Castiela

Castiela

Member

  • Content

    243

  • Visitors

    3,251

  • Followers

    0

  • Likes

    11

All Content by Castiela

  1. What Would You Do to Fix the Failings of Healthcare Delivery ?

    Castiela replied to RobbiRN's topic in General Nursing

    I disagree with the previous posters. Nursing shortages and inadequate staffing is only one of the symptom of the problems in healthcare in the us. In an unlimited, perfect world, I would Direct the...

  2. I think I'm going to FAIL!!!

    Castiela replied to Gemini616's topic in General Students

    Can you practice your skills so you are stronger and more confident with them? Did the instructor say you were in danger of failing? Or imply you need more

  3. New grad RN about to start first job in cardiology

    Castiela replied to mrskat's topic in General Nursing

    Your best bet is to review common diagnoses you remember on the floor and your cardiac meds. Maybe brush up your head to toe skills and ecg wave forms as well. I don't think any one has gone into a...

  4. Tension with Management

    Castiela replied to NeuroNurse101's topic in Nursing Professionalism

    So you probably aren't going to like my post either. Here are my thoughts reading your post, I've made a new line for each paragraph as my tablet won't let me copy and paste. *I agree with Ruby....

  5. Violation of HIPAA

    Castiela replied to Sunshine407's topic in HIPAA Challenges

    Clearly this issue can only be solved by catapulting jellybeans and gummy bears at the office

  6. Nurses are you glad you chose your career?

    Castiela replied to bluestar776's topic in General Nursing

    Love being an RN. Love critical care even

  7. New grad invited to Nursing Job fair, but confused

    Castiela replied to Sentimentalina's topic in Canada

    I would go. What's the worst that could

  8. Fired from my first RN job after only 2 weeks.

    Castiela replied to Mountainrnbsn's topic in First Year After Licensure

    I got 16 shifts for my orientation as a new grad but our max patient load was 5. When I graduated as a student, I was doing care for patients so made the transition

  9. What should I have done about super low O2 levels?

    Castiela replied to BookishBelle's topic in General Students

    Was this gentleman alert? Did he obey commands? Was the rest of his body cool? Just the one extremity or all? How was his breathing? Any changes in LOC is a significant finding and needs to be...

  10. What would you do? Provider without ID starts examing your patient without introduction

    Castiela replied to SanFranciscoRN's topic in General Nursing

    I introduce myself and politely ask who they

  11. pharm help

    Castiela replied to btf4's topic in General Nursing

    What are your thoughts so

  12. 3 part nursing Dx help!

    Castiela replied to TexasNurseRN's topic in Nursing Student Assistance

    If you post the whole scenario I'm more than happy to look at it with

  13. 3 part nursing Dx help!

    Castiela replied to TexasNurseRN's topic in Nursing Student Assistance

    I personally would focus my nursing diagnoses on the neuro aspect of the patient; I can think of two that would be more pressing than tissue perfusion. As for the ethology of the cold extremities,...

  14. Should I fight for this grade

    Castiela replied to direw0lf's topic in General Students

    I personally would let it go. Assuming you still need references from the nursing school, I can't imagine them being too impressed that you are still pushing for this. And I don't think you will miss...

  15. potentially dangerous postpartum situation

    Castiela replied to remotefuse's topic in General Nursing

    And/Or write your concerns to the

  16. Nursing school practices

    Castiela replied to Lpn1964's topic in General Nursing

    As an RN, I would feel comfortable with that as I can still do my 7 rights. However, as a student, I would speak to your instructor and make sure they are ok with it. I'm sorry you are feeling that...

  17. Irritated MDs: to SBAR or not to SBAR?

    Castiela replied to Melanin's topic in General Nursing

    I ask if the physicians are familiar with the patient before going into background aspect. If they are, I'll skip ahead. If not, then I'll include

  18. Is spending $80,000 on a private ABSN school a waste

    Castiela replied to Big_Mike's topic in General Students

    And how much said job pays. That amount would be over a years salary for me. I personally would not pay that

  19. Gift for Preceptor

    Castiela replied to Joelle66's topic in General Nursing

    I bought mine some really nice pens because the hospital didn't supply those for staff. She really like

  20. PICC line flush after blood draw

    Castiela replied to Mizdeb123's topic in General Nursing

    It really depends on your hospital policy and the type of picc catheters you use. Our facility uses closed ended and our policy is to flush with 20ml NS after accessing. However,we don't use heparin...

  21. Head to Toe Assessment

    Castiela replied to traumaRUs's topic in General Students

    Practice makes perfect? Do you have a friend in the program or a family member you can practice doing head to toes on while referencing a cheat sheet? My husband could almost recite the head to toe...

  22. IV infusions with only peripheral sites new admit

    Castiela replied to 3692nurse's topic in Critical Care

    Generally speaking, sedatives are compatible with sedatives, hemodynamics drugs are compatible with hemodynamics. I'm personally suprised the patient didn't have any central lines. What happens if he...

  23. Non opioid pain options

    Castiela replied to JBMmom's topic in General Nursing

    I personally have never seen IV Tylenol. I imagine it's not routinely used because of the risk when opioids have less risk for more effect. Worst case, if a patient gets too much opioids, we give them...

  24. Now what??

    Castiela replied to nerdynurse22's topic in General Nursing

    That is hard. Be relaxed as possible on that shift. Treat it like you are a student again. Articulate what you are doing and what you are thinking. "Im going to see patient a first because I'm...

  25. Nursing notes & legal stuff

    Castiela replied to Jamuhh's topic in General Nursing

    If I write continue to monitor, I try to close my shift with a comment with the progress of the things I was monitoring. Ie pt still in a fib 110-117 but asymptomatic. Will alert night staff or...