firstinfamily

firstinfamily RN

Member

  • Content

    790

  • Visitors

    6,834

  • Followers

    0

  • Likes

    14

All Content by firstinfamily

  1. Loan forgiveness options? Help!

    firstinfamily replied to kaimkaim's topic in General Nursing

    The only government program that I know of that often offers to assist with student loan debt is working for the Indian Health Services. I don't know what is out in Seattle, but you might look into...

  2. I hate night shift

    firstinfamily replied to Wrangler156's topic in General Nursing

    We all want only the best for you and your family. All of us have made some sacrifices between our nursing careers and family needs. It does help to have a mature mate who understands that just...

  3. I hate night shift

    firstinfamily replied to Wrangler156's topic in General Nursing

    I am just guessing, but it almost sounds like you have not been married for very long. Working night shift takes a toll on any relationship. My husband and I have been married for 30 years, and I...

  4. But you're a nurse, you could've done this....

    firstinfamily replied to Madras's topic in Patient, Colleague Relations

    Personally, I would not have been very objective with my family members and you made the right call. As we all know, those who look "normal" at the scene can develop complications hours or days...

  5. Reporting a facility for staff ratio issues?

    firstinfamily replied to ICUEDMursenary's topic in General Nursing

    Is there an admission criteria or nurse/pt ratio listed in your nursing requirements/job descriptions? If so, then the facility can be held liable for this---do a little digging, maybe see what they...

  6. To tell or not to tell!

    firstinfamily replied to XNavyCorpsman's topic in Patient, Colleague Relations

    Instead of calling out individual nurses, it is something that perhaps has been "accepted" as standard practice on this unit. Has a new manager taken over recently? Do you have a Quality Assurance...

  7. Intimitaded by day shift position, vent...

    firstinfamily replied to Seas's topic in General Nursing

    I think every nurse goes through this when changing shifts. The focus on each shift is different, having the MDs available on day shift also makes it an opportune time to learn more. The flow of...

  8. Central line dressing days

    firstinfamily replied to ngodin's topic in General Nursing

    WE still have an IV team in place who change all central line dressings and central line tubing. Nursing staff is not to touch either of

  9. My ER Rant

    firstinfamily replied to us2uk4u's topic in General Nursing

    At my facility, I get upset when the stroke patients are told by the ER staff they can have something to eat when they get up to the floor. Its not like I have a swallow test ready to give them...

  10. first RN paycheck?

    firstinfamily replied to nauticaburt561's topic in General Nursing

    You know it has been so long, I really don't remember. I most likely put some towards my student loans, paid rent and put some in the bank to enjoy later!!! It is a decent living, but I don't think...

  11. Help choosing, Homecare or Dialysis?

    firstinfamily replied to JennyMac's topic in General Nursing

    I interviewed for Fresenius in my area and went through about a month of interviews before I accepted a different hospital position. From what I was told working dialysis can be very long hours, so...

  12. Calling an MD during night shift

    firstinfamily replied to stepwintention's topic in Patient, Colleague Relations

    The SBAR tool for communication has been mentioned here and it is very helpful as an organizational tool. It is great when you can cluster the phone calls together. When there is an acute change...

  13. Nonsedated Pt's equal self extubations

    firstinfamily replied to RunninOnCoffee's topic in General Nursing

    We stopped using restraints on our intubated pts about 5 years ago, there are some who extubate themselves when the sedation wears off. We also follow-up with incident reports, sometimes it makes...

  14. MO Private Practice RN to work in Hospital (on behalf of priv. pract)

    firstinfamily replied to liscampbell's topic in General Nursing

    This is happening in Maryland, but the nurses are NPs and able to prescribe, do orders under their MDs guidance. They do not partake in the hospital regulations that apply to nursing staff who are...

  15. RN ADN vs. RN BSN

    firstinfamily replied to BIGT68's topic in Diploma, ADN, BSN

    I started my nursing career as an ADN/RN, I had wonderful experiences as an ADN student, to the point that I was hired as an ICU nurse graduate and did well in that environment. I also continued my...

  16. New Nurse and New Mom

    firstinfamily replied to dopestethoscope's topic in General Nursing

    It will be more difficult to get a position when pregnant as a new nurse. I did not have this experience, so cannot give you solid advice. However, it seems new graduate nurses who are not pregnant...

  17. Questions about bad weather/ affects on patients

    firstinfamily replied to nervousnurse's topic in General Nursing

    When I did home care and the snow was too high for me to drive through I checked on my patients by telephone. I always made sure my oxygen dependent patients had their extra tanks filled way before...

  18. EKG class?

    firstinfamily replied to HisKids37's topic in General Nursing

    There are resources on EKG's on the Web, printed materials are still available----I recommend a workbook type where you can review what you have learned, one good book by Dubin covers basic EKG's,...

  19. Bedside Report

    firstinfamily replied to nynursey_'s topic in General Nursing

    When I returned to my acute care facility this was in place, at first I found it a little intimidating, but now I am use to it. The white boards are updated every shift and giving the pt information...

  20. Telemetry saved my patient

    firstinfamily replied to Beth14's topic in General Nursing

    Telemetry is a wonderful tool, it still requires rounding on the units to observe patients. Physical symptoms will appear before they show up on a telemetry monitor. Please encourage nurses to make...

  21. Pain Scales

    firstinfamily replied to GPSteiner's topic in General Nursing

    During my initial assessments I always look for a grimace when doing deep palpation of the abd. Pts may have abdominal discomfort but unable to rate it on a numerical scale, so stimulating a grimace...

  22. Nurses doing nebs

    firstinfamily replied to sistrmoon's topic in General Nursing

    In the acute care facilities I have worked, RT has always done the neb treatments and follow-up of these treatments. The only place I worked where this was a nursing responsibility was in LTC where...

  23. How to move from SNF to hospital

    firstinfamily replied to simonsmom's topic in General Nursing

    Make sure you emphasize your organizational skills on your resume. Also, can you use your clinical experiences from nursing school on your resume? Any acute experience will need to be documented on...

  24. Wear gloves during assessment?

    firstinfamily replied to future_nurse11's topic in General Nursing

    I notice the younger nurses doning gloves as soon as they enter the pts room. Whatever happened to "therapeutic touch?" I wear gloves when coming upon contact with body fluids, removing dressings,...

  25. ICU Nurse Considering Ambulatory Care

    firstinfamily replied to lassenlake's topic in General Nursing

    It is so very difficult to transition within nursing. It often seems that once we are working in a designated area we are 'labeled' to stay within that area. With critical care experience you have a...