firstinfamily

firstinfamily RN

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All Content by firstinfamily

  1. Considerations for first critical care job search?

    firstinfamily replied to JoseQuinones's topic in General Nursing

    Way back when in 1981 I entered the world of critical care as a graduate nurse. At that time the hospitals were short-staffed and had the educational funds to educate/train new grads. I learned so...

  2. why do nurses gossip and belittle eachother?

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

    I really try to avoid all the petty drama. Work is too busy, life is too short to get wrapped up in it all. However, it does affect how well a unit works together. If there are cliques of workers...

  3. reasons to go into nursing over social work?

    firstinfamily replied to Nursetobe25's topic in General Nursing

    I want to add that the social worker who I worked with in the sub-acute environment had another job at least 2 months before I did. There is a good demand for social workers still, the needs for...

  4. Nurses are Not Doctors

    firstinfamily replied to Brian's topic in General Nursing

    I have seen NPs work harder than the MDs and not get reimbursed from the MD. They get dumped on a lot when they are under a MD's practice. They should be able to function independently from the MD...

  5. concerned

    firstinfamily replied to song413's topic in Pre-Nursing Students

    I also agree that a Withdraw is better than a low grade that will affect your GPA. You can seek other resources also, there are some on-line A & P resources, there are other books at the local...

  6. Nursing and Healing the Nation

    firstinfamily replied to AlfredConcepcion's topic in General Nursing

    Ornish has proven that diet can affect heart disease. He has done numerous research on how diet can heal those with cardiac disease. We know that foods high in cholesterol affect the vasculature,...

  7. Sepsis

    firstinfamily replied to lilhendy's topic in General Nursing

    So what is done for the gut?? Tube feedings etc. How long do you keep someone NPO due to sepsis?? What is happening to their albumin counts?? There needs to be some nutritional supplementation at...

  8. PICC lines

    firstinfamily replied to NurseQT's topic in General Nursing

    Yes, I did this every time before administering a medication and the rationale was to verify the line was in a vessel. The PICCs can migrate and it is important to verify you are giving the...

  9. Therapeutic Oils in hospital

    firstinfamily replied to Maeve1982's topic in General Nursing

    I have never used essential oils in my nursing care. I personally benefit from Lavender and love the sensation it gives, calming. My question is this: Are these considered fire hazards?? When I...

  10. Pt stable with a very low Bp?

    firstinfamily replied to sugar12's topic in General Nursing

    I wouldn't feel comfortable with a pt's b/p that low, what about the CPP? I don't see how he could have remained very alert!! I would be playing detective and seeing how much fluid was pulled off,...

  11. Pre-Op Nurses -- or anyone else who'd like to offer advise!!

    firstinfamily replied to iheartnursing7's topic in Operating Room

    Welcome to AN, I have never done pre-op nursing, but I have been in your shoes. I am currently getting ready to return to the acute care environment and guess what??? On a med/tele floor!!! I know...

  12. New grad nurse looking for some guidance

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

    Going to an interview is always a good thing because of the practice and usually you find out what the latest requirements are for positions. The requirements are not always advertised with the...

  13. New spinal cord procedure

    firstinfamily posted a topic in General Nursing

    Medical news this week involved a new procedure for spinal cord injured patients with paralysis. The pt had cells from his olfactory(which regenerate) to his injured spinal cord. That area...

  14. Unsure nursing is for me

    firstinfamily replied to newgrad1988's topic in Nursing Career

    Time and practice will take care of the self-doubt. Plus, look at how far you have come!!! You know more now than you did 6 months ago, so that is something to be proud of. Who are you comparing...

  15. Was this such an unreasonable request?

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

    How do you even know the person on the other end is a nurse??? I have had secretaries give verbal orders for a MD. You did the right thing, apparently she just did not want to hear it. I would never...

  16. Miserable RN

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

    What about the other LTC facilities or Assisted Living facilities in Chesapeake, I don't think all of them are Sentara facilities. What about Home

  17. How did you get your job?

    firstinfamily replied to scamper22's topic in General Nursing

    There are some facilities that hold CNA classes within the facility and hire those graduates as CNAs. The LTC facility I worked for did this. As mentioned above, there is usually a high turn over of...

  18. starting an antibiotic

    firstinfamily replied to strawberryfields's topic in Rehabilitation

    Ditto, we always started the antibiotic ASAP. You could provide a snack when giving the ABT. Usually we would have a stat dose and then time the ABT around the clock according to the MD

  19. Interview for Ortho Unit this week

    firstinfamily replied to Graduatenurse14's topic in Orthopedic

    Also with knee and hip replacements there is usually a anticoagulant type of therapy, so you will need to understand how PT/INR levels are read and medication dose adjusted accordingly. What symptoms...

  20. Dr threatening

    firstinfamily replied to mfarmer88's topic in Nurse Management

    He has to be held accountable for his actions just like anyone else. Perhaps he misinterpreted what the nurse told him and it sounds like he was in some defensive kind of funk. Yes, it does get old,...

  21. in order to teach, will any MSN specialty do?

    firstinfamily replied to msa9179's topic in Nursing Educators, Faculty

    Most facilities that are advertising for clinical educators are requiring a concentration on education. The MSN in education does give you the basics for teaching nursing students, however the entire...

  22. I pushed my call light 3 seconds ago, what took you so long?

    firstinfamily replied to Joe V's topic in Medical-Surgical

    RLJS, you got it, unfortunately this is nursing which involves serving the public. I often wonder what these patients would do if there was not a visable person for them to ask requests from etc....

  23. Business Brainstorm

    firstinfamily replied to kalevra's topic in Nurse Entrepreneurs, Innovators

    Get with a good IT person and make a decent computer program that meets all the Medicare/Medicaid/Insurance requirements and give us nurses something decent to work with that actually applies to the...

  24. Handling the "R" word

    firstinfamily replied to LydiaNN's topic in Developmental Disabilities

    What word/words describe accurately?? Is it because we know medical terminology as well as "common" terminology? For instance if I said, "he had a left sided stroke" versus "his speech is impaired"...

  25. Lantus BID

    firstinfamily replied to SteveDE's topic in Diabetes, Endocrine Nursing

    I did see this in the sub-acute unit I worked. The patients who had this ordered were usually also on meal time insulin because their blood sugars were so elevated. The main problem we had was that...