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MichelleRN32

MichelleRN32

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MichelleRN32's Latest Activity

  1. MichelleRN32

    NERVES

    great pieces of advice from the first post! I can add, that for someone with a slight attention disorder like myself, time management was key. Always know what's in the syllabus, the course of the semester, the chapters you cover on a certain day (read ahead), know what topics you will cover before each exam ...and the dates of your exams. Knowing all of these things will make you embrace what is coming rather than make you anxious. Have sheet protectors in your binder (for the handouts that wont have holes), write down your name and date as soon as you get it, maybe special instructions that your teacher is talking about and expect you to know. Before i forget, have the mentality of a winner! Go in saying "I got this", rather than "OMG, I wonder if the exam is hard". Ask the teacher for help, always read in your free time, join a study group if that works for you, and do practice questions before the exams for a couple of days! Good luck!
  2. MichelleRN32

    Is your central supply room locked on the 11-7 shift?

    Nurses had the keys for all the supplies on all shifts. management didn't allow CNAs in the supply closet/room...they had to ask us for the supplies. It's unrealistic and non-productive. you have to stand up and let them know you need supplies. maybe both parties can reach a consensus, and some supplies that you mentioned can be stashed away somewhere.. they have issues with theft, and the only thing they did is possibly deprive the patients of quality care by stopping access to supplies.
  3. MichelleRN32

    Please Help RN to Med School Advice

    my brother (also an RN) talked to an MD today, from the LA area. He was a resident in podiatry. Making $3,800/month, having to work 70+ hours a week, and with $330,000.00 debt. He has a newborn at home and the biggest regret of his was not being able to spend time with him at all..he even said that RNs are luckier, they get the same amt of money, less work and most of all have little to no school loans when they start off. I'm not saying that these are the situations with all the MDs;the knowledge and two initials after your name cannot be compared to anything. Realistically, you need something where you can get a faster degree so you can earn $ quicker and the RN route is probably it. Later on, you can go into FNP, which is a mid level practitioner; then, you will be able to diagnose and prescribe meds etc. Honestly, even with a BSN you can get years of experience in a field, get a couple of certifications under your belt (like RNFA) and make the same wage as an entry level FNP, from my understanding. Good luck with your decision and hope all is well with your mom
  4. MichelleRN32

    international RN in the USA, HELP

    Oh, and you mentioned violent country? Political asylum could be an option, there are different treaties between certain countries and the US!
  5. MichelleRN32

    international RN in the USA, HELP

    Sponsorship is a no-go. Visas are not issued any more based on "there is no one that can do a better job than this person"!! She should get a job as an RN in a long term or something that will hire her! good luck
  6. MichelleRN32

    international RN in the USA, HELP

    The student visa gets transformed into a work visa for 12 months. International students are allowed to work legally outside of campus, in the area of study, once they graduate.
  7. MichelleRN32

    international RN in the USA, HELP

    I was an international student until about 2-3 years ago. after graduation, you are legally allowed to work full time in the US for a total of 12 months in the area of your degree- that's what the law states. the law does not help her get a job etc, that is something that depends on her. Unfortunately, because employers train you for 3-4 months (and that costs, because they pay another nurse to shadow you at the same time), it does not seem reasonable for them to train her knowing that she will leave. Nursing shortage? not so sure about that. She might get lucky if she gets a new grad position somewhere, but again.... Long term care might hire her if nothing else. Her options: -enroll in further courses towards her career, meaning associate to BSN degree, etc. that may give her another student visa (she can work legally for two years part time while attending school, as far as I know) it's unfortunate what situation she is in....
  8. MichelleRN32

    Constant Vein Blowing?

    If it blows when you are going in first, then you have too much pressure on the tourniquet for the type of vein. If it blows while you are infusing, then you have a couple of other reasons : you are pushing with pressure, you have nipped the inner lumen to begin with (in case he is dehydrated, it would be easy to do). If the patient already has scar tissue on that one vein, then I would imagine the only solution being going in blindly and hoping for the best! i hope this helps!
  9. MichelleRN32

    BloodSource Interview with HR

    If you are an RN and you will get hired for a local blood bank: - this will be more of a leadership role. You have to not be afraid to speak up to coworkers, because safety issues may be involved (such as not scrubbing the arm for the whole 30 s with clorhexidine 2%). -you will be responsible for getting to blood drives on time, and your coworkers (phlebotomists) take their breaks accordingly. You are also ultimately responsible for setting up the interview stations according to your SOPs (meaning far apart so that it is considered safe, meaning no one will hear the donor's answers). -you will also be ultimately responsible with taking care of reactions and documenting accordingly, sending necessary paperwork to the appropriate review company (which in turn decides if protocols were followed and the blood you have collected on that day is considered safe) -you won't necessarily have to do apheresis, but your staff will. You are supposed to be responsible something you were not trained in; the only thing you are trained to do is tell staff to give antacid tabs, put a warm blanket on etc. Honestly, it is a lot of babysitting. Be prepared to forget all your skills. Make sure you are prepared to work very irregular hours and sometimes under not-so-nice conditions. So they can ask how comfortable you are to be a leader and how flexible you are with scheduling, if you are a timely person and you follow rules, how you would deal with conflict and if you are a whistleblower etc. Good luck, I hope it is what you are looking for!
  10. MichelleRN32

    cna's obtaining vital signs in a timely manner

    I like my CNA's to come up to me as soon as they come on the floor. I don't do walking rounds with them, but I go over new orders for patients (like D/c Hoyer) that pertains to CNA care, I remind them that whenever redsidents come back from dialysis I need to be notified (they come back in the middle of med pass), I remind them I'd like the lap buddies/ bed alarms I want in place etc and the fact that I need VS in by 1600, which is when I will start passing 1700 meds. The vital sign sheet has their names and room #s on the top, together with "Vital signs in by 1600, please:) thanks" I always tell them "let's not have any falls this shift" and "report any changes please". I also go over new admissions with them and tell them what care they need to provide for patient, diet etc. You have to be a leader. talk to them exactly how you were taught in school: no open-ended questions; limit use of "you", use: "I would like to have...please" instead. If you ask them three times in a shift to do VS and they don't, it is your choice to write them up or take the VS. Imagine that you have someone with SBP of 180 and you only find out at 1800...by then, you could've treated it with 0.1 Clonidine PO and assessed if effective!! Of course, there is no one answer. sometimes you'll have to take a BP yourself at 2100 if the resident takes lisinopril at HS.... Hope this helped, good luck!
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