athflying

athflying

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About athflying

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  1. Immunization Clinics and Health Risk Assessment

    I ended up being able to find a lot of information on the State Board of Health site for FL. Had standard protocols and orders even. I would need a MD to sign off on those and order the supplies for me. Thanks all!!!!
  2. I would love to start a part time business that could eventually lead to a full time business. Where is the best place to find information on what a RN needs to order vaccines and administer immunizations legally in the State of FL. I haven't found m...
  3. Best way to push 0.5 mL med into a central line?

    Because the syringe is labeled as "Normal Saline" or 0.9% Saline or something along those lines and if you add medication to that syringe, it is no longer normal saline but could be confused as such. We aren't supposed to use them even if you label i...
  4. Best way to push 0.5 mL med into a central line?

    If you want to be real nit picky, should never use a pre filled flush to admin meds with. I understand the need for a larger syringe with central lines when assessing patency, but our hospital policy states we are to NEVER use anything smaller, even...
  5. Elevated troponin with renal failure?

    I work on a renal floor and see renal patients occasionally with elevated troponins. More likely to see on a patient who does CAPD as it isn't as efficient as hemodialysis and tend to carry more fluid.
  6. I went to school full time and had 2 jobs, so yes it is possible. I don't have children and at times my grades suffered, but I made sure I was never close to failing.
  7. DKA and Potassium

    Where I work, we have flowsheets. As long as the C02 is above 8 they come to the floor, any lower and they go to ICU. They get 2-3 liters of NS pretty quickly and then once there BS below 300 we switch over to fluids with D5. In the meantime, we draw...
  8. Would you call a code/MET on a pt. who is a complete DNR?

    Agreed...if there is ever doubt, call the RR. Better to be safe than sorry. As a newer nurse I sometimes struggle with knowing if I am making the right decisions, but I do know I would rather a couple ICU nurses roll there eyes at me then have someon...
  9. Bedside report/hand off

    We do it....not sure why nurse are so resistant to change, but I like it because you can catch things the other shift may try to stick you with. Also, I think it's a great way of seeing your patients...introduce yourself and let them know you will be...
  10. What are you best work tips?

    I am a newer nurse with just one years experience, but the two most important things I have learned are get as much done as you can when you can. If you have a lull in your shift...chart, chart, chart, or get wound care done or something. Been a coup...
  11. Overtime, how much?

    During our busy time or season (I live in FL), I usually did 1-2 extra shifts per pay period. I work Thur, Fri, and Sat so would work every other Wed in addition to my regular shifts. I was called a lot in between those days for additional shifts. I ...
  12. Simple IV Questions

    I work on a diabetic floor and we use one site for re-hydration fluids and insulin but on separate pumps. The re-hydration fluids run directly to the site and insulin gets run on a micro drip pump running into the port closest to the patient. Insulin...
  13. Does anyone like night shift?

    Also as far as calling docs at night, you get to know them and you have to figure out what is important enough to call immediately and what can wait till either morning or rounds. I don't feel bad about calling as it is there chosen profession and wh...
  14. Does anyone like night shift?

    I started on days as a new grad but now work nights. I enjoy nights MUCH more for several reasons. The reason I switched initially was for pure financial reasons, but soo glad I did. We get $5 an hour night differential, plus I committed to a years w...
  15. Night Shift 1 hr commute: tips to arrive home alive

    If you figure it out let me know. I only drive 20 minutes and it's a struggle for me. I ride a motorcycle to keep me awake.