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HelloWish ADN, BSN

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  1. When I worked in a preschool, I was sick for one year straight. At the time, unknown to me, I had developed a need for a medication like Advair to prevent infections from going to my lungs. Also, my calorie intake was too low which lowered my immunity. So now when I get sick, I immediately start Advair and get better quickly. Allergies/asthma were causing me to get repeatedly ill and now with appropriate management, I get ill maybe 1-2 times per year at most! Also, at the time when I was getting sick for a year straight, I tried all the natural support and remedies out there to no avail, including Elderberry!
  2. HelloWish

    As seen on TV

    What gets me about these medical shows is that they show the doctor doing everything - I do find it somewhat insulting. Nurses just come in receive an order and say "right away doctor" and walk out. The doctor is at the bedside drawing blood, starting an IV, helping the patient to get up and walk - while the same doctor goes to the MRI room to review the scans while the patient is being scanned. Also the same doc pushes the patient in their bed or a wheel chair to some other area of the hospital or walks them out on their way home. In my time as a nurse, I never saw a doctor spend more than 5-10 minutes with one patient, and some only 2 minutes! Yet on the shows the doctors do everything including wheel them out of the hospital. These shows actually show what nurses do and a small portion of what the doctor actually does. Honestly, these shows wouldn't be too exciting if they showed only what the doc does except maybe in a trauma situation or surgery. Also all the codes on TV show the doctor's doing everything again. In my experience it is the nurses doing the work and maybe the doc come in and gives some orders.
  3. HelloWish

    Need advice please?

    Apply for the oncology position. If you get an interview, let them know that your current position is not a good fit.
  4. HelloWish

    Remember pagers?

  5. HelloWish

    How do I become stronger clinically?

    I am still at the beginning of my nursing career, as I have been a nurse for 2.5 years now. However, I work in a critical care role and find my knowledge base growing. Any patient I take care of with a condition I am not thoroughly familiar with, I go home and read about it or watch youtube videos. It helps to understand the bigger picture, what and why the doctor is doing what they do and to educate future patients. I also read about the medications. Patient's ask me a lot questions now because I can answer them and they appreciate it! Often times patient's will tell me I explain more to them than their physician. I also try to round with the doctors because when they explain what's going on I listen and learn and can rephrase it in a way the patient will understand or explain to family later on.
  6. HelloWish

    Would you call in sick?

    I always think to myself, "would I want a nurse caring for me or a loved one with only 3 hours of sleep in days." Probably not! It becomes unsafe IMO.
  7. I have done both of these jobs, teachers assistant and RN. Being RN in more exhausting and a higher level of responsibility! So the stress of nursing is more exhausting.
  8. I mislabeled a vial of blood with the wrong patient label (vancomyocin trough). Fortunately lab notified me and the mistake was corrected!!! I am very vigilant about checking patient labels now! I hung incompatible IV solutions. Earlier in the shift the patient had NS running, it changed later to a solution with potassium in it. I had forgotten about it and hung a bag of Merrem with the new IV fluids which were incompatible - the patient was busy chatting with me and I was distracted :-(. I returned to the room later to round with the doc, looked up and saw the error! My heart sank, because I realized I hadn't checked compatibility with the new IV fluids. I then looked it up and found that Merrem is incompatible with potassium. Merrem is made less effective in combination with potassium. Thankfully it was not a situation where precipitation could occur. I was really upset with myself but learned a very valuable lesson!
  9. I worked 9 months at the bedside as a new grad and then I was able to get a job at an oncology clinic. I applied and when I was rejected let the recruiter know I was really interested - then landed the interview and job. So it is possible to get a job in a clinic as a newer nurse. I didn't like it so I left to go back to the bedside. Honestly, I felt the way you do at my first job on a post surgical unit. I had 6 patients and often discharged some and got more. I am in a critical care role now where my max is 3 patients. It is still very busy and at times overwhelming but more manageable. I enjoy the excitement of stabilizing a patient and using more critical thinking skills and working on my feet vs. sitting on my bum in front of a computer or on the phone all day.
  10. HelloWish

    Medical Assistant vs. RN

    I think of MA's as more clerical with some basic clinical aspects of care. I worked as as MA long ago and enjoyed it. As an RN, you are responsible for the lives you care for and are licenced to perform under the scope of practice as an RN. You can go the Board of Nursing website for your state and look up the scope of practice for RN's to get a better understanding. Nursing requires critical thinking which I cannot ever remember doing as and MA.
  11. HelloWish

    Any RNs considering medical school?

    You are a student and do not realize what you don't know. I found nursing school easy overall and excelled at it but felt proud of myself for the achievement. I started out on post surgical, oncology floor and felt like I was just doing menial tasks, fulfilling orders, and pushing meds. I left after 9 months due to many reasons. I worked in an oncology clinic for over a year and then went back to critical care nursing as a bedside nurse a couple of months ago. I realized how little I did NOT know when I worked one on one with a physician at the clinic. And then my eyes were truly opened coming back to the bedside and realizing how little critical thinking and how little I understood the big picture in the beginning as a nurse. I am grateful to be back at the bedside to understand the bigger picture. I go home and read about the disease process and try to understand the whole picture. Honestly, stimulation and learning is what you put into it and not what others put into you! Nursing does require learning and critical thinking skills. Do you understand what your patient's vital signs mean in connection to their diagnosis and medications they are receiving? Nursing school only teaches you the basics of functioning as a nurse. Critical thinking comes later as a nurse. If you want to be a doctor that is absolutely fine. However, you really don't know what you don't know. I am going back to school this Spring to become a nurse practitioner. I also found your original post condescending. However, I feel that your post comes from a place of immaturity.
  12. HelloWish

    nurses eat their young

    I've been a nurse for 2.5 years. I have not experienced this except with one nursing professor to a small degree, but I also stood my ground and would not allow it. Otherwise, I think much of it has to do with the nurses attitude towards other people and their perspective of the world. Of course, I know there are real cases of this happening too.
  13. HelloWish

    Nasty/aggressive patients

    In my 2.5 years as a nurse, I can only think of one patient who could not be wooed by kindness. I have had exactly one patient who was flat out rude and nasty despite my extraordinary efforts to be respectful and kind! However all my other 100's of patient's respond in kind to compassion and kindness including the ones with mental illness. I do know when to set a patient straight if needed and will do it. However, I go right back to being respectful.
  14. HelloWish

    I want to be a nurse but im not good at math

    You do not need to be great at math but it really helps to have a good understanding of basic math. It just makes life easier in the long run including as a nurse but especially as a student! I do have to do some basic calculations here and there for medication dosing as a nurse. As a teen, I can say I was deplorable at math and also early in college. I feel it held me back to some degree, because I started out as nursing major and then changed my major because I didn't understand some basic math concepts that you need for chemistry and other sciences. So once I matured a bit, I decided to do something about it and work from the bottom up on my own. You could spend an hour everyday on breaks or over the summer and do something about it. I used this book, Davis's Basic Math Review for Nurses: with Step-by-Step Solutions 1st Edition. Math was the easiest thing about nursing school, because I worked on it during the summer before I started nursing school. It was one of the most concrete concepts during nursing school to grasp. Finally, becoming a physician is difficult no matter the circumstances. However, you probably do not know about nurse practitioners. So I encourage you to look up what a nurse practitioner does as a future possibility. I always wanted to be a provider, and I didn't know about nurse practitioners (NP) until later on in life, and if I had known sooner would have pursued it sooner. I start my masters program this Spring to become and NP while working full time as a nurse.
  15. HelloWish

    Flu shot advice

    Anytime I give an injection, start an IV or access a port, I have the patient take a deep breath in and blow out. I inject while they are blowing out. This helps ease their discomfort.