PiperLambie MSN, APRN

Critical Care

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All Content by PiperLambie

  1. PiperLambie

    Vanderbilt 2021 Direct Entry

    I applied AGACNP with three years ED/CVICU experience, and was not offered admission. Congratulations to those who will start the next phase of their education this
  2. PiperLambie

    Vanderbilt 2021 Direct Entry

    Nashville local here also waiting for some news. Could be a little later than today- we had rapid Winter weather come through overnight and jam up the roads, so unless the sender of decision emails is...
  3. PiperLambie

    Cleaning patients after bowel movements.

    I'm guessing that "immediately call ED to floor report and let transport take them" is not what we're going for in this
  4. PiperLambie

    Useless Shift Report Information

    ED nurse here. Easiest report I've ever given was just the other day: Had a patient with TONS of stuff to be done after hospitalist finally got to my patient after about five hours of waiting. As I...
  5. PiperLambie

    First Emergency RN Job After Graduation?!

    I started in an ED with no prior intern/externships or medical experience, straight out of nursing school. The division of the company I work for has fully transitioned to the nurse residency model...
  6. PiperLambie

    Mad props...

    ...to the people that do med/surg nursing. Seriously. We were boarding the other day and my assignment included three admit holds and one room that was going to be "LA" (yeah, like it ever stays LA)....
  7. PiperLambie

    Surgeon for an instructor

    Most nursing programs, following pre-reqs, will require you to take some terminology, where you will learn that there is no pseudo to his terminology. I think it was in the didactic part of my skills...
  8. PiperLambie

    Surgeon for an instructor

    So I had to take Patho online (I was on a satellite campus that had not yet hired an on-site instructor), and the instructor had her doctorate in clinical pathobiology- she also asked the tough...
  9. PiperLambie

    Tech falsified vitals

    I completely see the frustration and distrust this has fostered in you based on the post. That said, as someone that has managed large groups of employees at various levels, I want to second the idea...
  10. PiperLambie

    MD vs DO

    It is a great question to seek out by visiting osteopathic.org, where many of those types of questions are answered. At the most basic, is is a difference in osteopathic vs allopathic (though this...
  11. PiperLambie

    What is an RN, BAAN?

    psu, that is terrible in and of itself- if she keeps the BSN with the MSN that's even worse! Not to mention that anyone worth their salt looking to hire someone is going to absolutely judge her when...
  12. PiperLambie

    What is an RN, BAAN?

    Well if it does turn out to in fact be her nursing degree, a noble-minded coworker might be kind and help her to correct the certainly unintentional dyslexia of credentials so that her degree comes...
  13. PiperLambie

    Dropping the "Nurse Card"?

    Nothing so exciting as an RN, but in my previous life I was a manager for one of the big two delivery companies (lots of purple and orange), and was running a wee bit behind one morning, decked out in...
  14. PiperLambie

    Overtime

    I have been off of orientation since the start of May (nurse residency has ~13 week orientation period), and every day is a toss-up. One thing that we do on my unit (ED) is run the shifts 06:45-19:15...
  15. PiperLambie

    How did she/he get through nursing school?

    In my "previous life" I was a manager for one of the two large delivery companies here in the 'States. Part of my job involved teaching new drivers how to drive the trucks. If I had a dollar for every...
  16. PiperLambie

    Feeling stupid... feel free to give opinions!

    I started in the ED via a nurse residency program (with no prior medical experience) after graduation in December, which is not quite the same as a student externship but no so different from my early...
  17. PiperLambie

    Best stethoscope for an ER Nurse?

    Yes, Charge200J! I'm a new grad ED nurse (~6months), and never liked the idea of having my stethoscope around my neck (where an acute patient can easily grab it- and me- at the worst moment. I'm also...
  18. PiperLambie

    RN Residency Essay

    While I am not an LPN, nor did I have any experience prior to nursing school, I am five months into a nurse residency program (NRP), and thought I'd chime in, though I am afraid that I may be a bit...
  19. As a student nurse I had this older, country gentleman that wasn't exactly excited that the student he was getting was a 30-something male, while the neighbor got one of the seemingly unlimited blonde...
  20. PiperLambie

    Special ER Clinical Opportunity-Advice for how to prepare.

    Congrats on your selection into this clinical opportunity! As a new grad ED RN (started Jan 15), I will offer you the advice that I got as a student going to ED clinical, as well as that which I got...
  21. PiperLambie

    Getting urines quicker

    We struggle with this in my ED as well. Depending on the chief complaint, the age of the patient, and the status of the patient, there are times with non-emergent cases where the provider can do a...
  22. PiperLambie

    Security in ER??

    We have a full-time police officer at the intake desk, and armed facility security are always immediately available to the ED. Safety is what it is. We all have those aggressive patients, but it's all...
  23. PiperLambie

    Emergency Nursing

    I am a new grad (December) RN that is currently working in the ED directly out of school, but I thought I'd chip in. 1. The ED where I work is almost always busy. We try to have a ratio of 4:1, though...
  24. PiperLambie

    Koi Lite Men's Endurance Scrubs?

    I am 5'6 average build and I am a big fan of the WonderWinks men's Honor scrub top and Loyal scrub pant. Just enough pockets for my ED gig, a nice bit of give and stretch, and I'm not completely...
  25. PiperLambie

    Frustrating... ED is Not Critical Care

    As a new grad nurse resident working in the ED for all of two months (with a prior career and lots of life experience), working at the flagship facility for one of the large organizations in the...