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hikernurse has 8 years experience and specializes in NICU.

hikernurse's Latest Activity

  1. hikernurse

    NICU Nurses That Have Passed RNC-NIC (and any good test takers!)

    Of course you passed, you were so ready :-). Congratulations!!
  2. hikernurse

    What baby catches you every time?

    Kids with multiple congenital anomalies always grab my heart. They have a lot of issues, but are interesting and something about them just pulls me in, they are so beautiful in their own way. Lots of these kiddos have families who don't show much and I love that I can be there for them :).
  3. hikernurse

    discrimination against female docs

    They can in some states...
  4. hikernurse

    New and 'fun' things

    And who among us hasn't done that, right??
  5. hikernurse

    New and 'fun' things

    Um, the light bulb in his ceiling burned out and he was using the flashlight to see to change the bulb. He unfortunately was naked and accidentally fell on the flashlight at which point it inserted itself into his bum. Totally accidental.
  6. hikernurse

    Cops and Nurses

    This is more the case where I live. Police officers will target areas right outside the hospital right around shift change. Especially in the morning, there can be several cars with nurse drivers pulled over, waiting for their tickets to be issued. To be honest, after working a night shift (and scheduled for one later that day) I know all I want to do is get home and in bed ASAP.
  7. hikernurse

    High-Value and Low-Value Patients

    Your post sure gave me pause to think. It is disappointing that there is a perception of hierarchy of patients and disease--although I do agree with you that this exists. I think your candor is a good way to open discussion and look for ways to improve the view that society (including nurses) has on this topic. I work in a Newborn ICU and I do get a lot of comments about how rewarding my job must be. And it is. Sometimes. My mom, older and overweight, had both knees replaced a couple of years ago and I think her nurses worked a lot harder than I do in helping her get back on her feet. (Literally, lol.) Thanks for writing this.
  8. hikernurse

    I Feel like a bad nurse. Feedback please

    You're exactly where I would expect you to be at this point! Give yourself some time. When you do something well--even something you might not think is a big deal--give yourself credit. That will help build confidence. Also, finding a few unofficial mentors to run thoughts past would help. Most nurses are happy to help a less-experienced nurse. As far as the recommendation part of SBAR, it doesn't have to be an entire care plan, it can be as easy as recommending a physician assess the patient in person or giving fluid. You'll find that there tend to be typical issues on your ward. I am a NICU nurse and a common order would be a CBC, CRP and CXR. Other units might find that giving fluid is a common response. I guess my point is that with experience you'll get to have a pretty good idea of what needs to be done. I promise it gets easier! It won't be all that long before you look back and can't imagine ever not knowing what you don't yet know now .
  9. hikernurse

    discrimination against female docs

    We love our female docs where I work. They're pretty awesome :).
  10. hikernurse

    Are headaches a contrainidcation for 12 hour shifts?

    Wow, thanks GrnTea! This info was helpful to at least one of us :). Off to research this...
  11. hikernurse

    The Insanity That Is APA in Nursing School

    I wouldn't argue with you . You do need a working knowledge of APA because the headings/content, etc., can't really be formatted by even the best software. The real benefit is the "edges" of the paper. Being able to click on an icon and get automatic headers and a citation builder is well worth the little bit of money the software cost.
  12. hikernurse

    Graduating soon . . . told by preceptors "stop trying to be perfect"

    Something else, if you are focusing on doing everything perfectly, sometimes you miss the forest for the trees. Some things need to be done exactly--for instance you want to keep sterile procedures sterile--but there is a lot that falls under the art of nursing. Working with humans can be pretty messy sometimes; both metaphorically and literally. Keeping things fluid and going with the flow will sometimes get you better results than trying to do everything "right".
  13. hikernurse

    The Insanity That Is APA in Nursing School

    I don't even write in full sentences in my charting narrative, lol. But I do currently use APA format in my MSN program and did through nursing school as well. With the proper software (PERRLA) it's a breeze. You can focus on your writing instead of the format. The downside to APA, I've found, is that the capitalization of every word in a title now looks all kinds of wrong .
  14. hikernurse

    Didn't know where to put this, but help?

    I don't know that bleach would have been necessary with MRSA/VRE exposure. We use bleach for C. Dif, but not the others.
  15. hikernurse

    Bedside Reporting- your thoughts

    Wow, y'all must have incredible time management skills to be able to plan to the minute the next time you will be in to check on each patient. I'm sure that's a testament to your wonderful managers...
  16. hikernurse

    Question for those who do head/body cooling

    umcRN, have you had any problems with cooling on ECMO?