bugya90

bugya90 ASN, BSN, LVN, RN

Ambulatory Care-Family Medicine

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All Content by bugya90

  1. New grad first job as Clinic RN?

    I'm a clinic charge nurse. I second what others have said about hospital care not being the end all be all of nursing. I have some inpatient experience but the vast majority of my career has been in ambulatory. If the 8-5 hours are what you are ...
  2. Spanish speaking patient phone calls

    You should be able to contact your translator service and have them translate the message for you. You can also use Google translate. We use this occasionally for generic patient e-mails. I wouldn't recommend it for any PHI but for the generic "Hey w...
  3. MA for a boss?

    I am a RN. I am the Charge Nurse in my clinic with 6 LVNs and 3 CMAs. However on paper our clinic manager (who is not a nurse) is the direct supervisor for all of us. Everyone "reports" to the Clinic Manager. I handle any in house clinical issues, da...
  4. How do I find a clinic/primary care job?

    There aren't many so you will have to really hunt for them. I am the only RN in my clinic and was 1 of 2 RNs at my previous clinic (the other RN had been there for 20 years). Keep in mind that because there aren't many jobs they tend to be competitiv...
  5. KatieMI, I am so sorry for what you have experienced. As others have said, please get a lawyer and contact any programs she has applied to. She knowingly and intentionally exposed you to something you have a life-threatening allergy to. This was not ...
  6. Another lost new grad

    If you don't have children or other obligations holding you in your current area, I see make the move. It is terrifying to move away from your parents and the support system that you grew up with, however it will also help you grow as a person in the...
  7. Leaving before 1 year? Don't know what to do..

    It depends on your long term career goals. Since you say you want to do ER or ICU in the future, I would recommend you stay or try to find another inpatient job. Though other inpatient units may require 1+ years of RN experience and/or BSN. However 1...
  8. LPN to RN woes

    I have been in your shoes. I took the scenic route to my BSN. Graduated with LVN in 2011, RN in 2017, and BSN earlier this year. My advice: Get it over with! I regret waiting so long to finish up. It is mentally exhausting and frustrating no matter i...
  9. Quit my CNA Job ???!

    I second the scribe in ER if you are able. It will help expose you to more of the provider side of healthcare and show you more of the duties you will be performing as a PA. Depending on the ER schedule, it may even allow you to continue to work some...
  10. Would you do that? New grad dilemma

    I would be vary cautious of working as a LVN with a RN license. I was a LVN for several years before I went back to school for my RN so I understand the draw for it. However, many Boards of Nursing frown on this from a liability stand point. You will...
  11. R.N. debating to pursue BSN

    You are still young and hopefully will have a long career ahead of you. the current trend is pushing for more BSNs (rather it is warranted or not). With that said, it may be mandatory for you in 10 years to get your BSN for your employer. I am 30 and...
  12. Nurse Managers: Showing initiative, or being creepy?

    As a manager I never used Linked In or any other social media/networking platform. Our recruiters would sometimes look up a person's social profiles as part of the vetting process but I personally never did. However, our recruiters vet the person and...
  13. Mon-Fri Rn Jobs no weekends or holidays

    I work in a Family Medicine clinic as a Wellness Nurse. Mon-Fri, no weekends or holidays. Occasionally I have to stay late if it has just been one of "those days." However the majority of the time I am home at a decent hour. Pros: Set schedule, no we...
  14. Personally it would not bother me one bit as a nurse. However, I would not flaunt it with your fellow med students. You don't want to put an unintended target on your back. Med school is tough enough without drama from other students. However as othe...
  15. Any unused pre-drawn vaccine should be tossed at the end of the work day per CDC policy. Also if you read the vaccine insert that come with the shipments the manufacturers have specific guidelines in regards to how long a vaccine is good for once dra...
  16. Large numbers of prescriptions are being lost!

    This happened frequently with our old EHR system. Is still happens occasionally now with the new one (Epic) but no where near as often. Majority of the time it is a computer or internet problem, sometimes on clinic end and sometimes on pharmacy end. ...
  17. Speaking from manager experience, no your manager does not have to work around your school schedule just because Suzie from the next unit did so for her employee. Every unit and every manager is different. The best thing to do is find out what your a...
  18. Seeking advice for possible position change

    RUN! I worked on a M/S Renal and Cardiac overflow unit for a while. We maxed out at 6 and our Charge usually did not take patients but on the rare occasion she did she was maxed at 2. It was tough but manageable most days. Our unit management would c...
  19. Diabetes Care Standards

    We have a protocol for lab order for DM. A1c every 3-6 months depending on previous result (if above 8 then 3 months, if below 8 then 6 months), Micro albumin yearly, BMP/CMP and Lipid screening every 6 months. We can also refer for DM eye exam yearl...
  20. Stethoscope

    I started out with the classic III. I used it through nursing school and my first 6 years of practice. The tubing finally wore out 2 years ago and I had to get a new one and opted for a lightweight classic II which is more than adequate for my job no...
  21. Medical Assistant

    Yes they can. It depends on how your employer is set up. Medical Assistants at my clinic report to the charge nurse (RN) who hires and fires all nursing staff for the clinic (RN, LVN, CNA, and medical assistants).
  22. Should I be asked to get consent without the doctor?

    I'm in Texas. The spot where you sign on the form is just you witnessing that the patient or legal guardian is in fact the person signing the form. Obtaining informed consent is the providers responsibility. The nurse just witnesses the signature, th...
  23. Interview Process & Etiquette

    Don't ask about pay at the interview. With all of my managers that has been a big negative. If/when they decide to offer you a position the HR person or manager who contacts you will offer the pay/differentials and that is when you can try to negotia...
  24. Nursing Admission Dilemma

    Great! I'm happy it all worked out.
  25. I grew up around firearms and own multiple firearms myself as an adult. I knew growing up not to touch the gun safe or play with any of my parents guns or ammo. I don't remember my parents ever having a specific discussion about it, just something I ...