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Kallie3006 ADN

Jack of all trades, master of none

I have been an RN since 2012 and am currently pursuing my BSN with the hopes of being in an FNP program in the near future.

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  1. Kallie3006

    bedside report

    But how else would you learn of the patient's sister's ex husband's 2nd cousin's niece figured out the patient really has congenital insensitivity to pain with anhidrosis, because the patient didn't feel anything when a skillet fell on the patient's prosthetic foot and she googled the symptoms?
  2. Kallie3006

    Life in Prison for Doctor in Opioid OD Death

    When reading this article the punishment seems harsh and far fetched, but if you Google his name and read more articles relating to the various counts against him that he was being tried on, the sentence makes more sense. According to one article he raised his rate from $50 to $300 in order to pay for his office space, he falsified medical records, called 911 claiming armed robbery an hour and a half after being served a search warrant for his home, and there was other things listed. I do not buy the comment that the victims mother made about Mr. Govern not taking aspirin for a headache but ODs on Xanax and methadone, generally those are not force-fed to someone. It is definitely a serial of unfortunate events that has led up to the death of this gentleman and subsequent sentencing of this doctor.
  3. Kallie3006

    Help with ACLS

    For your mega code know your drugs and doses. Which one is first line treatment, what reaction are you expecting after treatment. For my mega code we had to verbalize starting the IV, flushing, med given, flush again, compressions etc. I don't know if you will have to do this as well but it may be worth practicing since it is not second nature to verbalize those actions.
  4. Kallie3006

    Lab Exam

    I would think you would be able to, talk with your instructors and see if they have any advise or pointers for you. Do you have open Lab or SIM lab time where you can go outside your scheduled time to practice your skills? If that is possible you might consider doing that, the more you practice the skills the more competent you will be with them and the less likely the testing anxiety will get the better of you. I can not answer in your instructors perception of you but I can say that I am sure that you are not the first, nor the last, student that freezes or fails a check off. Best of luck with the remainder of your program!
  5. Kallie3006

    Very Frustrated!

    I would look into your state labor laws. Some states require on call pay because you are making yourself available to the facility if they should need to call you in, which takes away from your off time. They are not required to pay incentive pay so if offered I would get it in writing in case they tried to pull the OT is incentive.
  6. Kallie3006

    Pain management in nursing

    Pain is what the patient says, bottom line, even if their physical demeanor or perception does not meet "your" idea of what "you" should be able to see. I give oral before IV when possible, especially if IV is ordered for breakthrough and you can not experienced breakthrough is there is not a barrier already being used. Have I had patients that I have thought are seeking? Yes, all the time. My job however is not to render judgment on whether they "need" the meds or not, but to take care of them. If the patient is calling before I can give or asking for different meds in addition to, I reevaluate the situation and ask the doc for a different order, some of the time the patient does not want the meds messed with and then suddenly their pain is better managed. If a patient is stating their pain is not controlled and they are referencing their chronic pain, they get educated on pain management methods and not being able to receive IV meds at home for the chronic pain.
  7. Kallie3006

    Code Blue

    We have colored bands on ours as well. I would not personally delay starting CPR to call the nurse and ask, that could be the difference between breathing wa in damage or not if successful ROSC obtained. Think about BLS and ACLS you get dinged for not performing 2 min of CPR before calling for help
  8. Kallie3006

    Help me name my baby!

    Yay!! I'm never the winner!! I'm printing this and putting it above my desk!
  9. Kallie3006

    Holiday Bonus

    We used to get turkeys until this year where we got a wonderful frozen pie.............
  10. Kallie3006

    Help me name my baby!

    Avalyn Name meaning is "beautiful breath of life"
  11. Kallie3006

    Life's little irritations...

    Does this same excuse work when not giving the patients their flu shot prior to discharge?
  12. Kallie3006

    Unsafe staffing with 4:1 ICU ratios 8:1 on floor.

    You and me both
  13. Kallie3006

    NCLEX Math question

    The test will tell you what placement they are looking for in the question. They dont try to "trick" you by having 2 answers both correct depending on the rounding placement sought and not tell you what they are wanting you to compute. Remember to not read more into a question other than the information presented.
  14. Kallie3006

    Unsafe staffing with 4:1 ICU ratios 8:1 on floor.

    When I first started at a hospital there were nurses on the step-down unit that would take an extra patient for a $100 bonus. I told them numerous times that this would come back and bite them. That they was putting a $100 price tag on a patient's life and telling the admins at the same time that the ratio could be increased by another patient. Now the ratio is up by a patient, nursing gripping and stating how unsafe the assignment load is yada yada but they put themselves in that position all for that dollar. Nothing is going to change unless we rally together. If a couple people accept that assignment and others refuse, they are not team players, or a strong nurse, or whatever else managment wants to say in an attempt to belittle the nurses that are standing up. If we, nursing profession as a whole, keep allowing this to take place and all we do is gripe about it, nothing is going to change for the better. There are only so many times you can threaten something without following through. Just my 2 cents.
  15. Kallie3006

    Unsafe staffing with 4:1 ICU ratios 8:1 on floor.

    Refuse the assignment, they may fire you but you will still have your license. You accept the assignment, you accept repercussions when something happens and the BON will not care that the ratio is not safe, but they will care that you accepted an unsafe assignment and there for accepted responsibility.
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