rac1 ASN, BSN, RN

L&D, Trauma, Ortho, Med/Surg

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All Content by rac1

  1. Is there a resource out there that lists all states with APRN info - autonomy, DEA and prescribing requirements, etc?
  2. rac1

    APRN one-stop shop for info by state?

    Ahh, found this pretty quickly after asking: https://www.AANP.org/advocacy/state/state-practice-environment
  3. rac1

    Diluting IV medication

    Certain IV push meds need to be diluted. It's easy to look up - do you have a Davis's Drug Guide? You can look up certain ones you use often on your unit and write a little cheat sheet for yourself (or use a "notes" in your phone for all your reminde...
  4. rac1

    Can I travel in L&D after only 1 year?

    Another vote for "no," from me too. After 1 year, I don't think many nurses could say that they are confident in the management majority of obstetrical emergencies. At a year - you may know how to manage the myriad of complications that can be ...
  5. rac1

    Precepting Pearls

    Tell me what your preceptor did great that helped you learn, feel confident, and do a good job. I'd also like to know what your preceptor did poorly that frustrated you, and made you had a poor relationship which slowed down your learning. ...
  6. rac1

    Precepting Pearls

    This is one of the first actions I teach nurses, and why I teach the importance of bedside report. One of my main issues in my current situation is that I have said things 15 times and she still isn't doing it until I say "did you check if your lines...
  7. rac1

    Precepting Pearls

    Manager meeting check. Educator meeting check. Come to Jesus check. I think I put some things in place that will move us forward. And I now believe that at this point it is time for the "figure things out on her own." I'm feeling more positive about ...
  8. rac1

    Precepting Pearls

    Thanks for responding. I really like this advice. I try to be cognizant of what you're talking about. I often teach "this is the right way, and this is what I do" - I explain that it is their nursing license and they have to be comfortable with their...
  9. rac1

    Precepting Pearls

    Yes - in close communication with management and our educator. I'm trying all the things. Just thought I'd pop in here and see what worked for others in these situations. =)
  10. rac1

    Precepting Pearls

    Thanks for your sweet words! I am really trying here. I think I may have to start letting her struggle in other ways - I do let her struggle with answering my critical thinking questions. I am hoping there is maybe just a tipping point she needs...
  11. rac1

    Question about time management

    EDIT: HA - just saw the date this was asked - a day late a dollar short - sharing my response anyway - but now you know I was really late with med passes. 😉 I'd be starting my 9am meds at 8am with that many patients. And I would be in th...
  12. rac1

    Precepting Pearls

    I'm doing this. I switched a few weeks in to asking: "What do we need to do right now? Which patient should we see first? Look at the monitor - what does this mean we have to do? What do we do if there is no u/o for one hour? How do we do this proced...
  13. rac1

    CNM with no L&D experience

    You got great advice (especially from @Ohm108) - just wanted to chime in with one little thing: Think of all the OB/GYNs that started out as OB's without L&D experience. Not that we want to be like OBs. My point is - being a labor and...
  14. rac1

    The road to CNM

    Hey - just wanted to reply and say that Frontier is online, and you complete your clinicals wherever you choose. There are some in person requirements for Frontier (I believe all online CNM programs have this requirement) for skills checkoffs etc.
  15. rac1

    Taking ADHD meds

    I don't understand this. You will give all sorts of controlled medications throughout your career. I've never thought that since I take Tylenol or Flexeril at home I need to disclose that to my place of work. Just because someone has a prescription f...
  16. rac1

    The road to CNM

    This is crazy to hear. I have to ask how your interviews went..? Nursing interviews can be daunting, to say the least. Do you need work on your interviewing skills for nursing questions? Did you get interviews or just apply and not get called? Do you...
  17. rac1

    Advice needed for Military Spouse

    Hi! I'll chat with you of course! Can you send me a direct message on here?
  18. rac1

    Bethel CNM

    Anyone care to talk about Bethel's CNM program? I have done quite a few searches and do not see any reviews at this point. Thanks in advance.
  19. Moving to Virginia and have talked to quite a few recruiters and am a little shocked at the pay cut I am realizing is going to happen. I have just two years of experience, but even with that I am finding the rates significantly lower than what I am c...
  20. rac1

    L&D - How long to get used to c-sections?

    There can be more or less force.... I would say for most it isn't all that forceful. But every so often that baby is tucked deep into some narrow hips. And I would say that if you watched some online sections it's preeettty much the same as what you'...
  21. rac1

    5 couplets on mother/baby unit

    Thanks for being an awesome nurse leader. We need MORE.
  22. rac1

    MD saying I didn’t do something

    I totally agree with you here. Like I mentioned before - we all make mistakes. They have a lot of patients and could have something confused. As long as it was all documented I personally wouldn't be worried. However, I do care about my relationship ...
  23. I think that you should stick it out. I think there is a combination of things happening. First, you are learning a new job that is really completely different than what you were doing before and that is SO HARD to do when you know your previous job ...
  24. rac1

    5 couplets on mother/baby unit

    LOL. If only AWHONN managed all the hospitals, paid the nurses, and created the policies.
  25. rac1

    L&D - How long to get used to c-sections?

    Does the idea of circulating the surgery already bother you? I never thought that it would bother me when I was in school, and it did not, and still does not. I actually have an issue with looking at surgical and trauma photos online, but I am 100% f...