RoamFreeRN

Latest Activity

1. Timeline for endorsing RN license to CA

   RoamFreeRN replied to zornzo's topic in California

   My check cashed 1/13 & that was also the date on breeze. I got my license yesterday (3/13)! :)

2. Labs that I need to focus and report

   RoamFreeRN replied to jtanga's topic in Critical

   There are some concrete guidelines (like critical values), but this is also something that involves critical thinking & nursing judgement. Is this a new problem or chronic issue? Is the abnormality already known & addressed? If addressed, has...

3. Is a paramedic degree required?

   RoamFreeRN replied to KG MSN RN CCRN CEN's topic in Flight

   I don't know if this is state specific, but at least here in PA there is also PHRN---pre-hospital RN---certification. The course runs over 6 months & includes both didactic and clinicals.

4. Letting very young children see a dying patient

   RoamFreeRN replied to Cuddleswithpuddles's topic in Critical

   Call up your hospital's Child Life Specialist (if you have one)...they're great for preparing & supporting kiddos in these situations.

5. Woman sues hospital after med records posted on FaceBook

   RoamFreeRN replied to nurseprnRN's topic in HIPAA

   The hospital itself will suffer, sued or not. Talk about a PR nightmare:barf02:

6. Blood transfusion

   RoamFreeRN replied to NewlyGradBSN's topic in Med-Surg

   Yep, 4 hours max. Lasix in between units for CHFers. if it has to run really slow then I've had docs order half units...1 unit = 4hrs whereas 2 half units= 8hrs.

7. Allergic to hand sanitizer

   RoamFreeRN replied to ama3t's topic in General Nursing

   Um, if your hands look even remotely close to that pic then you can NOT work! I know, at least at the hospital I'm at, working with open wounds is a NO. I've seen co-workers put on leave by employee health for stitches on areas that could be easily c...

8. How much is too much when you catheterize

   RoamFreeRN replied to MidnightTang's topic in General Nursing

   And what if it's not a straight cath but upon insertion of an indwelling foley? Would you still clamp after x amt? (I never have)

9. Puzzled... Pulseless VTac to v-fib but no shock?

   RoamFreeRN replied to RunninOnCoffee's topic in MICU

   Reason? Doc's 'judgement' trumped ACLS protocol.

10. Reported to BON because of eating disorder!?!?

    RoamFreeRN replied to RoamFreeRN's topic in Recovery

    Just thought I'd come back & update: I started a partial/day program this week, which is about 30hrs a week. Amazingly it works around my full time job. It's a lot/busy...but I really want to make it work! Already I'm doing better...it's so hard...

11. Reported to BON because of eating disorder!?!?

    RoamFreeRN replied to RoamFreeRN's topic in Recovery

    Firstly, thank you for the advice re: a written complaint. Makes sense. Second...weight alone can not make someone impaired in my opinion. This weight is only slightly lower than what I've weighed for years...I've never been more than 84% IBW. I'm no...

12. Reported to BON because of eating disorder!?!?

    RoamFreeRN replied to RoamFreeRN's topic in Recovery

    Well, update: today the VP of the facility contacted me, and actually apologized for all this. She said he is new, blah blah blah...I certainly gave her my complaints about this guy! She assured me no reporting will be going on, especially as I am ac...

13. Reported to BON because of eating disorder!?!?

    RoamFreeRN replied to RoamFreeRN's topic in Recovery

    Thanks for the replies. I really think he's trying to scare/threaten me into their particular program. My doctor told me that during their conversation he said he probably wasn't going to do it right now...but then when I talked to him he brought I u...

14. Reported to BON because of eating disorder!?!?

    RoamFreeRN posted a topic in Recovery

    So I'm fuming right now...and scared. The story in summary:I am a critical care RN with 4 years experience, working full time in a cardiac ICU. I have struggled with anorexia and bulimia since my teens, unfortunately never achieving full 'recovery' ...

15. Staffing & Patient Acuity

    RoamFreeRN replied to tk0224's topic in CCU

    We 1:1 fresh hearts for 6hrs, then longer only if warranted (very unstable...). IABP in itself doesn't buy 1:1 for us...most often they're paired with another stable/"easy" pt; only 1:1 if extremely unstable (lots of pressor titration, CRRT, etc).