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Party_of_five

Party_of_five BSN

ED
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Party_of_five has 2 years experience as a BSN and specializes in ED.

Party_of_five's Latest Activity

  1. Party_of_five

    Talk me through this...ER to NICU just for NNP opportunity?

    Update: Turns out NICU wasn’t currently hiring but L&D was and they really liked my ER experience. I did a shadow day and loved it! This might be the best of both worlds for me. Fast paced, anything can happen environment plus babies and NRP. They do L&D only with a transfer after 2 hours or so to PP. the NM also said that a few times a year we float to NICU (as an extra set of hands) and PP so that would be fun. I am looking forward to starting. Thanks for all the great advice.
  2. Party_of_five

    ICU to ED RN

    Some ICU peeps can hang, some can't. It depends on your personality and your level of OCD-ness LOL. The ER is all about controlled chaos. I'm not sure they would hire you on a PRN basis. There is a lot of training involved. I guess it would depend on the ED. We do have a few ICU nurses that do pick up as needed but they all worked ER first.
  3. Party_of_five

    Talk me through this...ER to NICU just for NNP opportunity?

    OP here. I finally reached out to HR and have a phone interview for a NICU position. I told them I prefer days and they have open day positions listed online so fingers crossed!
  4. Party_of_five

    STEMI/ACUTE MI

    We have a flow sheet. It has things like EKG time, aspirin time, Cath Lab activation time and time to Cath Lab. They use it to track our set goal times for each item. It's not part of the pt record.
  5. Party_of_five

    how often do you chart a note and PRIORITIZATION

    We do that because often pts are taken care of by several different nurses. Our reports to each other are very brief and/or nonexistent. The lab part is helpful when you see that labs were sent 30min ago but do not show in process. So then you could call the lab and find out what happened.
  6. Party_of_five

    Do you have to work as a CNA before going to nursing school?

    No, its not needed (at least in my area).
  7. Party_of_five

    Should I have accessed her port?

    As an ER nurse here is my view: she already has a working line, she's already getting treatment. I'm not messing with the port unless I need to. If she would have come to my room without a line then I would have used the port. She can go to the floor and if they want to port accessed then they can do it. Now if there is a problem with the line or it is interfering with treatment and/or I have the time, then fine, I'll do it. If I have 10,000 other things to do then no, sorry, BYE.
  8. Party_of_five

    Question about manual irrigation for 3 way foley!!

    When we hand irrigate we use the irrigation port and then it would drain into the foley bag. Just make sure you are getting what you put in back out. You can use the push-pull method and/or a more forceful flush if there is some slight resistance but don't do it too hard. Watch the pt.
  9. Party_of_five

    My IV Skills are Terrible!!!

    There is a really informative and helpful Instagram account called IntravenousQueen. Look her up. She also lots of tips, tricks and videos.
  10. I'm currently on ER nurse on dayshift. I work at a level 1 trauma center and we see all kinds of stuff. I love the pace most days. I like seeing new and interesting things. I like learning. I love my coworkers, our team. I don't like being bored. I like my job. I'd like to be more than a bedside RN one day. I've been researching grad school options and I just keep coming back to NNP. I've always loved babies. I did a few shifts in the NICU during my preceptorship and I loved going to deliveries and being on the NRP team. There is currently an opening at my hospital for the NICU but it is nightshift. I've never worked nights. I have kids at home and a husband. Would it be stupid to leave a job I like for a job that I probably will like but am scared will be boring just to have the opportunity to go to NNP school (if that's what I decide)? How is nightshift in the NICU (level 3)? Will NICU have the teamwork and awesome coworkers I am used to? I know I could go back to the ER if I change my mind, heck they'd probably still let me work PRN...we are always short. I just feel a lot of loyalty to the ER and don't really like making changes. So help me out, talk me through this. What would you do?
  11. Party_of_five

    Any facilities actually using an AccuVein? Any thoughts?

    They are terrible. It only works on light skin with no hair and no fatty tissue. Otherwise it picks up hair "shadows" and fat. Try double tourniquets and a warm compress instead.
  12. Party_of_five

    As a PA, how can I be better for the nurses in the ER?

    I'd like to encourage you to talk to the nurses (and other staff members). Its nice to have that type of relationship and builds trust. It also makes you more approachable.
  13. Party_of_five

    Roane State vs. TN Wesleyan

    I went to RSCC and am about to finish TN Wesleyan's RN-BSN program. I loved RSCC! You can't beat the price and the education was spot on. I think our whole class passed the NCLEX the first try. TWU's online RN-BSN program is really affordable (~8k) and is super doable. I started right after I graduated and it takes 1 year if you do it full time (I also worked and have a family). TWUs instructors are great and they really understand a working RNs schedule. I couldn't stomach the price of TWUs regular BSN program so I did it this way and it came out to be a lot cheaper. My employer also offers tuition reimbursement!
  14. Party_of_five

    Hypertension Parameters

    As an ER nurse, if someone come into the ER with a "high BP" of 170 they are going to get an eyeroll. Stuff like that needs to be managed by the PCP, not the ER. Sure, we can lower it but most of our docs won't. I'm sure there are situations that warrant an ER visit but for the patient you described above I would not recommend the ER. I think your current parameter are ok.
  15. Party_of_five

    Are Adn nurse being hired at hospital?

    Yes, you can still get a job. It depends on where you live on how hard it will be. Where I am I had no trouble and was hired before graduation. To a Magnet hospital no less. I did have to agree to get a BSN within x amount of years but I planned on it anyway.
  16. Party_of_five

    Is it legal for your boss to dictate where you poop?

    This is hilarious! Just buy some Poo-Pourri and poop where thou will.