Meeshie

Meeshie

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All Content by Meeshie

  1. Ugh- helicopter/tiger mom!

    Is it possible that she doesn't want her kid to talk to other kids with diabetes and realize that they have more autonomy over their disease care than she does? After all, it would be mighty inconvenient if the kid started bucking the system the mom ...
  2. Non-nurse midwives?

    CPMs have become popular in certain parts of Florida because the laws are not friendly for v-bac patients. You can't v-bac in a birth center - you need an OB and a hospital. However, a good portion of providers in some areas won't agree to v-bac so.....
  3. Help me out here....

    It's reasonable. Those antibiotics are unlikely to impact the results and the fluid from the chest tube isn't the same as sputum but..... I thought Mexico vaccinated? If they have that vaccine scar then they'll always test positive and since I know d...
  4. New nurse staying way past 9:30 pm on day shift

    Safe Harbor doesn't exist but here's the thing - every single state has somewhere in their laws that hospitals have to provide safe care. It's just one of those things. So when hospitals don't? You can do something about it.. it's just hard and it su...
  5. Advice for New Grad

    My first two years nursing I've done three hospitals. I stuck a year out at a large organization that I hated. It was disorganized, the ratios were awful, management was difficult to work with, turn over was very high. I went to a smaller hospital cl...
  6. You mentioned a union at one point in all of that. If there is one - then you can request a rep any time your manager wishes a private meeting that could impact your job. Weingarten rights. However, if you feel that you are not able to grow in your...
  7. Confused with new role as RN

    DNV is interesting. I worked for a hospital that had DNV as their regulatory agency. One of the more interesting parts of it is that it rounds yearly on the hospital instead of biyearly. That means that the hospital is almost all in a cycle of "getti...
  8. New Grad Orientation Contracts

    My advise to you is that if you do decide to go with a residency and a contract - take the contract to a lawyer. Not all of them are actually legal or enforceable. If yours ends up being one that isnt then it becomes much easier to break. "Talk to my...
  9. Newly graduated RN job search

    Google the words "New grad rn residency job" and plenty of hospitals will pop up that are happy to take on a new graduate and train them.... for a contract with an obligation to work a certain amount of time.
  10. Florida CEUs/CE Broker

    As long as the cite you use gives you something you can print out.. you can print it on your computer as a pdf and then upload it. Generally speaking, I use NurseCE4Less for all my CEU needs. It doesnt automatically transfer but it gives me the certs...
  11. Overcounting valium in pyxis

    Often time over count discrepancies are caused by pharmacy. They stock and then update the count wrong or forget to update.
  12. help! Is my job normal?

    That.... looks pretty normal. I wish it wasn't but..
  13. Pro Life Beliefs and Nursing

    If this is really an issue for you I'd avoid oncology, to be honest. I did women's oncology and ran into a few patients we scheduled for abortions, even later term ones.. knowing that you have a very small amount of time for treatment for a fast mov...
  14. I read another article on this. It was pretty specific in that it said that the child had not yet been declared brain dead and that the final test would be done the next day prior to removal of life support. So.... not brain dead.. not a miracle.. ju...
  15. Nursing and overtime?

    I live in a tourist area so we have "season" above and beyond the flu season. During season we could live at work and no one would complain. I had a 137 hour biweekly paycheck a couple of months ago and that was low compared to some of my coworkers. ...
  16. I know it's hard. But is it really that hard?

    They're changing the NCLEX again. It's in the testing phase now. It will be 100% case studies and not only will students have to pick the correct answer.. they will also have to pick the correct rationale to prove that they understand what they're an...
  17. Consent forms

    At my facility we send the patient down with the unsigned (but filled out, if possible) consent on the front of the chart. We know the surgeon isn't coming to the floor to explain anything so....
  18. How fast do you run blood?

    Policy varies widely hospital to hospital. When I worked on an inpatient high acuity oncology floor we typically ran PRBCs at around 2 hours as long as we had good access or the patient had CHF or fluid overload issues.
  19. Nursing Grading Scale

    That one is slightly easier than the program I was on. And yes, it's as hard as it seems but you can do it if you really want to.
  20. 3200 or so in a patient that had not voided in a smidge over 24 hours. We tried to cath her (no kidding here) 12 times. No one could manage it on two shifts, including rapid response personnel. Called Urology, repeatedly. They decided it could wait u...
  21. Rhythm strips on NCLEX

    There's no way of knowing. However, you're not as likely to see something like "what is this?" as you are "This is the EKG of your patient, which medication is contraindicated?" Or "You patient is on blahblah medication, the EKG is this, the vitals a...
  22. Payrate

    Make an appointment to speak with your manager... and then.. ask. "Given my years of service and excellent record I'd like to discuss the possibility of an increase in my pay" Be prepared for a no. You don't always get a yes. Be prepared for a plan B...
  23. Assertiveness

    You're right that nursing is a 24 hour job. However, your next shift already has 12 hours of work to do. If you find that the shift previous to you is leaving a lot of things undone for you to do and it's a consistent issue then you need to say somet...
  24. Practice makes perfect. The more of them you do the smoother it will start to go.
  25. Certification question (critical care and BART)

    Maybe they mean ECCO cert from the AACN (for the crit care one)??