LifelongNursing

LifelongNursing MSN, RN, APRN, NP

Adult Gerontology Acute Care

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About LifelongNursing

LifelongNursing is a MSN, RN, APRN, NP and specializes in Adult Gerontology Acute Care.


www.LifelongNursing.com

Latest Activity

  1. Who will do CNS role?

    My comment may be a bit naive, so please forgive and correct me if I post something radically wrong. Personally, I've never wanted to pursue a job that has a very vague role, or a role that not many understood, such as the CNS. I'm a newly graduated ...
  2. NP Jobs still looking pretty good.

    Being a recent new grad myself, that was some of the findings I also experienced myself. Fortunately, I landed a job that paid actually what a new nurse practitioner SHOULD be paid. the 80K a year is embarrassing for our profession and somewhat of an...
  3. Page MD off work?

    Are you speaking in regards like this example: You and the nurse you are reporting to found an issue, and should technically call the physician about it but the other RN wants to get report from other nurses first? Or, you offer to page the MD since ...
  4. NP Jobs still looking pretty good.

    I think this is all on how one views it personally. During my last months of school and hospital rotations, I had an optimistic view. However, once I graduated, the early weeks after school, that optimisim turned right into the gutter. Now, after the...
  5. Do you think that taking micro and a&p two together is doable?

    I took those classes together. It was doable for myself, however, I learned later than I had one of the "easier" instructors for A&P and one of the "harder" instructors for micro, so if you have interest, go for it.
  6. Charge Sheet

    Indeed, but I disagree about the charge. It is part of the nursing reasoning and assessment when the patient is post Foley, or has an acute change in urine output.
  7. INR/PT Lab Values

    Not in the least bit. The PT/INR work through various clotting cascades, and is not the end, all, be all, lab values to be concerned about when they are low. The only concern would be if the patient was on Coumadin/warafin therapy and those values we...
  8. Charge Sheet

    It is uncommon, but not out of bounds. It all depends on what the facility can charge and not charge under the "nursing" side of things that typically comes with the charge for the hospital room for the day/night. I used to work for a facility that w...
  9. INR/PT Lab Values

    You have the right idea, however, you must realize that the human body is not a machine, and therefore, we cannot expect precisely for it to behave so. Ideally, the INR and PT values do, in fact, reflect and have a positive correlation, but this is f...
  10. PICC dressing

    I would feel personally anxious, but it depends on how you look at it. Don't beat yourself up about it, but at the same time, understand that a PICC dressing that is soiled or out-of-date, should be treated with some urgency as that is a very large i...
  11. Treating high BPs with high baseline

    I agree, pain does play an important factor in influencing the blood pressure. Good point! You are exactly right, I 100% agree. For the new nurses, this is definitely something to keep in mind.
  12. Treating high BPs with high baseline

    I've just had the pleasure of being a nurse for years. You'll learn many common dosages of common medications very quickly. Lexi-Comp is a great resource as well. As a nurse, you have plenty of options and decisions to make to, in order for you to be...
  13. Treating high BPs with high baseline

    At this point there is no need for further action, only a learning moment. Based on the dosing, if the patient had a 167 systolic, and the order was for 20 mg IV hydralazine, you could 1. Give the 20 mg hydralazine and see how it affected the patien...
  14. Treating high BPs with high baseline

    It depends on how much the hydralazine and clonidine dosing were. Just because a patient says his BP normally runs at 170/90 does not mean we, as nurses, cannot or should not have a tigher blood pressure control in our patients. Outside of orders to ...
  15. Re-testing for TB after 1 week hospital stay

    Not sure on the specifics of the facility but you can certainly search CMS guidelines for payment and reimbursement. If they require it, it will be there. However, in most cases, SNFs and LTACH hospitals give the patient a TB test in order to be comp...