firstinfamily

firstinfamily RN

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All Content by firstinfamily

  1. Do you wear jewelry to work?

    firstinfamily replied to nurse_jess's topic in General Nursing

    Watch, earrings, wedding ring on left hand, mothers ring on right hand. I don't wear anything around my neck, too afraid of a patient grabbing it. The stones in my mothers ring are flat and small. I...

  2. Altered Mental Status- a surprise diagnosis

    firstinfamily replied to Stcroix's topic in General Nursing

    It use to be that every hospital admission was tested for syphyllis, there was an "admission panel" that was done on every single admission. Sometimes I feel we should still include this type of...

  3. Can you continually give SL Nitro tabs on floor while monitoring BP? A long post.

    firstinfamily replied to stdntograd06's topic in Patient Medications

    I think you did great!!! Having a MD bark orders at you and question you in front of a patient does not look good for him. You did the best you could under those circumstances. Funny how things...

  4. Are handguns allowed at work?

    firstinfamily replied to TexasGal1964's topic in Nursing Professionalism

    Mainergal2000----Not that I am advocating having weapons at work, however, have you ever thought that some of the public who come to visit patients are a bit shady and could cause some type of...

  5. How to manage 2 CNA Jobs?

    firstinfamily replied to ElizabethAndrews's topic in Nursing Career

    I worked as a staff nurse in one facility and agency PRN. I did this for awhile to earn some extra money and I wanted to see how the agency work was etc. It was good for me for awhile and then the...

  6. What can RT's do that RN's can't?

    firstinfamily replied to Nursetobe25's topic in General Students

    As a nurse, I have given respiratory treatments, certainly talked to the Pulmonologist for orders etc. The only place I ever drew ABGs were from a-lines in ICU. I have never drawn a peripheral ABG....

  7. thank you note after a shadowing???

    firstinfamily replied to STL2008, RN's topic in Nursing Professionalism

    I also thought it was appropriate to e-mail the manager after the interview and after my shadow time. I thanked the nurse I shadowed with on the evening I did the shadowing. Yes, I think it is...

  8. Orientation for Experienced Nurses

    firstinfamily replied to Ruby Vee's topic in Patient, Colleague Relations

    I will be the newbie starting next week, general hospital orientation will begin, so I most likely will not be on the floor until the 10th. I do try to let the preceptor show me how things work etc,...

  9. Memorable Thanks

    firstinfamily replied to Brian's topic in General Nursing

    One of my most memorable thank yous was from a 50 year old severe stroke pt. She had a rough road and she had recovered so very well. She was amazing to me and I kept encouraging and pushing her all...

  10. help

    firstinfamily replied to kaykay69's topic in Nursing Student Assistance

    I need a little more info. This could mean the telephone contacts that are allowed to call about the patient's condition, or the contacts the patient allows for whom their condition may be discussed....

  11. Practice Guidelines for Large Volume Paracentesis

    firstinfamily replied to TravelingirlRN's topic in General Nursing

    Is there anything in Lippincott's most recent edition of Nursing Practice?? Does your facility have a policy, protocol defined in the nursing P&P

  12. Tilt Table Policy

    firstinfamily replied to rn4bigred's topic in General Nursing

    I did Cardiac Testing back when I was working in VA 2004, at that time I was the only RN present and I had an EKG/echo tech running the machine. The Cardiologist had to be in house, but not in the...

  13. Nitro for c/p vs hypertension

    firstinfamily replied to CathRn37's topic in Patient Medications

    I think they should be in ICU also, mostly because of the need for more frequent vital signs. It is true the RNs on the tele unit could most likely titrate the medication, but getting the blood...

  14. I'm falling through the cracks...

    firstinfamily replied to aus1599's topic in First Year After Licensure

    Maybe if you could try to volunteer some time at a facility that interests you. Just getting your foot in the door and making your presence known can help. Have you tried at some of the urgency...

  15. Keep hitting road blocks

    firstinfamily replied to sbtr50's topic in General Nursing

    You are never too old to learn, no matter what!!! I agree with Red Kryptonite, you should try for a new position as a graduate RN. You most likely have a heads up due to the LPN experiences, but if...

  16. Therapeutic Oils in hospital

    firstinfamily replied to Maeve1982's topic in General Nursing

    Klone: In LTC, we had to have orders for everything, even over the counter type medications, all skin treatments, lotions etc. So, even though this occurred in the hospital if it is a medication...

  17. Held to a higher standard

    firstinfamily replied to kool-aide, RN's topic in Patient, Colleague Relations

    I guess the hammer has to fall on someone and it seems nurses are the ones. Who got blamed first for the Ebola transmission to themselves??? A nurse, was it due to her de-robing incorrectly with the...

  18. Phobia of needles....need help

    firstinfamily replied to motherof3sons's topic in General Nursing

    You could try a LCSW who would be authorized to do therapy or a psychologist. I find Psychiatrists like to push drugs sometimes more than address the issues. Sounds like he has a panic attack and...

  19. How did you get your job?

    firstinfamily replied to scamper22's topic in General Nursing

    I worked with an RN who did this while she was attending nursing school, it was a great experience for her and she could always get the IV site when others could not. Working as a phlebotomist is a...

  20. DNR HELP

    firstinfamily replied to Kylee Renee's topic in General Nursing

    All the above apply, however, you need to know what your states DNR orders are. The social worker for your facility should be able to clarify this for you. Here in the state of MD, we have two...

  21. white boards in patients room

    firstinfamily replied to Shoiness's topic in General Nursing

    At my new job the white boards are 4'x6' and have divided areas, one board for each pt, so two in a semi-private room. They seem to have room for all the pertinent information and the patients and...

  22. Miserable RN

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

    I lived in south-eastern VA for about 18 years, so that is how I kind of know the area. There is still a Children's Hospital in Norfok, did Sentara buy them as well? IF not you may try there. Also,...

  23. PRN window

    firstinfamily replied to Cjhays's topic in General Nursing

    We also had a 15 minute window to give PRNs early. The computer EMR did make giving PRNs more of a pain. Overriding the program also flags it, so putting the order in so that PRNs can be given...

  24. everyone is leaving my floor

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

    Even though the ICU nurse to patient ratio is more ideal you have to remember there is a reason the ratio is that way. First of all the patients are extremely ill and may have multiple IV infusions...

  25. Considerations for first critical care job search?

    firstinfamily replied to JoseQuinones's topic in General Nursing

    I was not sure if you could take the NCLEX before you finish your BSN, you might have to look into