adventure_rn MSN, NP

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All Content by adventure_rn

  1. adventure_rn

    What is your unit's provider staffing like overnight?

    adventure_rn replied to CCU BSN RN's topic in Critical Care

    I work in a 15 bed PICU setting. Our general structure is that every patient is assigned to the 'fellow' team or the 'NP' team (divided evenly), and the fellow or NP is primarily responsible for the...
  2. adventure_rn

    Felony charges

    adventure_rn replied to Rdsrn's topic in Nurses Recovery

    I'm not a legal expert, but I'm guessing it varies from state to state depending on the Board of Nursing regulations. The fact that your coworker had that same experience suggests to me that your...
  3. adventure_rn

    Unsafe staffing with 4:1 ICU ratios 8:1 on floor.

    adventure_rn replied to cmueller's topic in General Nursing

    I agree, but how can any reasonable executive think that this will save them money??? With ratios like that, they're bound to have a ton of adverse outcomes and errors, which leads to Joint Commission...
  4. adventure_rn

    Alternate stethoscope ID?

    adventure_rn posted a topic in Scrubs, Uniforms, Gear

    I'm in a bit of a pickle, and I'm wondering if anybody has creative suggestions for marking your stethoscope. I've got a Welch Allyn, which is shaped a bit like the Littmann Cardiology (dual lumen...
  5. adventure_rn

    Taking travel job, hoping for perm offer. Too risky?

    adventure_rn replied to jlambirt's topic in Travel

    That is an interesting dilemma. While Ned's posts (and the entire travel forum) are great resources, you may get some helpful insights from the Nursing with a Criminal History forum as well. I would...
  6. adventure_rn

    Taking travel job, hoping for perm offer. Too risky?

    adventure_rn replied to jlambirt's topic in Travel

    That is a great point. I had a friend who was dead set on moving to a big city on the west coast, which was home to about 10 regional NICUs. She took travel assignments all around the area to find out...
  7. adventure_rn

    Force to change unit in the middle of shift

    adventure_rn replied to Anon143's topic in General Nursing

    Lol, I've been forced to float to an entirely different hospital in the middle of my shift. I started at 7 PM, was notified at 9 PM, finished my charting by 10 PM, waited for a cab until 10:30 PM, and...
  8. adventure_rn

    Taking travel job, hoping for perm offer. Too risky?

    adventure_rn replied to jlambirt's topic in Travel

    Ned is amazing, and you should definitely trust whatever he says. I'm not a traveler, but it seems like it would depend a great deal on what the specific agency is offering you vs. what the hospital...
  9. adventure_rn

    A Feather in my Cap!

    adventure_rn replied to Davey Do's topic in General Nursing

    Oh, Davey, you reminded me of my first day on my gero-psych rotation in nursing school. I sat down next to the man I'd been assigned to, and our conversation went something like this: Me: Hi, I'm...
  10. adventure_rn

    Extreme nurse burn out need help please

    adventure_rn replied to NURSEJSS's topic in General Nursing

    Wow, I am so sorry you are having this experience. In addition to the suggestions above, here are a few ideas that I don't think have been mentioned. First, see if your job has some kind of Employee...
  11. adventure_rn

    Confused.. Pre-reqs are different at each schools I want to apply to.

    adventure_rn replied to FutureNurseWard's topic in Pre-Nursing Students

    Yes, you need to complete the pre-reqs for each school that you're interested in applying to, even if the schools have different pre-reqs. Unfortunately, nursing school pre-req classes aren't as...
  12. adventure_rn

    When family fails the patient... it breaks my heart

    adventure_rn replied to Kharma711's topic in Critical Care

    Ugh, I see this all of the time in PICU, and it breaks my heart, too. However, I do see where the families are coming from. I've literally had parents tell me, "I couldn't live with myself unless I...
  13. adventure_rn

    Do I need clinical experience to be accepted into an ABSN program?

    adventure_rn replied to gopats1234's topic in General Students

    It completely depends on the schools you're applying to; some will require it and others won't. Nursing assistant experience is a bonus, but not required by most places. I think your experience in...
  14. adventure_rn

    FNP Job Outlook

    adventure_rn replied to Melane's topic in Advanced Practice

    I don't know if it applies to NPs, but Duke in NC has a loan repayment program for nurses. However, NP new grad jobs are probably pretty competitive in the Triangle since there are so many advanced...
  15. adventure_rn

    I hate this "squeaky wheel gets the oil" actions in healthcare!!

    adventure_rn replied to LPNewbie's topic in General Nursing

    To be fair, I don't think this is a healthcare issue; I think it's an everywhere issue. 'Squeaky wheels' exist in every profession. Unfortunately, in many jobs, promotion and achievement are about...
  16. adventure_rn

    For pagan nurses, is "Happy solstice" the right expression?

    adventure_rn replied to vetpharmtech's topic in Spirituality, Religion

    This is a very strange thread. OP, many posters have voiced the same opinion, which it seems you don't seem to agree with (and that's fine), but I don't really understand what you're looking for from...
  17. adventure_rn

    Remember pagers?

    adventure_rn replied to Davey Do's topic in General Nursing

    UGH, pagers!! We've used them in every hospital where I've worked to let us know when there's a) a delivery b) a post-op, or c) a rapid response/code. As a millennial who had never used one until I...
  18. adventure_rn

    For pagan nurses, is "Happy solstice" the right expression?

    adventure_rn replied to vetpharmtech's topic in Spirituality, Religion

    I know this probably isn't what you want to hear, but I'd just stick to 'Happy Holidays' and move on. You say that you feel alienated by people saying 'Happy Holidays' or 'Merry Christmas' since it's...
  19. adventure_rn

    L&D Nurse Off Orientation.. Help!

    adventure_rn replied to NewLDRN11's topic in First Year After Licensure

    Congrats on completing your orientation! You'll likely get more OB-specific responses (i.e. when to call in those specific situations) on the OB forums rather than the new-grad forums. That said, you...
  20. adventure_rn

    What is the longest time you have spent in one position?

    adventure_rn replied to TinyDancer01's topic in General Nursing

    Lol, Davey, you just reminded me of an episode of Grey's Anatomy where all of the surgical residents start wearing adult diapers to work so they don't miss a second of the 8-hour
  21. adventure_rn

    What is the longest time you have spent in one position?

    adventure_rn replied to TinyDancer01's topic in General Nursing

    I've bounced around every few years, but I worked with one nurse who worked in the same unit from the time she graduated at 21 until she retired in her 70s! She started when it was an old-school...
  22. adventure_rn

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    adventure_rn replied to Nurse Beth's topic in General Nursing

    To play the devil's advocate, in my PICU setting we override and give paralytics all of the time; we'd be in a real bind if paralytics came from pharmacy only, as our peds cardiac patients have a...
  23. adventure_rn

    New Grad changes Preceptor. Help!

    adventure_rn replied to MOmama's topic in First Year After Licensure

    I've had a similar experience with two preceptors in the past; in one instance (as a new grad) I switched, and in the other, I stuck it out. The reality is, if this person's been around on the unit...
  24. adventure_rn

    Resetting IV pump volumes: Dangerous or common safety practice?

    adventure_rn replied to aepoisson's topic in NICU, Neonatal

    I've worked in different places that do it different ways (VTBI for 12 hours, resetting VTBI q 4, and never resetting the VTBI but clearing the volume q 2). I will say that I have seen a situation in...
  25. adventure_rn

    What is the fastest respirations you've ever taken in an adult?

    adventure_rn replied to Daveforsale's topic in General Nursing

    I know you said no peds, but I did once have a newborn with a cardiac defect who was breathing in the low 100s, occasionally 110s. Cardiac kids can be 'comfortably tachypneic,' i.e. tachypneic without...