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Older Nurse no BSN needs advice
USAJobs.Gov
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Did I make an error?
First, don't beat yourself up though it's hard not to. You being told a rapid should have been called at midnight comes from armchair quarterbacking hindsight. I'm certain if you went back and reviewed the chart, you'd probably come to the same conclusion. The reality you lived in the moment was much different though. In the future, I'd say when approached with such snarky behavior ask, "are you able to help me understand why I should have XYZ because I'm still an advanced beginner in all of this and I'd love any help or tips that you can give.” If they are a bully, they won't expect that back from you and will fumble. If they genuinely care, they will provide the guidance. But go back and look at the chart yourself and put a story together from the beginning of your shift to when it occurred. I'd also offer that when you have low BP's and have to intervene-stopping the ketamine, calling the doc-be sure to increase the frequency of BP monitoring. You don't need a provider order for that.
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Left Residency Program after 5months
Definitely list your previous residency. If not, your resume will appear you've gone 1.5 years with nothing. And some boards of nursing will reprimand you for not listing jobs on your resume. Have you tried entering another residency? Also look into the Veterans Affairs residency program. Search USAJobs or Nursing at VA. You've got this.
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New grad, need tips..
Ask a lot of questions... ask a lot of "why" questions. For example, you may have an order to insert a Foley catheter but you need to know why you're inserting it. That will help develop your critical thinking. And write everything down. Some preceptors don't like to repeat themselves.
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NCLEX 2020
Was years ago but I took it about a month after graduation. I had one review book but honestly there’s nothing you can truly study that will prepare you for it. It was critical thinking. 76 questions, 2 days later I had preliminary pass results. Most of my questions were select all that apply. I remember one nightmare question that I’d had and still to this day don’t know if I got it right. But don’t sweat it it, if you made it through school with no troubles, You’ll be fine.
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Med-Surg IV Meds
You’re better off knowing your common diagnosis admitted to the unit and then the treatments/labs/tests/meds that go along with that
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DNR communication
Hello all. I am seeking ideas. Currently our facility use wristbands that display warning indicators such as fall risk, allergy, restricted extremity, and DNR. Well we’ve found that when status’ change, our staff are not updating the wristband software to reflect the change. My question is: aside from an obvious DNR order on the chart, how do you communicate DNR status to others. Ie if there were a code in the hallway or in radiology etc, how would your code team know the patient is or isn’t a DNR? Do you all move forward with CPR until you find out other wise or is there some other mechanism? Thank you in advance.
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Need some advice
We are in a pandemic. Everyone, experienced or not is being dragged into the unknown. We have PACU nurses working on our dedicated COVID unit. They are straight losing it. Everything is totally new for them in the med/surg atmosphere. We are all going to get through this. We are in disaster mode and I'm certain your executives care more than you just keep showing up. Take it one day at a time.
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New RNs making more than experienced RNs
Well I actually opted out of benefits when I started nursing and was paid $10 more per hour, so that’s why I figured that could be why.
- What would you do?
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I Love Flight Nursing--I want you to as well!
Get it girl ? that makes it even sweeter
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Considering Starting Small ALF
I’ve gone around the merry go round with idea after idea: mortuary, day care, sober living home, halfway house....I just can’t decide. My heart says mortuary but every time I think about going back to school for mortuary science, I just go ?....
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Insulin Administration
Try Mosby’s nursing skills
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How would you improve the nursing profession? (beyond better staffing, higher pay, etc)
Great points made TriciaJ
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