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EllaBella1

EllaBella1 BSN

ICU
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EllaBella1 is a BSN and specializes in ICU.

EllaBella1's Latest Activity

  1. EllaBella1

    Have Not Worked Since Graduating Nursing School

    If its reasonable for you and your family, consider moving for a year to get experience. I moved from NYC to upstate NY and there were plenty of new grad jobs there in all specialty areas. That was before I had kids though, so I would understand if it weren't a realistic option.
  2. EllaBella1

    Is leaving before hurricane abandonment?

    So. Let me get this straight. You commented on a two year old thread to tell a LPN in a nursing home who wanted to evacuate the Florida Keys before Hurricane Irma, (which decimated large areas of the Keys), that she was wrong for being concerned for her child's safety? If the facility was threatening her with abandonment (which it wasn't) I have the feeling they didn't do a Team A/B or make appropriate accommodations for her.
  3. EllaBella1

    ICU Nurse Fired For Refusing 3rd Patient

    I understand where she was coming from, and I do understand the problem of not being able to monitor your third patient adequately. But one of her patients was a downgrade, so it really wasn't a true triple. This situation arises in my unit often. Typically what I will do is get a tele box from central monitoring for my PCU/tele downgrade patient so that they are monitored by someone else. Then I can devote most of my attention to my ICU patients. Of course I don't know if this was an option for her. Until we have mandatory staffing ratios this issue will happen. I personally would not have chosen that moment to fight that battle.
  4. Because I wouldn't link a future friendship to the former professional relationship at all. I do think that becoming friends with a former patient is a little strange, and I personally wouldn't do it. But if he truly feels that they have the foundation for a good friendship then I would think it would be a better option to pursue that friendship completely separate from their former roles as nurse/patient. Hosting an event with former staff members makes it fall more on the side of a professional boundary issue IMO, because it keeps them both in that caregiver/patient role. Now if it's going to be a one-time get together and he isn't planning on staying in contact/becoming better friends then that's one thing. But in that case then I feel like it's probably a better idea not to get together at all, mostly because it seems like the patient is more interested in developing an ongoing friendship. I know it's a little different since they met when he was a pediatric patient, but I do know a few nurses that I work with who have become friends with patients outside of work. This one nurse I work with takes a former patient to church with her every Sunday. She made it a point for management to know about this because she uses it to get every Sunday off. Management thinks it's great and they genuinely seem to enjoy this time together. Like I said, I think it's strange and wouldn't personally do it. But if OP and the former patient would enjoy the time spent together as friends outside of the patient/caregiver roles then who am I to judge?
  5. Eh, I could go both ways on this too. Are you two close in age? Do you have a lot of shared interests? Would you be interested in continuing a friendship with him long-term? I probably wouldn't organize a group event, but if you want to become friends outside of the hospital environment and are close in age with common interests I don't think it's AS weird.
  6. EllaBella1

    working while at NYU for ABSN?

    I went to NYU for a semester for my ABSN before dropping out and transferring to a state school. I think 20 hours a week would be too much on top of classes. Courses are scheduled at random times 5 days/week with no flexibility. Not to mention they tell you not to work. I think a bigger thing to consider is if you are in a financial situation where you have to work during school (i.e. if you are not rich), NYU is not right for you. It is SO expensive, and what you get for your money is not any more special than what I got at a state school finishing my degree. Unless you have a tuition scholarship then don't waste your time and money. I paid ~$35,000 for one semester at NYU, and then paid $18k for my entire ABSN program at a SUNY school. I wish I had never wasted my time at NYU.
  7. EllaBella1

    License in two states?

    Even in a compact state you don't always hold a compact license unless you specifically apply/pay for one. I hold licenses in NY and FL, and my FL license isn't compact because I was licensed here before was a compact state. When I renewed last it automatically renewed as a single state license. I would have had to pay more/indicate that I wanted a compact license if I wanted that. Not sure if it's that way everywhere.
  8. I didn't read through all of the responses you already have, but I would just be honest with the manager and see what they think. I have a 9 week old now, and I was working as a traveler when I was pregnant. I started my last contract when I was 8 weeks, and I told the unit upfront. It worked out fine- I ended up extending with them, and then took a permanent staff job with them 2 weeks before I was due. They were willing to work with me because they saw the potential in me be being a permanent part of their team and were willing to wait. If you are the right fit for their unit the manager may be willing to work with you to meet your needs.
  9. EllaBella1

    Why wouldn't this cost of living hack work for California?

    Where in FL are you? I make $55/hr at my PRN job in FL with 4 years of experience.. it's doable here too.
  10. EllaBella1

    I am not good at nursing

    I personally don't even think this is a med error. I think this is a systems failure. Why was a med that had parameters for when to give it scheduled in the first place? This should have been ordered as a PRN med, or as an unscheduled one-time dose. The provider who put the order in should have known better. And the pharmacist who verified it should have realized that it did not belong in the scheduled meds. Yes, you should have caught this as well prior to giving it, but it went past at least two other people before you as well. It sucks that you have to be mindful of things like this, but that's nursing today. Now you'll know for next time. But if anyone tries to pin all of this responsibility on you then THEY are in the wrong.
  11. EllaBella1

    Happy yet sad about mother’s day tomorrow.

    I just wanted to let you know that you're not alone. I'm also in my 30s, and my husband and I just had our first son via IVF. We tried for years before seeking fertility treatment- I also have PCOS and needed some major help to even ovulate. We tried a bunch of rounds of clomid, injectible meds, progesterone supplements, and IUIs before we finally went the IVF route. I'm so thankful that we did. Keep your head up. We endured years of family asking when we would have kids, and our parents asking us for grandkids. Half of our family doesn't even know that we did any fertility treatments still, and frankly I don't think it's any of their business. One thing I will say- I know you said your OB prescribed you fertility meds. I would very strongly suggest you seek the help of a fertility specialist/reproductive endocrinologist. We did a round of clomid with my OB before going to a specialist, and it turns out we needed more support medically than what my OB knew to provide. Our fertility clinic was amazing. Hang in there. I really thought it wasn't going to happen for me, but we kept trying and pushing forward anyway. It's a long road, but it's possible.
  12. EllaBella1

    NICU Residency job status “closed”

    Just call HR and ask what that status means there.
  13. EllaBella1

    New grad nurse needs help giving report

    My one tip in addition to what has been mentioned here is to always make sure you start with name, age, code status and allergies. To me those are the 4 most important things in report. Name and age to make sure it's the right patient, and my absolute biggest pet peeve is when a nurse can't tell me a patient's code status and allergies. If someone is giving me report and has no clue, I'll stop report and log in to the computer in the room to check. I've had patients code during bedside report before- it's not worth taking the chance. Other things you absolutely should know: What the patient's current drips are, any testing/labs that are pending or will need to be drawn, current oxygen/IV access. And a personal pet peeve as an ICU nurse- if the patient is intubated I want to know their tube size, and what marking it's at and at what landmark. Bonus points if you're able to say what the last ABG was and what(if anything) had been changed since then. This saves me the trouble of having to get a stat chest X-ray on a patient who shows up from the ER with an ETT at 19 at the lip, or having to dig through the chart to see if an ABG with a huge negative base excess had ever been addressed. I want to be able to take over where you left off, not have to piece together what you did already as I go. I will say I'm saying all of this as a nurse that would get report from the ED, not an ED to ED report.
  14. EllaBella1

    Flushing tubing after IV ATB administration

    Our policy is to hang all abx as secondary lines and run a 30 mL/hr KVO for an hour as a flush. It makes it way easier to not have to go in and spike a bag of saline.
  15. That's what I did too. It did take a little longer for the BON in my state to verify my education from NYS though, and the SUNY school I went to took their time sending the info out too. It ended up taking a little longer to take my NCLEX out of state compared to my classmates who took it in NY.
  16. EllaBella1

    Best sedation med

    Yeah, precedex isn't my favorite. Except for the etoh-ers in DTs who aren't tubed. Ketamine works pretty well in hypotensive patients but I haven't seen it used that often.
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