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MiladyMalarkey ASN, BSN

Neuro
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MiladyMalarkey has 2 years experience as a ASN, BSN and specializes in Neuro.

MiladyMalarkey's Latest Activity

  1. MiladyMalarkey

    Pros and Cons of Taking Evening Classes

    It was 50/50 for me taking evening classes. I like the age range, our youngest was 19 & oldest 65, it was cool having such a range of people with different life experiences. Half the class had kids, half didn't. I didn't dig class going till 9-10pm though, at about 8-9pm my brain started to shut down. But on test days I'd go to school a few hours early & review, that was nice. Also had to plan your food out, if you didn't, visiting the vending machine was unsatisfying. It sometimes disrupted my family time, but not terribly. Also more convenient to get other non related school errands done during the day. Like I said 50/50, good & bad. But it worked with my life schedule & I finished so it was manageable & in the end worth it.
  2. MiladyMalarkey

    How many jobs have you had in your career?

    So far, just 1 job, but I'm only a tender 2ish years in. I really like my neuro floor thus far no plans to leave, it has it's days of course & the 1st year was rough for me working nights full time with small kids. I wanted to leave. What I did rather than leaving when I found myself with a surprise newborn babe was I went down to part time, my job is great in that it offers benefits & retirement to even part timers. The work/life balance going part time was a game changer & made me love my job. Maybe in future when kids are much older, Ill go back to full time or pick up a 2nd job. But I got a good gig & staying put, I'm pushing 40 so have to get serious about my retirement plan, my job has a good one. They got me.
  3. MiladyMalarkey

    How to Deal with Opportunists in Pre-Reqs

    I didn't really experience opportunists (not to say they don't exist), lazy group work members for sure. But I do attribute that to not sharing grades & being a little older, crankier & antisocial & the younger folk not being interested in interacting with cranks sitting in the corner😆😆😆 Worked for me!😉😆
  4. MiladyMalarkey

    PREGNANCY NIGHTSHIFT

    I wasn't so tired as my body fiercly ached, especially that last trimester. If anything, working nights preggo had me sleeping even better during the day, my body was extra tired and I'd go into super deep sleeps after work. Baby born good and healthy. You will probably be okay, but always talk with your OB about any concerns and ask for their suggestions. If you don't feel right, talk to the doc right away. Always put you and baby first. Congratulations!
  5. MiladyMalarkey

    Nurse forced to work as a tech/CNA

    I'd hope your employer is actively looking for techs/CNA's, I assume they are paying you RN pay while you tech? And then also paying travelers that expensive traveler RN pay? That is just crazy expensive on their part and something I'd think they wouldn't want to fiscally keep up for long. I almost never get to tech, so am happy to on the rare occasion they ask me, but, if it were every day, I may not think it so great. Mention it to the boss man/lady that you'd like a break on teching for awhile.
  6. MiladyMalarkey

    Medications Mixing and Nasogastric Feeding Tubes

    I have never administered them one at a time.
  7. MiladyMalarkey

    New Nurse Needing Advice: Should it be this bad?

    I started on a tele floor, the first year I hated it, but pretty sure I would've hated any floor. I think it's because we are new, don't know what we are doing and for me it was a mini anxiety attack every shift I had to go in. And that was on the tele floor for me, so I can imagine any ICU is slightly more intense for a newbie. Then somewhere just pass year 1, something clicked. I know I don't know everything, I'm okay with it, but I'd go into work and think, well, if I don't know, I'll ask, I can only do what I can do and stopped beating myself up for not knowing what I didn't know. Man, the first year...or maybe more of nursing is a trial by fire. They told us that in school, but you think it'll be fine, I adjust well to other adverse situations. Nope, for many it really is a hot mess of learning. It's intense, we are caring for sick people and we feel responsible for them and worry about messing up or not knowing what we don't know. The pressure is pretty intense. Then suddenly, for a good amount, something just clicks, you go in and you think, well, this patient load will be a challenge, but I will do what I can do and I will ask for help if I need it. I understand your anxiety. But if it is getting crippling, consider moving to a different unit, somewhere you will be happier and see a doc, there is no shame in asking for help. Just know each unit has it's challenges. I would say try to hang in there till you hit that year mark, but if you can't, you can't and that's okay. Just remember with your ICU experience, even if it is just a year, you will be a hot commodity down the road when you would like to move elsewhere. If you can hang tough in ICU, it qualifies you to be able to do nursing almost anywhere.
  8. MiladyMalarkey

    Transition to bedside shift reporting

    I understand the benefits of bedside shift report. With that said, I don't care for it. It can be helpful at times, but other times it can be frustrating. -I notice management is rounding as day shift starts and are sticklers about us doing it, come time for night shift hand off, day shift suddenly feels no need to do it, management is not there to enforce. And honestly, I am okay with this. Day shift is tired after 12-13 hours and can get out sooner and I can actually begin my real patient care sooner. -At least half the oncoming nurses suddenly want to do their full on assessments while you are standing there giving report, or they want to do there shift dressing change etc., etc., I've been here for 12-13 hours at this point, no, please do full assessment on your time, not mine. I totally am okay with putting eyes on patient, making sure they are okay, showing oncoming nurse wounds/areas of concern on patient, but doing your head to toe with me standing there is unacceptable when we have several other patients to do report on and heaven forbid I still have some charting to do. Que the overtime. -Hand off time nearly doubles. Coming off of night shift we are going in as patient is waking up, everyone of course has to go to the bathroom, or wants a juice, or an extra pillow or to get up in chair. People have needs, but we are in the room, techs are getting report too so are unavailable, so my 5 minute report just turned into 20 minutes because patient had to toilet and then wants to be up in chair and wants breakfast set up. -I often have stuff I need to say about patient away from patient. They are anxious, violent, drug seeking, etc. It's not a big deal to wait and say this outside the room, it's just a fact, I give report in room, then have to sometimes give more report outside. These are my complaints about bedside report. We occasionally have caught things at bedside, or noticed patient change while doing report or I remember something important I forgot to chart/say/do. It just often adds much more time to report. I've had what should be about a 15-30 minute hand off turn into an hour or more. I rarely get out on time. Maybe once or twice a month I actually finding myself clocking out of shift "on time". Once or twice a month--and this is not unique to me on my unit.
  9. MiladyMalarkey

    Hospital requiring personal cell phones for patient care

    Suddenly I no longer carry a cell phone😄 That's kinda crazy in a hospital setting imo, in a home health setting I could kinda see maybe. And I just think of all the dead zones in my facility, a cell would be worthless a good part of the time.
  10. MiladyMalarkey

    Fear-mongering in nursing school

    First semester of nursing school is the easiest part of nursing school. Overall, is there a lot of hype, some over the top, sure, is it all unfounded--no. You may just be fortunate and get it, if that's the case, count yourself very fortunate. But don't just discount others, especially if it's the experience of a majority. People can have very different experiences than yours. You know what is not hype and not easy? Your first year on the floor as a new nurse.
  11. MiladyMalarkey

    Famous person as patient?

    Only physicians or family members of a physician/administrator are the only celebrities I've been graced to care for😆
  12. MiladyMalarkey

    Why are some RNs rarely busy, while others are always busy

    Some people are just freakishly (in an enviable way) efficient & as cool as a cucumber moving from one task to the next. My preceptor was one of those people.
  13. MiladyMalarkey

    Struggling new grad neuro nurse

    All I can offer is encouragement. I'm 8 months in now, new grad like you on a neuro floor. Neuro was not necessarily my first choice or a subject I excelled at in nursing school, but then again I just wanted a job and was happy to get it. In honesty, I didn't start feeling somewhat "okay" until I was forced out on my own. Basically, it is going to be trial and error and what works best for you. I felt more anxious on orientation than I did a month off of it. Not to say I don't still get nervous, I'm just less nervous now because I've learned how to get the help I need to answer the many, many things I don't know yet. I was nervous wreck like the first month out on my own, but remember YOU ARE NEVER ALONE, help is a coworker/charge nurse/phone call away. And it is normal to struggle with who has what neuro dx, why the tx for this is this, normal. This is only something experience will bring...I've barely a head start on you so I'm still constantly learning still, there are neuro things I've not even heard about yet, that the nurse who have been there for 10 years haven't either, those rare neuro things pop up sometimes, so how can I possibly know the reasoning for tx ahead of time? It's a hard growing process. It sucks to learn trial by fire, but that really is how we learn in this job. It will get better, you will feel better, give yourself time. Will this make your anxiety go away? Probably not. But overtime, you will notice that something that made you so anxious no longer does because you know what to do or know who to ask to find out what to do. Hang in there. Being a new nurse can be hard, give yourself some slack.
  14. MiladyMalarkey

    Where are pregnant women working?

    I'm pregnant and now on leave. Not an ideal situation, but my employer could not guarantee no exposure, they did try to place me elsewhere, but still couldn't guarantee no exposure even there. In honesty, I can't guarantee no exposure just going to the local store. Hope this passes soon.
  15. MiladyMalarkey

    I Was Fired...for Being Abrasive and Having Attitude

    I'd just think of it this way...imagine yourself 10+ years down the road, you're a veteran nurse & you notice the new grad on your unit is either doing something wrong or in a way that could be done better. You go up to them trying to guide or maybe even correct. You know what you're doing likely, after all you've got experience. Then the new grad perhaps gets defensive and does not take your tips/correction/guidance with an open mind or willingness to learn. Instead they perhaps try to argue why they are doing it their way instead. Then maybe this new grad perhaps does this frequently with others as well. How would you take this or feel about that new grad as the experienced nurse? How would you feel trying to work with them in an emergency setting, like the ED you're in? I can't assume a lot about you from this minimal post. But perhaps some self reflection & willingness to hear others out may help you. Not to say letting you go so quickly was right, but you have to ask did you show your team a willingness to learn and work together or did you show them as a newbie you were not flexible and easy to work with? Let this be a learning experience in which you can build your foundation of becoming a great nurse and even better team player. Don't give up, just learn and keep going.
  16. MiladyMalarkey

    2 year waiting list?

    I went with the MCCD/Ottawa route. At my time then, NAU & Ottawa were the cheapest and you graduated with both degrees the same semester. NAU had more pre-reqs I wouldve had to take, where Ottawa allowed me to do them as co-reqs, hence why I went with them. But I had a fantastic experience with them and ultimately didnt regret it & got a job immediately. Really all the universities are great, you may take slightly different routes with them, but they all get you to the same destination, your BSN. So whichever CEP program fits you best is what I encourage you to go with.