laladeedee

Hi all, To give you some background- patient X admitted for L leg AKA, post-op bleeding, dressing/wound vac to site. I am a night shift nurse 1900-0730 hrs. At 0645, his hgb level was 6.1. I notified the covering MD and the day shift nurse about this. According to his orders, 1 unit of blood transfusion was ordered at 13:25. When I come back for my shift later that night at 1900, the nurse tells me that the 1 unit of blood wasn't hung at all because his IV live wasn't working that great and it was a 20 gauge. She wanted to put a new IV using IV team 18 gauge, but no-one responded to her from the IV team all day. She also said she consulted with the charge nurse about what to do and they all mutually agreed there was nothing to be done because there was no IV team. I assessed, IV line is working fine, patent, no leaking, etc. I also consulted with the Rapid Response RN about running blood through 20 gauge, and she agreed it could he hung. I ended up doing the type and cross, and then hanging the 1 unit of blood, and got things a little organized. Should I report this nurse for not bothering to care? Or to not take it seriously to try to hang the unit of blood? She could've at least called the Rapid Response nurse to help. He is actively bleeding, from 1325- 1900, his hgb may have gotten even lower. What would you do?

Hi all, I work at a trauma hospital on a med-surg unit. Here are key issues I've noticed here: 1) Nurse X, Y, and me. Nurse X has 9 months of med-surg experience. Nurse Y has 7 months of med-surg experience, and me- I have 6 months of med-surg experience. We are all new grads. 1.1) My manager has never officially put me or Nurse X as charge nurse. Nurse Y, has been put as charge. I truly think it's unfair- I feel like my manager is not giving equal opportunity to Nurse Y. 2) We have a nurse on the unit, who has 5 years med-surg experience and is always used as the preceptor for new orientees. She has been written up by doctors for her hostile attitude. 2 of our new orientees reported her because they did not like the way they were being treated (1 of them quit). Although all of this has occurred in the past, my manager still uses her as the preceptor for new orientees. For those of you with insightful opinions, please enlighten me. I want to know, is this normal on a unit? Or am I just taking things too personally? Appreciate comments. Thanks!

Hi all, I work at a trauma hospital on a med-surg unit. Here are key issues I've noticed here: 1) Nurse X, Y, and me. Nurse X has 9 months of med-surg experience. Nurse Y has 7 months of med-surg experience, and me- I have 6 months of med-surg experience. We are all new grads. 1.1) My manager has never officially put me or Nurse X as charge nurse. Nurse Y, has been put as charge. I truly think it's unfair- I feel like my manager is not giving equal opportunity to Nurse Y. 2) We have a nurse on the unit, who has 5 years med-surg experience and is always used as the preceptor for new orientees. She has been written up by doctors for her hostile attitude. 2 of our new orientees reported her because they did not like the way they were being treated (1 of them quit). Although all of this has occurred in the past, my manager still uses her as the preceptor for new orientees. For those of you with insightful opinions, please enlighten me. I want to know, is this normal on a unit? Or am I just taking things too personally? Appreciate comments. Thanks!

haha , they still have only paper forms! Nothing online. Yeah I know, their length of time is ridiculous. I had to call a few times to get things going because no one was looking at my application. Thanks for your reply!

Hi all, I currently work for a trauma hospital in Michigan on a high acuity medical floor. I have about 6 months of work experience and will be working there for at least 1 year. I am re-locating to California to live with my husband and soon I will start searching for jobs. I know I need my RN California license first. My question to all those working in top institutions or anywhere, such as Stanford Health, Kaiser Permanente, Sutter, etc., what will increase my chances of getting a job? I've heard it's a difficult, competitive market in California. So far, I have the work experience. Should I start volunteering, or attend more conferences to boost my resume? How did you get your job if you recently were hired? Appreciate the help. Thanks.

I have definitely experienced these types of issues before too. The only way to overcome this kind of stuff is to really just believe in yourself and tell yourself that you can do it. All I did was think positively and really make sure I become assertive in clinical, lose my shyness, and just get out of my comfort zone. If you don't try to get out of your comfort zone, you will never improve.

thanks for this. But does that mean I don't have to have my Canadian license since this says: Submit an official transcript if you are not or have never been licensed in Canada, from your Canadian nursing education program or a confirmation of program completion.

yeah that is what I mean. That really sucks! In order to get into a DNP I would need to complete a master's first

The only problem is that people have told me that it takes about 4 months to actually get the full Canadian license. I would like to get my Michigan license ASAP because I live in Windsor, and it's closer to home rather than moving to a city like Toronto, etc. for jobs. Also, I've heard that I can write the Minnesota exam without having my Canadian license first and apparently that also gives you the license for MI as well. I have a lot of research to do, lol

thanks very much for the link

hello, I Live in Ontario, Canada and I would like to write my NCLEX to get my license for the state of Michigan. Has anyone ever done this or can help me out? I have some questions, and heard it was kind of a complicated process: 1) If I register for the Minnesota NCLEX, I will get RN licesure for every state. 2) the Minnesota board allows me to register into it without having passed the CRNE. Are these 2 things true?

Has anyone taken this program? Or does anyone know anything about it? I heard that they are getting rid of their NP programs and have DNP's instead?

Hi , I know that recently Wayne State got rid of their acute care NP programs and now have DNP programs. But, on their website, they still have listed "psychiatric mental health CNS/NP" as a program, and it doesn't list work experience as a requirement. I'm confused, has anyone have any idea? I really want to do the NP program however, they all require work experience first, and it's hard to even find a nursing job in the city I live in. Let me know if any of you have gone there for this program or any other info thanks