firstinfamily

firstinfamily RN

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  1. Day nurses who switched from nights, is it better?

    I have worked both shifts. I like nights because I seem to actually spend more time with the patients, I learn how to prioritize better and feel confident in calling the MD when I need things. Day...
  2. postop CICU CV surgery question

    It has been a long time since I did ICU and CV surgery, but we use to use the PVR(peripheral vascular resistance) and SVR(systemic vascular resistance) values to know when to wean the pressors. Most...
  3. Dwindling faith in this profession

    Nursing has changed so very much, and yes, there are times when it is all about revenue, but at the basis of it all is the care of sick people. It is very hard to come up out of the tunnel, sometimes...
  4. I was always told for my BSN to make sure it was accredited with National League of Nursing (NLN) this might make a difference for your Masters whenever you choose to pursue it. I think it is...
  5. Faking seizures?

    Why don't you suggest she get a tegretol level drawn to see if the medication is at a therapeutic level??? Perhaps the level is subtherapeutic and she would still be having seizures if that is true....
  6. Lessons on why not to "Assume" things.

    If your lab is by contract, I would definately bring up to the DON the inconsistency with the lab and their lack of providing critical lab results to the staff which would have gotten the pt to the...
  7. Lessons on why not to "Assume" things.

    If your lab is by contract, I would definately bring up to the DON the inconsistency with the lab and their lack of providing critical lab results to the staff which would have gotten the pt to the...
  8. How to get experience?

    It will help if you do your externship at a hospital that you would like to be employed. That way they get to know you and you will have some history with them. It is currently difficult for new...
  9. Tanner's Model of Clinical Judgement

    I will be reading Tanner's Model of Clinical Judgement, however, I have to warn you that interpreting cannot lead to assuming. In regards to your example of a child with multiple bruises and...
  10. Positive PPD and nursing

    Having a positive PPD should not impact your employability. You should refrain from having the PPD test and keep a copy of the CXR and when you are hired explain to the Occupational Health Nurse that...
  11. Key lanyards around neck

    I also see the lanyard as a health risk in the sense of infection(a good way to transmit MRSA) and safety(choking hazard), why is there not a master key for the med cart. We had this and whenever...
  12. New Here - Question of Advice..?

    I am assuming the month at the LTC facility is the only experience you have had as a CNA, to me that is the only employment that matters to another healthcare organization. You do need to get more...
  13. Marilena: I had to literally divorce myself from my parents to get on with my life when I chose to go to nursing school. They didn't think I could do it, they didn't see how it would benefit me in...
  14. I miss work

    While you are at home and slightly bored, how about accessing a few on-line classes?? You can stimulate your brain and still be home with the baby!!! You really do not want to go back early and I am...
  15. reference checks for jobs

    Most applications ask for your most recent position with a reference. Unless stated, it does not have to be your manager, is there a co-worker who you work with well, or a supervisor who seems to...
  16. Job dilemma ..

    Sometimes being too honest can bite!!! You really didn't have to tell her about the new position. She may not want someone who is not committed. Hard lesson to learn. Try the new position at your...
  17. giving meds late when it's not in pixis

    If the option is listed as "not available" then use it. Nursing should not have to take the blame for something that is not their fault. It takes everyone working together to make this process of...
  18. My coworker is stealing

    There is most likely someone like this in every work setting. It is a managerial issue. If you are concerned as a co-worker then ask her if she needs help before the end of your shift. There is a...
  19. difference in degrees

    I finished my ADN in 1981 and continued on to get my BSN in 1985. Because I had my RN and had passed boards there were certain Nsg. courses I could challenge. I had to take all the science courses,...
  20. What are the stress level ranking for these units?

    I think all are stressful, is there a lot of post-op blood products being given on an ortho unit? ICU and Neuro ICU, CV Surgical and Med tele are all stressful at their own levels of nursing care...
  21. NightShifter Problems

    When my kids were little I worked 3 12 hour shifts a week, and usually they were on the weekends, my preference, but managment really liked it. Therefore, my hubby was there during the day to watch...
  22. 35 and looking for a career change - is nursing it?

    Having a family of little ones might make it a little more difficult. Will your husband pick up the slack with the child care or help to meet their needs? I commend you for trying to seek out a new...
  23. Prospective Nursing Student but need some advice!!!!!!Please!!

    Yes, you would have direct patient contact during your college training, and then have to meet minimum requirements of taking care of patients before moving in any non-direct care position. What is...
  24. David Kessler seminar?

    Has anyone attended a David Kessler seminar---he lectures on the needs of the dying and the death process. Mostly geared for Hospice type nursing. He has also written a few books about the"Needs...
  25. Piloting discharge nurse on med/tele floor

    We also had admission nurses at one time, however, I believe inquiring minds is asking about discharge nurses. I can see where this would be a really valuable position. It would expediate the...