AJJKRN

AJJKRN

Medical-Surgical/Float Pool/Stepdown

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All Content by AJJKRN

  1. Differentials make a difference

    AJJKRN replied to Emergent's topic in General Nursing

    Absolutely! Take my base and add my leveling pay/percentage increase, float differential, night shift differential, weekend differential, resource nurse differential, and often precepter pay and...

  2. Bathroom? What's a bathroom ... ???

    AJJKRN replied to Brian's topic in General Nursing

    Nothing like listening to a bed alarm go off while already trying to hurry

  3. Pelvic area blood pooling and increased hemorrhage risk

    AJJKRN replied to lee.mckinley's topic in Nursing Student Assistance

    Because I started on a trauma/surgical floor this question makes me think about our "major bowel" surgeries. This makes me think about the surgical anastomoses leaking and one of the things that we...

  4. Advice for a stuttering nurse

    AJJKRN replied to zz00zz's topic in Job Search, Interview, Resume

    I think just trying to find a job in Hawaii would be your biggest problem! I think the job market is even worse there than in California! Give yourself more

  5. Do you carry around your stethoscope?

    AJJKRN replied to tarotale's topic in General Nursing

    Why wouldn't you want to listen even if to only increase your exposure to what's normal and what's not? I'm not a cardiac nurse but I am starting to get much better at differentiating normal and extra...

  6. Educating patients on ER use

    AJJKRN replied to anh06005's topic in Patient Education

    Consider donating your extra time when you're an NP to a free clinic in your surrounding area. This is what one of my NP friends has been doing for decades now. Having insurance and or getting...

  7. pneumothorax after central line

    AJJKRN replied to marie2014's topic in Emergency

    See, answered your own

  8. phenergan

    AJJKRN replied to moni929's topic in Patient Medications

    It is best practice (per my facility) to dilute 12.5 to 25 mg of phenergan in a 50 mL bag of NS and administer via piggyback over 15 minutes. Until a year ago we would just mix in a 10 cc flush and...

  9. pneumothorax after central line

    AJJKRN replied to marie2014's topic in Emergency

    I would read up on placing a central line and google the kit and then post why you think a pneumo would be a complication of central line placement especially during an emergent

  10. officially beginning RN career in Med/Surg

    AJJKRN replied to albyRN805's topic in Medical-Surgical

    Get you a good "brain" sheet and a med sheet if needed. Definitely a good brain sheet though. I personally made my own with Windows word. I use a separate sheet for each patient's info (name, MD,...

  11. Certification : I Did it For the Money.

    AJJKRN replied to Brenda F. Johnson's topic in Nursing Career

    Firstinfamily...(tried to quote or reply but it didn't work...) Most often, or as far as I know, you would have to be active in the specialty that you're trying to certify in for a certain amount of...

  12. Anxiety about diseases

    AJJKRN replied to ka2rn's topic in Patient Safety Issues

    ESME12, sometimes you (and many others as well) make me snort when I'm laughing while reading posts! To the OP, I wasn't laughing at your post, I would talk to someone because...

  13. Debating going for BSN...

    AJJKRN replied to willow14's topic in Nurses Recovery

    Another option to think about is doing an RN to MSN with a focus in management/education. I have known at least one person who did this and it has met their specific needs for employment considerably...

  14. RRT on DNR

    AJJKRN replied to bxh5164's topic in Medical-Surgical

    I agree with most of the PP's that just because a patient is a DNR does not mean they don't deserve a code called for emergent supportive care. There are tons of things that can be done to support...

  15. Pausing IV, clotting?

    AJJKRN replied to SilleLu's topic in Patient Medications

    I would just add that sometimes, instead of flushing the IV, I check for flashback of blood before I flush the line. If you can get flashback then it's pretty safe to say the IV's still in the vein....

  16. Lidocaine (UroJect) for Male Foleys

    AJJKRN replied to Music in My Heart's topic in General Nursing

    Our hospital trialed this for males but we had an increase in CAUTI's so the trial didn't last long. Never had the pleasure of using the lidocaine during the trial though so I'm not sure what...

  17. ADN

    AJJKRN replied to itsthatgirldj's topic in Diploma, ADN, BSN

    It may serve you well to proof read your posts before actually sending them or when at work...think about how to better word a condescending comment to peers...we get it...you're

  18. What are your benefits as a float pool nurse at your hospital?

    AJJKRN replied to PedsRN1975's topic in General Nursing

    As some others have said: NOT being part of the floor politics, probably a different Pt assignment every shift, a wide variety of exposure/experience/learning opportunities, getting to pick your own...

  19. ANA vs AMSN?

    AJJKRN replied to buenavista's topic in Medical-Surgical

    AMSN provides the most amenities I feel like. I've been a member for two years now and take the CMSRN in about two weeks. I really think it's much more bang for your buck than from the ANCC, the...

  20. How do you avoid distractions while studying?

    AJJKRN replied to Brian's topic in General Students

    Honestly, what kept me focused were the two little mouths I had been feeding that I was struggling to support and give a better life to...damn kids... Oh yeah...having student loans helped push me

  21. Interesting colleage

    AJJKRN replied to Tenebrae's topic in Patient, Colleague Relations

    Honestly, when someone snips at me I snip back with my initial answer or comment but then I keep the conversation as civil and respectful as I can after that. I find that sometimes it is all about...

  22. Can you solve this mcg to mg conversion?

    AJJKRN replied to Emergent's topic in Patient Medications

    I can see where he was confused, I personally only get orders to give 25 to 50 mcg of fentanyl ivp at a time...if I'm reading the post right without any typos, the doc wants a dose from 250 mcg (5 mL)...

  23. Can someone please explain the cohort thing to me?

    AJJKRN replied to klone's topic in Western Governors University

    When I did my RN to BSN, my "cohorts" were the classmates (as DON 1984 said) that I started with, spent every online and in brick and mortar class with (except for the gen eds I needed, but all core...

  24. Embracing Change. What techy stuff have you learned lately?

    AJJKRN replied to Joe V's topic in Coffee Lounge's Lounge

    I just said this morning that about 30% of our job involves us being IT! I unfortunately have to trouble shoot and learn something new just about every shift to get our computers or scanners to work...

  25. Justifiable situations when to break policy?

    AJJKRN replied to Pink Magnolia's topic in Nursing Professionalism

    Touché touché. I however would not want to work in a hospital where I was not supported by my physicians if the circumstances presented itself that I had to choose between following policy or...