DextersDisciple BSN, RN

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All Content by DextersDisciple

  1. DextersDisciple

    Seriously?!?! You gotta be kidding me!

    DextersDisciple replied to ~Mi Vida Loca~RN's topic in General Nursing

    Most of my pts are neuro crit care, probably on sedation and/or intubated so I'm sure that can change some things lol. I typically give 4mg IVP and I think the most is 8mg. I gave up to 20 mg IVPB...
  2. DextersDisciple

    Seriously?!?! You gotta be kidding me!

    DextersDisciple replied to ~Mi Vida Loca~RN's topic in General Nursing

    Decadron?? Really?? I've given IVP/IVPB decadron since I first started nursing. Usually prior to chemo and mixed with anti emetic like Aloxi, but I never knew this! I don't recall a pt saying anything...
  3. DextersDisciple

    Should a new grad RN?....

    DextersDisciple replied to MoserK's topic in General Nursing

    I agree, she may have chose the wrong adjective but her intentions did not seem cruel. OP- Med surg Will teach you time management, prioritization and hands on skills and can also prepare you for...
  4. DextersDisciple

    taste of medication

    DextersDisciple replied to socoamaretto's topic in General Nursing

    I actually wondered the same thing about PO K+. I figured it's orange maybe it tastes decent? So I actually asked my pt what it tastes like. She downs it, make a sour face and says "it tastes like...
  5. DextersDisciple

    Transferring from ICU to NICU

    DextersDisciple posted a topic in NICU, Neonatal

    Hi everyone. I really dislike beside nursing for the usual reasons like unsupportive management, short staffing, lack of supplies, physical strain, etc. I was originally in outpatient...
  6. DextersDisciple

    IV Push med– do you always have to pull back for blood return?

    DextersDisciple replied to missjune's topic in Patient Medications

    I find it frightening that you rely only on blood return to determine an IV Is "good" I.e. Temperate, edema, color , etc. that's why we learn nursing assesment skills
  7. DextersDisciple

    PIV usage for lab draws - POLL

    DextersDisciple replied to dvmcafee's topic in General Nursing

    In ICU, if the pt doesn't have an arterial line, PIVs are usually the go-to for lab draws. Many pts are very edematous/weepy and just have poor vasculature for a multitude of reasons ultimately making...
  8. DextersDisciple

    Don't do the physicians work!

    DextersDisciple replied to ModernRN's topic in Patient, Colleague Relations

    wrong quote, meant for
  9. DextersDisciple

    Don't do the physicians work!

    DextersDisciple replied to ModernRN's topic in Patient, Colleague Relations

    We don't need new orders, but we have to chart a list used to indicate if the foley is necessary. This is one of the hospitals way of preventing CAUTI. This is done qshift if not Epic will continue to...
  10. DextersDisciple

    MD order

    DextersDisciple replied to rnpete's topic in General Nursing

    On my unit we usually have OG tubes, which do not usually require X-ray. We confirm placement by pushing 40mL of Air into the tube and auscultate the stomach to hear the "whoosh". NGT are not too...
  11. DextersDisciple

    Ever experience violence at work???

    DextersDisciple replied to aoguagha's topic in General Nursing

    Ruby Vee this made my jaw drop, especially the psychiatrist
  12. DextersDisciple

    BSN required to help save lives?

    DextersDisciple replied to ModernRN's topic in Diploma, ADN, BSN

    Are you being
  13. DextersDisciple

    Don't do the physicians work!

    DextersDisciple replied to ModernRN's topic in Patient, Colleague Relations

    I cannot speak for what kind of hospital you work for or demographic (i.e magnet, teaching, community, urban etc.) But It's sounds like it is not a teaching hospital. Physicians in my unit do AM and...
  14. DextersDisciple

    BSN required to help save lives?

    DextersDisciple replied to ModernRN's topic in Diploma, ADN, BSN

    Police officers are not forcing you to get an advanced degree, your admistration is. Don't blame them and do not speak negatively of them. They put their lives on the line to protect our community,...
  15. DextersDisciple

    Transferring from ICU to NICU

    DextersDisciple replied to DextersDisciple's topic in NICU, Neonatal

    wow I never knew much about NNP's scope of practice. I didn't think any NPs would be involved with intubation and gtt titration. This sounds right up my alley! Is the NNP program duration similar to...
  16. DextersDisciple

    Transferring from ICU to NICU

    DextersDisciple replied to DextersDisciple's topic in NICU, Neonatal

    Sorry for the confusion! I am currently working in adult ICU for almost a year now. I didn't think about all the un-learning and re-learning that would follow with transferring to NICU. I'm finally...
  17. DextersDisciple

    Transferring from ICU to NICU

    DextersDisciple replied to DextersDisciple's topic in NICU, Neonatal

    Hi Guy. All the of CRNA schools in my area do not count NICU experience, just adult ICU so yes you are correct. I didn't word this too well, basically I won't be able to afford CRNA school for at...
  18. DextersDisciple

    Can I be a nurse with a mental illness?

    DextersDisciple replied to Edt997's topic in Pre-Nursing Students

    I also have type 2 bipolar disorder, which occurred after experiencing a hypomanic episode while on an SSRI for anxiety in my teens. if I was not on medication I could not stop crying or get Any sleep...
  19. DextersDisciple

    Crisis Pay

    DextersDisciple replied to gemmi999's topic in Disaster Preparation

    I work in the ICU of the only level one trauma in my part of the state but I guess they'd rather run short staffed than fork out some extra
  20. DextersDisciple

    Crisis Pay

    DextersDisciple replied to gemmi999's topic in Disaster Preparation

    I forgot to quote you in the above post Sour
  21. DextersDisciple

    Crisis Pay

    DextersDisciple replied to gemmi999's topic in Disaster Preparation

    I need to be at your hospital, we do not have crisis pay or any kind of incentive for OT even on weekends. We are also required to work 4 weekends in a six week schedule period. What state are you...