adventure_rn MSN, NP

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All Content by adventure_rn

  1. adventure_rn

    Frustrating Nurse Family Members

    You reminded me of a head-scratching incident I had completely forgotten about. I once cared for a baby whose mom initially claimed to be a nurse, turned out to be an NA/unit secretary. The mom was a...
  2. adventure_rn

    Frustrating Nurse Family Members

    Or the new grad who is a month into orientation, LOL. If you wouldn’t behave this way in front of your preceptor, perhaps it’s time to re-evaluate your behavior. It’s been a pretty eye-opening...
  3. adventure_rn

    Resignation

    This seems like the biggest issue to me. Most places will clearly explain much notice you need to give in their HR policies, and as long as you follow those policies, you shouldn't be marked as...
  4. adventure_rn

    Burned out new grad. What non bedside job can I do?

    To be perfectly honest, I don't think you're setting a reasonable expectation. Those types of cushy, low-stress, ideal-schedule jobs are hard to come by, and as a new grad you aren't a competitive...
  5. adventure_rn

    IV Insulin and Cardizem

    You are correct that each pump/channel controls it's own med. However, the problem that the OP described occurs further downstream from the pump. Let's say that you've got a drip (insulin, cardizem,...
  6. adventure_rn

    IV Insulin and Cardizem

    Still thinking about this topic an hour later... In this situation, there's an even further cause for concern if you're using a drip where you can bolus the pump off of the drip (for instance, if...
  7. adventure_rn

    Arrested..need advice

    First thing's first, you definitely need to ask your attorney these questions (and ideally, your attorney should be somebody who specializes in dealing with the BON). The stakes are way too high and...
  8. adventure_rn

    IV Insulin and Cardizem

    Maybe I'm misunderstanding. You can definitely y a drip in with another compatible drip and it shouldn't cause too many problems (unless they're running at dramatically different rates, in which case...
  9. adventure_rn

    Feeling Bored

    While there are some incredible learning opportunities available at larger referral peds centers, I would caution you that it can be far more emotionally and mentally exhausting. The downside of...
  10. adventure_rn

    What is more desirable to land a job in pediatrics?

    If that's truly the case, then it would probably be best to take the NICU/peds job, right? Honestly, there is no right answer because every hospital and every unit has different hiring practices. For...
  11. adventure_rn

    Feeling Bored

    Here's the thing that most people don't realize about peds: there is a huge variation in acuity and census depending on the type of hospital you work for, much more so than with adults. In adult...
  12. adventure_rn

    Newish Nurse Wanting to Change Specialities!!

    Just apply! With your experience, I think you'd be a very strong candidate. Many people who do 'new to specialty' PICU fellowships come from non-peds backgrounds, so you'll already have a leg up over...
  13. Alternative idea: what is your PRN policy at your current facility? Most places won't let you go to PRN until you've been working for at least a year, but depending on your unit's minimum PRN...
  14. adventure_rn

    Graphic Gossip

    For real?? Congrats,
  15. adventure_rn

    A Mannequin in my Room!

    Strong work de-escalating the situation. I have so much respect for psych nurses! It's pretty remarkable to see the delusions that people's brains can
  16. adventure_rn

    Don't Just Stand There - Take a Leap!

    Great article, but I'm having some major concerns about the well-being of that
  17. No, you're right, they aren't necessarily NPO. I jumped to conclusions because I'm used to seeing so many chronically ill bed-bound patients who get tube feeds that I just automatically think all of...
  18. I guess my thought is that if they'd have so much trouble protecting their airway, they might have dietary restrictions in terms of solids, thickened liquids,
  19. It seems unlikely that a quadriplegic patient would require the Heimlich, since they wouldn't aspirate a solid object on their own accord. They're not eating, and they're not playing with toys that...
  20. That answer is entirely dependent on your facility. There is no industry-wide standard number of years after which nurses never have to float, or whether or not years as an LVN count. In your case, it...
  21. adventure_rn

    I made a med error and feel so disappointed with myself

    It's going to be ok. Realize that all of the feelings you are experiencing are completely normal, and they're going to get better. True, all nurses make mistakes at some point, but that doesn't make...
  22. adventure_rn

    PRN back to Full Time?

    Another thing to keep in mind is unit census and hiring in the future. Right now you may be getting full-time hours, but can you afford it if all of the sudden your census drops off (or your unit has...
  23. adventure_rn

    PRN JOBS!

    There are laid back PRN jobs, but unfortunately, most PRN jobs require that you have some full-time experience in whatever area you're trying to do PRN. Since your background is in critical care,...
  24. adventure_rn

    Nurse vs Respiratory

    Unfortunately, in my experience, some RTs tend to be less diligent about scanning meds at the time they're administered than RNs tend to be. It shouldn't be that way, but that's the way it is. Next...
  25. adventure_rn

    RN Refresher course

    Maybe you could reach out to your BON to see if they have a list of approved refresher courses. That might be a good place to