bugya90

bugya90 ASN, BSN, LVN, RN

Ambulatory Care-Family Medicine

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All Content by bugya90

  1. Expiration of nursing school experience?

    Different schools have different policies so you would have to contact your school. Most likely you will need to repeat any nursing course and any science pre req that is over 5 years old.
  2. Young Nurse Not Taken Seriously in the Workplace

    I know how you feel. I was 21 when I graduated with my LVN and have always been the youngest person in my workplaces until just recently. It doesn't help that I look much younger than I am either. Learn to tune out the jokes about being young (age di...
  3. New Grad Orientation Contracts

    I'm in TX and none of the hospitals in my area are currently having NG contracts. A couple of years ago we had a small nursing shortage due to some issues at the local nursing school so the hospitals had sign on bonuses for any new nurse (new or expe...
  4. Secondary IV infusions

    We use new secondary tubing for all different piggyback. We put caps on the ones not currently in use. Prime the secondary tubing with the med and hook it to the secondary port, just program the pump the run a flush of the primary fluid after the led...
  5. Blood draws CVC

    We only use syringes. I would worry the vacutainer would have too much pressure.
  6. Dazed and Confused: Blurred Lines

    I was referring to things that are ordered at 0500ish. I've had multiple times that I float to other units and the night nurse tries to not give meds that were ordered several hours before I even got there. I don't expect the previous nurse to stay t...
  7. Delegation

    Depends on the state and if the UAP has been trained for it or not. Our UAPs are allowed to switch the patients oxygen from the wall to portable tanks but can only continue the current LPM, the nurse has to change rate if condition warrants. UAPs can...
  8. Dazed and Confused: Blurred Lines

    Anything that is ordered before report start time is the previous nurses responsibility. If there are orders for meds to be given at 0300, night nurse needs to take care of those before you leave. If a patient asks for pain meds in the middle of repo...
  9. Daily assignment help

    What we do is if a patient comes up within 45 minutes of shift change then the nurse is only responsible for getting a set of vitals and getting any IV meds hung. The actual admission is done by the next shift. We are all on 7-7 though so we only hav...
  10. Quit new LTC job for dream job offer?

    If you take the corrections job you will be burning the bridge. There's really no other way around it unfortunately. However if corrections is where you truly want to be then it is something to consider. Just really think it through and decide if bur...
  11. Every 3rd weekend

    We do self scheduling and are required to sign up for 6 weekend shifts for every 6 week schedule (works out to every other weekend if you worked Saturday and Sunday). We have a few people who choose to work every weekend and because of this the rest ...
  12. Not all hospitals consider all 4 rails restraints. My current hospital doesn't but the hospital on the other side of town does. We put the side rails up on stretchers and honestly I've never given that much thought. The stretcher is going to be high ...
  13. Should still be able to attend orientation. Most of the time you just need your vaccines done before clinically start which is a few weeks into the semester. Only your nursing advisor can give you a for sure answer though.
  14. falling asleep during nightshift

    It's a fireable offense everywhere that I've worked. I was a night shift nurse at a nursing home in the beginning of my career. I get that it can be hard to stay awake but you have to train your body. I was still a full time day student while working...
  15. new grad nurse med surg

    In addition to coming up with a cheat sheet/report sheet that works for you I also suggest just asking those people what they want. Next time you see the SW ask her what type of info she needs to do her job, same with PT/OT, Case manager, etc. they p...
  16. MD vs DO

    Ive worked with both. The most recent DO I worked with said basically DOs also get some more Chiropractic and accupuncture type of classes so they can do realignments and that kind of thing. DOs are supposed to be more holistic and less pill pushing ...
  17. Need advice on helping your own family let go

    I was in your spot a few years ago. My husbands grandmother had stage 4 metastatic breast cancer. I'm the only medical person in the entire family so I got a lot of phone calls asking all kinds of questions. She was in the ICU for almost a month befo...
  18. Seizure code blue

    Sucks that you were alone for so long with the code. When we have any code on our floor everyone responds. Even our floor housekeeper will come to see if she can get us anything or get the family out of the room. Might be a suggestion to bring up dur...
  19. LPN to RN NCLEX

    No. I thought both my PN and RN nclex were fairly straight forward. Once you figure out HOW to answer nclex style questions they're not terrible. Hardest part for me was when it just shut off and I had to wait 3 days to find out my results, I'm not a...
  20. Thinking of switching from pcu to med/surg

    I'm a day shift med surg nurse and would advise against switching if you like your current unit. I have 6 patients, normally at least half are total cares. I've had a patient come back from surgery within an hour of anesthesia and I have to call a r...
  21. RN's and LPN's working as Nursing Assistants?

    Occasionally happens at my work (though they try to avoid it due to cost/budget). What typically happens if the nurse is assigned to be the unit clerk so she answers phones and helps with discharge papers most of the day. She does "CNA work" to cover...
  22. I don't know if any certifications that a student could get. Most of the certifications require at least 1 year of experience in that area/specialty. You can get your ACLS and/or PALS but those can get expensive and a lot of facilities will pay for t...
  23. Falling Asleep

    The charge nurse reported you because as she saw it you were sleeping while on the clock. That is a fireable offends at most facilities regardless of medical conditions. Be thankful that your supervisor was understanding enough to just give you a war...
  24. Recent DWI arrest

    I've never been in your position and I'm sorry you are going through this. I just renewed my license last week and it specifically asked if I had any DWI or drug related charges since my last renewal including any expunged offenses. So I don't think ...
  25. Critical question, please advise ASAP

    You do not have to give a reason for quitting. Just type a quick letter stating I resign effective this date and sign it (keep a copy for your records) and turn it in. No reason needed and if they ask you just state that you wish to pursue other oppo...