NewMurse1014

NewMurse1014

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All Content by NewMurse1014

  1. Night shift schedule?

    NewMurse1014 replied to johndough's topic in General Nursing

    I basically flip the am and pm and try to keep the night schedule even on my days off. I eat "breakfast" around 5pm before I go to work and "dinner" around 8am after work. Lunch varies depending on...

  2. Question on priority order

    NewMurse1014 replied to LHC123's topic in Nursing Student Assistance

    I think there's a difference between the NCLEX world of nursing vs. the real world. Yes, ABC is the general guideline, but in the real world we also need to consider other things: are the findings...

  3. First nursing job - help

    NewMurse1014 replied to Mariec3's topic in First Year After Licensure

    I use the system going from the big picture/most important info to the least important/small details: 1) pt's name, room number, admitting dx, related hx - Mr. Jones in room 11-1 admitted with CHF...

  4. How much do YOU think nurses are worth?

    NewMurse1014 replied to mystory's topic in General Nursing

    To expand on your thoughts, it is also because we live in a relatively peaceful era. The majority of people don't feel threatened by the stability of their safety, healthcare, and education, so they...

  5. New grad-Body/mind on high alert all the time due to anxiety

    NewMurse1014 replied to Summers3's topic in General Nursing

    As a new grad with 1 year of experience, I'll be blunt with you: the unexpected can and will happen. You will experience your first med error, first patient fall, first RRT, etc. no matter how well...

  6. Increased blood pressure. What to do?

    NewMurse1014 replied to wonderwoman92's topic in Medical-Surgical

    It depends on a lot of factors: 1) Is the pt exhibiting signs of observable distress? 2) What's the trend of BP/HR in the past 24 hrs? 3) Did the pt skip BP meds because of the surgery? Usually if I...

  7. Made a big med error as a student... i'm devastated.

    NewMurse1014 replied to FuturePN's topic in General Students

    Like PP said, everyone makes mistakes, and this was a great learning opportunity for you. Your instructor took the appropriate action, the patient turned out fine, and I'm sure you will be much more...

  8. Advice for critical thinking

    NewMurse1014 replied to PokoMan's topic in General Nursing

    Agree with PP that this is something that can't be taught; it only comes with experience and it's the main difference between a novice and an experienced nurse. It's the ability to integrate small...

  9. Is Humalog also used as a corrective insulin (based on BS) at bedtime ALONG with Lantus?

    NewMurse1014 replied to Nurse2bnwbie's topic in Patient Medications

    At my facility, we have two separate ISS for AC (>120) and HS/NPO (>200) and hypoglycemic protocol

  10. solumedrol IV

    NewMurse1014 replied to enfermeratobe's topic in General Nursing

    I almost always run meds with piggyback. If the pt has no maintenance fluid running, I would run the primary at TKO (NS at 10-20 ml/hr). It's especially useful if the pt has multiple piggyback meds, I...

  11. Trying to wrap my brain around this one...

    NewMurse1014 replied to smf0903's topic in General Nursing

    As KatieMI said, it's probably psychogenic polydipsia. DI would cause hypernatremia due to dehydration (lack of ADH causes loss of free water while Na level stays the same, increasing the total...

  12. Giving report to the next RN?

    NewMurse1014 replied to Volley88's topic in General Nursing

    Maybe I'm not organized, but I don't usually go into every details about the pt. From what I observe, almost all nurses print out either the pt's list or pt's labels (which contains all basic info...

  13. Advice for struggling medsurg nurse

    NewMurse1014 replied to xanderfan's topic in General Nursing

    I agree with AceOfHearts As far as giving/receiving reports, you will find a way to organize your brain. I usually give reports from "big" to "small" (1) the big picture (the diagnosis, why pt is...

  14. In renal disease, what is GPA?

    NewMurse1014 replied to Kitiger's topic in General Nursing

    Granulomatosis with Polyangiitis (Wegener Granulomatosis): Practice Essentials, Background,

  15. Student Nurse in First Med Surg Clinical

    NewMurse1014 replied to crs1978's topic in General Students

    Agreed. This is something that OP needs to discuss with the clinical instructor. If it doesn't work out between OP and the nurse, the clinical instructor should arrange a different nurse or step up to...

  16. ADN in 2016 completely useless?

    NewMurse1014 replied to Mr.Care's topic in Diploma, ADN, BSN

    I think it depends on the location. In the areas where the job market is saturated, the hospitals can afford asking for BSN RNs. In other areas the ADN is still viable. Here in California, almost all...

  17. misconceptions about nursing pay

    NewMurse1014 replied to johsonmichelle's topic in General Nursing

    I'm approaching my one year mark as a new grad. I'm working in the Bay Area, CA and I started off as per diem without benefits at $80/hr plus $10 night differential. But just to put it in the...

  18. What's your night shift routine?

    NewMurse1014 replied to blah_blah_blah's topic in General Nursing

    ^Same. I'm basically living in a different time zone. I usually sleep from 0900-1700 whether I'm working or not, and stay up all night till the morning. I also adjust my meals so that I eat...

  19. Disappointed

    NewMurse1014 replied to nerdy student's topic in General Students

    Seems like you became very defensive when HouTx offered the opinions in a matter-of-fact attitude. "Sometimes, low response rates happen because the question was not clearly worded or no one has any...

  20. New Grad - How much money to ask for?

    NewMurse1014 replied to VegGal's topic in General Nursing

    I'm not sure about LTC, but in the hospital where I'm working at (bay area) the nurses are unionized. We have a set rate for certain years of experience. You can search online via salary.com or the...

  21. Shy New grad- and I suck

    NewMurse1014 replied to NewNurseJules's topic in First Year After Licensure

    It will get better. The general consensus is that you start feeling more comfortable around the 1 year mark. Some people are faster some are slower. You've only working for 4 months since May. I was...

  22. Patients lying on ciwa?

    NewMurse1014 replied to s0ad's topic in General Nursing

    Agree with PP. We have no way to tell from their subjective data, and it's not our job to judge whether the pt is lying or not. We can only document as objectively as possible. Same thing with pt with...

  23. is it too much to ask that everyone working on the floor speak the same language?

    NewMurse1014 replied to Caroline123's topic in General Nursing

    I'm actually ok with it, especially when I have a lot of charting to do. Since I know they're not talking to me, I can chart in peace. If they were talking in English and I happened to sit next to...

  24. What is your work routine?

    NewMurse1014 replied to Tomrn2128's topic in Medical-Surgical

    I usually come in 20 min early before shift starts to look up the chart. It might seem a long time but given 4-5 pt I only have 4-5 min per pt. The stuff I go through for each pt: 1. Doctor's short...

  25. Should I stay in this non-clinical job as a new grad RN?

    NewMurse1014 replied to kutadefroc's topic in First Year After Licensure

    I'm also working in CA and I was lucky enough to get into a new grad program at a hospital last year. I know how competitive the job market is. My advice is to continue the current job and look for...