Latest Comments by Okami_CCRN

Okami_CCRN, ADN 12,356 Views

Joined: Oct 15, '07; Posts: 805 (46% Liked) ; Likes: 1,436

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    In order to satisfy throughput our target time is one hour from the moment the patient is assigned a bed. Obviously this doesn't always work out especially if the floor cannot take report, but our ICU has such high patient turnover that it is not uncommon to transfer 5 patients out and get 6-8 admissions.

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    PeekabooICU77 likes this.

    If you are already working in a critical care unit your best bet is to contact the pharmacy for policy and procedure regarding drip concentration and max rates. You will find that many facilities utilize different max rates and concentrations.

    At some institutions vasopressin is non-titratable, in others it is. Some places max out norepinephrine at 10mcg/min while others max out at 30mcg/min. While a drug guide can give you great information regarding drug classes, actions, etc you should always follow hospital policy and procedure.

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    Buckeye.nurse likes this.

    A good way to remember is to put your credentials in the order of least likely to lose to most likely to lose. For example; John Doe MSN, RN, CCRN.

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    /username likes this.

    I commend you for wanting to pursue certification in your specialty, however I wouldn't recommend studying until you have been in critical care for at least 2 years.

    At this time in your career you should focus on becoming competent and proficient, which can take up to a year or more for some individuals. There are tons of study materials such as DVD's, books, online and in-person review classes. Figure out your learning style and choose one that fits best for you.

    Also, make sure to log on to the AACN website and review the CCRN requirements. Best of luck!

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    NurseBlaq, Nursingiq, and turtleki like this.

    Quote from Nursingiq
    Hello all,
    This is my first post and while there have been similar posts about getting into a nursing program with a low GPA bachelor's degree, I have some very specific questions. So thank you in advance.

    My background:
    I graduated with an Associates of Science Degree from a Community College with a GPA of 3.13 and just last year a Bachelor of Science in Biotechnology with a GPA of 2.26. My University did not transfer my Community College GPA hence this GPA is pretty much my Major GPA as well (I was fortunate to save $ and take almost all pre-requisites at community) With that being said, my academic problems started due to personal matters and while a 2.26 does not look like much it is to be noted I was below a 1.8 at one point, so I really believe I have the aptitude and study habits to be successful in a nursing program. I have been considering nursing for a while now, before I even completed my Bachelor of Science, I just wanted to complete my program because of all the amount (blood, sweat, tears, money) I had put in. Anyways with that being said, on to my questions:

    1. Is it unheard of for people who already have a bachelor's degree and an associates to go back and get a second associates degree (in nursing)?

    It is quite common for people to have a degree in an unrelated field and then receive a nursing degree. I for one graduated with a BA in biology and am now finishing an RN-BSN program.

    2. If I am to get into an Associates of Science (Nursing) program at the same community college I received my first degree in, and end up doing very well in my coursework, will applying for a BSN program ONLY consider my GPA from the later associates degree? This college seems to offer an ADN-BSN track linking with a University for qualified transfer students (I still have yet to talk to an advisor to get all the information on this)

    Most RN-BSN programs require a minimum GPA of 2.5, which usually is related to the nursing degree. However, you must submit ALL transcripts from ALL institutions of higher learning. When I applied for my current RN-BSN program and submitted all of my college transcripts, I was awarded credit in almost all general education categories to the point where I only needed to take 10 courses to graduate (most were senior level nursing courses).

    3. As you can tell I'm not asking about getting into an Accelerated BSN Nursing Program, it would be the ideal choice if my Undergrad GPA was higher, I don't want to go back to my University and repeat courses at the moment because it's just too expensive, and i'd have to go for a year or two just to get it at 2.5 (Why not spend that time/money getting an associates and trying to go for an ADN-BSN program.) With all this being said, could someone enlighten me on anything else I should consider?
    My best advise is to do what is best in your situation, but also look at the costs versus benefit. Shop around before you commit to any single program.

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    I would draw up the medication with a 10ml syringe, there are .1ml markings so it would not be difficult to draw up the full 9.7ml dose.

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    rn1965 and NightNerd like this.

    I generally ask if they feel the urge to void, I attempt to get them into a more natural position if safe. If they can get out of bed safely I will stand males at the toilet/commode with some running water and get female patients sitting on the toilet/commode. If it doesn't work then you definitely have to straight cath.

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    3ringnursing likes this.

    Interesting that you bring up doing neuro checks while the patient is sedated, When I work in the Neuro ICU patients are sedated to a RASS score of 0 to -2. We usually pause sedation for a few minutes and do a neuro check and then resume sedation when complete.

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    saskrn, llg, Forest2, and 3 others like this.

    I can tell you from personal experience that it is neither. Having recently taken several management and leadership courses I had to interview several of my coordinators and managers. When the topic of hiring came up, the hiring manager discussed looking for candidates that would mesh and assimilate into the work culture regardless of experience and age, and based on hiring practices within my unit I believe it.

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    Neo Soldier, sevensonnets, and KayeC like this.

    It's not a stupid question. However, you should seek clarification from the LPN program for which you have enrolled.

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    Paws2people, Crush, canoehead, and 4 others like this.

    I agree with SpankedinPittsburgh, the best course of action would be for the new hire to orient with another nurse. I would reach out to the nurse educator overseeing the orientation and ask that another preceptor be paired with her as you feel that the match as it stands would lead to a successful orientation.

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    xoemmylouox, lexca, lpndeb, and 5 others like this.

    Very few facilities utilize hair for drug testing, I have always had to submit a urine sample.

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    As MunoRN mentioned, delirium is a huge component to falls. Assessing your patients for delirium and instituting ways to cut down excessive noise and stimuli may help decrease your fall rates.

    With that being said ensuring that your patient have non-skid fotowear/socks on/available is important. Getting patients out of bed and walking is also important and helps develop and maintain a steady gait. Also, educate patients about utilizing the call bell when they want to get out of bed to ambulate to the bathroom, educate them on sitting on the edge of the bed for a few minutes before standing up to prevent postural hypotension.