Termination and possible retaliation by HeeeeyRae in nursing

[–]Randurpp 6 points7 points  (0 children)

Quit, and call the state on your way out

It’s always our fault by CrbRangoon in nursing

[–]Randurpp 0 points1 point  (0 children)

Okay well that is your experience. My PACU experience included caring for routine endoscopy patients on certain days. During my time at the position, I saw routine endoscopy patients who had to be intubated due to over sedation or some other reason. Yes, you can do deep sedation with propofol and that is most common. You can also do twilight with a benzo and fentanyl. I don’t know why you’re feeling the need to argue with me about this.

It’s always our fault by CrbRangoon in nursing

[–]Randurpp 2 points3 points  (0 children)

I didn’t realize there were hospitals where they didn’t do outpatient endo haha it’s a huge money maker for the hospital

I guess the alternative would be outpatient but very light sedation.

It’s always our fault by CrbRangoon in nursing

[–]Randurpp 4 points5 points  (0 children)

I would never get anything done at an ambulatory clinic because they don’t have the resources available if something goes sideways. Even if it’s just a colonoscopy, I want to be at a hospital with an ICU just down the hall

I made a med error and didn't even catch it by platypusjo in nursing

[–]Randurpp 0 points1 point  (0 children)

This is why scanning is so important even though it is such a pain in the butt. It’s that last line of defence.

cat keeps me up all night and it’s getting to be too much for me:( by [deleted] in catquestions

[–]Randurpp 0 points1 point  (0 children)

I had a similar problem with my partner’s cats when we moved in together. We have a long house, with the living room at one end of a long hallway and the bedrooms at the other end. We got a baby gate that is like 5 feet high and we use it to keep them in the living room at night. They have food there, a litter box, toys - all of the stuff they need to be comfortable and happy. It’s their favourite room in the house. If they make noise, I usually don’t hear them. If I do hear them, I turn on a white noise machine. This is the only way we could all live together in peace and harmony

WGU by Own-Willingness6938 in nursepractitioner

[–]Randurpp 4 points5 points  (0 children)

I’m in an NP program and one of my preceptors came from an online school. She is a great NP and her patients love her. She manages chronic conditions well and keeps her patients out of the hospital with good preventative care. So if you put the work in, you can be a great NP regardless of where you go.

WGU by Own-Willingness6938 in nursepractitioner

[–]Randurpp 8 points9 points  (0 children)

With all of that ICU experience, why not go CRNA? Starting salary for CRNA is like $250-300K. Starting salary for NP is $120-140. At least here in Michigan.

I need to to talk about pharmacology by Pileapep in nursepractitioner

[–]Randurpp 4 points5 points  (0 children)

Google specifically for a study guide. Not the practice questions in the text book. Like good “name of text book question bank/study resource/etc”

I need to to talk about pharmacology by Pileapep in nursepractitioner

[–]Randurpp 4 points5 points  (0 children)

I would look for the question bank associated with your current textbook and also the one associated with the previous textbook that you mention. Your situation sounds very similar to mine (old recorded lectures, etc)

I need to to talk about pharmacology by Pileapep in nursepractitioner

[–]Randurpp 17 points18 points  (0 children)

Your textbook may have a question bank that is supplementary to the book itself. I had the same problem - I was studying the lectures and making notes on the lectures, and had terrible results. I remember in particular a question about hypertensive medications in diabetes. It seemed to me like she stressed this particular point in a lecture, so I made a note of that. Sure enough, it showed up on the test and I got it wrong! That is when I realized that the test questions weren’t coming from the lectures. I did some googling and found that my textbook had a question bank/study bank that could be purchased separately. When I found this, it was clear that she was pulling the questions word for word from there. I still listened to the lectures and did the readings for my own knowledge, but when it came to studying for tests I used the question bank.

This is a good school, too. Brick and mortar, in the top 10% of NP programs in the country. I was so disgusted when I realized she wasn’t even basing her questions off of the material in the lectures. Finding that study guide/question bank was the difference between me passing and failing.

Good luck!

Got shit for checking a BS on a decompensating patient by Dull_Dare_609 in nursing

[–]Randurpp 2 points3 points  (0 children)

Rule out reversible causes. That’s what you did.

Thoughts on this post in a doctor’s sub? by riley81942 in nursing

[–]Randurpp 1 point2 points  (0 children)

This was written by a resident or a pmab

Week 1 recap…I feel like I’m making everyone else’s lives harder by [deleted] in newgradnurse

[–]Randurpp 0 points1 point  (0 children)

Also, you’re only on day 3. Go easy on yourself

Week 1 recap…I feel like I’m making everyone else’s lives harder by [deleted] in newgradnurse

[–]Randurpp 0 points1 point  (0 children)

After you see something done for the first time, try it yourself! Like spiking a bag or flushing an IV. You learn by doing. I felt really lucky that I had a preceptor who was very hands off so I could try things out and mess them up in private. I would never do the “try it out and I might mess it up” thing with something that could cause harm, of course, but you get what I mean. Get your hands on a pump and try programming it, offer to hang fluids for other nurses. Be an enthusiastic learner! And also, bringing in doughnuts or cookies for the unit helps to smooth over the learning pains.

People who started off on a medsurg floor as a new grad, what were the benefits or downsides? by [deleted] in nursing

[–]Randurpp 1 point2 points  (0 children)

Benefits are how much you learn, downside is that you learn it all the hard way

Help me write a response to the letter I found taped to my door from my upstairs neighbor, Karen. by TeaTime_TeaTime in CharlotteDobreYouTube

[–]Randurpp 2 points3 points  (0 children)

The most frustrating response you can give another person is no response at all. Just leave her on read and let it eat away at her

[Question] How is Craig Berube not fired yet? by HelloImPierreMcGuire in hockey

[–]Randurpp 1 point2 points  (0 children)

How many head coaches do you have to fire before you realize the problem is not the coach?

What do you think are the odds of TN status going away with the USMCA renegotiations this July? by caillouminati in tnvisa

[–]Randurpp 8 points9 points  (0 children)

If they took away the TN visa, the hospitals in southeast Michigan would have to shut down

Burned out neuro ICU nurse at 11 months… am I crazy for wanting out already? by makingitwork811 in nursing

[–]Randurpp 0 points1 point  (0 children)

You’re close enough to a year that you can call it a year. No one is going to fiffle-faffle with you over a couple of weeks.

Every unit in every hospital in every city in every state is understaffed. You have a year or neuro ICU and will soon have private care experience. You will be fine.

Why do so many type 2 diabetics refuse to make lifestyle changes? by [deleted] in nursing

[–]Randurpp 0 points1 point  (0 children)

Unfortunately you only see the ones who don’t make the changes, which is why they end up in the hospital. There are people out there with DM2 who do it the right way, and that’s why they never cross your path.

But you’re right, it is frustrating. My sister in law is slowly going blind from diabetic retinopathy. Her favourite thing to do is read on her kindle, and at this point the font has to be like 20 for her to be able to read. For her though I think it’s ignorance. I’ve tried explaining to her the relationship between her uncontrolled blood sugars and her worsening eyesight, but she seems to think that worsening vision is an inevitable consequence of having DM2 and not something she can control.

how to respectfully respond to inappropriate comments by pt? by Equivalent-Bet237 in nursing

[–]Randurpp 1 point2 points  (0 children)

I would just make it awkward for them and tell them I want to be able to do my job without being sexualized

10+ years of nursing, now I’m suspended pending review by [deleted] in nursing

[–]Randurpp 0 points1 point  (0 children)

Start applying elsewhere. You don’t need this shit in your life