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Nonyvole BSN, RN

Emergency
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Nonyvole is a BSN, RN and specializes in Emergency.

Nonyvole's Latest Activity

  1. Having been there, done that, got the t-shirt... Doesn't matter if she doesn't want to go to couples counseling. You can go, and honestly, I'd suggest it. (The one time I was able to talk my ex-husband into going with me, all he got out of it was that I wanted a new dresser. It wasn't a want, it was a need, because I had no way to store most of my clothes that didn't require a ladder to get to.) The baby is a red herring...you're saying that this started well before your wife became pregnant. Ultimately, though, I think that the two of you need to have a sit-down with a neutral third party and discuss everything. Brace yourself for hearing things that you may not want - or like - to hear, but also don't be afraid to be blunt with her. Good luck.
  2. My family finds it funny that a gag gift has turned out to be one of my most valued treasures. A 6-color pen. It's currently being held together with silk tape.
  3. If it's not on a pump, I always make sure the roller clamps are up high. That's just so that I can grab them quickly if needed and I don't have to trace two feet of IV lines. It's something along the lines of when I write down what needs to be done for a patient, I color code it. Medications are in one color, tests another, procedures a third.
  4. Nonyvole

    Nursing degree after Biology degree

    Graduated with a biology degree. Molecular biology, to be exact. Went back to nursing school. And yes, it was much easier than my biology degree was. But I do acknowledge some facts. Such as: I was an older student, so not focused on the partying aspect of life, and I'd also learned my trouble spots with school. Like I couldn't study at home, I had to study at school, in the library. I knew time management and the risks of procrastination. I was also able to skip most of the pre-reqs, because I had done them all, so until the actual nursing program started, I was able to take one pre-req a semester and fill the rest of my schedule with fun stuff. But it also applies to once the program started, when it was all nursing classes, all the time. My professors made it easier, too, because while in biology I was expected to know everything, nursing freely admitted that no, I didn't need to be able to parrot back the book. I needed to be able to take what I was learning, combine it with my previous knowledge, and synthesize the answers based on different situations.
  5. Nonyvole

    rn

    And NJ can take a while to obtain a license. Start now.
  6. Nonyvole

    Poop Protocol

    These are post-op patients, I'm guessing. Instead of setting up the habit of calling the on-call overnight doctor about every little thing, maybe it would be worth having a sit-down with the surgeons about having a standard set of post-op protocols in place. So when they're transferred from the PACU, there are already orders in place saying "POD #2, start bowel regimen" and have medication orders in place. And if they did have those sorts of things in place, and have stopped it, I would then suggest having a sit-down and asking why they stopped. (I will admit to being spoiled - my post-op patients are all covered by residents and there is a very good back-and-forth between the physicians and the nurses.)
  7. Oh, and something else that I thought about. Learn your pain triggers, and anticipate them. Me, I can tell when a bad storm is coming because I hurt all over, I move slower than usual, and as coworkers put it, I "just don't look like [myself]." So I make sure that I have warm compression clothing to wear under my scrubs for those bad days, and take OTC pain meds. Brain fog? I have a different type of nursing brain, one that doesn't go into all the details that the usual brain does for an inpatient nurse, but it keeps me on track through my day. Now, nursing school is a whole different kettle of fish. You know how you best learn, so use those study habits that you already have. Good compression pants will work wonders for clinical rotations, as will a regular exercise/PT regimen. (I know, so easy to type, so hard to actually do.) Try not to shout out that you have loose joints, because that puts you on the radar for all the wrong reasons. Finally, attitude. I'm a pessimist by nature, and my thing at work is "yeah, it's not the greatest, but I'll survive." I've survived over 10 years in healthcare, and I'll survive many more. I just take it one shift at a time, with plans for the future to advance my career. Oh - and I work/have worked everything but NICU.
  8. Yo. I've hEDS. They think. Knees, ankles, elbows, hands, shoulders, neck, chronic pain...several months of hard-core PT got me back to a point where I didn't have to use my braces at work, and sticking with the home program that got set up by my PT keeps it that way. I haven't used a cane in a couple months, and my crutches are currently gathering dust in a closet - used to use them to walk any sort of distance. And I've been working just fine. I went into nursing with these issues. I'm sticking in nursing with these issues. It makes me more empathetic with my patients because hey, I get chronic pain, I get a chronic condition that has dramatically affected my life. (I've given up on my dreams of through-hiking the Appalachian Trail just me and my dog. It's okay. The Zumba is more of an issue.) In short, it is possible. Work with your doctors, learn what best controls things like any pain. Do your exercises. Learn how to best make things work for you. Don't try to be a super-nursing student, lifting 300-pound patients on your own. You've had one knee injury - keep up with PT and keeping things strong so that your risks of dislocations stay lower.
  9. Nonyvole

    Normal Saline Shortage

    My facility is now running short on fluids in all sizes. We're giving IVPB meds as IVP, and no end in sight yet. Oddly enough, the only way that we knew about it was a sign from the distribution department that suddenly appeared in the medication room one day. Well, that and the ranting of the nurses.
  10. Nonyvole

    Am I too small to be a nurse?

    I'm 5'2. I make sure I know where a step stool is, I'm not afraid to climb onto a bed to do things like compressions or help move a patient, and I've even just climbed up on counters if I needed something on the top shelf. It doesn't bother me, and has never affected patient care. ...actually, I've been the one told to ride the stretcher if we have to move a patient while doing compressions, simply because I'm the smallest. (Tip: it's all in the core. Good core strength means that you can keep your balance while still doing good compressions.)
  11. Nonyvole

    Stethoscope selection

    Having my name engraved on it didn't prevent my master cardiology from walking off, sadly. I was sad. I hope that it continues to serve its new owner well.
  12. Nonyvole

    Precepting brand new nurse in ER

    There's a time for working with her, and there's a time to go to the nurse educator. Go to the nurse educator. From your description, the problems that this orientee has is outside of the realm of a preceptor to handle. Let me put it this way: somebody comes on here, saying that they never received report, that charts are incomplete, and a patient was left to sit with a temperature of 104F for several hours. What would your response be? Talk to the nurse, or go up the chain of command?
  13. Nonyvole

    Stethoscope selection

    The cardiology ones are usually overkill. At this stage, I'd go for the Classic III and practice in lab to learn how to best use the diaphragms. Because Littmann has this tunable diaphragm which combines a bell and a diaphragm - it takes a little bit of practice to know just how much pressure to use. But the advantage to the Classic III is that it has a pediatric/bell side and an adult side to the head. It's also a good scope that will last you years. I have one, but it's actually a back-up for me - my primary scope is a Master Cardiology. Which I do not recommend for a student just starting out. I lent it out to somebody and they were, quite honestly, surprised at the difference between their scope and mine. It's also very well labeled, not that that matters if somebody ends up walking off with it. (I have yet to meet a doctor that would have a limb restriction bracelet and fall risk bracelet on their stuff.)
  14. Nonyvole

    Mixing Koi Scrub Styles?

    You won't know until you go to a store and try them on. ...I don't think I've ever tried to match my scrubs. Scrubs are scrubs, and are designed to be beat up, washed, and beat up again. Unless you're wearing them in a fashion show. Patient's don't care how well scrubs match, nor does an employer. Patients just want to know that they're being treated by a professional, employer just wants to know that you're fitting the dress code. (Although once they get a little too beat up, replace them.)
  15. Nonyvole

    Calling patients by "pet" names.

    I use pet names for my pets and my significant other. Actually, it's rare that I call a patient by their name - first, last, or pet. It's always "Hi! How are you doing? My name is Nony and I'll be your nurse today..." Mostly because I'm terrible with names, and avoiding using them is far, far easier and safer for me. (It's odd. I can recognize their names when handed a list, but it's just using it in conversation that gets problematic. Seriously. Just today I looked at a patient's wristband, noted their name, and then immediately had to look at their chart on my computer to remember their name again. It's embarrassing. I mean, I can talk about a patient and their hospital course, lab values, and everything else without notes but their name? Yeah. That isn't happening.) When I do have to call a patient by their name, I'll use their first name. Think about it - what are you more likely to respond to when somebody starts saying it, your first name or Mr/Mrs/Miss LastName? And when I'm pulling out the first names, my patient is not alert or oriented to person, place, and time. It's a "Jane, open your eyes...Jane, take a breath...Jane, squeeze my hand..."
  16. Nonyvole

    Neuropathy and its effect on nursing ability

    Agreed. I have some peripheral neuropathy and while there is always a risk of it affecting me at work, I've learned workarounds. Like wearing long sleeves and leggings under my scrub pants to deal with the thermal allodynia (because OW, the feeling of a thousand knives slicing into my skin isn't fun), using my stronger arm to carry, and the hand that is less affected to palpate for veins when starting IVs. Bracing outside of work as needed for the motor issues. At work I'll use braces on my legs if it's a really bad day; otherwise highly supportive sneakers and periods of limping. It's taken a while, but I've learned to laugh it off and minimize it all in front of patients. (And PT. Lots and lots of PT.) Now, I quite honestly wouldn't care if a coworker had physical issues as long as they were able to perform their job duties to the best of their abilities and were able to come up on their own with workarounds for the parts that they had problems with. If I had a coworker that was unable to do his or her job and expected me to do both mine and their's, then we'd have a problem. A big one. I'm busy enough that I usually don't have the time to finish everything that I need to get done before the end of my shift; I don't want to have to draw my day out even longer because I also had to do everything that I'd normally delegate out to the CNA.