adventure_rn MSN, NP

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All Content by adventure_rn

  1. 100% agree! I've known ED nurses who have delivered 26 weekers in the elevator on the way to L&D, and I've seen moms in pre-term labor arrest and require CPR and an emergent C-section in the ICU....
  2. adventure_rn

    POST OP CARDIAC Filters on INFUSIONS?

    We have filters on every single line (carrier fluids, TPN, drips, med lines, etc.) at the end of the line that is closest to the patient, and we use Alaris pumps. I'd check with your pharmacy about...
  3. That sounds like a really tough position to be in. Objectively, I think it would be incredibly difficult to pass the NCLEX so many years out without taking a refresher course. Even as a good...
  4. adventure_rn

    New grad considering Ortho??

    I would personally stick with the ortho job for now. Your first year of nursing is tough with a very steep learning curve; a supportive environment has a huge impact on your overall experience. I can...
  5. Just wanted to add that licensing in CA is crazy expensive (~$350 base fee, not including other fees like fingerprints). If you're working in NV, you'll need an NV license to practice. Therefore, I'd...
  6. adventure_rn

    Taking pay cut for a promotion

    It depends entirely on your finances and priorities. Only you and your family know if you can afford to take the pay cut, and if the extra time with family would outweigh the lower salary. I'd talk it...
  7. adventure_rn

    Night nurse moving to day shift: Salary question

    As a long-term night shifter, this post kind of rubbed me the wrong way. The whole point of a shift differential is that you are paid more to take the less desirable shift; if your differential were...
  8. adventure_rn

    What's in Your Pocket?

    Call me crazy, but I'm very particular about keeping my nursing gear organized in my multitude of pockets. I always consider the number and location of pockets before buying a new pair of scrubs....
  9. adventure_rn

    Am I allowed to push the button?

    I wouldn't. Part of the issue with restarting the pump is that you have to assess the patient (and pump) to fix the problem. Assessment falls outside of the CNA scope. Here's an example. Let's say...
  10. adventure_rn

    Hate night shifts

    Because you only have 6 months of experience, I'd stick it out for at least a full year off of orientation. If you quit right off orientation, you will likely burn bridges with your manager. New grads...
  11. I agree. I also don't really understand how the DNA from the rape kit indicated that he was 'likely' the perpetrator. I didn't think DNA evidence could be inconclusive in that way (not that it...
  12. Has anybody else heard about this story? Such an awful situation. Former Ben Taub doctor accused of raping patient testifies sex was consensual - Houston Chronicle Many surprised at sentence for...
  13. adventure_rn

    Timetable for residency hiring

    It is so highly dependent on the region. I've seen East Coast apps open in November and close in January (offers made in May), and I've seen CA hospitals not allow nurses to even apply until they have...
  14. adventure_rn

    Apnea

    I believe that the textbook definition is greater than 20 seconds. The bigger indicator of true apnea (as opposed to normal periodic breathing) is a change in VS (drop in HR or sats) and/or color...
  15. This strikes me as one of those policies that seems great for nurses, but in practice will probably make things much harder at the bedside. Most nurses try to strategically plan their break to take...
  16. adventure_rn

    It wasn't funny

    Oh Davey, you bring so much joy to my
  17. adventure_rn

    Leaving NICU?

    It's hard for us to provide meaningful advice or recommendations because it's unclear from your post why you feel burned out and disinterested in NICU. Perhaps if you can reflect on what parts of your...
  18. adventure_rn

    Might be a dumb question but

    During the national fluid shortages following Hurricane Maria, I noticed that my hospital started sending out memos asking that providers be very diligent about only ordering fluids when they were...
  19. Or like me, trying desperately to fill out applications and write my cover letters at the last minute in January while simultaneously studying for my nursing exams and attending clinicals. I wish I'd...
  20. adventure_rn

    Help! I Want to be a Writer

    If blogging is up your alley, you could also check out the book The Nurses Guide to Blogging, which is written by the nurses who created the blogs Nurse Eye Roll (now FreshRN) and The Nerdy Nurse. I...
  21. It totally depends on the region. I believe that many CA hospitals won't accept applications until after the nurse has passed the NCLEX and has a license in hand (probably in part because the...
  22. adventure_rn

    FNPs in specialty areas

    Just as a heads up, people on this site often get testy about posts like this because it suggests you're asking us to do your homework for you (without demonstrating that you've done any research on...
  23. adventure_rn

    Anesthesia

    IMO, the main reason CRNAs have more autonomy than AAs is because AAs work under medical licensing boards, whereas CRNAs work under nursing licensing boards. Physician governing bodies have little...
  24. adventure_rn

    Lost on where to nurse next

    I've found that NICU tends to check a lot of those boxes. It's generally less physically demanding than adult care because the patients are so small, and I spent a lot of time sitting down (either to...
  25. Not a particular state, but sometimes it helps to look outside of big cities to the community hospitals in medium-sized