SierraBravo

SierraBravo

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  1. advice? asked to go home during shift

    I agree completely. The OP's story doesn't add up. I like this quote, "There are 3 sides to every story... Your side, the other person's side, and the truth". There are clearly alot of information gaps here and it certainly doesn't sound reasonabl...
  2. NCLEX

    I wouldn't get hung up on your absolute scores on Kaplan, rather look at the trend. If you are improving and continually getting higher percentages then that is good. My school used ATI so I can't speak to the Kaplan program. Keep doing questions,...
  3. Help with Dosage Calculations!

    The OP said she is able to set up the formula (which I'll assume means that she can set up the ratios/dimensional analysis) but is struggling with the basic math.
  4. Suggestions for appeal letter

    I just can't... Beyond the copious and obvious grammatical issues here, I'm so confused. Are you currently a student? Are you on probation or something because you didn't pass a class? Did you get dismissed from the program and are now trying to ...
  5. Help with Dosage Calculations!

    Don't take this the wrong way, but if you're having trouble doing basic math at this stage of the game, you are in for a long, bumpy ride. You need to sit down with someone who can determine where you are having difficulty. I'd suggest a professor ...
  6. NCLEX

    If you just graduated you should not be spending more than a few minutes here and there on content. You should be doing questions and reading every rationale, even the ones you got right. This is active learning.
  7. Psych nurse cross training to MS

    I can totally appreciate your concern. And I agree with you, yes you are a nurse, but psych nursing is very specialized. Let's face it, depending on the area you work in you probably don't do much, if any, IV stuff, physical assessments, lab interp...
  8. New Grad - BMT

    https://allnurses.com/oncology-nursing/bmt-nursing-questions-824767.html
  9. Heparin

    I would ask the provider to add a hold parameter to the order. For example, hold if platelets
  10. Shift change rant

    I didn't advise the OP to be rude or disrespectful (like her co-workers are treating her). I'm simply saying that I wouldn't go up to these people in a "rainbows and bubble gum" type of way and ask if they're ready for report. It's the start of shi...
  11. I don't know if I want to be a nurse anymore

    Good advice from the previous posters. Now here's the reality of the matter. You would serve yourself well to figure out what area you want to work in rather quickly. If I were interviewing you and I saw that you had a number of previous nursing j...
  12. Shift change rant

    I agree with this, except for the doing it nicely part. If they are gossiping and wasting time when they know that report it as 6am, then they are being disrespectful to you, plain and simple. I would go right up to them at 6:01am and say that my s...
  13. Nursing School

    There is no shortcut to learning pharmacology. You simply have to put in the time and there will be plenty of memorization, too. I know some people suggest flash cards, etc... If that works for you, great! I'm a firm believer in putting the time ...
  14. Dried blood

    OP - do you think that pancreatitis is communicable?
  15. What changes would you like to see from administration?

    Can I like this X 1 million times?
  16. Precepting not even 2 years exp

    Well, if you have a year and a half of experience then you are certainly not a novice nurse anymore. And you definitely shouldn't feel that way either. If you do, there's something wrong.
  17. It can be done! (BSN straight to PMHNP)

    THIS!!!
  18. It can be done! (BSN straight to PMHNP)

    That argument takes into account that the education and clinical experience you get in nursing (and NP) school is VASTLY different than what PA's, DO's, and MD's get in school. For what it's worth, it's pretty easy to tell if a NP went straight thro...
  19. In need of advice

    That's a good point. The OP could definitely benefit from a refresher course.
  20. In need of advice

    I agree that people should not be allowed to keep taking the exam until they pass, there should be a limit on the number of times that someone can take it. However, I couldn't disagree more about what you said re: knowing content. The NCLEX does not...
  21. In need of advice

    Wow. I really want to be supportive here, but in the same breath I'm going to be very candid with you. Of course you can find stories of people who failed the NCLEX an inordinate number of times and finally passed, but that is the exception, not th...
  22. Break away valve for central IV lines

    Another con would be if the patient has chemo infusing and they decide to pull the line and it "breaks away". And now, you have yourself a chemo spill as well as possible chemo on the skin of the patient. No bueno.
  23. Medication Administration Query

    All of the resources that we have at our hospital state that 20mg/minute of furosemide IVP is the maximum rate, or else you can cause ototoxicity to the patient. I would be very cautious about pushing furosemide at 40mg/minute.
  24. Need Some Opinions . . .

    In my opinion, you are premature in trying to decide what area of nursing/medicine you want to work in, you're not even in nursing school yet. Once you start clinicals, you will be exposed to a variety of clinical settings and usually people start t...
  25. Does the Shadow know anything about nursing?

    The only people that are allowed to shadow at my Institution are nursing students and nurses. A complete stranger off the street is not allowed to shadow.