EDRN1091

I started as a new grad in the Hartford area. saint francis and hartford both have new grad nurse residency programs. Sent from my iPhone using allnurses

I started as a new grad at a big teaching hospital in the Hartford area at 28/hr. Sent from my iPhone using allnurses

when I started as a new grad I got 9months on the floors (MICA/step down then a GI/remote tele floor for me) then went to the ED.. initially supposed to have 16wks, preceptor got sick and was out due to lap chole so I was on my own after about 9-10 weeks. On MICA I had a preceptor for a few months then "mentor", then on the medical/remote floor I had about 3 weeks orientation and was on my own after that. it worked out really well in my opinion. Sent from my iPhone using allnurses

I wish our management would consider this. some nurses in my ED will be placed in triage for the whole 12 hours of their day... and for 4-7 shifts in a row! Sent from my iPhone using allnurses

we had a 3 year old who got the IV zofran PO last week for vomiting with fever. worked like a charm. Sent from my iPhone using allnurses

This post is very vague. Try to narrow down what you need tips or advice on so we can best answer and guide you. Sent from my iPhone using allnurses

Please come give this talk to the urologist that was irrigating a 3-way in my ED bare handed using an already used basin filled with sterile water (not sterile anymore) and soaking my pts bed because he let it drain all over the sheets, THEN proceeded to place a garbage bin under the collection bag and leave it wide open to drain into. Sent from my iPhone using allnurses

Connecticut Interviewed and got residency job April 2013 Graduated May 2013 Nclex July 2013, started 2 weeks later "Graduated" my residency in June 2014

residency program for the ED. BSN. cost of living is up there.. not high like CA or NYC, but it varies.

When I started in CT last year it was $28/hr

That's interesting to learn there is a machine for PD. I suppose in my region it's more common for people to do the ambulatory version because that's all I've ever done on my PD patients.

http://www.nlm.nih.gov/medlineplus/ency/article/001431.htm

Try a google search to see images of the supplies and it might make it easier for you.

There's no machine, it's a bag setup with a drain bag and dialysate bag (think huge IV fluid bag) that hangs from a pole. They are connected by tubing. There is a port on the patients abdomen that is connected (sterile) to the PD infusion/transfer set. What was previously instilled in the last transfer is first drained out into the drain bag. Then that is clamped and the new dialysate is unclamped and instilled into the abdomen. That sits and dialysis occurs within the abdominal cavity for a prescribed period of time. The the process is repeated.

Do you know what hyperreflexia is? What the S/S are and what it causes? How it is treated? It seems to me that you're seeing "cirrhosis and renal failure" and just picking between the two chronic illnesses. Think about the outcomes for both patients and what you as the nurse would be considering and doing, then you have your most acute patient.

In my state some on call SANE nurses are contracted by the state DPH. We also usually have one ER nurse who is SANE certified as well. Check with your state DPH.

Firstly congratulations. Secondly, this post may do better in a forum such as first year after licensure (under career section). Have you created any good networking relationships with clinical sites? You can ask the nurses there for advice, and your professors will be helpful too. If your school has a career center or something of the like they are usually extremely helpful with creating résumés and interviewing skills. Just a word to the wise - always spell check and grammar check, the word you're looking to use in this post is adVICE not adVISE. Best of luck.

And BUNDLE CARE! Get your time management in tip top shape ASAP. Carry a penlight too. I often am doing Q2 hour neuros. Always assess and be ready to assess at the drop of a hat. We utilize SBAR with rounds and MD calls so be ready to have everything you need to address when you call MD because trust me you don't want to be calling 4x because you forgot something else (and they won't want it either lol).

I'm working the same (we call it MICA/SICA) as well right now before I go to the ED. It's hectic as hell in my hospital. High acuity, 3:1 pt/RN ratio. Know your gtt protocols or where to find them. Know your charge, PCA's and where everything is in the med room. If your unit has dedicated RT and pharmacy staff identify them and introduce yourself. Find some nurses other than your preceptor that you feel comfortable asking questions to or asking for help from. Be ready to call docs, pharm, radiology, transport etc. Take your time and brace yourself. And best of luck!

I'm not sure what you mean by "you only get the rate if its irregular". That doesn't make sense. If you're looking for the overall heart rate it is the number of QRS complexes in a 60 second strip/#QRS x 10 in a six second strip (only with regular rhythms). Without a QRS - essentially there is no heart beat. So if this doesn't answer your question, try to rephrase it because I'm not sure what information you're looking for.

Atrial rate = number of P waves in one minute (or # p waves x 10 in a six second strip) Ventricular rate = number of QRS complexes in one minute (or # QRS x 10 in a six second strip). Is this what you were looking for?

Best of luck, I don't have a specific answer for your post. I do, however, suggest that you clean up your spelling, grammar and collective writing skills. Your entire post is one sentence and makes close to zero sense. The word is submit, not summit, for instance.

if you have a member number already from paying for it you can list it on your résumé.

I just graduated with a class of 48 undergrad BSN nurses. Last year I think they graduated 30 or so.