APRN.

APRN. DNP, RN, APRN, NP

Family Practice, Mental Health

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All Content by APRN.

  1. VENT- vacation requests

    APRN. replied to ProBeeRN's topic in General Nursing

    Toe surgery always works pretty well for a good week or two vacation...*ahem*, I mean FMLA time. I worked one place that had the nifty-est looking co-workers, because they would all have something or...

  2. ALWAYS called to work on days off?

    APRN. replied to squatmunkie_RN's topic in General Nursing

    Two words that you should incorporate into your vocabulary, today; "Plausible Deniability" If you don't answer your phone, your facility can assume that you did not get the notice that your unit...

  3. Question about a student reporting RN mistakes

    APRN. replied to dolphinbeauty09's topic in General Nursing

    If you want to sign your own "death warrant" for continuing on as a student nurse at that facility/that floor, then by all means, continue with antagonistic behavior. Do you not think that you will...

  4. Charting at bedside and team nursing question

    APRN. replied to tokmom's topic in General Nursing

    I would abhor standing at the bedside with my "infection control outfit" on with a patient in isolation. Pure

  5. Bedside report in the ICU setting

    APRN. replied to squirtle's topic in MICU, SICU

    At my facility, bedside report is expected, but it is not expected that the entire report be given exclusively at the bedside. Everything is recorded in the computer at this time, and report is...

  6. Does your unit do it's own CRRT?

    APRN. replied to WWRN's topic in MICU, SICU

    My ICU does it's own CRRT, and depending upon the situation, the patient can either rate a 1:1 or even a 2:1 if they are on 13 different drips and an unstable vent. It can be quite a lot to keep...

  7. "Hospital Nursing is soooo Easy!!"

    APRN. replied to Sl1011's topic in General Nursing

    In the past 20+ years, I have spent 30 % of my time working in a Dr's office working for a 13-provider clinic that did everything from vasectomies to colpos, endoscopies, and your basic run of the...

  8. ER handoff report to floor

    APRN. replied to PatricksRNMommy's topic in Emergency

    In the ER, the doc is within shouting distance of orders for pain control, hypotensive episodes, agitation, desaturation and "gee...this don't look quite right". I've worked Med/Surg. The floor...

  9. ....and they had Dynamaps in every room!! (a nurse has gotta dream!)

    APRN. replied to Walden-Puddle, RN's topic in General Nursing

    I work in ICU. We use disposable b/p cuff's that stay with the patient, which are interchangeable from the cardiac monitors in ICU to the tele-mons (like a dynamap) that they use out on the floor in...

  10. terminated-though I was "allowed" to resign

    APRN. replied to Goldenhare's topic in General Nursing

    You could be Florence Nightingale incarnate, but if your manager thinks that you are not a "good fit" for his/her unit, you are toast while on probation. The interview is your chance to scope out your...

  11. Looooong narrative notes

    APRN. replied to General E. Speaking, RN's topic in General Nursing

    When I graduated from school over twenty years ago, I can remember an instructor telling me to "Paint a picture with words" when it came to my charting. I have 100% computerized charting now in the...

  12. Medically restricted from night shift?

    APRN. replied to NeoPediRN's topic in General Nursing

    There are plenty of people who work nights because of the increased wages on nights, as well as just plain liking the different atmosphere that is unique to night shift. I know of an RN at a hospital...

  13. Attacking a Doctor Makes News; Attacking a Nurse is Business As Usual

    APRN. replied to Ruby Vee's topic in Patient, Colleague Relations

    The hospital that I work at makes it a yearly mandatory skills-lab requisite to learn how to verbally and physically manage people (patients and visitors) that begin to escalate to a violent level....

  14. ICU Staffing Ratio & (Floating icu nurses)

    APRN. replied to urbanRN's topic in MICU, SICU

    Disclosure: I work in California where there is a legal requirement to not go above 2 patients per RN in the ICU. In the ICU where I work, we are staffed for 1 RN to 2 patients, along with a charge...

  15. Access to Nurse via Telephone

    APRN. replied to Flying ICU RN's topic in General Nursing

    I've seen facilities use different methods of ensuring that only the folks with the need to know are able to get to know any information about the patient. A "pin code" which is short for Personal...

  16. As if nursing isn't hard enough, this comment appeared in a local newpaper by "none"

    APRN. replied to latebloomernurse's topic in General Nursing

    You couldn't pay me enough to be a teacher to a classroom full of someone else's children, and especially not to a room full of snotty know-it-all teenagers. Nursing is the devil that I know,...

  17. No Pay iincrease for new ACLS?TELE cert??

    APRN. replied to RunnerNurse09's topic in General Nursing

    My hospital is trying to go for Magnet status, and they don't pay for additional certifications/training/experience. The only thing that is recognized for pay grade increases is education. ADN to...

  18. Scope of practice in your hospital as an LPN

    APRN. replied to tokmom's topic in General Nursing

    There are no LPN's (LVN's) at either campus in my hospital system in Northern California. The LVN's have been phased out for several years now. One county over, where I used to work, the LVN's have...

  19. Isolation Gowns

    APRN. replied to Redhead28's topic in General Nursing

    My facility uses to blue plastic isolation gowns and I hate them. My uniform is saturated with sweat within 30 minutes of being in a room doing procedures with the patient, and the blue plastic is...

  20. Can we get rid of the sugar in nursing?

    APRN. replied to Nurse Joey's topic in General Nursing

    There is more to Nursing than Science. Nursing is an Art and a Science. Acting is a form of art. You read the situation and figure out what role you need to play in order to promote health. If you...

  21. I am an American.

    APRN. replied to UnionRN2's topic in Patient, Colleague Relations

    STANDARDS OF COMPETENT PERFORMANCE Excerpt From California Code of Regulations Title 16 - Chapter 14 ......Acts as the client's advocate, as circumstances require by initiating action to improve...

  22. Propofol shortage, anyone?

    APRN. replied to CNL2B's topic in General Nursing

    Propofol is used sparingly in our ICU. We have switched to

  23. Healthcare is a commodity

    APRN. replied to PetiteOpRN's topic in Activism, Healthcare

    I'm reminded of recent high profile circumstances of personal choices conflicting with patient care such as the Katrina nurses and MD's, and the NYC EMT's who allegedly left the dying pregnant woman...

  24. birth defect, not allowed to practice nursing?

    APRN. replied to westheimer1234's topic in General Nursing

    I know of 2 RN's, each missing a hand. I went to RN school with one student who was missing her hand. To my knowledge, the only thing she couldn't do was scrub

  25. need a name for ICU's softball team

    APRN. replied to TigerGalLE's topic in General Nursing

    Sedation Vacation Trauma Troopers De - Fibrillators The