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During school, did you see anything gruesome
Wow... that last patient was a winner. Poor thing.
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Newbie nurse with a ? about perineal massage.
I've never done it on anyone. I'll put my fingers in the vag for the mom to feel where to push but I don't do the sweeping massage. I've heard in a class not to do it. Do a lit search and let us know what the research says.
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nurses get blame abuse any docs out there
Oh my... Your situation sounds very bad. I have no idea what to say. You are stuck in a rock and a hard place. No human could take what you did. I'm so sorry this happened to you. Gail
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Online BSN but I have pain when I walk.
I think you have to walk when you work as a nurse. I wouldn't want to go to a program that doesn't have clinicals because that's when you're going to learn pretty much everything.
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Med/Surg to L&D?
i had a year of tele experience before I started L&D. It is completely different than my old job! It's so different that I'm not sure how much my tele experience will help me other than I know how to assess for abnormals, start an IV, and read some kind of monitoring strip. Tomorrow is my first day off orientation so I'm kind of scared but excited too. Gail
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IV's, piggybacks, IV machines.....help!
I don't try to remember what meds can be combined in a line. There are reference tools in drug books. In my facility, we have Micromedex where you can plug the meds in and the program will tell you whether you can combine them in a line. If micromedex says that meds are not compatible or untested, I don't run them piggyback. Does this answer your question?
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Precepting?
Thanks for the replies. I realize that 4 weeks is not a lot. This nurse has already been extended. She started around 4th of July and ended with me yesterday. She will be orienting on nights after this for 2 weeks. I agree with everyone that nursing school doesn't prepare you for actual nursing. Like another nurse, I had never started an IV or even put a foley in but I made darn sure I took every opportunity when I was precepting. I always felt wiped out at the end of the day but it gave me great experience. Unfortunately for me, my orientation was cut short b/c my preceptor left and they stuck me on the floor. I had to learn quick! So... I'm at a loss when I hear someone say that she's too busy to put an IV in or pull out a central line. These are things that she needs to know how to do. And talking w/ an educator will not make her proficient.
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New Grad...On Neuro Unit. need advise.
i work on a neuro/tele floor. if you want, pm me and i can give you some pointers.
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Precepting?
Hi, To those of you who precept, where are your preceptees in their nursing practice before you turn them loose? On my floor, new nurses are oriented for 4 weeks on days and 2 weeks on nights. I'm the day portion and am expected to get the newbies able to handle 4 patients. (I'm on a neuro tele floor). My last one has time management issues and can do 2 patients with help. 3 and she has major trouble. Forget about admissions. She never got to those. She was always too busy to do IV's and ... she just has issues. Today was my last day with her and she's going to nights. Are 2 more weeks enough? I've already talked w/ my manager about her and she's bound and determined that she go to nights. I don't feel like she's safe and don't want to clean up her mess on days when she does go on her own. Long story short, how long is the orientation period on your floor if you have someone with issues. Thanks for any stories. Jokes and funny stories are going to be appreciated. I need a good laugh after this day.
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Samuel Merritt College
Nathanielandarianna, I agree with your friend. The BSN will lead you into management jobs while the ADN will serve you well if you want to be a bedside nurse. However, we all start as bedside nurses so right now, I don't make much more than an ADN prepared nurse who paid community college tuition. You can always get your bsn as a bridge program later if you're short on money now. Eventually, I think everyone should get their BSN if they can afford it money and time wise. It's always good to get more education. I'm not saying that you shouldn't go to Samuel Merritt by the way. I'm just cautioning you into thinking seriously about being able to pay off w/in 1 yr like everyone seems to think that rns should be able to. By my calculations, it should take me 3-4 years to pay off my $25K loan and I pay off approximately $800-1000 per month. Gail
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Samuel Merritt College
MSU is Michigan State University in East Lansing, MI. I moved out of state for the 12 month program and I'm back in CA. I estimate that it might take me 3 years to pay off the debt. I found that it doesn't really matter where you go to school. Just that you can pass the NCLEX. It makes basically no difference in your pay whether you are a ADN or BSN. I get 4% more for my BSN but it works out to be $1 or $2 per hour. So... Samuel Merritt probably would be turned down by me just because of the expense. Everyone who says that you can pay that kind of debt off in a reasonable amount of time forgets that you have other expenses like car payments, kids, and you need to have time off. Once you start working it's hard to get the motivation to work extra shifts because of fatigue. I work maybe one extra shift a month for overtime or incentive pay but sometimes I don't. When you work extra a good portion goes to taxes so you don't even see it until next year. Ugh... debt sucks.
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What does an appropriate OB/GYN orientation consist of...
OMG... I don't know anything about OB/Gyn orientation since I'm not an L&D nurse but this sounds like it is totally inadequate. Can you talk to a nurse educator or your manager???
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Which path is better to become a nurse?
Hi, I was in the same boat as you, having a BS in engineering and wanting to become a nurse. I did a 12 month accelerated BSN program at MSU and am now working as a tele nurse. I don't know if it matters in terms of getting hired for your first hospital job whether you have an AS or BSN degree but I heard that having a BS will help you advance if you no longer want to do bedside nursing. Also if you plan on getting your masters it will put you one step closer. As for me, I probably would have done the ASN if I could have gotten in. There is a wait list of 2-3 years at the community colleges in my area. If I had waited to do that, I would still not be in school. I would go wherever I could if I were you. Gail
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Help with San Diego questions
You can definitely have a middle class living on the salary you'd be getting in SD. The bay area has to pay you more cause you have to deal w/ the housing prices. I am in the same situation as you. If you want to earn more money you can always work an extra shift once in a while.
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Samuel Merritt College
I got accepted to this school in 2005 and I didn't end up going there because of the cost. I ended up going to MSU and came out with $20K of debt. I'm paying $1000/month to get rid of it and it's going down soooo slow. Just a caution for you in case you don't want to be dealing w/ student debt for the rest of your life.