Nursing Community's Journal (original) (raw)

| | Friday, December 7th, 2018 7:25 pm - Free NMC CBT Online Practice – Mock Test and Crack Course ext_4919325 Mentor Merlin is the leading NMC CBT Online Training provider in the world. Training for the NMC Part 1 test of competence CBT-Computer Based Test is based on the latest 2018 syllabus. Overseas Nurses can access more than 750 questions covering 101 topics. Most frequently asked questions by the NMC are included in the CBT Online Practice material. (1 comment | comment on this) Wednesday, September 9th, 2015 5:48 pm Wednesday, June 25th, 2014 10:58 pm - Which Nursing Jobs Were the Least and Most Stressful For You?? missquokka Hey guys im in college for nursing (just graduated from high school last year so im just doing my prerequisites right now) and while i know that being a nurse you will still be dealing with stressful situations, I also want to know certain jobs that may be less stressful. Im really interested in working in a hospital's neonatal care unit or a clinic when im finally done but i know that theres a chance that there may not be any openings in my area when i graduate so i want to have other options (and also know the areas to avoid lol). So can you guys list the most and least stressful jobs you guys had as a nurse?? Also post why it was? (14 comments | comment on this) Thursday, June 12th, 2014 2:56 pm - Seeking nurses willing to discuss LEAN/Six Sigma pauldeman2pt0 [Hoping this is acceptable to post here; if it's not OK, just let me know. I don't want to cause any problems for anyone. Thank you.]Hello,I am an academic researcher and author who is currently working on a projectabout the effects of LEAN and Six Sigma in various types of workplaces, butwith special focus on the health care industry, including hospitals,inpatient and outpatient clinics, etc.If you are:-Currently employed in this industry, preferably as an M.D. or nurse (butother positions/titles also OK)-Have direct experience (as an employee, *NOT* an administrator) "adhering"to LEAN and/or Six Sigmaand-Would be willing to participate in a brief interview regarding yourexperiences, thoughts, and opinions on LEAN and/or Six Sigma, please contactme at packedby776 at gmail dot com.If desired your identity will be protected and confidentiality maintained.Thank you. (comment on this) Monday, October 21st, 2013 2:10 pm - Looking for a nurse to interview stateofbalance Hi everyone. I'm a senior nursing student currently taking a class in community health. My assignment is to interview a nurse who works (or has worked within the last 10 years) within the community, either in public health, home care, hospice, or parish nursing. So far I haven't been able to find anybody, but now that the project is due by this Friday, I thought I'd try LJ. If you are a community nurse and you could help me out by answering some questions, I'd appreciate it so much! Thanks! (3 comments | comment on this) Thursday, June 21st, 2012 4:50 pm - Handoff Reports lambimari Hey Guys! I need some help :)On my floor, we wanna expedite our handoff report time....Sooooo I was wondering how you guys do handoff? What's the average time? Do you do bedside report? Do you only give report to one nurse? How many patients do you guys have?Do you use kardexs?Thanks! (9 comments | comment on this) Tuesday, May 8th, 2012 8:30 pm nursewithaunit It seems that I am turning into a hospice nurse. It's not by choice though. On the 2 40-bed units that I float between (total 80 res/pts) we've had at least 10 go to the Eternal Care Unit in the past 2 weeks or so. It's starting to look suspicious!One took a dive out of her chair the other day and faceplanted, BADLY, into the deck. The on duty nurse (who relieved be 90 minutes earlier thank god), got in there a started controlling the hellacious bleeding. Told it looked like a GSW to the head, thats how bad it looked. 2 minutes later she was gone. My poor replacement wound up getting her feet sticky and was a bit put off.-------------------------------------------They were short the other night and floated me to cover -TWO- units. I had to cover Unit 2 (46 beds) AND Unit 1 (26 beds). I carried 72 res for my shift!!! MED PASS SHOULD NOT INVOLVE STAIRS OR AN ELEVATOR!!!!!!!!!!!!!----------------------------------------It seems like since we changed pharmacys our mortality rate seems to have gone up. The new pharmacy has made some great screw ups. Mainly with mislabelling meds; cards come in labelled Lasix/Furosemide and then when when you turn the card over aqnd check the tiny printing it turns out the card is really famatodine. Stuff like that. They have had some really great screw ups and those are just the ones we've caught.We can't switch pharmacys though because the guy that owns his one is kin to the folks who own the facility. (4 comments | comment on this) Monday, April 30th, 2012 12:52 am Saturday, April 28th, 2012 4:38 pm - School choice sassalicious I've been accepted to 2 programs. One is a one year accelerated BSN at a school that is probably not well known outside of Missouri. The other is a traditional BSN (I'd only need to do the 2 upper level years) at a well known school, with all the bonuses of attending a state university...summer break, study abroad, and an opportunity to get a certificate in global health. I made my decision to attend the one year program because I think getting done quicker is better for me. There is little to no difference in the cost of either program and the cost of living in St. Louis appears to be less than in Madison. I decided to attend the school in St. Louis about a month ago and my acceptance from the school in Madison arrived today, which got me thinking for a minute.I'm content to live in either place and a change of scenery might be nice because I did my first undergrad degree here in Madison at University of Wisconsin. I eventually want to get a NP, probably women's health, but who knows. My question is this: have you ever found yourself having a hard time getting a job/getting into graduate programs because you attended a lesser known and/or lower/unranked school? I know in some fields it seems to matter, but I don't know if nursing is one of them.Thank You (8 comments | comment on this) Tuesday, February 21st, 2012 4:25 am - where's the shortage? xftranny I'm a newer nurse with 1 1/2 years experience in subacute care from western, MA. I am looking for a hospital gig that's close enough to home (no more than 3 hours away) in NY, CT, NH or Vermont. If there's a hospital out there willing to take a nurse without med/surg/hospital experience where can I find them?In other words, do you work at a hospital close-ish to Massachusetts that takes nurses like me? If so, where can I apply?ThanksG (1 comment | comment on this) Friday, December 23rd, 2011 7:52 pm - kids and NP school xftranny Hi allI am in NP school, I start my first class in January, it's full time and clinical comes at the last year of the three year program.I was trying to find people/advice on having kids while in NP school as I can't find the information. I don't know if it's doable or not but the clock has started punching me in the gut and saying "NOW, please" and I have a thing with really listening to my body. Just wondering ... I've read plenty of info on having kids in grad school .. but not with clinical and comprehensive exams looming at the end of things. (7 comments | comment on this) Sunday, December 4th, 2011 5:33 pm piktureframe Funny line from Parks and Rec:"Aww.. You're a nurse? You must be so tired. And sad."Yeah, pretty much. More tired than sad but I haven't had any losses in a little while.Our census was a little low for awhile so I was having some very easy days and spending a lot of time at the desk, bullshitting with residents and still swiping out at 315. Now, I've got a full unit again with some short termers thrown in, fairly high acuity and it's a good day when I'm out by 4. Not really complaining but we just got busy all of a sudden.I picked up yesterday so I wasn't in my regular spot which I was chagrined about but it turned out to be cool. This neighboring unit has more short term beds and I got to learn a new procedure (a denver drain) and do a dressing change on a fresh partial amputation. And I had a new (to me) hospice patient from the third floor thrown into the mix. He had the nicest smile and seemed sincerely appreciative of some good nature. I'm sorry he won't be part of my regular assignment, regardless of much how much longer he has. I love where I work. I love my residents and coworkers but I hate the drive. Also the heavy assignments make for a tiring day and I feel like it's just a little too much and it's impossible to do a great job. My assignment yesterday included 19 long term residents and five short term residents, all the short termers having fairly high acuity. I didn't even get to read their charts or do as thorough of an assessment as I've have liked to. A lot of times, I feel like it takes me forever to get an assignment done because I get caught up in the details but at the same time, I kind of feel like I have to. If it's 8am and all the aides are in the dining room feeding people and no ones in the hallways and I have someone who needs their coffee reheated or didn't get a milk, I'm not going to make them wait until after breakfast when the aides are available. I think we just might have some staffing issues. We consistently have six aides for sixty residents and then obviously at lunch, we have less. I don't know.. Getting back to the funny quote. I do feel kind of tired all the time. I put in 40+ hours at work and I'm on my feet all day with the exception of maybe less than an hour or so for charting/labs/new orders. I have a fairly long commute. Then I have 8+ hours of school a week plus studying. Needless to say my house is a wreck and I'm getting fat again. Though I do squeeze in a couple of hours at the gym every week it's nothing like it used to be. Ah well. Life is good. I'm very blessed to be young and able to work hard so I'm not really complaining but there sure aren't enough hours in the day. (3 comments | comment on this) Saturday, November 26th, 2011 6:44 pm - vanc troughs... lucky_starsx So this morning I had a patient who had 1gm vanc due at 0500. It was 0530 and I called lab asking if they drew the trough level, and the lab tech told me they did. So I waited. They called back and said they missed the draw :banghead:, so they sent another tech up to the floor to draw the gold top. Sent down...still no trough level. I called lab again and then they couldn't find the order, so I reordered it ...all they saw was a trough level due for 1630 today. I called our remote pharmacy because our in-house pharmacy isn't available on nights and asked what I should do because it has already been 90 minutes...by now I figured the vancomycin would have to be retimed. The pharmacist told me if I get the trough back soon to still go ahead and hang it, it will be fine. 0700 rolls around and still no trough...so I called our in-house pharmacy since they are now open, and whoever I spoke to (not sure if it was a pharmacist or tech) was real snippy and told me next time not to wait "hours" for a trough level. It was retimed for 0700 this morning, no big deal. I have had it drilled in my head to look at the trough level before hanging vanc. And I'm thinking if I wasn't diligent and just went ahead and hung the vanc anyway, it could have been potentially harmful because if I didn't hassle lab about it they wouldn't have ever drawn the trough in the first place! So it's not like they could have called me with a potentially too-high result if I had already started it...Did I do the right thing or did I mess up somewhere? I spoke with my colleagues/charge nurse and said I did everything I could and that they have had issues with getting their troughs in the past and simply had to call pharmacy and have them retime the antibiotics. (6 comments | comment on this) Monday, November 21st, 2011 5:42 pm fleckerbug Doing a write-up on my surgical experience. Can anyone tell me the position of the person who brings the patient into the surgical area from pre-op and back to the PACU? (4 comments | comment on this) Sunday, November 13th, 2011 2:22 pm - Hindsight is a powerful feeling... grengrl_88 I survived my first code last night. She, however, did not...There are so many signs and coincidences that make this experience so surreal still. It was my first night shift on the unit and as I was doing my chart checks I opened each chart to the first page before checking for accurate orders, just to see the resident's code status.I have worked on this floor for almost two years, as an LNA before an RN, but never actually had the chance or time to look at this aspect of the job. So why did I think about this before going into work last night, and then why did I bring the topic up to my LNA's who were working with me last night. Of all nights? I was anxious going into the shift but more because of the newness and the 12 hours is also new to me. I worried my dog wouldn't be able to handle being in the crate for so long (she did fine by the way). The person who found her unresponsive was the only one in the building who is not CPR certified.I thought it was a requirement for the job of an LNA?? If not it should be! I thought she meant she hadn't ad to perform CPR before, like me, but she meant she hadn't done the class before, oops. I didn't have time to worry about this fact until later since it took the EMT's 20 minutes to arrive! Ugh. Outcome would not have changed.I cannot get the smell or the feeling of cracking ribs out of my head at the moment. I think I need more sleep form the 12 hr Baylor shift, especially since I have to be back there tonight for another! "Welcome to night nursing!"current mood: exhausted (7 comments | comment on this) Sunday, November 6th, 2011 2:04 am nursewithaunit Chatting with the other nurses today at shift change. We were discussing how people react when they learn that we work as nurses. Jokingly I said that the great thing about being a male nurse is when I meet new people and they find out I am a nurse, the guys don't ask me "Do you have "The Outfit"?"I said it as a lighthearted thing and the women all got serious looks and said that, yes, they get that question alot! (1 comment | comment on this) Monday, October 31st, 2011 4:31 pm - double shifts! iinkaholic because i am crazy, i am working two doubles this week -- 6-2 at my full time job, then going to 2-10 at my prn place. i am planning on lots of caffeine but i'm still worried that i won't be able to handle it. :/how do you stay awake, energized, etc when working doubles? any tips? (5 comments | comment on this) 10:04 am - Gee this place looks familiar..... nursewithaunit IMAGE courtesy of GurneyCam Woke up at 2100 Saturday night for work with a pain in my left neck behind and inferor to my L ear.I figured I slept wrong and just headed into work.For the entire shift I would get these muscle spasms in my left neck every 3- minutes that would lift me up on my toes, clench my fists with white knuckles, draw back my lips, clench my teeth and generally feel like to top of my head was coming off. These would last about 5-10 seconds and then I'd be good for another 3-5 minutes.I had some diazapam at home laying around from a previous back issue so I took 10mg of that and figured that would take care of the spasms. No go. Advil and ibuprofen didn't do much either.It was not a good night. Power failure put the unit in the dark for several hours. The aides and I had to tie all the O2 concentrators, BIPAPs, etc. into the generator lines and I wasn't much use for anything that involved bending or turning ones head, but we got it done.The supervisor was looking at me for meningitis, but I had no fever or other signs.0700 comes and I did the fastest (but still accurate) narc count and report you ever saw and hightailed it to the hospital ER.Caught a spasm right as I was signing in and the got me to the head of the line.Started off with IV morphine and zofran and contrast for a CAT scan.Doc did an external exam that didn't pick up much but then he started poking around inside my oral cavity with a tongue blade and he found one spot way the hell back that was causing pain. He suggested diazapam for the spasms and when I told him I had already tried that he decided to investigate a little more and see what was happening.The CAT scan didn't show anything definitive. Doc asked a bunch of questions and one of them was whether I had had any dental issues lately. Light bulb went on. 2 months ago I had a left lower molar that was giving me some pain for a few days. Cleared up before I could see the dentist so I cancelled and thought nothing of it.Money right now is on a wicked dental abscess. I'm on clindomyacin q4x10. 5/325 Percocet q4 PRN and Flexoril for spasms.Went home and slept for 18 hours straight.The pain is a bit better now. Still hurts but more from movement than the spasms that would come out of nowhere. The percocet is helping a bit.Doc gave me a note to stay home for 48 hours, so I got someone to cover my shift last night. onights my off night for school, so I have to call my math instructor and see if I can skip tonight without incurring a penalty. (3 comments | comment on this) Friday, October 14th, 2011 6:34 pm - ugh! I need to vent... grengrl_88 gotta love the burn your employees out before you help them out aspect of nursing home jobs... I had to "apply" for a new shift when I'm already the float nurse in the building, not even a per diem float, a full time float who works every single weekend just to be at 32 hours (I was hired for 40)! then they gave the permanent spot to another nurse... I got offered overnight Baylor which is ok but it's going to be hard to find someone to let my dog out in the middle of the night...on the flip side, I had a second interview at a rehab facility I really want to work for yesterday :) we'll see what happens and where I end up. it definitely sicks being the newest nurse in a building!ok venting done, thanks. (1 comment | comment on this) 2:19 am nursewithaunit I think I'm getting screwed at work, and not in the good 'lets duck into the med room and play naughty aide and stern charge nurse' way. When I signed on at this new gig I was told that I would float between Unit 3 & Unit 4. I wasn't happy about it, but I needed work.After a month, one of the Unit 4 nurses moved on the greener pastures and I asked to have Unit 4 made my 'home'. This was done. Once in a while I'd have to float, but once in a while everyone has to float, right?So they hired a new herd of nurses, one of whom is from my nursing class. We've been booked a few times where they would have us both down to work 4 and each time they would float me to 1 or 2.So tonight as I am working on 2 and helping do new orders on 1, the nurse from 3 comes down and says a bunch of stuff ending with "..and you're the float nurse."What? Wait a minute, when did -I- become the permanent float nurse.If any one should float it should be one of the new hires.Then I thought about it a bit more: I've been pushed off 4 to make room for my former classmate who it looks like will be a permanent full time nurse on 4, making me a full time float nurse.Why?We took our boards together on the same day, so we have exactly the same amount of license time under our belts. I have more LTC experience than she does and I have been at this facility for two months longer than she.The only thing I am getting a whiff of is that her performance is unremarkable. Lacking in some ways. The supervisor theorized that perhaps I am being floated because I am doing a better job than she and that they want to keep her on one unit to let her concentrate on just one group of people.So let me understand this. I want a unit to call home but can't have one and have to float because I am a better nurse than the one who just took my spot on 4? So then if I just degrade my performance to below that of my former classmate then I will be rewarded for my poor performance by getting what I want?I think I just learned how government subsidies and jobs work.I was going to hold off on looking at that job at the jail, but if they aren't going to be fair with me at work then there is no reason not to move on. 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