AlwaysLearning247

AlwaysLearning247 BSN

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All Content by AlwaysLearning247

  1. New Grad Needs Advice - Hostile Work Environment

    I’m sorry this is happening to you. If there is any possible way you can save up some money and get out, I probably would. To me, staying at a job that you’re miserable at is very difficult. Being a charge nurse as a brand new nurse is very ...
  2. Second Guessing Myself. Did I handle this situation correctly?

    Sounds like you were an excellent advocate for your patient, good job!!
  3. Pittsburgh salaries

    I would check out the VA in Pittsburgh as well as St. Claires. They both seem to pay higher than AHN and UPMC. Good luck!
  4. I want to apologize to my instructor. Please help me.

    Stuff happens sometimes, I see that you're feeling bad. It is good you wrote her an apology email, I would definitely leave out the part about taking a pill to stay awake. I just wouldn't let it happen again, learning is stressful, and it's even wors...
  5. Intermediate Cardiac Care unit?

    I worked in intermediate care at a level 1 trauma center and it was a step in between med surg and ICU. We did all drips, except for pressors. We took vented patients if they had a tracheostomy. The patients on the floor were pretty sick. I hope this...
  6. Pittsburgh salaries

    I moved from out of state with 5 years experience and the pay was significantly less. I received around $28/hour. Good luck!
  7. Reporting a Patient to Police?

    We’ve had to call the police at one of the hospitals I worked at a few times. We’ve had nurses press charges too. I was even encouraged for verbal threats, management there was extremely supportive to their nurses and they would not tolerate bad beha...
  8. Famous person as patient?

    When I was in nursing school I took care of someone who was in a band and a very famous movie. I actually had no clue until we were talking. Was very pleasant, told me I was choosing the right career and it’s something to be proud of. Very nice perso...
  9. Are Big City Hospitals Really Getting Hit With COVID-19 Pts?

    Most hospitals in MA are getting hit really hard. One of the small community hospitals I worked at is overflowing with COVID. My old floor is COVID only, they had to make the PACU into an area for COVID as well. I will say, the population in MA hasn’...
  10. I just got hired in a plastic surgery clinic. Are these red flags?

    It sounds like he’s expecting you to work out of your scope of practice, doesn’t sound safe at all. By the sounds of it, he wants to hire cheap help to do his work. I’m not sure I’d take it if I were in your position. Good luck!
  11. Critical Care Eliticism?

    Out of all the places I have worked, I noticed the critical care team always thinks this way. I used to care, but not anymore. There are definitely strong personalities in the ICU, let me tell ya. I think you should do what makes YOU happy. At the en...
  12. Have nurses work together and not form cliques and bully people. I’ve seen it a lot and it makes for a tense environment. It also doesn’t promote teamwork... who would want to go ask a bully for help? I also believe that nurses are expected to do too...
  13. "My Nurse"

    It depends on who says it. Sometimes it sounds degrading but other times it feels like you’re part of a team. For example, a boss says “my nurses are the best”, you feel like part of a team. If you have a random doctor that you hardly know say “let m...
  14. Terrible experience with nursing staff

    I am sorry that happened to you. It sounds like you’re in an undeveloped part of the world and they do things differently there. If I were in your situation, I’d probably be running back home. Hope you feel better soon.
  15. Rapid response

    DNR doesn’t mean do not treat. He was in distress and needed immediate intervention to make him more comfortable. If his heart stopped or he stopped breathing on his one, a code blue would not have been called. I am glad he was able to pass comfortab...
  16. Dilute Lasix before giving IV?

    I don’t dilute unless it’s 80mg or higher. I just push lasix cautiously to avoid hearing loss. I’ve pushed 20-80 mg but when I had a patient ordered for 120mg, that was diluted and given over 10-15 mins!
  17. When to call doctor about pvc’s?

    If my patient goes from having occasional PVCs to more frequent PVCs or a few runs of vtach, I will call to get labs ordered. Most times an EKG doesn’t show anything, unless they’re having runs of vtach as the EKG leads are attached. My concern is wi...
  18. Phrasing - how do you ask your patients about incontinence?

    I always ask “can you feel the urge when you need to go to the bathroom?” Basically most patients will eloborate from there. It is awkward at first!
  19. Potential new employer trying to rush me into accepting job offer.

    I definitely wouldn’t take it, they seem desperate for nurses and are willing to hire anyone. It doesn’t sound like a supportive environment for a new grad. I was in a similar situation when I was fresh out of school, thinking no one would hire me, a...
  20. Big Decision Please HELP!!

    It’s not always about the money (although it is tempting). I would go where your heart desires. You can get great experience in the field you love and take that experience to another hospital and make more money in the future. Good luck!
  21. How long to run a code?

    I worked at a LTAC as well, but when the patients crashed we did what we could while calling 911. We also got sick patients, step-down level with vents, trachs, drips, many straight from ICU, etc. The floor I worked on was also called CCU. At the LTA...
  22. Bad orientation should I leave

    If you want to try and stick it out, you need to take their criticism and ask what you can improve on. If you don’t feel like you’re in an environment you can thrive in, I would get out sooner rather than later. I would also ask HR about switching to...
  23. Should I....?

    You applied to the program for a reason. You’re already a nurse, this move will just help you become available to more opportunities. Good luck, you’ll do great!
  24. How long to run a code?

    That seems fishy, no doctors are around? Is this a rehab hospital or is this a hospital staffed with doctors and an emergency room? I would think by the sounds of it you’d call emergency services if someone was to code while doing CPR. Even if your f...
  25. The ICU sucks sometimes

    I’m in the same boat. The rotating shifts can be tough and the death in the ICU can be very sad. I try to look at it as the patient’s next stage of life and their quality of life if they were to survive. Sometimes it’s really depressing. Make sure to...