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 Clinical Nurse Specialists, 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...

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...

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....

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...

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...

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

   MedicineCNS replied to JSBoston's topic in Clinical Nurse Specialists, 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...

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...

8. Who Draws blood from a-lines??

   MedicineCNS replied to bran1101's topic in MICU, SICU

   GAHHH! RNs only that sounds like and ID nightmare

9. everyone is stumped

   MedicineCNS replied to **LaurelRN's topic in MICU, SICU

   I was thinking the same

10. NPH insuln

    MedicineCNS replied to fallrisk2008's topic in Patient Safety Issues

    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....

11. Discontinuing IJ turned into a Rapid Response

    MedicineCNS replied to Manatee111's topic in Patient Safety Issues

    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...

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

    MedicineCNS replied to Sweetie2005's topic in Patient Safety Issues

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

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

    MedicineCNS replied to NICU<3RN's topic in Clinical Nurse Specialists, 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...

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

    MedicineCNS replied to JSBoston's topic in Clinical Nurse Specialists, 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...

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...