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TX.RN.Shannon's Latest Activity

  1. TX.RN.Shannon

    Leaving first nursing job after 5 months?

    Yep...once you have a definite, satisfactory job offer in writing, turn your notice in and run! If the job sucks that bad and you're that much negatively affected, don't wait around. Things at the job aren't gonna get better and neither is your health. Hopefully this potential position will be a great one and you can work on improving your job history there. Good luck!
  2. TX.RN.Shannon

    Do Not Resuscitate Order for suicidal patient

    Because of post-op status and potential for complications after the surgery. Risks from anesthesia, surgical procedure, etc.
  3. TX.RN.Shannon

    It is DONE.

    Congratulations to you! I haven't had to deal with TPAPN or monitoring personally, but I am very sympathetic to those that have had to.
  4. TX.RN.Shannon

    How much orientation?

    As a LVN-turned-RN with 15+ years of experience (but no nursing home), I got a whopping 6 shifts of "orientation". One to fill out paperwork and do online modules. Then 2 with day shift and 3 on night shift. Different nurses, different days, different units, different routines. It sucked . It took a good month before I knew everyone really well.
  5. TX.RN.Shannon

    What is the fastest respirations you've ever taken in an adult?

    In the 40's. And that was way too fast! I'm curious--'what was up with your patient?
  6. TX.RN.Shannon

    Sick of managment but need 9 to 5

    LTC positions like Wound Care Nurse, MDS, etc. Home Health or Hospice per visit. Liasion/marketing for skilled nursing/home health/hospitals/supply companies. Just a few ideas.
  7. TX.RN.Shannon

    Anything but Fine: My Traumatic Brain Injury: Part 2

    I can't even imagine the horrors you went through during this experience, but I really appreciate the first-hand "memories" of the event. Thank you for sharing!
  8. TX.RN.Shannon

    follow up after PRN meds

    A lot of the actual PRN meds have to be given by the nurses, in the facilities I have worked in. It is because of the nurse having to "assess" and decide which medication to give per the practitioner's orders. However, if your facility allows you to administer PRN meds, you will probably get a prompt (if your company is computerized), to "follow up" after a set amount of time. For example, you give 2 Tylenol 500mg tabs to Mr. Jones at5pm for his headache that he rates as a 5 out of 10. At 6pm, you will get a prompt (a message or different color) to indicate that you need to enter a follow-up. Then you'd say that his pain was 0/10 at 6:15 pm.
  9. TX.RN.Shannon

    Shift Key nursing company?

    I worked at a LTC that utilized that company, so yes it is legit. I didn't hear many complaints; just the usual beefs about working agency---feast or famine, long distances driving at times, unfavorable shifts or assignments, etc.
  10. TX.RN.Shannon

    New mom working full time

    Well...the exhaustion is inevitable with a new baby! No more sleep for the next 18 years, lol! But you can find something that won't make you a total anxious, miserable wretch----i sure hope. Sending you a big hug and good vibes!
  11. TX.RN.Shannon

    Employers Gone Bad: 10 Ways to Survive

    It happens in other settings besides hospitals, of course. But this had lots of good information. I recently was placed in a difficult situation similar to what you mentioned above.
  12. TX.RN.Shannon

    What do new nurses need to know

    Work on memorizing basic info that you will need forever---normal lab values, vital sign parameters, medication classifications, etc. This is stuff you absolutely have to know, no matter what setting in which you plan to work. Other things you will have to learn on the job, like the previous posters said. Time management, organizational skills, prioritization, emergency procedures, etc---that can't really be memorized; it comes with knowledge and experience. Be humble; no one will expect you to know everything. If they do, they suck! You will make mistakes; that's inevitable. Learn from them and become the best nurse you can be. And remember, the "real world" is gonna be so much different from the school and NCLEX world. But that's okay.
  13. TX.RN.Shannon

    Need ideas/suggestions for future nursing career

    Look, you came on here and asked a question that was kinda tough---you want to be a manager, but not have certain manager responsibilities. I answered, as I have experience as a RN and manager. Sorry that it wasn't what you wanted to hear. I was just trying to answer truthfully. It is great to come here and ask questions--I have learned lots. But having strangers interpret your question and provide an answer sometimes sucks. I've had some salty, messed up replies to my posts. BTW, I'm not miserable; I have a pretty damned good life. And you'd give your left pinky toe to have me as a coworker or friend---I am damned great at both roles!
  14. TX.RN.Shannon

    New mom working full time

    I only have one and he's 14 now. But when he was born, I went back to work per-diem at 8 weeks. I worked every Wednesday, when I had a close family member to watch him, and every weekend, when my husband was off work. I was very lucky and produced soooooo much milk so that wasn't a problem. I could pump twice a day and get 6-10 ounces from each side in 15-20 minutes. I also pumped at home between feeds or if I felt "full". That allowed me to stockpile enough milk for when I worked. My son nursed on demand around the clock, no matter if I worked a day shift or night shift. He switched back and forth better than me! Working PD allowed me to make more money per hour, and I was able to take a shorter week or be canceled without it hurting so badly financially. I would've loved to stay home longer, but I had lost my job unexpectedly during pregnancy---gosh, that sucked! That meant I lost my PTO and my postpartum plans were shot to hell! I had to work, as we are dependent on both our salaries.
  15. TX.RN.Shannon


    So I wouldn't be so concerned, as long as there's no IV running. And I'd check---maybe they peed at 2145, which means 2-10 would take credit. She may not have to go again until morning-especially the elderly, who either have poor PO intake, or limit fluids so they don't get up to void during the night. Now if there's IV fluids going at more than KVO (30ish ml/per hour), I'm expecting something.
  16. TX.RN.Shannon

    What does this presentation mean? NOT HOMEWORK.

    Those psych meds sound pretty heavy; that plus Lasix could be the cause. Is her heart rate down from any cardiac meds? Or is she possibly toxic on meds, causing the bradycardis? The edema definitely sounds like it is cellulitis related but could be cardiac. Maybe it I'd just more pronounced due to that tumor removal surgery. She sounds complicated as hell. I hope she keeps her appointment, has lab work (including serum Lithium levels and thyroid panel), and has that yucky leg checked out. I'm hooked now. Keep us posted???

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