jlr820

jlr820 has 6 years experience and specializes in ED Nursing, Critical Care Nursing.

Latest Activity

1. 9 Newbie Nurse Mistakes to Avoid

   jlr820 replied to Nurse Beth's topic in New Nurse

   Wow, let's see. I've been "bizz" for 6 years. Let's see how many "craniorectal inversion" moments (think about it for a second...) I can remember. Forgetting to "pop" the seal on an Add Vantage cartridge after it has been screwed into the top of th...

2. New ER nurse, but old Cardiac nurse

   jlr820 replied to al7139's topic in Emergency

   Hi, First, your prior experience in cardiovascular nursing will serve you well. You already have experience with assessments, rhythm interpretation, etc so that's good. What you have probably noticed is that the pace is different, as is the range o...

3. Vaccination at Dorsogluteal Site

   jlr820 replied to ryxx's topic in General Nursing

   I've never heard of the dorsogluteal site being contraindicated for vaccines. As long as you employed proper techniques for locating IM landmarks (as another poster said, upper out quadrant), aseptic technique, etc. there shouldn't be any issue. It...

4. Student trying to understand DKA and Dehydration

   jlr820 replied to ghurricane's topic in Student Assist

   Yes it is. The bloodstream is absolutely full of glucose (since it isn't entering cells and being metabolized). This glucose load makes the blood HYPERosmolar and the kidneys respond by trying to remove glucose through urination. They cannot effec...

5. taking CA NCLEX, is it harder?

   jlr820 replied to watchasay10's topic in General Nursing

   I'm not sure how this rumor about NCLEX difficulty varying by state got started, but it's totally incorrect. The NCLEX is a national examination, and there are no differences in difficulty by state. What IS true, however, is that the test is done by ...

6. hiv exposure?

   jlr820 replied to burs79's topic in General Nursing

   This is one of those "DOH!" moments. Your risk is probably small. Basically, you would have to have an open wound on your hands and the client's blood would have to have contacted that wound and entered your bloodstream. That said, I'm sure you are a...

7. blood exposure from hiv patient

   jlr820 replied to dRkazN's topic in General Nursing

   The risk is likely small, but as others have said the risk is still there. I think the main issue with the anti-retroviral therapy will be the side effects of the drugs. But, for your own peace of mind perhaps that's a small price to pay. Best of l...

8. Recommend an Excellent Emergency Nursing Textbook?

   jlr820 replied to All4Seasons's topic in Emergency

   i'd recommend sheehy's emergency nursing: principles and practice as others have done. you can also enroll in an online emergency nursing course through the ena, which is based on the sheehy text. the downside is that it costs about $600. here's the ...

9. Should tell 'em I am leaving in person, or email?

   jlr820 replied to AnnieOaklyRN's topic in Emergency

   You really need to do this in person. I think it would look really bad to do it via e-mail. No need to risk burning a bridge. You never know..you may need to cross back over that same bridge sometime down the road.

10. A funny and warped FACES pain scale

    jlr820 replied to SlightlyMental_RN's topic in General Nursing

    Next time I do a pain assessment, I'm gonna ask "Is it like you're actively being mauled by a bear?" with a sidelong, eyebrows raised expression on my face. Prolly draw a complaint...

11. Not studying for NCLEX?

    jlr820 replied to Sl1011's topic in NCLEX

    I certainly wouldn't recommend the "no studying" approach. I know two classmates that took it without studying and managed to pass, but I know many more who took the test cold and failed. So, someone that takes it without doing any organized preparat...

12. Brain surgery last week, then coming to ED for pain. Wait 4 hours to be seen.

    jlr820 replied to happy2learn's topic in General Nursing

    i'm an ed nurse. this is hard to answer with the information given. i'm sure that he was triaged upon arrival by an experienced rn (focused history and neuro exam, vitals, etc). i just have to believe that he was triaged appropriately and had no neur...

13. Anyone use JoAnn Zerwekh books for NCLEX prep

    jlr820 replied to Elleveein's topic in General Nursing

    Hi, Yes I did use the Zerwekh book, but as a supplement to my main NCLEX-RN prep book, which was Prentice Hall's Comprehensive Review for NCLEX-RN by Mary Ann Hogan. I did think the Zerwekh text was good, and I used the CD for more NCLEX question pr...

14. Do Army National Guard nurses get deployed?

    jlr820 replied to jallen5's topic in Government

    I'm a former army officer, and an OIF veteran. I wasn't an RN when I was in the military (that came later) but it doesn't matter...your recruiter is basically lying to you. An officer IS deployable after they have completed their officer basic course...

15. Who plays the "I'm a Nurse Card"?

    jlr820 replied to Doc Lori, R.N.'s topic in General Nursing

    I've never done it, and won't unless there was a major problem with the care being provided. I don't like it when a patient or family member does it to me, as it is usually stated with an air of superiority. I agree with a previous poster. Usually, i...