nursing program where I am adjunct faculty, our nursing program started doing background checks a few years ago so students with criminal backgrounds could be...
  17. The first thing you need to do is figure out who made the mistake. Go back and check your application and make SURE you didn't misspell your name on any of the application documents. If you had a...
  18. Jory

    How would you handle this ....

    If I were the physician I would write discharge orders and send him out the door. If he is well enough to leave the unit (which is STUPID post MI), he is well enough to go home. He is refusing care....
  19. Medications are no different than if a resident stops eating because of advanced dementia. It is the natural course of the disease and to me, there is virtually zero quality of life when they get...
  20. Jory

    Pediatric IM injections

    Just google a pediatric injection site diagram. Generally it doesn't matter for most meds if it is the arm or thigh. If the child is old enough, you give them a choice. With infants, they don't...
  21. Jory

    NCLEX SHUTS OFF AT 75 ITEMS

    No, "adaptive testing" has absolutely nothing to do with "it being impossible" to assign a random person all of the questions. This is how easy it is: Jane Doe sits down to take the NCLEX, they...
  22. Jory

    Resigning after LOA....advise please

    You need to come back, work one day, then the next day put in your resignation and two weeks notice, as the above poster said, if you are medically able. Why? Because they can make your effective...
  23. Jory

    NCLEX SHUTS OFF AT 75 ITEMS

    I never stated the test wasn't adaptive. I never once posted that. I stated that at one time, according to those that I know personally that worked with the testing company, a random person was...
  24. Jory

    NCLEX SHUTS OFF AT 75 ITEMS

    Then they changed it because that wasn't what was on their blueprint a few years
  25. Jory

    NCLEX SHUTS OFF AT 75 ITEMS

    Keep in mind that UWorld is a physician-owned company. The medical model and nursing model are completely different and I wouldn't 100% trust the source of the questions. Very few students use NCSBNs...