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hikernurse has 8 years experience and specializes in NICU.

hikernurse's Latest Activity

  1. 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.
  2. 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 .
  3. hikernurse

    discrimination against female docs

    We love our female docs where I work. They're pretty awesome :).
  4. 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...
  5. 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.
  6. 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".
  7. 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 .
  8. 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.
  9. 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...
  10. hikernurse

    Question for those who do head/body cooling

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

    What do you do about leaks?

    Agree with the others. But, technically, many are incubated as well as intubated And swearing somehow really does help, lol.
  12. hikernurse

    When patients and visitors are rude

    And this is another issue that comes along with this problem. Patients and/or visitors complain to a Charge Nurse, management or patient relations and blame gets placed squarely on the nurse. No matter what the situation. Even if the complaint is followed with, "I just had a bad day and now that I've vented, I feel great about everything", the response is "Sir, Ma'am, we take every complaint seriously and will follow this up with your nurse." And following up involves discipline, even if the nurse did nothing wrong. Even if the nurse is following protocol (which if not followed leads to termination). Nobody at all is on the side of nursing. I would love it if validation of the complaint was followed with, "We have the best darn nurses here. You are lucky to have had Nurse X during your shift." And it would be nice if a patient/visitor was the cause of the problem, that an apology be offered to nurse--by them. And just for the record, I tend to view difficult patients as a challenge (instead of horrible people) and do understand this is a bad time for them. However, poor behavior needs to not be tolerated. Ever.
  13. hikernurse

    WGU and tuition reimbursment

    And that is a valid concern. The reason my corporation pays for WGU is that they are certified by all the right people. Otherwise, we have the same rule against reimbursement without letter grades. It might be worth talking to your institution about it. Maryjean's (aw, I'm sure she's nice and not mean at all ) suggestion about having WGU talk to your people is a good one--and might save you a lot of money!
  14. hikernurse

    WGU and tuition reimbursment

    My hospital also reimburses WGU. It has all the right accreditations and I haven't had a problem with reimbursement at all.
  15. hikernurse

    5th Nursing Caption Contest - Win $100

    Since nurses stopped wearing caps, all professionalism went out the window.
  16. hikernurse

    Anyone else see...?

    Whoa--what a scary place to work!! As far as the drug calculation goes, it's a lot tricker doing mg/kg/dose than figuring out typical adult doses. I'm a huge advocate for pain relief, but if your concern was keeping the child alive and breathing, you were right to question. Fact is, sometimes doctors (as well as nurses, etc.) can make mistakes in dosages. I'm surprised the nursing supervisor wasn't familiar with peds dosing, but she wasn't, so that's that. In any event, you were very wise to get out when you did!