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Medical-Surgical/Float Pool/Stepdown
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AJJKRN has 6+ years experience and specializes in Medical-Surgical/Float Pool/Stepdown.

AJJKRN's Latest Activity


    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    Also, if I'm not mistaken, a pharmacist has to check off each and every drug filled by a pharm tech prior to it being "dispensed".

    MA rant

    Many employers are like this. They don't want to pay up front and they end up paying more in the long run. Sigh.
  3. Accept the job that hires you and pays your bills...and with any luck it will turn out to be your dream job.
  4. Klone, my area has a glut of new grads to choose from and we've been offering sign-on bonuses for years (not when I graduated years ago though but...sigh). We have an issue that everyone wants to initially work at our hospital and get that golden year of experience and then leave after we've paid to train them. Our hospital is looked at as the place to work at in our area but these new hires are leaving and moving as fast as we can train them. This is why I am frustrated by the lack/shortage of seasoned nurses. I don't think many new grads want to stay at the hospital bedside anymore...but they damn sure want to use our resources to get a year under their belt either way. I am being told that we have no longer been giving "good" recommendations for those leaving before the first two years and/or breaking their sign-on contracts. Still hasn't phased many of them from leaving. Again a top 50 hospital, competitive wages, and truly a good place to work with a ton of cool bells and whistles. Oh well.
  5. You may want to go back and reread the comment...it was "liked" so much because of the sarcastic twist that the OP added about being able to sue for being a male and being "discriminated" against... At least I think this is the post you're referring to except the post you're referring wasn't quoted...you may have underlying "unworthy" reading comprehension that doesn't allow you to "see the difference"... Disclaimer: I personally only know how to quote only one discussion post at a time :-)!
  6. I bet you just unintentionally hit a nerve like when people say to us nightshifters that the patients just sleep all night. Oh man that has not ever been the truth for me! She might have just thought that you thought that working with one patient at a time would be easier and less-overwhelming, like you said, or she may just get easily offended no matter what someone says. Gotta love interviews and first impressions huh...

    ACCN Emergency dilemma

    Yep, my hospital offers all of those and more like trauma nurse certification, etc. It's a perk of working for them.

    Charge nurse

    I've been in the float pool for years and have been doing charge for years which is an expectation for many of us in the float pool. Not enough experienced nurses on the floors most of the time. I get a full patient load most of the time, maybe also show up and have an orientee, it's my norm. I personally like the challenges for the most part as it keeps it interesting and challenging plus it does come with a decent differential. Better than working with a charge that either doesn't know what they're doing or are too lazy to do what they're supposed to be doing!
  9. This link may clear up some of the confusion... Nursing School Accreditation || RegisteredNursing.org Hope you find an accepting school especially in this volatile "nursing shortage"...smh...
  10. AJJKRN

    PCCN vs CCRN

    My boss told me this as she has both certifications... She said the PCCN was actually harder for her because you have to take the test in the mindset of a nurse with the knowledge of a step down nurse without using your knowledge of a ICU nurse, if that makes sense. She said that yes it was very beneficial to study for them separately to help keep in each mindset. I would loosely compare it to trying to take both the certifications for medical-surgical (CMSRN) and neuroscience nursing (CNRN) but with only using the resources from one focus area to study for both. Good luck on both!
  11. AJJKRN

    Staying Current

    Do you know what type of area of nursing you will be trained in? You can always become a member of the nursing association you will be training in and have access to their journals and continuing education or look on the web for a "essentials" book to learn more from. There are lots of good websites too, just search allnurses for suggestions.
  12. AJJKRN

    job offer but not until December

    As long as you get it in writing, I would wait and work a non-nursing job until you start. Continue to read up on concepts to help prepare you for when you do start but getting a job as a nurse somewhere else will require that somewhere else to sink money into training you which isn't fair to them and you don't want to possibly pick up bad habits from them either. It may not seem like it now but getting a residency for peds icu at a level I trauma hospital would really "tee" you up for a peds burn unit IMHO. Congratulations!!!
  13. AJJKRN

    Should I ask for a raise?

    Yep, it's actually illegal for an employer to tell employees they can't discuss their wages amongst each other... Here's just a few google searches on the subject: Access Denied 'Pay Secrecy' Policies At Work: Often Illegal, And Misunderstood : NPR You would think managers would know better.
  14. AJJKRN

    BSB & A-BSN Comment/Question

    As others may wonder...have you looked into the physicians assistant route yet if NP is your goal?
  15. AJJKRN

    Unit practice for heparinizing ports

    Just food for thought and funzies. Think about how the half-life of heparin and the total dosage of heparinizing a port with hopefully drawing each flush back out before flushing with saline and compare it to say a heparin gtt or even subq heparin doses q 8. This is how I had it presented to me reinforced with the understanding to respect heparin as a high risk drug and to always be very mindful and careful in its use...just like all of the crazy cool meds we get to give as nurses ;-)!
  16. AJJKRN

    Unit practice for heparinizing ports

    I think it's a difference in facility protocols. Ours specifically states to heparinize after blood draws, IVP meds when hep-locked, and when deaccessing. But we are suppose to draw the heparin out each time prior to flushing with saline...but our protocol doesn't say that specifically unfortunately.

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