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Star RN

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  1. Ahhhh.....the politics! Well, yes you do need to be careful in how you approach this. Sounds like you might not have much support from at least one of the charge nurses. I'm am sure you are probably not the only one in your dept. who feels this way about this nurse. Maybe this nurse is just not happy at work either. Who knows. In my experience as frustrating as it may be, try to have some understanding with the other person and talk to them about it first. Try not to be confrontational. As silly as it may seem, document the scenarios when you feel she wasn't being a team player with details and examples of what happened.If you can't get anywhere talking to her first or you don't feel you can approach your co-worker, you can talk to the manager about it.
  2. 20 mins? Is WAY too slow and outside the standard. - agree and probably would obtain an order for picc ASAP
  3. I agree with S.G for the majority of new grads. In radiology, and even more so out of the hospital setting you need to be able to work autonomously. Just because they will take you, doesn't mean it's the best move professionally or more importantly,safe for your patients. Don't set yourself up for failure. That being said, I have met a few impressive new grads and maybe your one of those types:) Hope you have the luxury of a great preceptor and orientation if you do decide to take this on.
  4. First, congrats on the position! I hope you will have a great preceptor. This makes a HUGE difference in stress level your first year as an RN. I had 10yrs cardiac surgical PCU/float CSU experience prior to my current position. I now work in an outpatient vascular surgical center. I felt overwhelmed initially. We do interventional angiograms,fistulograms IVC filter placement. As the only nurse, I do the pre-op, sedation and recovery. As a new nurse, you should focus on your assessment skills and know your medications. Never give a medication without knowing your pharmacology. ACLS of course and know your cardiac rhythms. If your giving sedation, you need to have strong airway management skills. You will be starting lots of IV's. Know your catheters too! What type of procedures will your patients have in your dept.?

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