cpilny

cpilny has 25 years experience and specializes in Cardiology, Nurse Educator and Homecare.

Latest Activity

1. Looking for history behind how RN's and LPNs developed

   cpilny replied to LPN-n-2005's topic in ADN/BSN

   It's not sad, it's progress. Medicine is progressing, and the knowledge base that an RN needs to practice today is far more complicated that 25 or 30 years ago. When I started nursing 25+ years ago, an ADN was sufficient to practice on many if now ...

2. From the Other Side of the Bed Rails - When the Nurse Becomes the Patient

   cpilny replied to tnbutterfly - Mary's topic in Spirituality

   Quite a few of my 25 + years in nursing were spent in a Cardio-Thoracic surgery and interventional Cardiology. I've done my share of sending patients off to surgery for CABG's, Angioplasty, etc. Most came back, recovered and went on with life, and s...

3. What To Do After You've Made A Mistake

   cpilny replied to Ruby Vee's topic in General Nursing

   I was not speaking to the nurse that hung 7 out of 8 IVPB's wrong...... That is not a mistake, and clearly the charge nurse needs to examine the competency of this particular nurse. I was speaking to the nurses who know how to read a med label and ...

4. A Little Perspective Goes A long Way

   cpilny replied to joaks's topic in General Nursing

   Nice to hear that there are nurses out there that feel as you do. The best years I spent in nursing, I spent teaching clinical nursing. I would charge all our nurse educator to remember what it is like, and teach your students just how important nu...

5. What To Do After You've Made A Mistake

   cpilny replied to Ruby Vee's topic in General Nursing

   Excellent advice for the new and experienced nurses. I would only add "write yourself up" do the incident report yourself, including who was notified, what action was taken and how the patient reacted". This way, when one of your colleagues tells y...

6. Flushing IV sites?

   cpilny replied to nycNurse2b's topic in Geriatric

   While I would not see a need to flush a continuous IV, if you are going to piggy-back or push a drug on the line, always make certain the main line fluid is compatible with the piggy-back or IV push med. Some drugs will form a precipitate with certa...

7. I'm leaving my first nursing job after 6 months, any advice?

   cpilny replied to yng65's topic in Career Support

   ICU nursing takes excellent assessment and problem solving skills, a very wide knowledge base and quick judgement. ICU nurses are very sure of their skills and in a crisis situation act calmly and surely. These are learned skills not taught in scho...

8. I'm leaving my first nursing job after 6 months, any advice?

   cpilny replied to yng65's topic in Career Support

   I quit my first job out of nursing school too. It was a med-surg floor on the night shift in a community hospital. The head nurse, nursing instructor, and supervisor all were of the "let's eat our young" variety. This was a second career for me at a...

9. Those who get it - get it, Those who don't - Never Will.

   cpilny replied to abbaking's topic in Relations

   What he said!! I am now 65 years old; I've been a Registered Nurse since 1985. I have worked in a variety of settings from Interventional Cardiology in the late 80's and early 90's to Home Health Care. I've been a nursing instructor, and I'm curre...

10. Help me PLEASE!!

    cpilny replied to gina9525's topic in General Nursing

    I changed careers in my late 30's! I went back to school and worked at the same time to get my RN in 1985 (so now I'm an old nurse). I have "never" regreted going back and have "never" been unemployed since I finished my RN. Not many people can sa...