SierraBravo

SierraBravo has 3 years experience.

Latest Activity

1. Welcome To The Hospital - From Your Nurse

   SierraBravo replied to Lev's topic in General Nursing

   I LOVE, LOVE, LOVE this!

2. What do you know/have you been taught about Sepsis?

   SierraBravo replied to clemmm78's topic in General Nursing

   At end of life, patients will more often than not spike a severe fever (>40*C). It's likely not due to sepsis but rather the normal physiology of the body during the process of death.

3. Failed, nclex rn 5 times! Help?!?!

   SierraBravo replied to lystacy's topic in NCLEX

   Wow. Just. Wow.

4. BSN vs MD?

   SierraBravo replied to nicuhopeful97's topic in General Nursing

   A career in healthcare might not be your best option unless you can manage your disability and become somewhat of a "people person" as being a nurse or physician requires daily interaction with not only patients and families, but also various other m...

5. Proofreading Lab Values and Meanings

   SierraBravo replied to rsyed47's topic in General Nursing

   Nice job. However, the CO2 level is primarily looking at acid/base balance, not necessarily lung and kidney function. The patient might have a mild alkalosis going on, but the rest of the labs look OK. Have you considered why the patient is on bo...

6. Palpate Cardiac Valves IRL?

   SierraBravo replied to nursetobe111's topic in Student Assist

   I didn't learn this in my BSN program, nor have I learned it in my MSN NP program. To be honest, I don't even understand how you could even possibly palpate a cardiac valve? The aortic and pulmonic valves are underneath the rib cage, so how would y...

7. narrative documentation and use of "this nurse"

   SierraBravo replied to anon456's topic in General Nursing

   I refuse to use the term "this writer" or "this nurse" or anything to that effect in my notes. It irritates the living daylights out of me. Whenever I read those terms in a note, it's like nails down a chalkboard for me.

8. Need advice about unethical nurse

   SierraBravo replied to Big-RN's topic in General Nursing

   A nurse witnessing the waste is signing for exactly that, they are witnessing that the other nurse actually wasted the unneeded amount of drug from the pyxis. In no way, shape, or form is the witnessing nurse liable for what the initial nurse does w...

9. Medication Calc/Administration Help!

   SierraBravo replied to adelarosa2011's topic in Student Assist

   1. The maximum rate that you can push lorazepam is 2mg/minute. And incidentally, it must be diluted with an equal volume of NS before pushing it. So if you have 1mL of lorazepam to give, you need to dilute it in at least 1mL of NS before pushing i...

10. Price of Patient Satisfaction

    SierraBravo replied to knoxnurse236's topic in General Nursing

    Can I like this 1000%? And I agree with everything everyone has said. Can't wait to finish my Masters and be a NP so that I don't have to deal with being a bedside nurse ever again.

11. Several questions about piggybacks, Y siting, rates, and IV med admin

    SierraBravo replied to Dangaard's topic in Medications

    THIS!!!

12. What do you think? Unprofessional?

    SierraBravo replied to CrazierThanYou's topic in General Nursing

    Do we work on the same unit?

13. Vent Training

    SierraBravo replied to pacosgro's topic in General Nursing

    Unless you're going to work in an ICU or step down unit, what would be the purpose of becoming familiar with ventilators? And if you're not working in an area where you will use that skill often, then just learning about it without practicing it oft...

14. I give up!

    SierraBravo replied to futurepsychrn's topic in General Students

    Just out of curiosity... Is this a for-profit nursing school?

15. Job outlook for PNP's

    SierraBravo replied to Ldmorris13's topic in General Nursing

    If I were you, I would investigate the job market for PNP's before you begin the program. In my area, those jobs are virtually non-existent. You might be better off going for the FNP.