mmeezyy

Hi everyone, I'm a new grad who has recently started working at a same day surgery center. Right now they have me floating between pre-op, OR, and PACU. I ultimately want to be in the OR, and hoping that I'll get an opportunity at a residency. Before one of the procedures today, the CRNA took me aside to tell me to get an IV sedation certification so that I'm able to pass propofol/other meds during procedures, which will help me in the future. Which led to me to wondering, are there any other certifications that I can get while getting my experience that will make me more appealing or applicable for OR positions? Thank you!

Hi VeeRN, I experienced almost the exact same thing today during an interview. I was wondering what you ended up deciding?

Hi everyone, I was really hoping to get some input. I went to an interview today at a local subacute/SNF facility and it went well. They heavily implied that they would offer me the position as long as I pass my background check, and I'll be hearing from them in a couple of days. Throughout the interview, the administrator and acting director of nursing kept repeating the fact that I need to learn fast because I am expected to be in a managerial position as soon as possible. Given that they're allotting five days (or five 8-hour shifts) of training, on my sixth day I will be charge nurse with two other nurses, in charge of 64 patients in the SNF part of the facility. They also kept reiterating that they're making big changes so that they can be up to code and need someone who can adapt to these changes within a moments notice. Everything they explained made it sound like they were looking for someone with more experience, rather than a new grad like myself. So as a new nurse, the five day orientation already made me a little nervous but the fact that they're already planning to put me in a charge nurse/unit manager position right afterwards made me feel uneasy. I'm located in Southern California, so I know that my opportunities are very slim and I have felt that since graduation. However, I'm not completely comfortable with the position or situation. Is this a normal experience for a SNF? And if they do make me an offer, should I accept it even though I'm not totally comfortable with the position so that I can get the experience and be able to move to a hospital? I've heard a lot of people say just stick it out until you get enough experience that hospitals start looking at you, but I'm not too set on accepting a position of great responsibility that I may not be thoroughly trained for.

Hi Kuriin, I realized my mistake immediately after I left the interview and double checked my answer once I got home. My question was if an interviewee is automatically disqualified because of answering a clinical question incorrectly.

I just had a new grad RN interview today with a PCU unit. I thought it went really well, I was able to make them laugh a lot and all the women on the panel really seemed to like my answers without being super cliche. For a clinical question they asked me what I do if I found an unresponsive nonverbal patient with a glucose of 300. In my nervousness all that came to mind was my Hurst Review which said: So I said something along the lines of, "I'm not sure the protocol, but I would assess and give glucagon because their glucose level is really high". I think I answered their other clinical questions correctly, but this one is really messing with me! Has anyone ever not gotten a job because they messed up a clinical question?

Thank you all for your suggestions! I just presented today to three different patients (two first-time parents and one P 1) and they all said it was really helpful. And I got full points on the assignment (woohoo! ). Thank you all again so much.

Thank you everyone for your suggestions!!!! I'm considering all of them at this point ahahaha. For those who mentioned sleep, were you more interested in learning about how long/often the baby sleeps?

Hi everyone! This question is geared more towards mothers but for anyone with experience in childcare, please feel free to answer as well. I am doing a teaching plan for my Labor and Delivery/Postpartum rotation. We will be teaching actual patients. So my question is: What topic would you, as mothers, wish you would have been educated on or what topics do you believe new mothers would benefit from learning about prior to discharge? Some examples would be bathing, postpartum blues, breastfeeding positions, latching, etc. The RNs I've shadowed so far have been pretty good about education so I'm hoping to find a consensus about which topics aren't usually taught on but should be addressed. Thank you! :)

I ended up using "Readiness for enhanced family processes" and related the goals/intervention to spiritual, psychosocial, and cultural beliefs the best I could ahaha. Thank you for your help!! PS Esme12, your icon and dog is so adorable!

Financial strain is what I was thinking as well. However, I haven't been assigned to a patient yet and am creating a general care plan for an infant with RDS, so I don't know if that's appropriate yet. I was leaning towards "Readiness for enhanced family coping" but I'm not sure if that would be considered extra or interpersonal?

Hi everyone, I'm doing a three-part care plan for a infant with respiratory distress syndrome in the NICU, and I'm stuck. I was wondering what could be an extrapersonal dx for this patient? So far, I have: Intrapersonal: ineffective breathing pattern and interpersonal: risk for impaired parent/child attachment I know that extrapersonal is something that occurs outside the individual, so would a dx be more towards caregivers? Thanks!

Thank you both so much!!! It makes a lot more sense now. KelRN215, the way you worked through part A is how I like to work through my problems, so thank you for explaining it that way. :)

We went through it briefly in class so I wrote down how she worked it out, I'm just not sure where some of the numbers(bolded in the problems) come from? This is the work: a) 154/4 = 38.5 mEq/L 38.5/2 = 19.23/4 = 4.8 mL b) 10/40 x 20 = 5 mL c) 1000/12 = 83.3 mL/hr - this one I understand. Thank you so much for your time!

Hi everyone. I just started my fourth semester and we're about to take another med math test on Friday for our peds and L&D rotation. I'm usually pretty good with med math, but this question has stumped me and I was wondering if any one could help? My instructor went over it in class, so I've got how to work it out, I just have no idea where some of the numbers come from!! 1. You have an IV order for D5 1/4NS with 20meq KCL/L to run 1L in 12 hours. You have a 500ml bag of D5W. a. You need to add concentrated NACL to make ¼ NS. NS has 154 mEq/L Concentrated NaCl comes in 4mEq/ml. How many ml will you add to the bag to make ¼ NS? answer: 4.8 mL b. KCl comes in 40meq/20ml. How many ml will you add to the bag? answer: 5 mL c. How many ml/hr will the IV run? 83 mL/hr Thank you!!!