green34

Jumping the gun here, but I have pain in my shoulder and a massage therapist/ultrasound tech informed me that it may be a lipoma or an abscess. She said to make an appointment ASAP due to the size. It is about the size of my palm and noticeable when I look in the mirror. It has smooth borders too. Apparently I've had it over a year according to my boyfriend (he thought it was a muscle knot). Basically, I am debating about whether I'd even want to get it removed so close to graduation. I don't want it to mess up me being able to lift anything, but then I get bad shoulder pain after 12 hours. Have you ever delayed any procedure? Most people who do delay things seem to regret it like amputating a foot, carpal tunnel surgery, and so on. I think whatever it is would be a good thing to go whether it's popping an abscess or cutting out fat tissue. But I just don't know if it is worth doing any time soon with school. Not asking about medical advice. Just if you've delayed a procedure and any regrets in doing so. This was typed on my phone. Sorry if I missed any weird auto corrects.

I applied for a residency now and will apply for jobs around November. I graduate in December. The worst thing is if a job filters you out due to no license number but hue. You become licensed, you're in the filtered pile unable to reapply for that particular job. I'd lean more towards taking NCLEX in feb than jan. Figure your school will be lazy and not submit results till jan meaning a test date in feb.

Also, not all paperwork is equal. Some schools require significantly less paperwork than what my school requires.

Sometimes up front. Sometimes in the back. I don't adhere to a ritual of "that's MY seat." Change is good.

Plus maybe the suit will make me look older. I know when I go to take drug tests, people comment on how young I look.

So the way the system is, you can't make major changes when certain people are in the charts. The doctor needed to put orders in and a nurse up on the floor who was not going to receive the patient was in the chart. Meaning, I had to call up the nursing supervisor and ask them to find the nurse and tell her to get out of the chart. Of course the nurse swears she wasn't in the chart (I read her name and title right off the doctor's screen). We didn't really care. We assumed she would get the patient and that's why she was in the chart. Nope, the patient went to a step down and not a med-surg. We even had her user ID. In the future, don't look in people's charts in the ER no matter how curious you are. You never know when you'll get caught.

Depends on the instructor. Now I skim chapters but focus on power points. Other instructors test on material they do not cover so I read those chapters multiple times.

I'd say that I would be working on my MSN so I can start working additionally as a clinical instructor and preceptor while continuing to work with X department. Preferably on nights and full-time at that point.

We are supposed to research the day before but most research before we go in since we're afternoon. What it usually is you research basic information then do the careplan after clinical. Like our paperwork is due that Sunday.

Well, I am not really fashion inclined. I am more of a t-shirt and jeans type of person. When I did my interview, I wore khakis and a blue shirt. It would be an entry-level nursing position. Around here, job applications are submitted online and they call you. There are not usually any job fairs. Around here, it is standard to do a 1 on 1 and then a peer interview.

Well, I don't have a written policy but I can probably find one for you when I go back to work. The ER has stricter rules due to high number of contaminated cultures we've had recently. Basically, we prep the bottles with alcohol preps for 30 seconds. Then we find a site and prep it for 1 full minute with chloraprep sponges and not the little chloraprep things that come in the IV prep kits. It has to be the big sponges. Then we have to get 10 cc per bottle. Meaning we have to either track down a 20 cc syringe or use a butterfly needle to swap out the 10 cc syringes. I personally swap out the syringes as it is easier for me to draw back on a 10 cc than a 20 cc. Plus I can tape down the butterfly as to not shake or drop it as my hands can become stiff sometimes. If we get less than 10 cc per bottle, we have to put 8 in the anaerobic bottle and the rest in the aerobic bottle. We have to do it from 2 different sites. Babies only get 1 bottle and that is the anaerobic bottle. We can draw from IV sites that have been prepped with big chlora preps. All blood cultures need to be drawn before antibiotics. We used to just do half of a 10cc syringe per bottle, but supposedly JCAHO wants 10 ml per bottle. That's what the rumor is anyway. Back when we could split it to smaller numbers (our blood culture bottles say 0.5 ml - 10 ml for the amount to put in), we used to have to do blood cultures first, blue, green, and purple but green always hemolyzed. Now with 10 ml per bottle, we don't have that issue since we'd have to draw 30 ml - 35 ml for all of the blood work (depending on the rare yellow tube)

Are you on the floor or in the ER? Also, with my hospital there is no mention of rotating it between RNs and ancillary staff, just "one person will do it each hour." Most of the other hospitals do rotate it between RNs and PCTs and that works well. However, knowing my department at the moment, they will not rotate it between RNs and ancillary staff/PCTs, at least at first. Not to mention they are implementing it when we are lacking quite a bit of staff on both RNs and ancillary staff. To be honest, the RNs are kind of spoiled in my hospital. I can tell the ones that have worked elsewhere because they will make sure that their patients go up even if they take them up or will clean their rooms instead of waiting for the pcts to get back from doing the run. They will go do their IVs instead of waiting for the phleb to go do it. They don't just wait for the pct. I would feel a lot better if they did rotate it between ancillary and RNs. I really would. That's the way all the other hospitals do it. Plus they require charting too. On my peds rotation, we had to chart something every hour and I did. However, they aren't requiring the mandatory charting at the moment and instead doing a clipboard method. Honestly, I would feel a lot better if we weren't cutting/not replacing/losing staff. I know they want to improve scores, but scheduling more people would help a lot! Having 2 experienced nurses for quickcare would make quickcare fly by. Having 2 nurses and a HUC is even better! That way charts aren't run to the other station to try and find the HUC who is probably going to be rounding. Also, switching it up with the RNs and PCTs would help a lot and that seems to be standard, but there is zero mention of that in our proposed plan.

Do people still wear suites for interviews? I'm looking at: http://www.kohls.com/product/prd-c36333/212-collection-pin-striped-suit-separates.jsp http://www.kohls.com/product/prd-c29490/212-collection-solid-suit-separates.jsp Along with a white button down shirt and black flats. I am thinking about getting both of them for when I do interviews down the line. Any thoughts? All of my other jobs I wore khakis and a button down shirt.

Yes, but you are considering going to the other school and then doing an accelerated BSN. You may not get financial aid for the accelerated BSN.

Not sure the exact number. Around 80 days.