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kerleigh722

kerleigh722

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kerleigh722 has 3 years experience.

kerleigh722's Latest Activity

  1. kerleigh722

    Nurse Practitioner- Job Outlook

    Hi, Assuming I get accepted, I will start FNP School in a few months. We all know how expensive it can be and I have a family...and well, a lot of questions that I'm having a hard time finding the answer to. For one, I don't see myself as a primary care provider and I feel like this is the most common job for FNP graduates. I chose FNP to be more versatile than specializing... but I would rather work someone like a cardiology office/heart failure clinic/ in-patient cardiology/ derm NP/ trauma surgery NP... Like do these things even exist for an NP? I've tried searching for jobs but the market around here is a bit saturated at the moment and I see mostly primary care jobs. Another thing I've been thinking about is how I would want to be part- time until my kids are a bit older. I kinda suspect this will be difficult but I'm not sure? Insight, anyone? I live in Colorado if that makes a difference. Thanks!
  2. kerleigh722

    Switching to day shift blues

    I am in your boat 100%! I love nights but I really want to feel "normal" again. And we get a 25% differential on nights... So this is going to HURT! I know everyone is saying stay on nights, but as much as I prefer it, I am going to switch to days-personally. I am tired of sleeping my life away or not sleeping enough and just want to feel healthy again and not shave years off my life :)
  3. kerleigh722

    A less stressfull career choice

    Here's something you can compare it to: We can have drinks with a lid at the nurses station but obviously no food. We can work overtime if the hospital is short, and when census is low we can take call if we want. If I have something that comes up, my manager usually let's me off (i'm on float pool.) If you consistently, consistently clock out too late you will get an email...But I've only gotten 1 in the last year and I clock out whenever I am done, I don't hurry to the time clock and worry about it. And we can call in sick 6 times a year before getting written up. I work nights so I don't know how strict they are with cell phones during the day.. We get away with it at night at the nurses station. Maybe I have it better than I thought :)
  4. kerleigh722

    This week, I have learned... (5/30/15)

    1. I didn't learn... But saw for the first time... The bad side of ambien. Naked patient in the hallway and severe restlessness. But I did learn to always ask HOW ambien affected you in the past instead of just, "you've taken this before, right?" "Yep!" 2. I still don't know how to handle chronic pain drug seeking patients. I feel like I'm feeding an addiction and it just kinda pisses me how this patient treated me when I gave Toradol instead of IV dilaudid. Ugh. 3. Flush your IV when you buff cap it if Anything with K was running through it because it will go bad. Duh. 4. Vistaril really helps with pruritis in a pancreatic cancer patient. Had never used it before. On a side note, my patient kept sneaking Copenhagen all night before his wipplen surgery... What can ya do
  5. kerleigh722

    Finding my niche

    Thanks for that! I am glad to know I am not alone! I decided to stick this out for another 6 months- get my full year in, and then decide where I want to go from there. Maybe the OR- maybe a clinic? Who knows!
  6. kerleigh722

    Staying safe or branching out in first RN job?

    Float! I am a new grad on the float pool at my hospital and while I don't LOVE it, I don't think it's because I'm float, I think I just have the new grad blues (6months so far). I was an aide in float so that's how I got the job. I go to all floors except PCU and ICU and I will start training for those at my one year mark. It's a lot to take on, I'm not going to lie. I also asked for 3 months of orientation and got it. I think nursing is so different from school though, that no matter where you go there will be a learning curve, and if you can stick it out for a year, it will all get easier (at least this is what I keep telling myself). I am on nights too which is new for me and not so cool for my new marriage....but the 25% diff is worth it for a year- then maybe we will have enough seniority to go onto days! New grads on float don't come often- so take this experience and run with it!
  7. kerleigh722

    What Do Operating Room Nurses Do?

    This post is exhausting! I am considering applying to OR jobs but I have no idea if I will like it! I'm trying to contact my educator to see if I can observe for a day... The main reasons I am considering are more about the better hours, excelling in a specialty (I want to be good at what I do! I float and don't particularly like it), working 1:1 with a patient (not 1:6!!)... Things like that. And my one experience on the OR was great besides the surgeon- he was so mean to his interns and the nurses catered to his every weird, quirky need! I only have 6 mo experience so right now I'm not getting calls back and I'm being picky since I am obviously lucky enough to currently be employed.
  8. kerleigh722

    Acute care versus outpatient

    Do it! I have been toying with applying to outpatient/primary are jobs and I also wonder if it will really put a damper on my skills if I choose to go back one day to the hospital. It's hard to work PRN when your main job is M-F, so that is something to think about. Let us know what you decide!
  9. kerleigh722

    Feeling Discouraged- Heparin Drip

    Is it true that if his pt INR was high from Coumadin they were bridging with Iv heparin to still anticoagulate him? Because I gave vitamin k to try to reverse his INR. So he would still need something, hence the heparin. ? Thanks for all of the advice and encouragement!
  10. kerleigh722

    Feeling Discouraged- Heparin Drip

    Ok... This is starting to make more sense. So the INR being 5 would still result in the heparin being turned off? (which is was) but it's the PTT you really follow for heparin and the INR for Coumadin. I do recall this from school, too bad my night was so busy my mind wasn't on this level
  11. kerleigh722

    Finding my niche

    I live in Colorado! LadyFree... I don't know what I want to do. I'm feeling the stress, responsibility, and overall overwhelming nature of nursing right now. I don't even think I'm in the right mind frame to figure out what I want because at this point, I would do anything besides float to med surg. ugh
  12. kerleigh722

    Feeling Discouraged- Heparin Drip

    Thank you for that. It means a lot. I am still in a puddle of tears hoping I didn't make a colossal mistake. It was doubled checked by the charge nurse, the heparin gtt was correct but I think the main miss was the PTT not being drawn before starting it, which lab assured me would be "added" on to his PT/INR labs drawn prior. They never were. Maybe it would have indicated that it shouldn't have been started in the first place.... but again, this is protocol for a doctor to order the heparin gtt and not know the PTT? I'm new, but that logic doesn't make a lot of sense to me. You are right, whatever went wrong, it was a system wide error.
  13. kerleigh722

    New Grad nurse

    Yep. Literally JUST called to check in a pt because I was sickly worried I did something wrong. When does it stop
  14. kerleigh722

    Feeling Discouraged- Heparin Drip

    Hi all. Venting a little, but I do have questions. Last night was awful. It was def. the busiest night I've had in my 6 mo of nursing. Mainly, a new admit was keeping me really busy- big pleural effusion, on 8L simple mask (med surg floor BTW) and I needed to start my first heparin drip. I wasn't ENTIRELY sure why I was starting it- no evidence of clots, but did have a mitral valve replacement hx and was on coumadin. I can't remember was the PT/INR was but I think it was subtherap. Anyway, consulted with the Charge and they didn't have any real answers for me, the doc doubled mentioned on the phone to start the heparin drip but before I could ask why they hung up. Does anyone have any ideas?? The reason I ask is because when I woke up today I called to check on this patient because I was worried something was missed and I was informed they are now on FFP to reverse the drip because the pt really needs to get his lung drained and the INR was 5. I am just confused and feel like I royally screwed up. Oh, and the lab and I both "missed" getting the PTT/PT/INR draw right before the heparin drip was started. The pt had labs drawn a few hours earlier with the PT/INR and I kept trying to ask if I am supposed to do anything- draw more labs?? And nobody could really help me. I am thinking missing his PTT was very dangerous. But why would a doc order a heparin drip without knowing a PTT in the first place? I am so confused and I feel like a total failure. Nursing is SO much responsibility and I'm feeling the weight of it like never before. Maybe I need a nursing job where I am less likely to cause so much harm
  15. kerleigh722

    Finding my niche

    Hi all.... Background- BSN grad about 7 months ago. I work nights in the float pool which is what I did as an aide (first and only new grad hired in this small pool). I won't start PCU or ICU until another 6 months. Anyway, I accepted it, knowing I needed to get some basic experience. In school, I was all about trauma and ICU and when I got to practicum, I wasn't as excited about it anymore.... Part of that could have been my awful preceptor and the overall poor atmosphere. Now, half of me just doesn't feel happy. I feel like nights make me moody, I am sleeping 4-6 hours when I work and 12 (!!) on my days off. I am recently married so I do flip flop my days and nights, otherwise Id have no life. But I DO like the 25% diff and the ability to slow down, learn, and think about what I am doing (I know I wouldn't get this experience on days). I also like choosing my own schedule which is a perk of this float pool. Bottom line, I am just never looking forward to coming into work. I feel blah. I went through a phase of applying for clinic RN jobs and case management positions. I did get calls but decided I needed to be rational about my next move and actually figure out what my passion is. I even applied for a surgery job and got an interview and now I'm second guessing everything- what if I HATE sugery? Did it take you a while to find out which area of nursing is right for you? Maybe I am also struggling with the thought of leaving bedside after I get my one year in -Confused RN
  16. kerleigh722

    Don't think my marriage will survive night shift

    I'm sorry your husband is acting like that. I work 3 nights a week and my husband's world pretty much revolves around it... He is so quiet and sets out his clothes beforehand, knowing I'll be asleep in the bedroom. But, we don't have kids.... so there's that.
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