swmn

swmn

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All Content by swmn

  1. I am not even a little worried about this. Not one iota. I graduated and passed the NCLEX in 1996. At the time I could spell internet and got snapped up by a computer company that called around to local hospitals to see what new grads made so they...
  2. The places I have travelled too don't ordinarily "screen" beyond asking a female patient if she is or might be pregnant. If the patient says "Yes, I am or might be" we typically do not do the procedure, but not because of the IVC sedation. The way ...
  3. I have noticed in elderly patients onset times are delayed compared to younger patients. I don't have any firm rules yet about when to switch from doses at 2 minute intervals to 3 or even 5 minute intervals, but I do have some guidelines. Anyone ov...
  4. I draw up 5 and 100 when I am using Versed and Demerol, 10 and 250 when I am using Valium and Fentanyl. Drope comes in 5mg ampules, so that is a no brainer too. When it is my turn, I want fentanyl and versed. On integrated units where recovery is han...
  5. Questions about travel nursing?

    Me, Everything is negotiable when it comes to travelling. I find it very helpful to keep in touch with two recruiters, each with different companies. I get paid bi-weekly, direct deposit. Took about a month to get everything done to actualy take my ...
  6. Late shoe nominee: I have had a pair of "after basketball shoes" made by And1 for about 8 weeks now. They are shaped like basketball shoes except the upper is all stretchy cloth, no laces. They expand right along with my feet all the way through t...
  7. Any study tips for A&P?

    You have some good advice already. Definitely get a study group together. Even you and one other person is better than no one. Biggest study group I can work in is about four people total. Do _not_ study only with your group. They can't help yo...
  8. BSN minimum requirement

    LBurns, I got just one wuestion for you. Are you a "better" nurse now because of your BSN program, because of the fulltime clinical experience you got in your day job, or is it becuase you were able to to apply the stuff you covered in class last ni...
  9. BSN minimum requirement

    LBurns, I got just one wuestion for you. Are you a "better" nurse now because of your BSN program, because of the fulltime clinical experience you got in your day job, or is it becuase you were able to to apply the stuff you covered in class last ni...
  10. Demerol, YUCK!

    Jill, Thanks for your impression of your endoscopy sedation. Like I had said before, I have never acutally had any of the stuff, I got a PO Valium once when I was getting some stitches in the ER. I have spoken with a couple folks who got Demerol o...
  11. Demerol, YUCK!

    Jill, Thanks for your impression of your endoscopy sedation. Like I had said before, I have never acutally had any of the stuff, I got a PO Valium once when I was getting some stitches in the ER. I have spoken with a couple folks who got Demerol o...
  12. Nurse Managers Abandoning [sinking] Ship

    Several possible issues here, maybe some will apply to your situation. One is working for salary instead of hourly, and one I would urge you to consider carefully before accepting a management slot. If you can not come up with staff, guess who get...
  13. Nurse Managers Abandoning [sinking] Ship

    Several possible issues here, maybe some will apply to your situation. One is working for salary instead of hourly, and one I would urge you to consider carefully before accepting a management slot. If you can not come up with staff, guess who get...
  14. Demerol, YUCK!

    Excellent, a worthy subject for a change. Before I get started, I have never personally taken Demerol or Fentanyl (or even percocet really), but I have sedated a lot of patients for endoscopic procedures. I despise Demerol. I hear repeatedly from fo...
  15. Demerol, YUCK!

    Excellent, a worthy subject for a change. Before I get started, I have never personally taken Demerol or Fentanyl (or even percocet really), but I have sedated a lot of patients for endoscopic procedures. I despise Demerol. I hear repeatedly from fo...
  16. Nurses in Charge

    I would really appreciate it if my nurse managers would not confuse "nurse manager" with "charge nurse". (DANG IT!!) A "charge nurse" is on the floor throughout the shift and is responsible - to the nurse manager to be sure- but is nonetheless resp...
  17. Nurses in Charge

    I would really appreciate it if my nurse managers would not confuse "nurse manager" with "charge nurse". (DANG IT!!) A "charge nurse" is on the floor throughout the shift and is responsible - to the nurse manager to be sure- but is nonetheless resp...
  18. Being the pt.

    Excellent question. My mom had a colonoscopy on my unit while I was still in orientation on my first endo job. I did not actually participate in the case, but I saw her both before and after. I know what she is "like" in real life, seeing how tire...
  19. Two things. 1. Who is the unit clerk? Is this going to be someone you can get along with, or someone who is going to make your life miserable? In my experience the unit clerk/ unit secretary is a key postion that the nurse manager delegates much ...
  20. Reading these threads and evaluating my OTJ frustrations, I wonder what we really think we deserve. Quantitatively the big issues seem to be pay, patient load and hours worked every week. Qualitatively patient acuity and respect seem to be the big ...
  21. continuation: LTCF suspension new employee

    Overall it sounds like a snake pit job you are better off without. Been there, done that. I am not going to pass judgement on your decision to pass the HumulinN. I was not ther to asses the patient, you were. I do have some rhetorical sorts of qu...
  22. what do nurses think of medical assistants?

    Congratulations Karen! Nothing like starting out on a hot topic. As an R.N. I am acutely sensitive to CNA's and LPN's among my co-workers being refered to as "nurses." It happens all the time. To the public it seems like anybody who fluffs a patie...
  23. Prepared, yes, ready no. I will try to explain. I graduated from a hospital based diploma program in 1996. I continued working in the computer field through school, my only experiences in patient care before my first shift were from nursing school...
  24. Prepared, yes, ready no. I will try to explain. I graduated from a hospital based diploma program in 1996. I continued working in the computer field through school, my only experiences in patient care before my first shift were from nursing school...
  25. Pallitive care-can anyone help??

    a good knowlege of breavement processes etc in order to deliver sensitive care. Can anyone Help??? Maybe a little. Sam, I have been a hospice volunteer for five years, as well as having had several terminal patients within a year or two of long ter...