opensesame

opensesame has 11 years experience and specializes in acute/critical care.

Latest Activity

1. Did i do something wrong? CPR question

   opensesame replied to Chixie's topic in Emergency

   Look at it this way -- your patient was DEAD if you were doing CPR. You were trying to resucitate him. If it was successful, a few broken ribs are a small price to pay for having someone save your life. I had an immediate post-CABG have a V-fib a...

2. Missed diagnosis - just a vent

   opensesame replied to Nascar nurse's topic in General Nursing

   I had a serious surgical error occur when I was in the hospital after I had my last child during a tubal ligation. My physician took complete responsibility for it, and everybody makes mistakes, but you have to wonder why it has to be YOU. My OB/G...

3. So what would you do in this situation?

   opensesame replied to NurseCard's topic in General Nursing

   You know, it might seem like this is a good situation for you to go into, but I would be pretty wary if they won't at least give you two weeks before your start date. This is pretty much the minimum as a professional standard and your new employer ...

4. A question about college and RNs who got their GED.

   opensesame replied to LeeyuhRae's topic in General Nursing

   God bless you, Leeyuh. You sound like you have been through a lot in your young life. The bare-bones basics -- a BSN is a 4-year college degree. Most if not all BSN programs require you to do one to two years of general college courses and prerequi...

5. On-call and pt acuity

   opensesame replied to nurse nessie's topic in General Nursing

   Yes, I think most places do this. It's a courtesy. Float nurses usually don't know the floor as well as the regular staff and usually appreciate a somewhat lighter assignment if staffing allows. It takes them longer to find things and complete tas...

6. How to turn a patient???

   opensesame replied to Ted D's topic in Student Assist

   OP -- definitely get another student to help you turn. If you haven't had any information in your programs on moving/lifting patients and body mechanics, please do some research yourself on the best way to do these things. Bedside nursing is hard ...

7. Scope of Practice Question

   opensesame replied to Virgo_RN's topic in General Nursing

   I think doing both of those things independently could be construed as diagnosing and treating, which is out of the scope of practice of an RN (other than an APRN) in all states. I could see it being in line with practicing medicine without a licens...

8. Recommendation for scrubs?

   opensesame replied to Nomijen's topic in Uniform/Gear

   Hey, this is a little off topic, but if you have to wear the white scrub pants for two years, invest in some nude/flesh-colored underwear. White panties under white pants, especially if they are thin, just makes you look like you have a giant white ...

9. Veteran nurses give your opinion of the new grad job situation

   opensesame replied to RachH's topic in General Nursing

   Ain't that the truth.

10. Veteran nurses give your opinion of the new grad job situation

    opensesame replied to RachH's topic in General Nursing

    Get a job -- any job you can find. Any nursing experience at all is better than nothing to a nurse recruiter. If you can't find a hospital position for 4-6-8 months or more, I can almost guarantee that LTC or clinic position is going to look bette...

11. NG Tube Leaking, Tips?

    opensesame replied to CharmedJ7's topic in General Nursing

    You could cap the vent off. You will want to make sure this is okay according to your facility's policy. Some places I have worked this is done all the time, others say it is a big no-no. FWIW, there is little plug that is specifically meant to fi...

12. Frustrated

    opensesame replied to sillyang's topic in General Nursing

    But didn't the OP do exactly what "Ms. Frustrating" did? It sounds to me like she went behind her and had the order changed back. Looks to me like she is handling it exactly the same way. If that is the case, I'm not sure what OP is complaining abo...

13. Frustrated

    opensesame replied to sillyang's topic in General Nursing

    I am not a CWOCN but I have sat on my hospital-wide skincare committee for 6 years. It is my understanding that Tegaderm is generally not used anymore even for small, superficial wounds, with the rationale being that when the dressing is removed, any...

14. Clumps of fat in blood??

    opensesame replied to Mndy657's topic in Student Assist

    Yes, yes, yes, agree with what your nurse told you. This happens to me all the time but I work with a population that has a high incidence of CAD. I pretty regularly will pull blood with some fat stranding. The worst one I ever got was with a patie...

15. How would I find RN/LPN childcare opportunities online without an agency?

    opensesame replied to sincerebliss's topic in General Nursing

    I think what you are more or less describing is what is called private duty nursing. You would need your own insurance. I know very little about it (I'm sure someone on here knows more or has worked in this capacity). Is there some reason why you w...