SierraBravo

NCSBN website. Do questions. Alot of them!

This was stated so perfectly! If I could like your post again and again, I would.

I can assure you that it is absolutely not happening at my facility (acute care inpatient, Level 1 trauma center). I can also assure you that if I ever caught a CNA or PCT administering medications to one of my patients, that CNA or PCT would be imm...

Pardon me, but come again?

It sounds as if there were a number of issues at your previous job. I agree with Jules A. If I were you, I would sit down and really reflect on what happened and how you can prevent those mistakes from happening again instead of rushing to find a n...

The reality of the matter is that there is often a big gap between school and working as a nurse. Hence why orientation is so important, as well as getting connected with a really great preceptor. We've all been there right at the beginning, feelin...

I acknowledge the care plan in Epic because it is required. So that takes me about 2 seconds. If I spend any more than 2 seconds thinking about a "care plan", then I'm quite honestly wasting my time. Care plans in acute care do not drive the care ...

What's the rationale for pushing NaHCO3? The acidosis (if even present) will resolve once the K level decreases.

What really bothers me is when people don't fully understand the scope of their role, or when they think that their role is more than it is. I have known PCT's that have "in their own mind" believed that they were more important or had a wider scope...

I agree with this. However, for those who want to go straight into the OR as a new grad, just keep the big picture in mind. If you plan on doing it for a while and then transferring somewhere else (like med/surg, ICU, ED, etc...), you might find yo...

Oh my, I have no words right now... I just can't... All I'm going to say to the OP is consider the source of your information. If you are studying for the NCLEX in the USA, your best bet would be to use reputable sources for information. I'm gues...

Does your employer have an employee assistance program? Make the time to go and speak with someone before you start resenting your job.

OK, so NS (aka 0.9% Normal Saline solution) means that there is 0.9g of sodium PER 100mL. Therefore, there would be 9g of sodium in 1L. You just multiply by 10 because 100mL x 10=1000mL. Therefore, 0.225%NS would have 0.225g of sodium per 100mL. I...

I'm sorry, but what?

OP - I give you credit for acknowledging that you have a problem and seeking out help for it. However, and I'm going to go out on a limb here, my guess is that you might not be very successful in nursing unless you can deal with and correct your abe...

I know that it's probably more common than I can imagine, but that doesn't necessarily make it right. Our hospital gives a little over 2 months of orientation for med/surg, 3 months for step down, and 6 months for ICU/ED. I think the other big vari...

One of the things that screams out to me in your post is that your hospital only gave you 5 weeks of orientation. Sorry, but 5 weeks for a brand new grad is inadequate. Period. And I know that there are places with less orientation, etc... But th...

But s/he's not a nurse because s/he failed, gave up, and is now "remembering" that s/he wants to retake the NCLEX. I'm sorry that I'm not sorry about my opinion. I'm not jumping on anyone, I'm expressing my opinion in a factual way. And I did help...

You might rethink that if you were the OP's patient and she "forgot" to give you your cardiac meds or your insulin, then you went into Vtach or DKA, respectively. But yeah, you're right... Cause being a nurse has nothing to do with being responsibl...

I can tell you that it's not going to be easy, hence why most nursing programs require anatomy and physiology as a pre-requisite before starting nursing school. I'm sure that there are some that integrate it into the program, but your life would be ...

This makes me think of the post from the guy who said he was an ED nurse and didn't think it was necessary to carry a stethoscope or use one for assessment. I digress...

You could get your MSN as a nurse practitioner but not take the certification exam, thus allowing you to still work as a bedside RN. If you decide in the future that you want to practice as a NP then you could take the certification exam. Although ...

I remember in nursing school something about being taught to state, "this nurse (writer) performed...". To be honest, it has always sounded awkward to me. Actually, for me, it's like nails down a chalkboard; I cringe every time I read that type of ...

#1 - read the excellent PP's comments about why a verbal report IS faster than looking things up in the computer (assuming that you have completed your documentation, which we all know is less comprehensive in the ED than it is on the floor). #2 - If...

Look, eventually you'll come to realize that how close to the top of your class you were in school doesn't matter a whole lot (except for your own personal edification). What does matter is whether or not you pass the NCLEX. Here are the facts... ...