Shanua

Shanua

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All Content by Shanua

  1. SHHHHH, dont tell anyone I'm a RN

    Shanua replied to Barbie8808's topic in Nursing Professionalism

    It's routine for recent graduates who pass the NCLEX to work as a CNA or PCT until they start the nurse residency or move for a new job where I work. No one has a problem with it. I think hiding it...

  2. Pros and Cons - Nurse Educator

    Shanua replied to mdsRN2005's topic in Nursing Educators, Faculty

    I started as an adjunct doing clinical. You may contact the faculty directly with interest. Adjunct doesn't always pay the best, it depends on the school, experience and qualifications. But it does...

  3. New Clinical Nursing Instructor

    Shanua replied to angelamb328's topic in Nursing Educators, Faculty

    I made a expected schedule of the day. You should be doing your first assessment and vital signs at this time. Your med pass at this time. Your second assessment at this time. A list of...

  4. Qualifications for Adjunct Instructors?

    Shanua replied to EGspirit's topic in Nursing Educators, Faculty

    I was an adjunct with a BSN but was required to be enrolled in an MSN program. Most BSN's can teach at ADN programs. A general rule of thumb is you should have one degree higher then what you are...

  5. new and struggling

    Shanua replied to novice7's topic in Nursing Educators, Faculty

    Take what the students say with a grain of salt. Sort through and determine the feedback you can learn from and is applicable. There's is always feedback you can't change (the content of the course,...

  6. Alcohol Withdrawal & CIWA

    Shanua replied to jschong93's topic in Nursing Student Assistance

    We use it for alcohol withdrawal. I like the fact that we use an order set with all the medications (MVI, Thiamine, Librium, Haldol etc) and Ativan per CIWA. Some patients do request the Ativan and...

  7. Trouble with IV starts on Older Adults

    Shanua replied to DowntheRiver's topic in General Nursing

    Everyone has different techniques. I've seen BP cuffs or ace wraps instead of tourniquets. I also have some nurse that don't use a tourniquet when they blow. It takes practice and some people are...

  8. Need help..hate my job :(

    Shanua replied to butters9812's topic in General Nursing

    I think you're feeling normal for a new grad. That being said this job is not your job for ever. There are lots of other options. But every unit/job has a learning curve. You may be stress for the...

  9. Verbal Hand-off Reports - Are they no longer necessary?

    Shanua replied to yr.pedsnurse's topic in General Nursing

    The hospital I worked at tried this a few years ago. They faxed an SBAR to the floor. It didn't speed up anything. They called to get the bed, when the SBAR was faxed and when they were bringing up...

  10. Hops requiring nurses sign no Falling contract, Is this legal???

    Shanua replied to psmith118's topic in General Nursing

    The hospital I work at is starting something like this. It's not a binding contract but something to show that we've educated on the fall risks and put the patient on fall precautions. AMS patients...

  11. Do Rn's miss having Lpn's in the hospital setting?

    Shanua replied to Finestnurse, Lpn's topic in Patient, Colleague Relations

    I still work with them. Not very many but a few. They are either "grandfathered" in or must be enrolled in an RN program. All are required to be IV certified too which helps a lot. The attitude of...

  12. Military Wife, 6 Years Later...Still New Grad?

    Shanua replied to Nurse Beth's topic in Career Advice Column

    It's possible you still qualify for a residency or new grad program. My hospital requires it for anyone without acute hospital experience. We've had nurses who've worked in clinics or outpatient...

  13. Transporting Patients from ER to Floor. Your Process?

    Shanua replied to melmacrn's topic in Emergency

    ER Techs transport generally. ER nurses do frequently though. There are 16 beds in the ER and only 2 nurses after 11pm (2 on days, a 10a-10p, and a 11a-11p). A tech is scheduled every night....

  14. From med surg to labor and delivery career advice

    Shanua replied to KMHCO04's topic in First Year After Licensure

    I work in med/surg. A nurse with 6months is still new. It takes a while to be comfortable and to have time management down. It may not be where you want to work forever but take somethings into...

  15. Creating a Resume with One Year Experience

    Shanua replied to Nurse Beth's topic in Career Advice Column

    Good advice. Find what sets you apart. Do you have a certification? Did an internship? Took ACLS, PALS, etc. I put my capstone and internship experiences on my resume to show that I did have...

  16. Med Surg vs. Outpatient Surgery??

    Shanua replied to passthedonuts's topic in First Year After Licensure

    You have to weight the pros and cons. Many of the PACU nurses I work with are from the med/surg floor. They know what the surgeries look like post op and it makes an easier transition. Is this your...

  17. A little frustrated/confused about BSN/ADN

    Shanua replied to hellfirecat's topic in Diploma, ADN, BSN

    I recommend just looking at what your future plans are. Some positions and hospitals require a BSN. Some don't. What programs are closer to you? What are the costs? What is the graduation rates...

  18. Question about giving Lovenox

    Shanua replied to SubSippi's topic in Patient Medications

    We anticoagulate everyone. Ortho pts get Lovenox. Generally others get heparin or lovenox is ordered and they autosub heparin anyways. The pt has the right to refuse but education is

  19. TPN compatibility

    Shanua replied to DesertpedsRN's topic in Patient Medications

    In a perfect world you would have more access. On very rare occasions we run Vanco or other compatible antibiotics when pharmacy approves it and a physician okays it. We do have on patient who is no...