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mandy13086

mandy13086

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mandy13086's Latest Activity

  1. mandy13086

    How is University of Tampa's BSN Program?

    I would say it's as good as any of the other top university's..generally the technical ones aren't as good, but good nurses do still come out of those too. I wanna say a student had told me the other day that they had a 100% nclex pass rate right now. I went to UT when I was majoring in something else..and it's a very good school.
  2. mandy13086

    How is University of Tampa's BSN Program?

    There definitely is patient interaction. I didn't attend UT'S nursing program, but I do have their students assigned to me on my floor. Idk how many semesters or how long until they get to have clinicals in the hospital, but they do.
  3. mandy13086

    Answering Call Lights

    Definitely agree. NPZ were implemented at both of the hospitals I work at and I did actually attempt to try it...wasn't Successful. For 1, not everyone participated so while some of us tried and lost time with our tasks & patients, we didn't receive the same help from others. So that was discouraging. But also, as previous posters said, I don't know that patient. Idk if they are allowed to have X to eat or drink, I don't even know if that confused patient is able to walk (and with only 1 assist). So I really am unable to be much help. Now in my old facility, PT and RN staff would keep the white boards up to date with ambulation recommendations as well as diet, but you're still hoping that team for that patient actually did so that day. My current hospital does not do either of those, except npo on the door so no way to know if they have anything specific on their diet. I tend to only go into another nurse's patient's room is their bed alarm is going off and/or they're yelling for help. Of course, for safety then, I will stop and then call their nurse/tech once I am in there and they are safe.
  4. mandy13086

    I need some encouragement?

    Competence takes time. You'll get there. Just be humble, realize what you don't know and don't be afraid of asking for help. Eventually you'll get to the point where you won't need to ask for help so much..and then you'll have people coming to you before you know it. On a medsurg floor, you will learn a lot in a very short time. Be open to learning as much as you can from anyone that will help you. Idk what your religious beliefs are, but I did a lot of praying the night before my shifts to help me keep my patients safe the following day. It helped me sleep some. I still struggled for a good night's sleep for the first few months..and I would come home nervous I might have forgotten something. And it still gets to me when I go back in the following day and learn my patient went to ICU in the middle of the night. That happens..has not been my fault any of the times, but always makes me wonder. Just do the very best you can. Look at lab results in the computer and get to understanding what they mean, what needs to be addressed with the MD immediately vs something that can wait. Don't assume they always check lab work every day..they're humans too and if you feel something isn't right, ask. They may not have seen that result. Sorry for this being long lol...I just remember what it was like to be so new. What personally worked for me..it may or may not for u, but I asked my boss if I was allowed to come in early so I could look up my patients before I got report. Neither boss I had minded and doing this significantly decreased my anxiety. A lot of nurses don't need to do this, I'd say about half my current floor does...but it's 30 uninterrupted minutes that I can scan all 5 or 6 patients..see what the overall plan is and what questions I have for the off going nurse and/or the MD when he/she rounds. It helps keep me organized. Just a suggestion.
  5. mandy13086

    I need some encouragement?

    This is exactly how I felt for awhile on my 1st nursing job. You should be worried..you'll have lives in your hands. But it'll get easier as you learn more. Hopefully you'll be surrounded by a good team that will help to boost your confidence. I assume you'll have a preceptor for awhile first and will learn a lot from him/her. You'll still be worried, you'll still stress out awhile, that gets easier and better, but it'll take some time. Best advice I could give a brand new nurse, I think, is if you ever aren't sure of something...ask. Never assume. There's always someone to ask so that you do the right and safe thing by the patient.
  6. mandy13086

    Canadian RN relocating to Florida

    I'm an RN in Tampa and pay, with comparison to cost of living is OK. I have just under 2 years experience so the pay is approximately what someone else posted. For profit vs non profit definitely makes a huge difference. My previous hospital was for profit and the supplies and standards appeared overall much less than what I have now at a nonprofit. Better patient to nurse ratios as well. Definitely depends on the area and hospital.
  7. mandy13086

    Best way to learn IV skills?

    There probably is somewhere, but depending where you're working, you'll get your practice in. I work a med surg floor and do most of those things every day. You just get used to it over time.
  8. mandy13086

    New med surg nurse advice

    A year and a half in and i still feel better prepared when I go in early. 6 months ago I started at a new hospital and many of the nurses there come in early to help themselves out. It's all about organization. You'll have plenty that will put u behind that u have no control over, so I'm a believer in trying to do whatever I can to get ahead so I'm prepared.
  9. mandy13086

    New med surg nurse advice

    1.Come up with your own brain sheet that works for u so u can stay organized. 2 . learn who the docs are, esp if you're day shift. Much easier to just ask them for what you need when u see them round. 3. Time management is KEY. 4. Never be afraid of asking another more experienced nurse for advice if something doesn't "feel right" to u. 5. For me this works..but I go in 30 min early to look up my patients. This way I know who may be discharged, their histories, general info, I can have any questions ready that I may need for the offgoing nurse or rounding doc, I know who needs round the clock pain meds so I can plan for that, see some pertinent labs, etc. Check your facility's policy 1st though. 6. Realize that even though you've graduated, there's a LOT you don't know..that's normal, but ask when necessary. I'm sure there's more, but that's what I think of right now. I've only been a nurse for a year and a half..so I remember being freshly brand new.
  10. mandy13086

    What time do you clock in?

    I also come into work a half hour early to begin looking up info on my patients. I can't clock in until 7 min before the shift starts, but I'm able to plan my day MUCH more efficiently, ask specific questions during report, and have some questions ready for when the docs round. I work with some very good nurses and at my current facility, it's rare I'm not given pertinent information during report, but it's happened, no one is perfect. Plus I find that my mornings are very very busy & knowing which patients have a high chance of being discharged that morning helps me to know who I need to chart on first so there's no hold up. I wish I could be like the nurses that go in just before their shift starts, I'd love the extra sleep. But, the couple times I tried that, I felt rushed, unsure and behind. It eases my own mind to know more info about my patients than what a 2 minute report can give me.
  11. mandy13086

    Nurse to patient ratio in the Tampa Bay

    I work at Florida hospital and it's 5 to 1, max of 6 to 1 on a medsurg unit. I used to work at an HCA facility and there it was 6 to 1 with a max of 7 to 1. I believe TGH and St Joe's, on a medsurg unit, will probably typically be the 5 to 1. Seems to depend partly on hospital chain as well as how many nurses each unit does or doesn't have. And specialty medsurg units may differ depending on the type of patients too.
  12. mandy13086

    Rasmussen or galen

    I didn't attend either one, but I can tell you from having students from both paired with me on the floor..Galen nurses appear better prepared and the teachers seem to expect more from them. Not to say the other students or teachers are "bad"..but from my experience..pick Galen.
  13. mandy13086

    Any single nurses with a puppy?

    I first bought mine before I decided to be a nurse & I hadnt been single at the time, so things are much more different now than when I first adopted him. But I've been working twelves now for over a year and he's been doing fine. Infrequent accidents. I just walk him as close to me leaving as possible and I always go right home after work to let him out. If I make plans to have dinner or know I'll be late, I ask one of my friends or mom if they could let him out for him so he can go. It's possible.
  14. mandy13086

    Is it OK to contact recruiter?

    I haven't been a nurse but a year, but i can't see if being a horrible idea for a general ballpark. I sure wouldn't want to relocate then struggle financially. You aren't looking for a quote, but just need to have a decent range given your specific experience.
  15. mandy13086

    Getting used to 12 hour shifts?

    U don't just "adjust"..especially as a student. I don't feel I adjusted until I was the RN, not the student, and it is now my job & shift. I felt very exhausted when i did my six 12 hour clinicals. U just make it through and focus. Let yourself learn as much as you can cuz there is so much difference between doing a 7 to 3 clinical than a 12 hour one. Don't watch the time..it'll make it pass slower. Just absorb anything and everything u can. You'll make it through.
  16. mandy13086

    Living through going to barcode scanning

    I don't use Epic, unfortunately...but when I have a pill that needs to be cut in half, this is what I do to help me remember: At the pyxis, when I'm pulling out the medication, I'll see that the dose needs to be halved & will put a mark on the pill package on the side of the barcode. Then, in the room, the system reminds me that the dose I have scanned is too much (which I know since I knew it had to be cut), so I set that 1 aside from the rest & continue scanning. Once finished, that's most often the first medication that I remove from the packaging while it's fresh in my mind to cut it. Just an idea for any other newer nurses out there.