vic_rn

vic_rn

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About vic_rn

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  1. Who floats first?

    What are your rules for floating? My unit has a large amount of per diem nurses and in addition, hired a group of travelers for the busy season. The travelers are not allowed to float per their contract. The rest of us are floated on rotation. With ...
  2. Fed up with the "rules"

    Always amuses me that there is so much concern for a capped water bottle at the nurses' station, but complete disregard for the fact that the nurses have 7 patients each with no free charge or uc. Priorities...
  3. pt safety question, please help

    I have never worked for hospice, but have provided end of life care for hospital patients. Feel free to correct me if I'm wrong, but 1 mg of dilaudid and ativan, while a large dose in a general patient population, does not seem out of line in an end ...
  4. rn to bsn programs a scam...

    I agree. I was highly disappointed in my RN-BSN program. Pharm and Patho were the exact same courses I took for my ASN. The rest of the classes were a joke as well. The only one I feel I actually benefited from was Research, something not covered at ...
  5. metabolic acidosis and tachypnea

    "I don't want to seem rude, or come off as though I am telling you that metabolic acidosis isn't the correct diagnosis for this patient, because that is not how I feel at all. I am just slightly confused, and would love to use this situation as a lea...
  6. metabolic acidosis and tachypnea

    A patient was found down after an unknown, but believed prolonged over 3-6 hrs, unconscious. EMSd to hospital, intubated. Severe metabolic acidosis, with initial pH of 7.1, CO2 70s, pO2 60s on 100% FiO2. Obvious aspiration pneumonia. Sedated with pro...
  7. Experienced RN With No Luck Finding Position

    I have several years experience at a respected hospital with excellent references and it took over 2 months for a call back and 3 months for a job offer (at the same salary I was given as a new grad). It is hard to be rejected, especially when you fe...
  8. vasovagal post sheath removal

    How long after sheath removal can a vasovagal response occur? Situation: I picked up a stable patient post exploratory neuro angio (no cardiac history). This patient had walked into the hospital for the angio, pre-elective surgery for aneurysm clippi...
  9. Clinical Ladder at a small hospital

    Thank you for all the replies!!!
  10. Nursing layoffs or difficulty getting jobs? 2011 wages?

    Good luck to all of you still job hunting!
  11. Clinical Ladder at a small hospital

    Not exactly sure what I was basing "successful" on myself. I suppose just how you answered. Employee response and participation to the program. At my last hospital we had a large participation level hospital-wide and on my unit, I really felt the c...
  12. Clinical Ladder at a small hospital

    A process that grants increased pay based on program participation. It involves several categories: experience, education, research, volunteer, and such. By completing tasks like national certifications, additional education, participation in task fo...
  13. Hello everyone! I have recently transitioned from a large, level 1 trauma hospital to a small 120 bed community hospital. I was actively involved in and very happy with the clinical ladder program at my past job. I am curious if anyone currently work...
  14. I hope the newer nurses can keep in mind that questioning you about your patient isn't always questioning your abilities as a nurse. Sometimes (at least with me) it is your own fear of having performed poorly that makes you view questions and comment...