firstinfamily

firstinfamily RN

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All Content by firstinfamily

  1. VRE

    firstinfamily replied to tjarvis's topic in General Nursing

    If they were VRE positive then yes, they should be on contact isolation. For our patients in LTC they would have a bedside commode, or briefs if they were incontinent. There was some controversy...

  2. Does anybody else feel guilty about calling off?

    firstinfamily replied to Codeblue1982's topic in Patient, Colleague Relations

    I would rather take an extra load of patients than have a sick co-worker beside me!!!! If one is truly sick then they do not need to be around sicker people or spreading it to other staff. I rarely...

  3. should the education requirements change for nurses?

    firstinfamily replied to Nursetobe25's topic in General Nursing

    You could do some research on line on this topic which has been at the bones of nursing for at least the last 30 years. I do not see how with an impending nursing shortage any official agency can...

  4. Forced Resignation - looking for advice

    firstinfamily replied to SailLove80's topic in Nursing Professionalism

    It seems HR and the unit manager may not agree on how to place you. It seems you would still be an asset for them to keep you, but beware you will be watched closely no matter where you go in this...

  5. Current Resources for returning to acute care

    firstinfamily posted a topic in Nursing Career

    One of our posters was asking about resources to update her knowledge base. She/he was saying the use of books was helping, but I find by the time a book is published the information may already be...

  6. Sodium Bicarbonate IV Administration

    firstinfamily replied to Mseenurse's topic in Patient Medications

    I haven't given Na HCO3 in years, but definitely have given it in the past. It depends what your facility's protocol is on this medication. It is very caustic to skin tissue, so we would give it in...

  7. Prerequisite Courses While Working

    firstinfamily replied to Strawberry22's topic in General Nursing

    Just a reminder also that most of the science classes include a lab that meets on a different time than the class, so you will also have study time for the labs. Are the English and social science...

  8. How to tell my boss I want to transfer?

    firstinfamily replied to MiahMSN's topic in General Nursing

    You might look at becoming case management certified, that would make you more attractive for the case management position. Yes, you should talk to your manager, maybe she has a better idea of how...

  9. Current Resources for returning to acute care

    firstinfamily replied to firstinfamily's topic in Nursing Career

    Nursing Center.com is another site without

  10. Are state benefits really all it's cracked up to be?

    firstinfamily replied to Livingdeadnurse's topic in Nursing Career

    I have never worked as a state employee but have several family members who do and did. My parents both retired with state benefits and those benefits are seeing to their healthcare, medications etc....

  11. Advice for new preceptor please

    firstinfamily replied to Lev's topic in Nursing Career

    You were asking about how often or how to evaluate her progress. If you have a copy of an orientation packet from your facility that has check offs for certain skills etc. you could use this as a...

  12. advice on refreshing knowledge

    firstinfamily replied to 8781RN's topic in General Nursing

    Returning to the acute environment can be very over whelming!! Just take deep breaths and keep track of things you feel unfamiliar with. Reviewing the new insulins will be a big help as there are...

  13. RN returning to nursing after * years

    firstinfamily replied to kssheldon's topic in General Nursing

    Yes, it is up to your state's board of nursing to determine how to obtain your nursing license. Your previous license has most likely expired and you will be required to take a refresher course to...

  14. Media a bit too invasive of nurse's personal info following her catching Ebola?

    firstinfamily replied to Blue Roses's topic in Disaster Preparation

    I hate the implication that she had her CCRN only two months before caring for the ebola patient, does that really matter??? A nurse does not have to have the CCRN to care for a highly infectious...

  15. Newbies Who Want to Pay ZERO Dues Schedule-Wise

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

    I don't recall anyone telling me in nursing school that night shift was the usual entry for nursing, nor that most all of the holidays would be part of my agenda. I guess they just assume we know,...

  16. Nurses are Not Doctors

    firstinfamily replied to Brian's topic in General Nursing

    NP's are now suppose to have their Doctrate, the ACA endorsed more independent practice of NPs to address the shortage of the PCP's. This was endorsed by the federal government, so the states have to...

  17. First death....

    firstinfamily replied to clh8987's topic in Geriatric, LTC

    It sounds like it was just her time, and I also have seen that last spurt of energy right before a patient dies. Was her daughter upset that you did not notify her sooner? I think the patient was...

  18. What's Your Best Nursing Ghost Story?

    firstinfamily replied to steffck's topic in General Nursing

    This isn't a real ghost story, but it always gives me goose bumps. I had a patient who was recovering in ICU, was intubated on a vent, he had a cardiac arrest at the ocean side on the beach. Where...

  19. Suicide by antibotics ?

    firstinfamily replied to ohmeowzer RN's topic in Patient, Colleague Relations

    One can overdose from any medication, any medication can be toxic. I had a home patient who tried to commit suicide by overdosing on her B/P meds, went into the hospital with a heart rate of 46! She...

  20. Saw an angry clinical instructor...

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

    Who ever is in charge of the approval for clinical sites for the college should be notified of this instructors belittling of students. It is not professional, and at the very least she is...

  21. COBs...what do you think about the handling of the Ebola outbreak

    firstinfamily replied to richardgecko's topic in Disaster Preparation

    LIke HIV/Aides--the body fluids are the means of transmission--isn't seman a body fluid?? So, it has not been tested most likely, but could potentially also be a means of transmission. We were told...

  22. What's in your bag?

    firstinfamily replied to studentnursemon86's topic in General Students

    My work bag holds back-up supplies, extra ear pieces to my stethoscope, stethoscope, extra pens, highlighters, EKG references, drug book, manual B/P cuff, batteries. My pockets (of which I have 4)...

  23. Do you go to work with vomiting/diarrhea?

    firstinfamily replied to designer-mommy's topic in General Nursing

    Most facilities where I have worked required at least a 4 hour notice, never 8. I would drag out that good old employee benefit/regulations book and find that policy. I have never heard of an 8 hour...

  24. CAREER PATH?

    firstinfamily replied to yashimi's topic in General Nursing

    Pt education is a huge field that impacts how facilities get reimbursed, how pts recover and how re-entry into the health system readmisions to acute facilities are impacted. YOu will have a...

  25. Miss Manners for Nurses

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

    Ok, seeing how a lot of "sickness" can be transmitted via food and how it is prepared, I usually politely refuse if I question the food, plus I do have food allergies, so usually I can use that as an...