pererau

pererau specializes in Emergency Nursing.

Latest Activity

1. Where are new grad jobs?

   pererau replied to newgrad82's topic in Washington

   I'm not living in Washington anymore, so I can't guarantee that anything I say applies anymore, but I didn't know anything about the residency program at Franciscan when I was applying for jobs. I just applied and when they interviewed me, they put ...

2. How fast do you push metopropolol

   pererau replied to Guest219794's topic in Emergency

   My Davis and my Gahart both say 1 minute, and I've never had a problem with that speed. Has anybody else?

3. CEN-Emergency Nursing Content Review/Self Assessment

   pererau replied to mwboswell's topic in Emergency

   Why not? 1 D 2 D - I really hate this type of question, because in the real world we would be doing D and B at the same time, and I could see a pretty reasonable argument for either, but in the end, absent standing orders, the RN does not have the au...

4. Evergreen Nursing and Rehabilitation center in Olympia

   pererau replied to Nurselacey's topic in Washington

   The total care was the idea of the (at the time) new nursing bigwig who wanted to achieve magnet status and decided that the best way to do it was to fake staff to patient ratio numbers by firing LPNs and CNAs and using only RNs. It ended up working ...

5. Is it really hard to find a job as LPN in WA?

   pererau replied to gaius's topic in Washington

   If it is the rush of the hospital you are looking for, you may be disappointed, because most hospitals around here are doing away with LPNs in favor of RNs. That said, Group Health hires a lot of LPNs for their clinics and urgent care centers. Good ...

6. Temporary or Permanent License

   pererau posted a topic in California

   I am very seriously considering a move to California. I've tried to research the subject of how best to get a license in CA, and in fact, I've already paid to have Nursys verify my license. My concern is that I have read at various places that it i...

7. Providence Mother Joseph Care Center?

   pererau replied to woodstockn's topic in Washington

   I worked there several years ago as a CNA. I was on the TCU (transitional care unit) side, and I don't know if anything has changed in the past few years, but for a nursing home, I found it to be nice. That said, I'm certainly not a nursing home fa...

8. What hospitals offer tuition reimbursement?

   pererau replied to Sue Damones's topic in Washington

   I got my CNA training many years ago at the Puget Sound Healthcare Center in Olympia and it was free. Also, I was employed as a CNA while working at the Providence Health System and going to nursing school and they helped me with a reasonable chunk ...

9. Sacramento and Mercy General Hospital

   pererau posted a topic in California

   I am considering a job offer in Sacramento at Mercy General Hospital in the ER. This offer is somewhat coming out of the blue, and I need some help with anyone who lives in Sacramento. Is there anything about the MGH ER that I need to know before I ...

10. morphine IV

    pererau replied to breaking_dawn's topic in Emergency

    The headache comes because Morphine produces vasodilation. This is why we give Morphine for chest pain patients. The vasodilation is great to reduce constriction due to angina, but it causes headaches due to the vasodilation. These are usually tra...

11. Where are new grad jobs?

    pererau replied to newgrad82's topic in Washington

    Try the Franciscan Health System (Tacoma area), the Providence Health System (Everett and Olympia) or the Legacy Health System (Vancouver and Portland area). All three have residency programs.

12. New Grad ER jobs

    pererau replied to LSUnurs09's topic in Emergency

    I graduated in late 2007 and it took less than a month to find a good ER residency position. I don't buy the BS that you have to do floor nursing before going to the ER, but don't try to go into the ER except through a good residency program. I thi...

13. Public Service Announcement

    pererau replied to ThrowEdNurse's topic in Emergency

    Do you feel better now? Having worked the floor and ER as a CNA and now the ER as an RN, I have seen both sides of the picture, and I agree with you in principle, though I wouldn't take it quite so far. Working in the ER is worlds different than the...

14. I cant start IV's!

    pererau replied to Creamsoda's topic in Emergency

    One thing that I have found is important in starting IVs is confidence. It is kind of a vicious circle, because when you miss, your confidence goes down, and when your confidence goes down, you are more likely to miss. You have to trick yourself in...

15. How do you deal with.....?

    pererau replied to RN_in_SC's topic in Emergency

    You are a patient advocate. That means that it is your responsibility to advocate for the well-being of the patient. This means ensuring the patients get the proper treatments and medications and respect. The patient will sometimes have you believe...