Momma1RN

Momma1RN MSN, RN, APRN

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All Content by Momma1RN

  1. No More ED Report?

    We get 95% of our admissions at 1450, 1850 and 2300. Happens every.single.day. Administration has told us it's because of the ER docs and how their shift change goes, they clear out before they leave....
  2. Calling codes

    I'm a pretty new nurse. I work in a telemetry floor at a community hospital. We are also a stroke center. Called a code stroke on a patient (one I had had three days in a row) the other night for...
  3. What type of nursing might suit me best?

    You need experience first and foremost. Then you find an agency and work with them to travel. I don't know tons (I'm sure there are resources here!) but we had a traveler on my unit and we miss him!...
  4. What type of nursing might suit me best?

    ICU for CRNA. Sounds like you may enjoy travel nursing if you don't have roots. Good luck! I work with many people who were teachers before being
  5. Piloting discharge nurse on med/tele floor

    They're trying to get the docs to flag patients for discharge if they anticipate discharge within 24 hours. Usually they are waiting on one more set of 0500 labs before signing off that they can go....
  6. Piloting discharge nurse on med/tele floor

    We are piloting 'free charge nurse' on days and evening shifts- to help with d/c, admissions, etc. Honestly there are some charges who are helpful, and others who kind of just roam around aimlessly-...
  7. been recommended to have my license on probation

    I'm surprised the DEA isn't involved
  8. Cyclic vomiters (drive me up the wall)

    Interesting thread! I admitted an 18 year old with CVS not too long ago. Smoked massive amounts of weed. He had come with his mom who thought it was "funny". He wanted alllll the pain meds. And all...
  9. What do you love about nursing?

    I like the science. But most of all I really like the patient education. Eventually I would like to become an FNP, possibly get a MPH, and work in primary care or as a community/town nurse. I am...
  10. Time to vent - my apologies in advance.

    Sometimes I don't understand what goes on in the ED. Had a patient sent up once, for SOB. "lungs are clear!" Got up to the floor and within 30 minutes she had coded (probable PE). Her lungs were NOT...
  11. Time to vent - my apologies in advance.

    I would have filled out an incident report as well. You did the right
  12. We have basically been told that we need to have "the customer is always right" mentality because we are being reimbursed according to patient satisfaction. Our ancillary staff is not only for the...
  13. Calling codes

    Our docs don't show up to RR. So code stroke is like a RR for neuro- and we get the doc, the IV team and the CT table clear which doesn't all happen for RR. Thanks all so
  14. Other than BSN

    Anyone with a 5th grade education has the ability to write a paper. You chose not to. You didn't earn the marks that you received. You might have clinical skills, but I can bet your professors,...
  15. Other than BSN

    Well, wow! I wonder what kind of short cuts you'll take as a nurse if you refuse to write papers in school. Just because you don't agree with the assignment doesn't mean it's okay to hire someone to...
  16. to hold or give insulin?

    Yup. Unreal. Insulin resistant. There was a big discussion because he takes up to 25 units U500 before each meal according to his own sliding scale, but apparently he uses syringes that are calibrated...
  17. to hold or give insulin?

    It really depends on the patient. Because the levemir is long acting and the patient was NPO, the SSI definitely had the potential to bottom him out. And the NPO status further complicates things...
  18. This. When in doubt go up the chain. It's your license- not the charge nurses, not the docs,
  19. If you were concerned enough to ask for a second opinion from your charge, you should have notified the doctor. Take it as a learning experience and don't make the same mistake
  20. Nail polish and wraps

    Our policy says that color is okay as long as it isn't chipped. Is it enforced? Errrr...... not sure. I don't wear nail polish, and keep my nails filed and short, because
  21. Other than BSN

    In most MSN NP programs, you will see that the first few classes will be research/nursing theory oriented and there will be papers to write, where you will probably be expected to know APA format. For...
  22. Considering GWU online FNP program

    Thank you very much for your reply and kind
  23. I have started to put together my application on NursingCAS for GWU's online FNP program. I currently reside in RI, but will be moving in May 2016. My husband is in the military so I have no idea...
  24. Bio Degree, then Nursing School?

    I have a BS in biology and completed an accelerated BSN program. I was able to complete it in 4 semesters (plus 2 summer sessions in between). Now, I am looking into an FNP program online. I would...
  25. Held to a higher standard

    This. This this