Simonesays

Simonesays BSN, RN

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All Content by Simonesays

  1. had an AWFUL night

    Yikes! What a crappy night! I feel tired just reading about your shift (and this is not a dig at your writing style!). It's true: we all have assignments like this at some time or another. Once in...
  2. Oof. Just a little hint: if you have to preface a statement with a disclaimer, refuting an opposition before it is even made, you might be saying something controversial and offensive. In my...
  3. I wrote a longer post that I accidentally deleted. Oops! To sum it up, don't get too fixated on that initial salary. Think of the added bonuses that you'll eventually get (good benefits, OT, paid...
  4. How long is your commute?

    I can bike to work faster to work than I can drive (15 mins vs 20+ for traffic/parking) but as soon as I got my car that was pretty much the end of that healthiness. I'm trying to move to NY and I'm...
  5. Major Med Error

    As others have said, there was probably something else going on with the patient. However, for a 75 y/o pt, 2mg of Ativan IV prior to an MRI is definitely a hefty dose and I would question that in...
  6. Dumbest thing a doctor has done/said to you

    Banana, stat! For a low potassium. On a pt with a
  7. Immigration lawyer?

    Hi! I am a Canadian nurse trying to move to NYC to be with my long-term boyfriend. I started the immigration process last year. I wrote and passed my NCLEX in Sept then started everything else in...
  8. Drug seekers

    Interesting discussion! Your post brought up several different issues. Addictions, pain (chronic and acute), drug resistance, and drug dependancy- just to name a few. Each of these individual...
  9. What to do when you fear going to work?

    Hi! I think that it's actually a good thing that you're having this reaction. Nursing is a huge responsibility and admitting that you are feeling anxious as you start out in your career- good! It...
  10. Immigration lawyer?

    Thanks for all of your thoughtful replies! I decided to go for the TN visa instead of the fiance visa and opted not to get an immigration lawyer as it seems like a straight-forward process. My visa...
  11. For Canadian RNs: How to immigrate to NY State

    Hi! Ugh. I won't bore you with a rant about the lengthy immigration process to move to NY. I just recently received my license from NY State and have applied for the visa screen. I'm still in...
  12. What to do when u find an unresponsive patient

    What everyone else said. But also, if you guys didn't have a post-code debrief, I would ask your manager for one. It would benefit not just you but also your colleagues. It definitely doesn't have...
  13. New Nurse on Paxil

    As others have said, only you and your MD can really decide if this is the best course of action for you. Personally, I took Effexor when I was in my late teens/early twenties for depression/anxiety....
  14. how much do you pay on student loans per month

    I started with around 35K (eep!) and am down to 10K. I pay about 1000$ per month (some months a bit more and some months a bit less). I wouldn't be able to pay this much if I had children or...
  15. Heparin

    As other posters have said above, a patient undergoing chemo for cancer is at an increased risk of thrombus formation. It is up to the heme team/onc team/provider to develop a plan of care that...
  16. Epidural question

    Can someone help me please? If a patient has a syncopal episode while they are on an epidural why is it inappropriate to elevate their feet after they regain consciousness (i.e. putting them in a...
  17. Epidural question

    Thanks for your
  18. Epidural question

    Thanks Muno! Can you expand? Do you have any good
  19. Epidural question

    Thanks for your reply! I should clarify that this is an epidural infusion and a post-op patient (not
  20. What am I getting myself into?

    This! Well
  21. What am I getting myself into?

    I love my job! I started nursing school when I was older after spending most of my twenties working in a customer service position in a bank. This job afforded me the opportunity to travel and have...
  22. Novice nurse no-nos

    Congrats on your new job! Admittedly, I don't do a full head to toe assessment first thing on everyone (I work on a surgical floor too- ortho/trauma). I do a quick check on my most stable patients...
  23. I'm in a Quandary

    I definitely don't think that teachers are compensated enough for the hard work that they do! It sounds like you are a great teacher who is coming up with thoughtful and appropriate lesson plans, who...
  24. As others have said, was the RN really busy (with a critically ill patient, numerous tasks...)? If yes, and you weren't equally as busy, she may have just been asking because she needed the help....
  25. I'm a nurse and I don't like people.

    What about working in a different area as a nurse (i.e. research)? I don't think you have to love being around people to be a good bedside nurse, but if you don't enjoy working in this capacity then...