mikijam03lpn

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1. Single male NP students and work schedule

   mikijam03lpn replied to anchorRN's topic in Men

   Yea... They do make money off people. There are few schools in NJ that charge 30k for RN a.s. Like jersey college and eastwick college! It is a shame!!!

2. Single male NP students and work schedule

   mikijam03lpn replied to anchorRN's topic in Men

   I am going to FDU in teaneck NJ. It kind expensive but i get tuition reimbursement... Go for it

3. Single male NP students and work schedule

   mikijam03lpn replied to anchorRN's topic in Men

   I got to the nursing home 6-8 hrs 1-2 times a week

4. Single male NP students and work schedule

   mikijam03lpn replied to anchorRN's topic in Men

   I work 3-4 12 hr shifts and a 8 hr part time in a nursing home doing paper work. I work An average of 48-52 hrs per week, 1 day school 5-9pm... And clinical 8 hrs (4hrs twice a week).... You can do it... :-) is not hard at all

5. Do you overspend on luxury items as a nurse?

   mikijam03lpn replied to Neywel120's topic in General Nursing

   Don't do it... When i first became an RN, I bought a BMW worst mistake ever. After 8 yrs as nurse i try to leave below my means and try to save every dollar.

6. Single male NP students and work schedule

   mikijam03lpn replied to anchorRN's topic in Men

   I am currently half way my AGNP, and I still work 1 full time and part time, plus gf and I hit the gym 3-4 times a week. However, i wake up 5 am and go to sleep at 11pm, i take advantage of every minute in my day. You can do it!!!!

7. Will taking TNCC help me transition easier to ER?

   mikijam03lpn replied to Lizzie1968's topic in Emergency

   I dont think you need that to get in the ED, make sure you have your acls and pals. Just apply for a transfer and wait...

8. Best thermometer?

   mikijam03lpn replied to RoxanneBB's topic in Geriatric

   Try a tympanic thermometer...

9. Change in status

   mikijam03lpn replied to ClinicalCareCoord's topic in LTC Directors

   In my facility we had a resident that had an allergic reaction to ABT (she started to swell up pretty bad tongue lips) we gave her iv solumedrol, benadryl and epi sq. We save her life btw the Dr order all that over the phone. But we did it because it...

10. Change in status

    mikijam03lpn replied to ClinicalCareCoord's topic in LTC Directors

    Well it sounds like CHF/COPD exacerbation 1. IV line 2. Give nebulizer treatment albuterol/atrovent with 3 liters of oxygen 3. Give 40 mg of lasix IV (if sbp greater than 120) 4.Give steroids solumedrol 125mg IV 5. Await for medics

11. At my wits end...

    mikijam03lpn replied to DierkyBrewster's topic in Geriatric

    Wow... That makes no sense...ltc facilities are so dumb sometimes, they only worry about state surveys and don't worry about patient care. Get your RN and run out of LTC, or try to find a good nursing facility where you can actually do some real nurs...

12. IV push meds

    mikijam03lpn replied to CapeCodMermaid's topic in LTC Directors

    Update on IV push medications; In my facility we were able to push IV lasix 40mg x3 days and 20mg x3 days, then he was restarted on 40mg PO. The patient is doing well now, with a lot of improvement. I think we are one of the first facities in northe...

13. IV push meds

    mikijam03lpn replied to CapeCodMermaid's topic in LTC Directors

    I dont think you should give cardiac medications like potassium IV 10meq or 20 meq in 100 ml bags, cardizem.. All those medications require cardiac monitoring, everything else like (IV ABT, fluids, tpn..) could be given at nsf.

14. Is LTC to ER nursing possible?

    mikijam03lpn replied to SillyRN3's topic in Emergency

    Hey dont worry... I did that too, I worked in LTC for 7 yrs, and Now I work in a level I trauma center in big community center. Now you are going to learn a lot....

15. IV push meds

    mikijam03lpn replied to CapeCodMermaid's topic in LTC Directors

    I think some medications are safe to give in a skilled nursing facility, like zofran, solumedrol, decadron, d50, pepcid, lasix 20-40mg (accurate I/O and >sbp 110). reglan, and that's it. Any medication that requires close monitoring should not be ...