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calliope26 BSN

Med Surg, Hospice, Wound Care

Content by calliope26

  1. I've been working on a COVID+-only unit for a month. In that time, we've transferred a handful to ICU, many of whom have survived, and had a couple of comfort care patients die. Not one of my colleagues has tested positive, or even been out sick. I am not one of those who says the risks are overblown, but I don't think it's as dire as the OP states, either. My state's curve seems to be flattening. As long as we use PPE correctly, wash our hands and maintain social distancing in public, I'm hopeful we can stay healthy.
  2. calliope26

    New grad interested in infectious disease

    Med surg is great exposure to infectious disease. You will see a little of everything there. My hospital system requires an MSN to get hired in the ID clinics, so that's something to keep in mind.
  3. calliope26

    Hospice as first RN job?

    To answer your question, yes, some hospices will hire new grads, but I personally recommend some acute care experience before going to hospice. My med surg experience was invaluable in assessing what I was seeing in patients. In hospice, you are often alone as the RN making a judgment call on how to treat symptoms, and you need to be able to accurately convey what you're seeing to the MD to get the med orders you need. Hospice is not a common choice for new nurses, and I don't want to discourage you in any way. It's a great choice, and I hope you make your way there at some point.
  4. calliope26

    Struggling new nurse

    I found that picking one area of improvement for myself each day before I started was helpful. For example, if I needed to pick up speed in charting, I set that as a goal. At the end of the day it feels good to have one thing under better control. Other than that, the advice above is excellent. Best of luck and give yourself the grace of some time to develop all these new skills.
  5. calliope26

    Is this nursing burnout?

    Do you have enough PTO accumulated to take a couple of weeks off? Sometimes that amount of time will let you reflect on your most important priorities. I think you need another opinion than your primary doc is giving you on not sleeping well--losing sleep is often caused by anxiety, which is treatable. Find a good therapist to help guide you through these decisions, it might help clarify what you're struggling with. Best of luck!
  6. calliope26

    Can good nurses work in bad facility

    I go into "bad" facilities all the time in my current position, and find they all have a few hidden gems. Usually it's management that's the problem, not the staff. Be a gem, and you'll be fine!
  7. I've been told I have a meeting with my supervisor and HR tomorrow, so I'm anticipating the worst, but not 100% positive I'll get fired. My supervisor could not really give me a lot of information, so, do I hand in a letter before they have a chance to fire me? I am supposed to work a 30 day notice, so I've written a letter reflecting that, with the usual thanks for the "opportunity." The one reason I am so hesitant, is I want to hear them out. I know of no reason I should be fired, there have been no incidents at work that I am aware of. Advice please!
  8. calliope26

    Is 63 to old to start nursing school?

    I had a classmate who started at 63, and graduated on time! She had some experience earlier in life as a Rad Tech, so she knew what she was getting into. After graduating, she had a tough time finding a job, eventually settling for something not too strenuous, working for about a year or a little more, then retiring. Overall, probably not a great financial investment, but it was an itch she needed to scratch. There's a lot of good advice already given, so I won't repeat it. Best of luck, and if it's your dream, go for it!
  9. calliope26

    Resign first or wait until I find out if I'm fired?

    Yes, very stressful. Verbal reprimand, they don't think I'm a good fit for my current position, but have made no effort to assist in any way, and the criticisms have been vague; I've decided to move on.
  10. calliope26

    Resign first or wait until I find out if I'm fired?

    Not terminated, just a spanking. I think my best course of action is to start looking for another job, pronto. Thanks everyone, for your support.
  11. calliope26

    Resign first or wait until I find out if I'm fired?

    Yes, Daveydo, plan for the worst and hope for the best! Thanks!
  12. calliope26

    Resign first or wait until I find out if I'm fired?

    Kakamegamma, tone of voice didn't match, and it's not a random UDS. Thanks for the good wishes!
  13. calliope26

    Resign first or wait until I find out if I'm fired?

    Klone, I have be counseled on one issue, but that was 7 months ago, and I have had great feedback since then. I am being deliberately vague, I realize, but this is a public forum. Certain things about my job make me unhappy, but I am mostly very satisfied. I've put a lot of effort into improving, and thought I was successful at that.
  14. calliope26

    Repositioning end stage of life hospice pts

    At the very end of life, pressure injuries do not heal. It's an expected part of the dying process--poor nutrition and poor circulation, thus, no healing. Repositioning is for comfort only, and I do not reposition people who are clearly less comfortable after being gently turned.
  15. That working with women can present challenges I never expected. Think "mean girls".
  16. calliope26

    Seeking expert advice on macerated area RLE

    With weeping venous ulcers, you do need an absorbent layer over the Aquacel Ag, such as an ABD pad (which she was using). Some people find maxi pads work as well and are a bit cheaper. If she can tolerate compression, a 2 layer light compression wrap over the ABDs, such as 3M Coban Lite might be helpful because it should reduce the number of dressing changes. Triad cream can also be very helpful in preventing maceration of the periwound. Unfortunately, these wounds can be slow to heal, but she's not diabetic and has good ABIs. Reinforce the importance of no smoking if she is a smoker, good nutrition, and leg elevation.
  17. calliope26

    Removing Triad from wound

    I have never used Triad on a skin tear, but think it would be a good choice. As far as removing it, have you tried mineral oil? It should make removing the Triad much less traumatic, although leaving a thin layer after cleansing should cause no problems to the healing process.
  18. calliope26

    2017 Nursing Salary Survey

    One comment: question #26 is required, but says "If you work FULL-TIME...". I don't, so why is it a required question? Otherwise, I'm looking forward to the results!

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