Mrs.D.

Mrs.D. BSN

Medical cardiology

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All Content by Mrs.D.

  1. 4 yrs, Low experience, Hospital

    Well I can only speak to my eastern MA acute care hospital that has a union… but ratios aren’t not in the contract. Our tele floor can take up to 5 patients 7a-11p, and up to 6 patients 11-7a. Most of the time it is actually 4 patients if we’re not i...
  2. Reality Shock and New Grads. It's Real.

    Thank you for this, it was a helpful reminder as someone who is about to precept her first new grad. I had an amazing preceptor, and I want to be that lifeline for my new grad who is due to meet me in a week or two. Do you have any other resources th...
  3. Med Surg without CNAs?

    I can’t speak to trends, but on my tele medsurg unit we take 3-5 patients. Usually we start with 3-4, and end with 4-5. We do have techs, though. Covid status is irrelevant to the assignment for us. I’m sorry you’re feeling like you’re getting ...
  4. I don’t have much for advice with the anxiety, but maybe the stress response. Do you have a Fitbit? It may seem silly, but there’s an App on Fitbit (maybe others too) called “Relax”. When you play it, it vibrates at a normal breathing rate to encoura...
  5. Bedside with an MSN?

    We utilize this on our medical cardiology floor. It’s a floor RN with a passion for knowledge and teaching who’s willing to take on more responsibility [and has energy... because it’s on top of our usual duties]. Anyone can volunteer to the director ...
  6. Case Study: An OB Catastrophe

    This looks fun, I’ve never done a case study here. I’m not an OB nurse... VSS. I guess I’d be concerned that’s shes lost one pregnancy in the past. The pooling in the vagina means amniotic fluid versus urine, so maybe* only acutely low fluid. Do...
  7. Natural Hair - Maintenance

    I do not have your hair type, but I only wash my hair 1-2x/week to keep it healthy. I do pull it back in a ponytail so it’s out of my face, though. I don’t wear a cap, generally. I don’t see any reason to change your habits unless you feel you need t...
  8. Feel Like I’m Completely Failing...

    I hear you, I really do. I had a shift like this yesterday. I’m almost 2 years in and I feel pretty dang proficient on the average day, but some days we spend 12 hours just trying to keep up. I was at work one hour late charting because most of it ha...
  9. When You See Something, Say Something

    With my privilege, I honestly thought racism was a thing of the past. I just don’t SEE it. I’ve never had to really notice or acknowledged the little microaggressions that add up for you. But I’ve been reading a lot these last few months. I have one ...
  10. Med-Surg IV Meds

    I work medical cardiology, so medsurg plus cardiac patients. It’s really going to depend where you work because medsurg has so many specialties like oncology, neuro, ortho too. I’m sure they regularly use stuff I’ve never heard of or would need to l...
  11. I'm writing a care plan for a patient. I'm adding a poll, 1) because I love polls, and 2) I'm genuinly curious what YOU would do in my situation. My current NANDA Dx is: Hyperthermia r/t septicemia aeb temp above normal limits; flushed, hot skin; t...
  12. Is the NANDA Dx the end-all-be-all??

    I wonder if posting here will give a notification to the nurses who commented to help me. I don’t know what made me go back and read the few old posts I have. I just wanted to say thank you again for your help. Who would have thought I’d be a medical...
  13. Do nurses on Med-Surg/Tele have to work in the tele room?

    Eventually you learn the nuances of the lines and you can read any strip at 20 paces while continuing to walk past the monitor on your way to do something else LOL. If you plan to travel, I would just suck up the discomfort of not being a master of t...
  14. Do nurses on Med-Surg/Tele have to work in the tele room?

    Hmm. I’ve never heard of a tele room. I’m a medsurg RN from Massachusetts. Our unit is categorized as “medical cardiology/telemetry”, so I’m considered a tele nurse. Every RN on the 40-bed medsurg unit is a tele educated nurse (we have to pass a clas...
  15. Help...should I go back to Nursing School?

    I’m sorry this board isn’t active, but in case you make your way back here... I think being anxious of making a medication error is good judgment on your part. This aspect of our job has the potential to cause great harm if not done properly. You wil...
  16. Moving to Boston

    Hey, CONGRATS on your new degree. I’m not in Boston, but I’m in Mass at an acute care hospital. When we’ve hired RNs with only 0-2 years acute rehab/LTC experience, we consider them new grads and they go into that program-which is actually so helpful...
  17. 2019 Nursing Salary Survey

    ☺️ I’m so glad. And thank you!
  18. 2019 Nursing Salary Survey

    Woohoo! I can finally take the survey ??. New grad, RN, fresh off of 3-month hospital orientation, present! ??‍♀️
  19. Hey, just wanted to make myself available if anyone had any questions about the BSN. There aren't any recent threads about Salem State University. I just graduated from there and would be happy to help if I can. Good luck!
  20. OB class makes me depressed...

    I'm sorry, I'm not transgender, so I don't know if this will be helpful or not, but... My husband and I do not like children and have no interest in raising one. We have been married for almost a decade and still do not want them. I had a breast redu...
  21. Tutoring...Desperate for help!

    I think the school's method of forcing a large group together is a bad idea. I'm sorry it's not the experience you're looking for. I wish I knew another way to advise to help you, but the system at my school was well established by the time I worked ...
  22. 'ello! At my hospital, we each get a computer on wheels that is ours for the shift. Some nurses have Velcro bags with lots of goodies hanging off of it. Some have bags sitting on top. Some have a clipboard storage box. Others have 1000 pockets. How ...
  23. Just Needing Some Encouragement I Guess

    I'm sure you are not alone. I'm sorry you are struggling. What mistakes are getting noticed? What are you doing well with that you wished would get noticed? If you'd like to talk about them. I excelled a lot, and it was never recognized during scho...
  24. Anyone else applying to PhD programs?

    It looks like you very well might be the only one on AN! Sometimes* it takes like a year for people to find posts, lol. Good luck! What do you plan to study? Where are you applying? I don't know anything about them, but I find it interesting (I'm a ...
  25. How do you feel about B's?

    I was a nursing peer tutor and I was proud of both the student that excelled and the student that squeaked by because they were both trying their hardest and doing their best. Tutoring can be helpful in so so many ways. If your school provides it for...