dnptobe20

I would definitely research a good nursing refresher course in your area and take it. Your nursing board should have a list of eligible programs.

I am BSN to DNP as well. I was told that advisor information and registration would be provided at orientation. I am sure we will hear back soon. Hopefully before then.

Sanguineous is bloody, serosanguinous is blood mixed with serous drainage (more watered down bloody/ more pinkish in color) and serous drainage is usually clear yellowish or straw colored fluid. Purulent drainage is pus - thicker/ more transluscent to opaque cream colored to yellow.

Most graduate programs I researched consider a gpa above 3.3. 3.4 or 3.5 can certainly get you into grad school. Focus on maintaining the highest gpa you can while obtaining your bsn, then you can worry about getting into grad school later.

Umm, like pp said i have never heard of interviews for switching to day shift! How it usually works is all nurses are notified and the most senior nurse who applies gets it. Eventually, and in time, everyone gets a turn. There seems to be some manipulation and politicking going on in the background.

Sending huge hugs and prayers your way. I am so sorry dear. You sound like a pillar of strength for your family. God bless and keep you. You can always PM me if you need prayer for anything specific or just to talk.

I commend you for wanting to improve your practuce. Here are a few important notes i can think of: Try to never give a medication without scanning the patient ID band and medication first. This is an airtight way to verify your med 'rights' - especially correct dose and route (if you are only giving a fraction or double etc...) If med order does not look right to you, STOP and call the doc AND pharmacy to verify med, indication and dose If you have to give med in emergent situation/ verbal order at bedside verify with at least one other nurse before giving If you get interrupted while giving meds, stop and take a minute to refocus before continuing to give. When you set up a high risk infusion that needs a double check, let the second nurse check your order, bag and pump setup independently without you interfering to catch errors. They should also initial on high risk label before you start med When giving shots have a hyperfocused zen moment when withdrawing the needle from the patient, sheathing/retracting it, and discarding it. This will help to prevent you sticking yourself When handling narcotics, always try to administer dose as soon as you withdraw (latest within 30 mins). Have another RN verify waste and witness you on pyxis or in pts EMR.

MickeyJ I sent you a private message with contact info of people who can give you more specific information about IHS locations and positions

I found an IHS nurse recruiter contact on one of the usajobs postings for an IHS outpatient clinical nurse - FOR MORE INFORMATION CONTACT NURSE RECRUITER:* Myra Cousens at 505-726-8549 or*[email protected];*ALTERNATES:* Supervisory Clinical Nurses at 505-722-1000 and ask for the clinic of your interest. Hope this helps

Are you willing to move to any state? I would start looking at usajobs.gov. Run a search for RN IHS and see. Another way to go about this is to contact the US Public Health Service and speak with one of their nurse recruiters. They may be able to guide you on how to find IHS jobs. Good luck and if I find out any other information I will update you. All will be well so stay positive and focus on your bright future

The fact that you are asking this question and wanting to do better speaks volumes! With time and practice you will perfect the art of bed bathing and be able to finish more quickly. The general sequence I follow is to first prep my roll of my fitted sheet, flat sheet and chux, and also have a new gown and pillowcases ready. I like to use towels, foam soap or chlorhexidine and a basin filled with hot water. Clean eyes and face giving ears and neck attention. I wet one half of the towel and keep bottom half dry so i can clean and dry pt quickly. Use a differeng towel for each section. Cover with bath blanket as you clean. Finish by thoroughly wetting and washing perineum then turn pt over and clean their back before changing sheets. Speed will come with time, practice and confidence.

Get a good stethoscope and practise your assessments and vitals on family members. Also get a nursing handbook/notebook specific for the area you are going into and review. Carry with you to work and dont be afraid to refer to it and ask tons of questions. Once you start orienting a lot of this will come back to you. Just always remember to speak up when you don't know something and keep your ABCs in mind for the patients' safety

Congrats Sheila023! It may take a few days for your status to be updated and for an email to be sent to you. Your formal admission letter and confirmation form will be attached to the email and they give you 2 weeks from thw date on the letter to pay the deposit and accept admission.

Thank you Rnkaytee! We have a nurses union and I love all the benefits we have won over the years through our union. In our facility there are general union guidelines on sheduling and vacation time but each unit gets to decide more specifically how they handle them. Most of our units go on a first come first served basis for vacations. Seniority is considered if too many people are requesting the same time slot but we have an unofficial calendar in our break room that everyone pens in their vacation requests onto. People can look at the calendar and know which time slots not to bother with, or they can negotiate with colleagues to switch before entering official requests. We work together, even as union nurses (gaaasp!) Maybe the OP can try that.

Herring-rn our hospital was actually one of the only hospitals that did not declare a snow emergency unfortunately. Many nurses made sure to show up early and stayed there for days and they were repaid with food & linen shortages, no transport provided, and poor arbitrary sleeping arrangements. It was a huge mess! They didn't want to pay for all their obligations if they declared a snow emergency. And they definitely took advantage of the fact that nurses went above and beyond to make sure they were there early.

I received my acceptance letter in the mail but I actually got an email before that with the letter and confirmation form attached. I would call admissions office and ask for the form to be emailed to you

Do some research on which units specialize in what, call each unit you are interested in and ask for the directors name. Ask to be transferred to their phone line and leave a tantalizing voicemail and your contact info. I am sure you will get some calls back.

Sheila023, as far as I know, no one on here is applying to the pediatric NP program. So far I have seen PMHNP, AGACNP and FNP. You would be the first PNP applicant. Do you have an interview date? Everyone that was accepted have you paid your deposit? Have you heard anything back from Admissions? I was told that after deposit is paid we would hear about our advisors. Would be nice to hear updates

Because said hospitals know the power of nurse unions. Administrators and hospital execs naturally avoid unions like the plague. I don't know if the hospital you worked at was unionized. My first reaction to this story was that this would be a rare occurrence where I work because the union would definitely do due diligence to make sure the nurse feels safe, is taken care of and the surgeon pays for his actions. And our managers are actually also great in responding to situations like this...sometimes even for rude exchanges we have had nurses do a sit-down with the doctor in question, the nursing director and medical director to squash it out. I really hope that this doc turns their violent and aggressive attitude around pronto. People need to be filing occurrence reports daily!

Medstar Washington Hospital Center in DC has great onboarding residencies for new nurses or nurses switching specialties. With your background, I would at least call their recruiters to speak about available opportunities. INOVA is slso another large hospital group in VA

Go with your gut. Are you interested in only focusing on anesthesia or you would rather have the option to get into other specialties? How many years are you willing to put in and how much money do you want to spend? Be honest with yourself concerning which area really really makes you tick...this should help make your decision a bit easier I hope. I personally, if in your shoes, would be praying hard for some kind of sign to make this easier! All the best!

And if a nurse is a poor performer and caregiver, and employers can adequately prove that, not even a union can stand in the way of this nurse being fired. Someone had compared unionized nurses to tenured professors - tenured professors can lose their jobs under certain circumstances just like everyone else. Unions are not there to provide iron-clad guarantees of a job despite your performance. They exist to help ensure that your pay and working conditions are fair. I feel terrible for what some of the nurses working in non-unionized neighboring hospitals are having to endure despite complaints to management. Unions, like any other organization are not perfect but they are a viable alternative to an everyone-for-themselves approach.

In many other countries physicians, pharmacists and other healthcare providers are unionized because there is more power in a unified voice than there is in 1. Of course the executive rank and file and management in many organizations have traditionally been anti union because it does't serve their bottom lines. In our country unions have been more associated with blue collar workers than white collar and many have used this to stigmatize any group that tries to unionize as unprofessional (to me this is nonsense, by the way) i rememver nursing professors not-too-subtly making this assertion in nursing school and discouraging unionization. Weeeell, i am an NNU member at my hospital..not terribly active in any way but happy to be one. We enjoy the higest wages in our area, union representation anytime our management wants to sanction us for anything, guaranteed 1:2 or 1:1 ratios in our icus with no exceptions, etc etc...when it comes ro scheduling and vacations each unit has some leeway in determining how it works and things are working out pretty well for us. Our union has fought for $10,000 a year towards education, guaranteed pay and seniority structure as well as annual raises etc etc. And you can't just be fired for any odd reason. Our union has fought for and brought back many nurses fired during a major snowstorm...these nurses were fired because they had kids at home they could not leave to come to work since the hospital did not provide transport. The union had them rehired and the hospital provided backpay for ALL the time they were unemployed! Needless to say, I am happy with our union and all the gains we have won for ourselves as nurses.

What helped me was i set a goal of at least 50 questions a day with pass CCRN and that helped immensely! Their rationales are really helpful. I feel like the CCRN ( like other multiple choice exams) isn't just testing your knowledge but how well you can answer multiple choice questions. The more you practise, the better you will understand their reasoning behind selecting certain answers and I think that is the key! You can do it! All the best on your next test

What i would do is to first clean and dry the surrounding area thoroughly after assessing stoma. Rub skin with benzoin sticks (tincture of benzoin) and let dry. Apply a barrier ring ( they are usually thick but flexible and pliable. Search for hollister barrier ring for example ) after molding it to fit around stoma. Apply the new bag. Hopefully this helps