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Rn112389 BSN, RN

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Rn112389 has 7 years experience as a BSN, RN.

When im not busty

Rn112389's Latest Activity

  1. Rn112389

    NCLEX Study Tips contest

    study tips: eat a ton of comfort food, gain 50lbs throughout nursing school, late night trips to starbucks, pull your hair out, cry over your textbooks, yell at your textbooks, set your study materials on fire. May not be the best “tips” but they sure are part of the process!! hahaha neat idea for a contest, will try to enter a more serious entry later
  2. Rn112389

    Miserable New Grad

    Poor honey! I will never forget that feeling! That is a normal adjustment just stick with it and it will become easier! I would say it took me a year as a new nurse to start feeling confident. Ive been a nurse for 8 years and i have experienced with each new career change i have that “new grad” feeling for atleast 6 months to a year. dont give up now! You will truly get there!!
  3. Rn112389

    Celebrate Nurses Article Contest - You Pick 3 Winners

    Curious as well
  4. @Jeanniejayne thanks for taking the time to read, I pray everything is going well for you presently!
  5. My background and first true love in nursing is emergency trauma nursing. The ER I worked in, is a 97 bed Level 1 trauma emergency department who services the whole western side of the state. We see 140,000 patients a year and the volume and acuity alone make me a proud employee. As an ED RN, my least favorite type of patients were stroke patients (go figure considering my role now). When I saw the position availability my initial reaction was “I could really change some of the things I hate most related to the process of handling stroke care.” Thus, here I am now, almost a year into this career change and I am still learning my strengths and weaknesses in this role. Our team works up approximately 2700 strokes a year and about 1300 of these patients are diagnosed with strokes. Our ED activates at least 120 suspected strokes a month, last rolling calendar year we gave tPA 127 times and provided emergent thrombectomy 47 times. Yes, I'm the one keeping track of those numbers. So aside from data collection and implication of quality metrics, let's walk through what I do for our stroke patients who come to our ED. On arrival to our ED, I greet the patient and provider team. I ensure the patient gets to CT scan within the American heart recommended target time (20 minutes but our facility are a bunch of overachievers so we promote the magic number 10). If the patient is a candidate for tPA I support the nursing staff by mixing tPA, obtaining a second IV access, ensuring adequate blood pressure control, anything I can do as a second set of hands. Again, only 3% of patients in this ED are strokes so even though we have made waves in stroke care – the nurses are still a bit overwhelmed when they do have to give tPA. Let’s say this patient also is a candidate for thrombectomy, I then coordinate transport to the cath lab, support the cath lab staff, and ensure they receive a clear report on these patients deficits. Regardless if the patient received an intervention, I am following all strokes/ stroke mimics until their MRI is negative/positive. I round on these patients and provide them with community resources, support groups, education, and ensure the family is on board and can recognize signs of a stroke. I am tracking these patients in real time to ensure all joint commission and AHA quality metrics are met. After these patients leave our facility, if they received intervention they get a call from me after their return home from rehab. If they did not receive intervention – I call them within 7 days to ensure they don’t have questions in their discharge plan and to clear up any inaccurate information. During these calls, I gauge their functional outcomes to report improvement. A lot of the people will attend a stroke support group that I host- and it's so rewarding to see the connection from hospital arrival to their discharge out in the community. When I'm not in the hospital – I am participating in community outreach and promote stroke awareness and prevention. We have 80 ambulance services that feed our ED, and I have made relationships with our top 10 by rounding with them to ensure they are comfortable activating a stroke alert in the pre-hospital setting. I visit with senior centers and school-aged children to ensure that education can be provided to all because TIME IS BRAIN! So in summary – I am a stoke program nurse coordinator. I promote stroke awareness in the community, concurrently review charts of stroke patients to ensure the best quality of care, round with stroke patients, support the emergency room staff during acute strokes, support our vascular neurologists and our process through evidence-based research. What a mouthful!
  6. Rn112389

    Celebrate Nurses Article Contest

  7. Rn112389

    Celebrate Nurses Article Contest

    I'm not sure where to submit my entry either - "F.A.S.T. – does not represent the time it takes to explain my role" Stroke Program Nurse Coordinator for AllNurses.docx
  8. Rn112389

    My first job is a night shift

    I Started on nights as a new grad in December and am in love. I worked days for a brief period of time during my 8 week orientation and found them exhausting. Days provide more learning opportunities however, I had a hard time organizing myself and found So much thrown at me at once. On nights I am able to organize myself, establish a routine, and research each patient's clinical history/labs/presenting problem. I am connecting more dots and have time to look things up. I don't see myself on nights permanently but it is a fantastic building block in helping me achieve a routine. The only thing I hate about nights is sleeping during the day and waking up late with the posibility of being canceled due to a low patient census. Just remember alot is different from school! Im still questioning myself when I should actually call the doctor at 3am and what can wait until morning. Good luck and enjoy!!! :)
  9. Rn112389

    Can I write to a deceased patients family?

    Thankyou for both of your input. My manager did provide the family with a route of communication to me so I agree seeing her for this matter would be appropriate. I also agree with BerryHappy that I should protect myself but I would not like to ingore the gesture. Thanks again
  10. Hello, I work in a hospital and had a patient pass unexpectedly under my care for natural causes. The family went out of there way to send me a card and a small token to show their appreciation for my support during this most difficult time. Am I overstepping any boundaries by sending the family a sympathy card /thanks for this nice gesture? In doing this I would need to find their address from medical records or my manager. What do you think? Thankyou

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