FutureNurse0201

Exactly, this is why I am so confused about “how are you going to develop commitment to diversity at our campus?” Like, what am I supposed to do? I just wrote that I understand the importance of supporting it and I will share my perspective and contribute to creating welcoming environment.

I kind of did that. I talk about my experiences which made me realize how important diversity is and what I learned from it… etc. so. I am bringing this perspective and spirit of inclusivity to campus. I just feel I am not answering the question right.

I am applying to graduate school and not sure if I understand this question correctly. “What does it mean to have a commitment to diversity? How will you develop and apply diversity at XY university?” I am confused about the “develop and apply” part. I talk about what I bring to university in terms of diversity and my diverse background but not sure what they mean by those two words. Am I overthinking this?

I am applying to DNP program. One of the questions is discuss short and long term goals. I wrote that I envision myself working as NP and in long run moving to a leadership position. My reasoning is get some experience as a provider and then move to nursing administration, executive role… etc. Would this be perceived as negative on my application? Also would submitting application a week before deadline hurt my chances of admission? thanks

Oh OK. Well, as I said close observation q15, COWS, Columbia Suicide scale, use of restraints (though restraints are not favorite and ebp is trying to reduce its use)… cant think of anything else strictly related to psych.

I have. I can’t understand the second part of your question, so unfortunately can’t reply to you.

Unfortunately I haven’t done any extra work when it comes to research or project. I was on wound committee. I worked on tele, ICU and finally in psych. I am applying to psych NP Program. I was thinking of just mentioning few EBS like Columbia scale, COWS, and how it helps us nurses as well as patients and informs our decisions… I may add few more from medical floor but honestly, I don't think that is what they are looking for.

I am preparing my NP school application and I am possibly overthinking it but I am stuck on one particular question. Describe your experience with EBP? I am not sure what they want to hear. Do I just list few examples and explain how these practices help patient outcomes…? Am I completely missing the point of this question? Thanks

I was wondering what are some examples of evidence based practice in psych. I can think maybe of close observation q15 min and use of restraints, 1:1 for suicidal patients… Any other examples?

At my facility it is mostly the nurse with most experience (and who has been trained) but we are rotating (I am also one of the charge nurses on certain days sometimes).

I am applying to a graduate school and they want three LOR from a person in managerial/supervisory role. I already secured two from my two managers and was thinking of asking my charge nurse for the third one. Is charge nurse a supervisory position? I tried asking the school and they are so ambiguous, they keep saying “someone who knows you in a supervisory capacity.”

One of my coworkers who I trust told me what happened during the week I wasn’t there. When he told me that I remembered what she said about the other nurse and how she has to tell the “truth”. And it makes sense, if she already did it once, she will think she will be providing references again. But, yes, I didn't hear this myself, I wasn’t there when the phone call happened.

I am not entirely sure if it was HR but it definitely was someone from the other hospital asking for the employee who is a reference. They were put on hold and then charge nurse answered the phone. Seems like her ex was really bad in their relationship and she has every right to be mad but I just cant wrap my head around this. I was even tempted to ask the real reference if someone ever contacted her and if she was expecting the call.

I recently learned about this situation that happened on my floor. One of our charge nurses used to date another team member who left the hospital and moved to another state. When looking for a job in another state, he of course, relied on another team member to provide reference. Well, when HR called our hospital, our charge nurse who he used to date, answered the floor phone, pretended to be the reference, and provided extremely bad review. When I heard about this I felt uncomfortable and disturbed. It didn't help that the same charge nurse (who is usually very sweet) at one point said that if one of team members “ever leaves and they call for a reference I will have to tell them the truth.” Now I am thinking, even if she leaves and the other hospital calls, you are most likely not going to be her reference. Why would you “tell the truth.” (This is about one of our nurses who is extremely anxious and difficult to work with when under stress). Anyway, the second one is just hypothetical situation. But what happened to that guy is highly disturbing and I am not even sure how to “exist” in that environment. I have no question, just wanted to share and see what you guys think of this behavior and situation.

Thanks to all who responded. Yes, I know PICC lines stop drawing blood sometimes. But in my case it stopped flushing (only one port, the one I drew blood from in the AM). The other one where dopa was infusing was fine and it draws blood. So I switched infusing to go through occluded port and it did work. but to be honest I wasn’t sure if it was a blood clot (most likely) or something else so I kind of left it to charge nurse (who had the patient) to look at it and also today is Monday and was thinking IR will maybe deal with it (if it gets escalated at all). Anyway, that was my chaotic, thought process one hour before the shift ended. Also, I was thinking even if I paged MD, they may not do anything because it is night service and they cover the entire hospital and just deal with acute problems

I had to post here because I am not sure how to cope with my emotions after three rough shifts in the morning. Today is my day off and I just can’t let it go. So, to make story short, we were severely understaffed all three days. Yesterday I had 5 patients with two primaries. We are ICU step down and three (or four) patients should be maximum we got with pct/CNA to help. Night shift had a rough night as well with 3-4 primaries and nothing was done. On top of everything I am 37 weeks pregnant and can barely walk. Anyway, I had a blood draw at 07am which was done at 09.30 from PICC line, double lumen. One port had dopamine running. The other one worked fine. At 5.30 pm, I had to do another blood draw and port wasn’t flushing. So, I put dopamine to run through the port that wasnt flushing (it actually worked) and drew from the other one. I knew that is was most likely occluded with dry blood (possibly I forgot to flush the blood back in the morning but no way to know for sure). Since it was now 6pm and residents are doing their shift change, I decided to pass this info to night nurse who is very experienced and was also charge. I told her if doctors don't want to do anything to just pass it on to day shift. When I was driving home, I realized that I should have just taken action (page Dr, ask for TPA or something). I am relatively new nurse and never had to do it so I wasnt sure what the protocol was. Now I feel guilty. What if blood clot from PICC goes to the heart? Or if dopamine running causes it to dislodge? What if nurse doesn’t pass the info and they sent patient home today with one port occluded? How serious is occluded PICC line and what should have I done? Thank you. Sorry about random thought. I still feel exhausted from the last three days from hell.

Yeah, I am back today and feel like everyone thinks I am incompetent and almost killed a patient. Probably all in my head but can’t help it

It is a practice at the hospital (possibly with exceptions) to transfer with no portable suction. So far all of the pts I received from ICU were without suction (actually I have never seen a portable suction). And there was that suction noise in the suction but when actually connected to the CT it does nothing. In meantime, my pt wanted pain pill right away but wasnt in the system yet, his wife was on the phone asking about his meds and 30 min just flew by.

There was no portable suction. ICU transferred pt to us without one. Our suction wasn’t working, it looked like it was but it wasnt. I tried fixing it (nearly injured myself) and it was already 7 pm when I decided to ask night nurse to help me since everyone was busy with the report and this will be her pt anyway. She got mad and first said how being off suction is really really bad, then ran to charge nurse to report me, then to manager and came back to help me get it off the wall and fix it

Thank you for your responses, these clarify some of the confusion about CT. My pt had CABG surgery three days ago, was transferred from ICU and in that process between transfer and our suction not working (and getting a new one from another room) it took max 45 min. It was the end and change of shift (pt arrived at 6.30). Well, the night nirse told the pt that “it is very very bad” freaked him out, reported me to the manager and made drama on the floor. So I was concerned about the pt and about being reported.

This patient’s chest tube was not connected to suction for 30-45 min due to transfer to another floor and faulty suction on a new floor (before it was corrected). Is this a safety issue? How bad is it exactly to be off low continuous suction with chest tubes? I noticed that sometimes patients walk with pt for 15-20 min and they are off suction and no one makes a fuss. Thanks

So, I had a “situation” with my manager the other day and that was it for me. I work on a busy floor where we usually get 4 patients (vs 6 that I had in previous hospital) and I thought that would be awesome. Was I wrong? By 7pm, I am still not done with everything despite not taking a break, not stopping for a second and not charting and this is not just me. This is same for everyone. Anyway, the other day, my manager runs to me as I am discharging a patient and while trying to hide her anger asks who put my other pt on bedside commode. I had no idea what she was talking about so I said “probably got up by himself, and you know he refuses alarms. He said he will sign whatever necessary just not to have the alarm.” she responded “I know, and no alarm is fine but he cant have a bedside commode by his bed and get up on his own. Is that clear.” Now, I was left feeling completely stupid like I did something wrong. pt is alert and oriented, he was educated to call for help and was given a call light. However, he decided he didn't want to bother everyone and got up on his own. I understand why maybe he shouldn’t be getting up on his own (he gets dizzy) but I cant see what I could have done differently. Btw the manager yelled at the poor man and he was visibly shaken when I got into the room, apologizing for “getting me in trouble”. I am so over it. We are given so many tasks, so much of unnecessary charting, in services... etc and still expected to do amazing work when I am able to do bare minimum to satisfy their criteria. Any thoughts on this brief conversation I had with the manager that left me feeling like “it is just not fair.”

It is possible what this article saying. I actually went to see a doctor last week and she told me I had some nasty infection so I thought it was the possible source of pain. But I finished antibiotics (talk about nausea on top of nausea) and it is still there but it comes and goes. I didn't mention the my floor is also understaffed severely and we have to rotate shifts every 3-6 weeks. That is another reason why I am hesitant to deal with all of that as a new pregnant nurse in ICU. At least tele would be nights only and hopefully with the help of CNAs. Hope I am not making a huge mistake here.

Oh interesting, but does every school require GRE?

True, but there is nothing like an actual patients to apply these knowledge on.