MedicineCNS

MedicineCNS has 6 years experience and specializes in Medicine, Surgery, Critical Care.

Latest Activity

1. I want to continue on with school... but which route?

   MedicineCNS replied to JSBoston's topic in CNS

   When I started in this role it was 30% admin. No hiring firing or discipline though. I mean meeting with directors hospital driven "things"(not just initiatives in my units). I asked to come off of some of those things and now it is 10%.

2. What's wrong with seeking stability & security?

   MedicineCNS replied to oneflyLPN's topic in General Nursing

   Ok so clearly I am in the minority... Nursing=just a job McDonalds=if the person is into it, it is more than a just a job an they can grow professionally etc. Hmmm the mcdonalds part sounds pretty similar to what I said about nursing in the frst pla...

3. What's wrong with seeking stability & security?

   MedicineCNS replied to oneflyLPN's topic in General Nursing

   You missed the boat here. It is not about the person its about the job itself. I was using McDonald's as an example. I imagine a small percentage of people consider McDonald's a career or profession. The skill set, training, LIABILITY should clearly ...

4. question about acidotic pts and labs

   MedicineCNS replied to crystalchen's topic in General Nursing

   Lactate is a byproduct of anaerobic metabolism. When muscles organs etc run with out enough 02 it builds up... The reason your muscles burn after a run. We use lactate as a measure of tissue perfusion.

5. question about acidotic pts and labs

   MedicineCNS replied to crystalchen's topic in General Nursing

   Why was he admitted to the hospital? Infection? any cancer? Sounds like liver involvement to me. Lactate was high because he was running on that anaerobic metabolism thing :) sob was r/t him trying to blow off the co2 from being in lactic acidosis.

6. I want to continue on with school... but which route?

   MedicineCNS replied to JSBoston's topic in CNS

   Sure! The hospital is 250 beds, in am In VA. Yes we are APNs, but no prescriptive authority which is irritating but it's a conservative state. Hopefully that will change! I am very lucky to be in this role.

7. What's wrong with seeking stability & security?

   MedicineCNS replied to oneflyLPN's topic in General Nursing

   Unfortunately many schools do not train students to be professionals they crank out workers to do tasks. Those of us that do work to improve YOUR work environment help to sustain the "benefits" of your "job". I do not understand how it is just a job....

8. Who Draws blood from a-lines??

   MedicineCNS replied to bran1101's topic in MICU

   GAHHH! RNs only that sounds like and ID nightmare :)

9. everyone is stumped

   MedicineCNS replied to **LaurelRN's topic in MICU

   I was thinking the same thing!

10. NPH insuln

    MedicineCNS replied to fallrisk2008's topic in Safety

    Two things... new diabetes treatment guidelines day always give the patients usuals intermediate/long acting dose. If they are not going to each it is best to give them dextrose containing IV fluid. We are having a hard time with our docs on this but...

11. Discontinuing IJ turned into a Rapid Response

    MedicineCNS replied to Manatee111's topic in Safety

    I help to write policy and the goal not to write too much detail so that nurses hands are tied to do things in one way. Not always the best thing. The other take home about pulling lines beyond NEVER sitting that high up, is to always quickly hold p...

12. To Cover or Not to Cover the IV Cap?

    MedicineCNS replied to Sweetie2005's topic in Safety

    ::Shiver:: its kind of like washing your hands with out soap and spreading all the bacteria around potentially around the opsite.

13. can you work part-time or prn as a cns??

    MedicineCNS replied to NICU<3RN's topic in CNS

    I work 4 days a week in office and the other day is at home and after the babes go to bed I catch up on work making up for the other 8 hours usually. The best part is the flexibility of hours and days. My hospitals is HUGE on working mothers :) Other...

14. I want to continue on with school... but which route?

    MedicineCNS replied to JSBoston's topic in CNS

    I do a variety of things.... My hospital didn't have a CNS before me so they let me do whatever would give the nurses and patients in Medicine and Surgery the best benefit. I LOVE my job. 1.I have a heart for new grads so I coach with new grads or nu...

15. Nursing mgrs who interview floor nurses - which candidate is more desirable?

    MedicineCNS replied to klone's topic in General Nursing

    Honestly... I would take the one that wants to go back to school full time. She will most likely give back based on what she learns in school. The other piece is she is more likely to stay that duration because it is hard to find someone willing to a...