All Content by Bo,RN
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Major Change. Need advice!
At my college, dental hygienist had the exact same pre reqs as nursing.
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Homelessness
You could rent a Post Office box for
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Rehab pts, cabulances, and toileting
We use the purewick external catheter at my hospital. It requires a suction canister so it would not work for people traveling POV, but it is a nice option.
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Medications in Grams a
Flagyl, Ancef, Rocephin, Magnesium, Tylenol, Valtrex, kayexalate (30 gm), charcoal (100 gm) are a few I give often.
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Night shift schedule?
I eat dinner at 1700 (normal dinner foods cooked for the family), go to work and try to eat before 0200 (usually leftovers from dinner), and then eat breakfast at 0800 when I get home.
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getting hired in a hospital with an associates degree?
Atlanta, GA has many hospitals that will hire ADN nurses. Most listings "Prefer BSN" but there are so many openings that most hospitals within 50 miles have sign on bonuses right now and will gladly hire ADN.
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waiting for provider
Emergent patients are seen right away. Most patient's are non-emergent. I work in an area where the ER is used as a PCP.
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waiting for provider
Thanks for the replies. I just needed to vent my frustration.
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waiting for provider
We have 21 beds with plans to expand to 45 in the next 2 years. We have used a mid level provider as a PIT, but only briefly and only on days. Our problems occur between 0300-0600 when we only have one provider. Some will stop seeing new patients at 0400 and the patients have to wait for the 0600 provider to arrive. We have been told there will not be any changes to provider staffing until after the expansion. Where I live there are 3 hospitals within a small area and we are all working with these long wait times. On days there are 2 doctors and 2 mid levels. The mid levels are 0900-2100 & 1500-0300.
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waiting for provider
How do you explain to patients that even though they are in a room, they still have to wait for a doctor to see them to order medications. Many times patients can wait >3 hours in a room to be seen by a provider. I do every intervention I can: INT, labs, EKG, x ray, CT. I do notify the doctors of patient needs for example "Hey doc patient in room 7 has a known kidney stone and is in pain." Some providers will give orders for medicine, but many will not. The patient will yell, cry, and scream at me and I can do nothing. Of course these patients are non critical and CAN wait, but telling a patient that doesn't go too well. Our satisfaction scores are awful. Even if I do EVERYTHING within my scope, I am still blamed. How do you deal with it?
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Denied PTO for my marriage
At my hospital calling off after being denied PTO is grounds for dismissal. Agree.
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I think I made a med error with an antibiotic and didn't realize??
At my hospital we obtain trough levels prior to the 4th dose of Vancomycin. Could this have been overlooked? It really bothers me when I am told "We need to talk about..." without details. I become nervous also. Good luck
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Do you still have energy to cook after a 12 hour shift?
I LOVE my crockpot. I use the (bag like) liners so clean up is easy.
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Changing jobs, again
I would choose the hours that work best for my family.
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Pocket Snacks for 12 Hour Shift?
I like granola bars. They sell bite sized granola, or you can cut a bar into pieces and put in a small zip top bag. There are also many different types of crackers you could get. Dried fruit, beef jerky or slim jim. Anything you like to eat could be cut into bite sized pieces and wrapped by you.
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I needed a 2.5 for the nursing degree
Can you take additional "fluff" classes to increase your GPA?
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ALL-RN Care model
I worked on a Med-Surg unit that was total nurse care. We had 5 patients each. I liked it. I didn't need to rely on another person to check my patients blood glucose or vital signs. I didn't have to "make sure" care was preformed. If I had a total care patient I asked for help. Most people were helpful. I see many posts by nurses that have 8+ patients and no help because the tech was unavailable, lazy, absent or floated to another area.
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Should I stay or should I go now?
Could you take the PACU job and work PRN on your terms in the PICU?
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Need resume feedback, please
Thank you.
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Need resume feedback, please
I have worked at the same hospital for my entire nursing career. Although I enjoy my hospital and am very comfortable there, I feel the need to expand and want to apply for a PRN position elsewhere. I have never needed a resume and would like any feedback you can provide. I don't know what skills to list or how much detail to provide under responsibilities. Thank you. My Name Registered Nurse 123 address Dr City, State 123456 777-555-4422 [email protected] Skills : Proficient at IV insertion, NG tube insertion, administering IV, IM, SQ, and IO medications, OCL splints, defibrillation, blood glucose monitoring, ECG's, focused assessments, and interpersonal communication. Proficient with Meditech and Allscripts documentation. Experience: Only hospital I've worked at 487 Hospital Lane, City, State 2014 - Present - Emergency Room (16 acute care beds, 7 minor care beds) Position: clinical nurse, preceptor Responsibilities: Efficiently and knowledgeably provided RN care for up to six patients at all levels of acuity. 2008 - 2014 - Float Pool (100 bed hospital) Position: float nurse Responsibilities: Floated to Medical-Surgical, Medical, Mother-Baby, ICU, and Emergency Room. Performed total care for assigned patients. 2006 - 2008 - Medical - Surgical floor (30 beds) Position: clinical nurse, charge nurse, and preceptor Responsibilities: Performed total care for medical, orthopedic, and general surgical patients. Acted as a preceptor to new nurses. As a charge nurse, managed the flow of a 30 bed unit, directed and assisted nurses. Education : Community College 946 College Circle, City, State 2005 - Associates of Science in Nursing Certifications : Current licensure as an RN in State BLS, ACLS, PALS
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Code Black
There was an episode where a nursing home resident swallowed a bunch of change and the MD residents took turns placing her on the bedpan and sorting through the BM until all the money was accounted for.
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The MANDATORY Skills fair
You match the ph (baby) to the HCO3 or PCO2 (daddy) are they both acodotic/alkalotic?
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Is it wrong to feel this way
I worked on a med-surg floor that was total care by the nurses. We maxed out at 5 patients. I liked it. I didn't have to depend on someone else to obtain my FSBS or vital signs at appropriate times. I think it also allowed the patient more rest. I would go in, take vital signs and do my assessment all at once. If the patient had BP or DM medications, I would take the medication in with me and check the BP or FSBS if the medication was not needed I would return it. We had great team work and would help each other with turning or bathing.
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Nurse Slang Yo!
DFO = Done Fell Out, loss of consciousness about to catch the bus = actively dying repeat customer, frequent flyer = often at the hospital
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Shoes for ER???
I wear Nike running shoes. I tried clogs and stepped right out of one while emergently pushing a stretcher.