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AbigailJo

AbigailJo

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AbigailJo has 10 years experience.

AbigailJo's Latest Activity

  1. Hi all, I've applied for NYU Adult-Gerontology Acute Care Nurse Practitioner Program Spring 2020. I received an update today stating I've been waitlisted. Has anyone else experienced this? Any idea how many people apply/get accepted? I'm curious how long it will take them to accept or reject me. I am still holding on to hope, as NYU is my 1st choice. Any insight would be welcome. Thanks in advance. Abby
  2. AbigailJo

    Proactive not Reactive

    Awesome suggestions! Thanks so much for your thoughtful insight!
  3. AbigailJo

    Proactive not Reactive

    Hi all, I’m currently working at a teaching hospital in NYC that is very good but slightly disorganized when it comes to workflow. I am trying to brainstorm how it could be improved. From my perspective, the residents are very overwhelmed and completely unsupervised on nights. When they admit patients there are usually no “standing orders.” It’s very much thrown together. Simply a diagnosis, diet order, some home meds, and a handful of things specific to the patient like oxygen. This leaves the nurse with no choice but to call the resident each time the patient requests something. “The patient has a headache, could we get an order for Tylenol” etc. How does your hospital handle this issue? Do you also have to call each time you need something? Or do you have a system in place to prevent this? It seems extremely inefficient for both the doctor and the nurse to constantly have to page back and forth for simple things that could be anticipated. Thanks in advance!
  4. AbigailJo

    US to UK nursing Salary

    The reason it "keeps coming up" is because band 5 is $33,500 usd. My question is about the fact that where I live, I'd be around the poverty line at that salary. I'm asking what's different between here and there that makes that a living wage there. Hopefully someone else has some insight on the answers to this.
  5. AbigailJo

    US to UK nursing Salary

    Hi everyone, I'm curious about living in the UK on a nurses salary. Is it worth going through the paperwork and visa process? I saw someone say that the salary is NHS band 5 which is around £25,551 a year, which is $33,500 usd. This seems low. How does this compare with the cost of living in the states? Is it lower in the UK? Can a single person live on a nurses salary without being in a stressful financial situation? Thanks in advance!
  6. Hi all, disregard this message. I found someone at work who let me interview them!
  7. Hi all, I am currently in school pursuing my masters and one of our assignments is to interview a nurse who has a degree in informatics. I work night shift and it's difficult to find someone at the hospital to interview. I was hoping someone here would be willing to answer a few questions about their job. any help would be appreciated! Please give me a little background about where you work, what your job description is, what you went to school for. Please include your official job title. Types of nursing information expert may be considered but not limited to, Nursing Clinical Information Manager; Super User, Director/Manager Clinical Education; Chief Information Officer; Quality Assurance or Performance Improvement Nurse; Nurse informaticist, Nurse Abstractor, Compliance Nurse. It doesn't have to be extremely specific if you'd like it to be more anonymous. 1. What degree did you pursue to get your current position? Please include any relevant experience. 2. How do you value "best evidence" and do you believe it is valued as a way of providing care at you job? 3. What safe guards and/or decision making support tools are embedded in patient care technologies and information systems that support safe practice at you job? 4. What are some technologies that have improved patient care. 5. Name some groups in the hospital that depend on data/informatics and how. 6. Please tell me what challenges you have faced in dealing with other disciplines who may not understand the need of nurses/nursing 7. please share an example of how garbage in/garbage out impacted a decision related to your information/data collection 8. Please give me an example of how the lack of inter professional collaboration impacted your role 9.Please describe a typical day for you in this role Thank you for your help!
  8. AbigailJo

    So confused about IVPB

    Thank you all for your replies. I didn't realize this was such an uncommon practice. I am new to IV medications and the people around me act like this is proper practice. I will contact the pharmacist tonight and write down her recommendations. In addition, I do have access to Lexicom. I'll use this going forward to compare with the orders I receive.
  9. AbigailJo

    So confused about IVPB

    The patient had normal saline running at 75 ml/hr on a peripheral line. She was NPO and yes I had lab values. No tele. None of our IVPB orders come with rates. I was told by my nursing manager that this is is how it's done throughout the entire hospital. When I asked the charge nurse if I should call the doctor to ask him the rate, she laughed and said how would he know he never hangs IV meds. This is why I came here, to get help. The order was for: 1 bag Sodium Phosphate 3 mmol/mL in a 50ml bag 3 bags Potassium Chloride 20 mEq / 100 ml 3 bags Magnesim Sulfate 2G / 50 ml I was told by the charge nurse to hang the sodium phosphate at 25ml/hr.
  10. AbigailJo

    So confused about IVPB

    Hi all, I have recently started working on a Med-Surg floor. Most of our patients have many IVPB, but the problem is we are never given the rates to run them. Or worst yet, the rate listed is wrong. As some who is new, it's very scary to me to think I could possibly run something too fast. This morning, the doctor ordered one sodium chloride, 3 magnesium, and 3 potassium. The only one that had a rate was the sodium and it was 50ml/hr when another nurse told me it should be 25ml. I ran everything very slow out of fear of running the sodium and potassium too fast. The result was, I had only hung 2 of the bags before dayshift got there and I could tell she was annoyed that I didn't finish them. She pointed out I could have gotten another pump and ran more than one at once... but wouldn't this mix meds? How is am I suppose to know the rates? What are some IVPB you need to run slowly? How do I know what I could run at the sametime without causing an adverse reaction? I'm so worried about causing a problem for my patient, and I also want to be a thoughtful coworker. Thank you for your help.
  11. Hi there, I am going back for my MSN this fall, and I'm wondering if there would be any opportunity for a Public Health RN-MSN to join an organization full time and assist the planning and execution of trips abroad. I have always been interested in serving undeserved areas of the world in the past, and have volunteered out of the country before. I am trying to find a way to bridge my desire to get a masters and travel to assist people in developing countries. I just need to find the pathway. Thanks in advance for your help, Abby
  12. AbigailJo

    Any one work at mount sinai as a lpn

    I work there, I started at $26/hr. It's lower than what I was making but it's union so for me the benefits outweigh the rate.
  13. AbigailJo

    Would you recommend EC to new students?

    It just depends on their situation. I am grateful for Excelsior. It took me 2 years to do the prereqs and the nursing courses including the FCCA. I am currently on the CPNE wait list. I would have rather done a more traditional route, but the reality is I couldn't. Working full time, this was the best option for me. I also have student loans from my LPN and wanted a route I could pay cash for. This was far and away the best financial option. It's not perfect, but there are ups and downs to every school. It just depends on what you need to fit your own lifestyle. If you're able to take time off work and pay for a traditional school, that might be a better option.
  14. AbigailJo

    Sending MD pictures of wounds on cell phone?

    Another home care nurse here, and yes we do it. We usually take them with our phones and email them to the Doctor. Our patient knows and watches me delete the photos after I send them. The doctor comes only once a month and I do wound care everyday. They need to be updated frequently and they want a photo. The patient's name or any identifying features are not included. It could literally be anyone in the world as far as someone seeing it could be concerned. I have to look out for my patient. For the Doctor, he thinks the best way to closely monitor it is via photo and I agree.
  15. AbigailJo

    Late Nurses and people who don't have kids

    Thank you very much everyone for your advice! I have left this case and told my nursing manager exactly why. Thanks again!
  16. AbigailJo

    sterile water for irrigation vs inhalation

    Thank you for your help!
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