firstinfamily

firstinfamily RN

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All Content by firstinfamily

  1. Is it appropriate to ask this in an interview?

    firstinfamily replied to Suckitupbuttercup's topic in General Nursing

    Having gone through multiple interviews lately I also had different approaches. In one facility, the HR person actually discussed salary with me before I had the interview with the unit manager....

  2. LTACH experience

    firstinfamily replied to ROAD DOG's topic in Long Term Acute Care

    I left acute care back in 2008, did Home Health and then moved to Sub-acute in LTC, I learned a lot in sub-acute, like dealing with patients who are as sick as in the hospital but without all the...

  3. Precepting with no itinerary?

    firstinfamily replied to Nola009's topic in General Nursing

    There should be a Nurse Educator at your facility that over sees orientation for new hires and she/he should have a check list available for you to track your orientation goals. You don't want the...

  4. My love/hate relationship with nursing.

    firstinfamily replied to rpsychnurse's topic in General Nursing

    You say your head is spinning, but remember how it was when you first finished nursing school?? I bet you have grown a lot since then and you are just reflecting how exciting the nursing field can...

  5. South Carolina pay

    firstinfamily replied to Vwpenn's topic in General Nursing

    One of my co-workers in acute care did travel nursing in S. Carolina, loved it. She said the hourly pay was not great, but they paid for her housing expenses and gave her a certain amount of...

  6. Nurse VS Respiratory Therapist?

    firstinfamily replied to Nursetobe25's topic in General Nursing

    RRT's are an integral member of any health team. They are truly indispensible in the critical care areas. I have worked where we did not have RT and it is extremely difficult to get the results...

  7. Rough night, but I survived, apparently.

    firstinfamily replied to ixchel's topic in General Nursing

    You need to give yourself a pat on the back for getting through such an ordeal. Team work, that is what it takes and if certain staff are not playing with the team then it needs to be addressed. It...

  8. "Two-yearitis"

    firstinfamily replied to Ruby Vee's topic in General Nursing

    What happens when they move up the ladder too quickly? I dare say they burn out sooner, or make grave errors. Not everyone, but most. As far as being an old nurse and not moving up the ladder, a...

  9. Appropriate reaction to rude behavior?

    firstinfamily replied to Allie.Adobz's topic in Patient, Colleague Relations

    I agree with the "kill them with kindness" for the patients, I don't agree with that for family members. I try to resolve the issue and if it is something they cannot resolve then forward it on to...

  10. Blood pressure-weird jump when taking it

    firstinfamily replied to Communitynurse365's topic in General Nursing

    Did you compare the right to the left?? The sounds are called Korotokoff sounds and apparently there are five. If the patient had an aterio-venous graft that is no longer in use, you will also hear...

  11. "She'll put your butt in a nursing home."

    firstinfamily replied to nurse42long's topic in General Nursing

    Would this be considered verbal abuse?? It seems like it would be to both the patient and the nurse. I unfortunately, am very frank with people. I do have a sense of humor, but when they "threaten"...

  12. Clinical Rotations

    firstinfamily replied to Nanz_B's topic in General Nursing

    Usually the clinical instructor is the one in charge of the students, she does the medications with them. She usually clarifies with the floor nurse what time/med round they will do. They do not do...

  13. Help choosing the right diagnosis

    firstinfamily replied to ScarletJones's topic in Nursing Student Assistance

    With ESRD he may be anemic from lack of erythropoietin, which would affect his hgb and hct thus the ability of the hgb to carry oxygen leading to SOB. What about "potential for:" inadequate...

  14. Needing some hope.

    firstinfamily replied to UnsavoryCharacter's topic in Nurses Recovery

    I have never been tempted by the narcotics in my work environment. I do partake in a glass or two of wine in the evenings---good for my heart you know!!! It takes all kinds to make the world go...

  15. ACCEPTED! Tips & Advice Appreciated!

    firstinfamily replied to anoble001's topic in General Students

    Get a calendar that will fit in a binder and write on it/use your smart phone dates for tests, projects etc. Spend your money on your nursing shoes--make sure they are comfortable and have good...

  16. EKG: It's in alphabetical order!

    firstinfamily replied to JoseQuinones's topic in General Students

    Ya know, sometimes it takes eons for things to make sense!! Those little squiggly lines just keep mystifying all of

  17. Patient satisfaction or patient dissatisfaction

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

    "The customer is always right" was the rule in retail. "Treat the pt as a guest" seems to be the rule in healthcare. I don't think hotel acomodations are available in health care, and I don't think...

  18. BSN Only? Give me a break!!

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

    Actually the NPs are being grandfathered into Doctrates and they are suppose to be obtaining Doctrates if they are new NPs, so the educational trap seems to only be haunting nurses??? How many...

  19. BSN Only? Give me a break!!

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

    We are going on about 30 years now concerning BSN nurses. When I graduated as a self-supporting student from my ADN program back in 1981, Maryland's congress was instituting a differential between...

  20. Becoming a RN

    firstinfamily replied to slimz101's topic in Nursing Career

    Be ready for "reality shock" as it happens to all of us. Even though you have completed a 4 year program, it has only "dipped" you as far as being able to work as a nurse. You will learn so very...

  21. Help! EBP on not inflating foley balloon prior to insertion

    firstinfamily replied to highlandlass1592's topic in General Nursing

    Maybe we should stop suctioning our patients because that might cause trauma as well!!! Any invasive procedure causes some form of trauma. Perhaps it was a defective bunch of catheters that were...

  22. Nurses responsibility

    firstinfamily replied to trinay30's topic in General Nursing

    Could be the combination of medications in addition to the co-morbities led to the pts demise. The MSO4 would have helped with the chest pain and improve oxygenation. The renal insufficiency could...

  23. Clinical Nurse Leader

    firstinfamily replied to Rean87's topic in Post Graduate Students

    I believe what you are looking for is a CNS=Clinical Nurse Specialist. It is on the MSN level. I know of one nurse who finished a program in this, she was the charge nurse when I had her...

  24. Orthopedics Floor Project

    firstinfamily replied to MThomas92's topic in General Nursing

    Most likely asking the experienced nurses to explain "why" they do things, "what" are they doing to prevent complications?? What are you doing to relieve the increase edema in the knee replacement...

  25. My Battle

    firstinfamily replied to asims646's topic in General Nursing

    I think just making yourself available for PRN or per diem work would be helpful. You do not really have to tell them why you left the bedside. If you are doing tutoring you might start working on...