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galenight

galenight BSN, RN

Emergency Room
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galenight is a BSN, RN and specializes in Emergency Room.

galenight's Latest Activity

  1. galenight

    CME for Acute Care NPs

    I am having trouble finding continuing education for Acute Care NPs. ANCC requires at least 51% of CME be directly related to your specialty. So many conferences are geared mainly toward primary care. I am having an especially hard time find pharmacology credits for acute care. Does anyone have any suggestions? I have tried Medscape, NPACE, plain old googling and many others. Thanks!
  2. I'm likely to be offered my first NP position this week after 2 interviews. The schedule is a brutal: 7 days on, 7 days off 12 hour shifts with a hospitalist group. My question is does anyone pick up RN time? I could use the extra money for loan repayment. As a new grad, I don't want to take on a new NP role in addition to my new job...that would just be information overload. But with that 7 on/7 off schedule it would allow me to pick up 2-3 days a month for extra cash. Any thoughts?
  3. galenight

    Anybody else in hiring limbo?

    I, too, am in Job limbo... thank goodness I still have my RN job! I finished classes late July, actual graduation date was August 27. Took boards on Oct 16 and my license came through in 8 days. I've been looking since July and have had 3 in person interviews and 2 phone interviews. I just got called today for a second interview/job shadow day in 2 weeks as well as an in person interview following a phone interview (will be 2 interviews for 2 different services since it is a 4 hour drive). That is scheduled for the day after the job shadow. I feel like it is taking forever. I've also received a number of replies to job postings via email stating that another candidate was hired or my qualifications aren't what they are looking for. But more often than not, I just don't hear anything as the original poster noted.
  4. galenight

    Emergency Department 23 hr Observation Patients

    We are also critical access, with a moderate ED patient volume... big fluxes some days pretty slow, others crazy. My opinion is that it is unrealistic for us to care for OBS patients adequately. There is the whole thing with a Medex, kardex, different computer system, computer charting (we chart paper) that we know nothing about. I realize we can be trained, but still. What our facility has just implemented is that we will keep ANY inpatient if census on the MED/SURG floor is zero (which does occassionally happen). Once a second patieint is to be admitted, then we can call the MS nurses and the floor will be opened up. Pity the patients if we are swamped. Their care can be severely compromised. We only have 2 nurses on staff in the ED. On midnights one is an LPN. This is not a good situation at all. Damn bean counters!
  5. galenight

    Fall 2009 Graduate school roll call!!!

    Hi all 1. Wayne State University 2. Acute and Critical care nurse practitioner 3. working full time 4. school part time 5. need to talk to the mental health nurse practitioner student, cuz i must be crazy to be going back to school AGAIN!
  6. galenight

    Bathroom Inservicing

    So.. I personally think it is tacky. Tacky Tacky Tacky. If we went to the bathroom of a Forbes 500 company would they have ANYTHING taped to the door of a bathroom stall? If I went to IBM tomorrow, would there be a memo from Gates detailing fourth quarter profits? Would GM have postings regarding sales of heavy duty trucks? C'mon. Give us a break. We are professionals and should be treated accordingly. Make important info available elsewhere and leave the bathroom to its one and only purpose. Also.. do you think there is anything posted in the CEOs bathroom???
  7. galenight

    juggling motherhood and nursing

    I started nursing school when my children were 3 and 7. It wasn't easy. I did have a husband at that time and for a couple years while I worked, but always had to work full time. The key to juggling both being a mom and a nurse, is to make the time you spend with your kids quality time. Yeah.. that sounds very Dr. Phil, but it's true. Be grateful that you can work just part time and also know that you are showing your son that work is important and necessary and valuable to you as a person. Kids adapt. They are incredibly resiliant little things. I've been divorced now for years and have done the juggling thing totally alone. My kids have not suffered for my career. They are great teens who understand work happens and that work is important for us to live and for mom to be sane. When I started nursing, my facility was still working 8 hour shifts and I worked afternoons. Once we went to 12 hour shifts it was much better. Even if I picked up an extra day now and then I still usually had 4 days a week at home. So my advice is this...if it works for you, work a job that is 12 hours so you are home more full days. Don't feel guilty for having your child in day care, it is often necessary, just pick a good one and be vigilant. And finally take time for yourself as well.. that is the best gift you can give your son and the best way you can be a good mom.
  8. galenight

    Am I to old?

    I agree with everyone else.. you are not too old. As for your nursing education, I would recommend getting your RN degree. Nursing infomatics is complex and would require the more specialized knowledge an RN possesses. You may want to research the requirements for working in that field, I suspect it will say RN not LVN. Also, remember that your previous course work will count towards some of your education requirements, depending on the institution and maybe depending on how long ago you obtained them. More research. Good luck to you. Nursing infomatics is definitely the new kid on the block and sure to grow.
  9. galenight

    what is the....

    Boredom to the Nth degree...lol This information should be in your reference books. I assume you are a student. By the way, there are many nursing theories, not just one. Happy researching.
  10. galenight

    Learn To Say It Correctly!!

    OH yes I did... just wanted to see how long before anyone noticed....lol :chuckle Ok, I'll rephrase. GRAMMAR POLICE UNITE!
  11. galenight

    Learn To Say It Correctly!!

    Acid relex instead of acid reflux gets me everytime. I, too, cannot stand when people use to/too/two incorrectly. PheneGRAN puts me over the edge. Pacific for specific, as one poster already mentioned, is enough to make me want to jump in the Pacific! To the poster who asked for the pronunciation of Diflucan.. here in Michigan I've always heard it pronounced die-flew-can. I think it's phonetic. I also can't stand when people use ain't (do you put an apostrophe in there? doesn't really matter.. it's not a word!) It's worse still when the nurses you work with use it regularly. Cringe!! Or the all to common double negative. "I didn't get no memo about that". WHAT?!? Then you did get the memo? GRAMMER POLICE UNITE!
  12. galenight

    Have you reported each needlestick injury?

    I have reported my dirty needle stick, but not the couple of sterile ones. Those darn insulin needles we had for some reason would go right through the cap (before we got the ones with the sleeve) and I stuck myself twice. Duh. I also once was dropping a needle before drawing anything up and out of reflex, went to go catch it (another duh!) and got stuck in the palm. Now, I just back up.. hands in the air... like I'm under arrest or something...lol
  13. galenight

    Can ppl read their own PPD?

    No lay person should read their own TB skin test. They don't have the knowledge or the background to know what is normal and what is not. I read my own TB skin test at home over the weekend when I had been required to get it done immediately due a known exposure several weeks before that was just confirmed. Well, it was grossly positive. Even I, a trained nurse, had wondered what was going on with the redness on my arm because I had forgotten about the test. Then the lightbulb came on and I realized what it was. A layperson could have chalked it up to a bug bite or a reaction to some other substance, especially if it was as large as mine was - nearly my entire forearm.
  14. galenight

    Suturing - Do you do it?

    I don't do it in the ER where I work (small rural), but would love to. I believe I have heard of training courses within a hospital where they deem you capable of simple sutures, but it's a hospital by hospital basis. It is not typical for ER nurses in the US to suture based on my experience.
  15. galenight

    Which had you rather do?

    The decision is yours alone. And it can't just be about money. If you think about it, your increase is only $40/week if you work 5 days a week. Yes, that's $2000 a year. But where is your best quality of life going to be? Some people love midnights. Some people love afternoons. And then there are people who loathe each of those shifts. Imagine what your life will be like if you work each of those shifts. How will it affect your family, your kids if you have them, your weekends, your dating ability... whatever your issues are and then go from there. Are you a night owl anyway? Then either shift will work for you, but if you are an early riser, you probably won't do well with midnights. Good luck
  16. I think you need to be more specific. What unused meds are you referring to? Do you mean outdated meds? If so, there are safety and efficacy issues with that one. Are you talking about medications left over after a loved one has died or when a prescription is no longer needed? If so, there are issues of how it was stored, where it was stored, who touched it (ie were they ill, maybe carrying some virus or bacteria on their fingers) and is it really what the bottle says it is. Sure you can check with a IdentaDrug book, but you get the gist. I'm not saying it's necessarily a bad idea, just be devil's advocate here.