sameasalways ASN, RN

sameasalways has 15 years experience as a ASN, RN and specializes in Med/Surg.

Latest Activity

1. 

   Home Infusion Nursing

   sameasalways replied to nyrnjb81119's topic in Infusion

   Hi, I did infusions for almost 3 years at a rheumatology clinic and loved it. I am considering applying for home infusion nurse in Spokane WA and am not sure what I should ask for with pay. It says they pay travel time and 0.58 cents per gallon or ...
2. 

   Nexiva IV and valves

   sameasalways replied to sameasalways's topic in Infusion

   Most of our pts are long time steroid users and have autoimmune issues. I always assess for possible valves etc. It's not always possible to detect a valve prior to IV insertion, and we try to avoid the AC if possible, which is usually the easiest ...
3. 

   Nexiva IV and valves

   sameasalways replied to sameasalways's topic in Infusion

   I know this isn't probably approved technique, but when using any other IV besides Nexiva, I would take a 4x4 or 2x2 and once the IV is in, I would place it under the port so that any blood that leaked out would drain on and get absorbed by that when...
4. 

   Nexiva IV and valves

   sameasalways replied to sameasalways's topic in Infusion

   Frankly, neither do I!! I am stuck with them at my new job. I could finagle IV'S into almost any vein until these guys, and I have watched their videos and read forums on common IV mistakes made with them. They simply aren't as adaptable as regul...
5. 

   Moderate Sedation and GI

   sameasalways replied to sameasalways's topic in Gastroenterology

   Somehow I don't THINK I read everyone's posts/replies and just now saw them. It is obvious to me I was not clear about a few things. The pt did not have "order", verbal or written, to give the meds every 3 minutes and titration to effect. After ev...
6. 

   Nexiva IV and valves

   sameasalways posted a topic in Infusion

   Hi..I just started at a Rheumatology office for infusions. I have never worked infusions before, and the infusion clinic uses the Nexiva IV. I used to work Pre/Post at a hospital and then a GI clinic, and we used regukar IV'S which we could float t...
7. 

   Moderate Sedation and GI

   sameasalways replied to sameasalways's topic in Gastroenterology

   Thanks it's helpful to see what others are doing. The dr writes a 1st time order such as 75 of Fentanyl and 3 of Versed. Then we give the dose and he is not present. He comes back when the pt is "asleep". (Nurse rubs her finger across forehead ...
8. 

   Moderate Sedation and GI

   sameasalways posted a topic in Gastroenterology

   Hi...Today was my 2nd day at new job in GI. It was my 1st day in procedure, with a nurse and observing and assisting with the cases..mainly learning how they do things, and the paperwork aspect of it. I have lots of concerns. The patient acts like t...
9. 

   Moving to Anchorage in Jan-Feb '17

   sameasalways replied to sameasalways's topic in Alaska

   Thanks I appreciate it. So far, I enjoy pre-op the most and PACU is okay. Of course always better than working the floor. Office work was okay, but I missed the hands on care I have now. Hoping for an outpatient surgery center of some sort, up th...
10. 

    Moving to Anchorage in Jan-Feb '17

    sameasalways replied to sameasalways's topic in Alaska

    New grads make about 22/hr here..(just as a reference point).
11. 

    Moving to Anchorage in Jan-Feb '17

    sameasalways replied to sameasalways's topic in Alaska

    thx, I make almost 34/hr here and I heard Cola was higher there... I will definitely be disapointed if I don't make more there. It looks like getting a Nursing license transferred is more complicated than it was here, as NC and VA are compact states...
12. 

    Moving to Anchorage in Jan-Feb '17

    sameasalways posted a topic in Alaska

    Hi, I am AN RN with 3 yr med-surg experience on a very busy floor, 2 years office RN & telephone triage experience, and will have close to 2.5 yr experience in a small community hospital Pre/Post (PACU) when I arrive. I am basically just looki...
13. 

    How many patients

    sameasalways replied to sameasalways's topic in PACU

    Our GI patients are phase 2 ut not always awake and talking etc. Some of them are super sleepy for up to 10 minutes then start snapping out of it but they are wide awake once they are awake and we an get them out the door close to their 30 minute ...
14. 

    How many patients

    sameasalways replied to sameasalways's topic in PACU

    According to Aspan standards, or my interpretation of them, what you are saying about a max of 2 pts if one is a phase 1, seems accurate. The email sent out last week states that the expectation will be to take 2-3 pts at a time, but doesn't specify...
15. 

    How many patients

    sameasalways replied to sameasalways's topic in PACU

    Oh I forgot to say that the regular pacu bays (4) are on one wall, and the 2 GI rooms are right next to them, but they are actually rooms with doors, so if you are in one room you don't know what's happenning in the other room. If you have a pt in ...