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Search Results Type: Posts; User: dah doh

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  1. How common is time and a half after 8 hours?
    I get paid straight time for 12 hr at a lower base rate; weighted time for hours over the first 8 (basically time and a half for last 4 hr); double time for anything over 12 hr. Some hospitals pay...
    May 19
    Forum: California Nursing
  2. Anyone have experience caring for patients on bypass?
    Your brother is pretty darn sick if they have to put him on ECMO! We've initiated it on flu patients this season but then transfer them out to the university hospital ASAP! I heard our last ECMO...
    Jan 28
    Forum: CCU Nursing / Coronary / Cardiac
  3. Seizure activity during re-warming phase of hypothermia
    We use paralytics both in cooling and warming phases. Seizures and myoclonus are more likely to be observed during rewarming. We use paralytics, propofol, Ativan, keppra, and other seizure meds as...
    Oct 12, '13
    Forum: CCU Nursing / Coronary / Cardiac
  4. Definition of Hemodynamically unstable...
    Fresh post op open hearts, any patient who comes straight out of surgery during the recovery period, impellas, most IABP, patients in behavioral restraints, one legacy pt, and any crashing patient...
    May 4, '13
    Forum: MICU / SICU Nursing
  5. New hospital gown design
    Seems ok for ambulatory patients, but how would it work for bed-bound patients?
    Apr 10, '13
    Forum: General Nursing Discussion
  6. What is your schedule like in a day surgery center
    My hubby works at an ambulatory surgery center. He gets his schedule on Friday for the following week. However, his "schedule" is pretty loose because they make changes frequently to when he comes in...
    Apr 10, '13
    Forum: Operating Room Nursing
  7. How do you reward yourself after a tough shift?
    On night shift, breakfast and beer. On day shift, Mexican food and margaritas!
    Apr 7, '13
    Forum: General Nursing Discussion
  8. Fentanyl bolus question
    To the OP: the nurse should have been calling the doctor for additional pain meds! Pulling drugs from the line to give boluses of pain medication is practicing medicine without a license and is out...
    Mar 29, '13
    Forum: Nursing Student Assistance
  9. ICU vs ER
    I always thought throughout nursing school that I'd be an ER nurse. It didn't work out that way due to decisions I made. I'm now an ICU nurse. So when the opportunity came up to cross-train for ER, I...
    Mar 25, '13
    Forum: Nursing Career Advice
  10. Extubation Difficulties
    How does your patient do if you wean off everything but precedex? Have you added high dose haldol? Sometimes you just need to extubate the agitated patient if you feel they will "fly" once...
    Mar 24, '13
    Forum: CCU Nursing / Coronary / Cardiac
  11. First clinical day was a nightmare
    To the OP: if the SaO2 is < 90%, the PaO2 is in the toilet...look up the oxygen dissociation curve. Although COPD patients can tolerate even lower SaO2's such as high 80's, giving anxiolytics or pain...
    Mar 24, '13
    Forum: General Nursing Student
  12. First clinical day was a nightmare
    To the OP: your patient was hypoxic! She needed more oxygen, not less! You are taught to not give the COPD patient too much oxygen, but you aren't taught to take into consideration her comorbidites...
    Mar 23, '13
    Forum: General Nursing Student
  13. Without Orders
    Officially, nurses cannot do anything without a doctor's order or stardardized procedure or hospital policy to cover what they are doing! We put in IV's in all telemetry patients even if the doctor...
    Mar 23, '13
    Forum: General Nursing Discussion
  14. Do doctors have any idea what we nurses do? lol
    I think you have the wrong doctor! My OB told me "I'll take you off work whenever you like, but definitely at 36 weeks." When I asked "why" because I felt fine. Her response was "because I know what...
    Mar 23, '13
    Forum: Nurse Colleague / Patient Relations
  15. How often do you have codes on your unit?
    Somedays its none, somedays it's a few per shift in the ICU. The ICU is part of the hospital's code team so sometimes there are no code rapid responses or code blues in the hospital and other shifts...
    Mar 23, '13
    Forum: General Nursing Discussion
  16. Male catheters
    Our facility underwent this huge patient privacy thing. This includes offering the patient the same gender nurse for things like Foley catheter insertions or to have a nurse of the same gender be in...
    Mar 21, '13
    Forum: Men in Nursing
  17. Nurses Managing Epidural Pumps?
    I'm in CA, not sure about the OB area, but in ICU, the epidural order set has a range that the nurse uses to titrate to effect. If we have issues or problems, we call the pain management or...
    Mar 19, '13
    Forum: Ob/Gyn Nursing
  18. Is Volunteer help be Hired  in the same hospital for RN POSITION?
    Have you applied other places in SoCal? Unfortunately, the job market's is very tight right now here. Most hospitals want BSN especially if they are a Magnet facility because they need a certain...
    Mar 13, '13
    Forum: Volunteer Nursing
  19. Surgery floor nurses
    Everyone drops patients off near shift change; ER, PACU, ICU, OR, med-surg, etc. At my hospital, ER and PACU are notorious for it. ER because they have to get their patients out ASAP because there's...
    Mar 13, '13
    Forum: General Nursing Discussion
  20. Is Volunteer help be Hired  in the same hospital for RN POSITION?
    Where you start depends on which unit is offering you a job versus your areas of interest. I worked med-surg-tele for 18 months prior to transferring to ICU, but that was because they didn't hire new...
    Mar 12, '13
    Forum: Volunteer Nursing
  21. Is Volunteer help be Hired  in the same hospital for RN POSITION?
    Yes, my manager will always choose to interview internal candidates and volunteers first when we do new grad interviews. The interview panel decides which candidates to hire. We have hired a...
    Mar 10, '13
    Forum: Volunteer Nursing
  22. Help find new-grad  program in los angeles california
    Unfortunately, my hospital has hired all the new grads for this winter already because they have already started. We usually run 2 new grad programs per year. The summer session starts at the end of...
    Mar 10, '13
    Forum: California Nursing
  23. ER transitioning to ICU
    It would be nice to know that you have familiarity with lines, gtts, and ventrics as well as experience caring for ICU patients in the ER. It could sway decision making if management wanted to hire a...
    Mar 7, '13
    Forum: MICU / SICU Nursing
  24. Male RNs, What Areas of Nursing Are Looking for Them?
    Every area is open to males. I don't think men prefer L&D or postpartum type areas. My hubby has worked step down, ICU, dialysis, ER, PACU, and surgery. My friends have also done IV team, peds,...
    Mar 7, '13
    Forum: Male Nursing Student
  25. For the experienced nurses...
    Nursing is a 24 hr thing; do what you can and then pass along the rest of it. You are NOT indispensable, so take care of yourself: don't feel guilt for calling out sick when you are sick and don't...
    Mar 7, '13
    Forum: General Nursing Discussion


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