bugya90

bugya90 ASN, BSN, LVN, RN

Ambulatory Care-Family Medicine

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All Content by bugya90

  1. Nursing Admission Dilemma

    The paper you signed was just telling the school that you wanted the spot and weren't planning on going to another school. I have personally never heard of a nursing school making an exception to their required pre reqs, especially if it is listed ou...
  2. Nursing Admission Dilemma

    If you don't have the pre reqs done as required you will most likely forfeit your seat in the program. You were accepted on the condition that your pre reqs would be completed by the start of the program and have not completed them.
  3. Tired of managing children

    I also work outpatient and feel the same way half the time. Half of my staff is great and the other half not so much. Complaining without having ANY solutions to offer is my biggest pet peeve. I have told them over and over, you know your job the bes...
  4. Forced to Chart using another employee name

    I'm a clinic nurse. We go through EMR training and get our own log in the first week of hire. Typically we have general orientation on Monday and EMR training in Thursday so you paired up and shadow a coworker on Tuesday and Wednesday so that by the ...
  5. IM for infants - skin bunch or taut?

    I work in pediatrics. 5/8" with skin taut is correct. If you were to hit the bone you would know. I've only done it once (on a little old lady with no muscle mass). It is fairly unmistakable. The patient normally doesn't realize you hit a bone (just ...
  6. Recommendations for all online RN-BSN

    I am currently going through university of Texas at Tyler. I'm loving it so far, classes are flexible and built for full time working adults.
  7. Paramedic to RN bridge program.

    Don't worry so much about your age, you're still young. I was 21 when I graduated LVN school, 27 when I finished my LVN to RN bridge, and will be 29 when I graduate with my BSN in 2020. I worked full time while in all of my nursing programs.
  8. Where Were You...9/11

    In middle school walking from art class to algebra when all of the TVs in the school turned on to the news (they were all connnected to the office). Walked into algebra just in time to see the second tower get hit. My aunt picked us up from school no...
  9. Non-licensed staff documenting in Code Blue/Trauma Code

    On our floor typically only licensed staff are in the room during a code (our rooms are small so not a lot of room for extra people). Because if this it is typically one of the floor RNs documenting, rapid response nurse or provider running the code ...
  10. Pharmacy Stocking during MedPass

    Ours stock at odd times (0500, 1030ish and 1400). Their big stock time is the 0500 and the others are small fill up and last minute order items. The 1400 can sometimes mess up the 1500 med pass if they are running late (they stock all the units on th...
  11. Number of Lymph Nodes Removed?

    Interesting. I'd love to bring this up to our policy review committtee to have them look into the evidence (or lack there of).
  12. Number of Lymph Nodes Removed?

    The surgeons in my area just tell patients which arm they can use for IVs, BPs, etc. Many patients have bilateral mastectomies and lymph node removals so we always just ask which arm their surgeon said could be used. I don't think we have a written p...
  13. Texas nurses i need advice

    If you have both in Texas you are forced to renew both. When you go to renew it doesn't give you an option to just renew your RN, it automatically puts the LVN on there also and you have to pay the fee for both. Your CE hours count for both so you on...
  14. Gloves? Is this acceptable?

    For the typical patient, no I don't put on gloves when passing oral meds. If they are on neutropenic precautions I'll put on gloves for the patients benefit though not required at my hospital (I sanitize my hands anyway but it is just an extra precau...
  15. Bathing and Showering Systems in Hospitals

    Each room is private with a private bathroom with shower (no tubs). The ICU rooms are all single rooms and the bathroom area has curtains instead of walls around the toilet and shower area (in case of emergency in the bath area they can get to the pa...
  16. Vaccination Rate for Flu vaccine

    Our compliance rate is high because our choices are simple. Get the vaccine or get fired. Only those who have documented anaphylactic reactions are exempt.
  17. LPNs in the ER

    I'm in Texas. Our ER uses LVNs but they function more as techs than nurses. They don't take their own load and are assigned to 2-3 RNs. They do skills as assigned (start Foley's, IVs, vitals, etc) and transport patients as needed. They're not allowed...
  18. Lab results withheld until after physician review?

    That is standard practice at any clinic I've worked at. It is to keep patients from getting bad results by just reading a piece of paper. Think if you had a positive HIV test or malignant biopsy result, a provider needs to sit down and discuss that w...
  19. how do you find your niche?

    For me it has been narrowing it down. I always knew L&D wasn't for me. I worked ambulatory Care as a LVN for several years before my RN. I went to inpatient once I got my RN because I wanted to get some new experience. I have since learned I am n...
  20. Job offer while doing other job interviews

    Never tell them you are waiting to see what another interview brings. That lets them know they are second best to you and they may take that as you won't be loyal and rescind the offer. Simply say I need a day to consider this offer. I will call you...
  21. Orientation and first day at work how was it for you?

    First week was in a classroom for orientation going over policies, computer training, and paperwork. After that I was on the floor with a preceptor for 8 weeks. Preceptorship off me was basically these are your patients and your preceptor is there to...
  22. Allergic to latex and other vaccine allergies

    Many Td vaccine manufacturers now make latex free versions. I used to order them al the time when I worked in Family Medicine. I wjust kid highly suggest looking into this further. Contact your local health department.
  23. We have a break room behind the nurses station. It's small but we normally all get our breaks. Some of us eat in the break room and some prefer to eat off the unit in the cafeteria.
  24. Im very discouraged am I in the right field

    Cluster your care. This is the biggest time saver. Don't go in and out of them room 30 times. Bring meds and dressing change stuff in the room at the same time and get it all knocked out at one time, bring a cup of water with you anytime your are bri...
  25. LVN from CA moving to TX

    I've never had to endorse my license. I am from Texas and can tell you for applying to licensure they're really not that slow. 1-3 weeks to process everything is about standard here as long as you send in all the required paperwork the first time. I ...