APRN.

APRN. DNP, RN, APRN, NP

Family Practice, Mental Health

Member

  • Content

    995

  • Visitors

    1,234

  • Followers

    0

  • Likes

    50

All Content by APRN.

  1. Why not medical school?

    APRN. replied to ChiLanQui's topic in General Nursing

    I clawed my way through nursing school financially. I would have been destitute with a credit score around 100 if I would have tried to go through med

  2. Third week off orientation and getting the hardest patients in the unit

    APRN. replied to Anele07's topic in First Year After Licensure

    Sorry to hear about your troubles. Next time you get a patient with no IV access dumped in your lap and you're unable to get a PIV started, call the doc for an order for a PICC line and prepare to...

  3. scrubs and ironing

    APRN. replied to CT Pixie's topic in Scrubs, Uniforms, Gear

    I used to iron my scrubs faithfully for YEARS. I wouldn't be caught dead without visible pleats on my sleeves and pant legs (pleats down the front of the leg). I actually wore a white dress too,...

  4. Should Doctors Have Guns?

    APRN. replied to Anxious Patient's topic in General Nursing

    I've said it before: "If guns kill people, do pens misspell words?" I don't think it's a problem at all if a doc carries a gun.....since the doc is a heck of a lot more likely to be judicial about...

  5. "And it's all going to be your fault"

    APRN. replied to AngelfireRN's topic in General Nursing

    One of the ways that I find myself being able to deal with massively unreasonable people (patients, family members, etc.) is to remind myself that there are personality disorders out there, and go...

  6. "And it's all going to be your fault"

    APRN. replied to AngelfireRN's topic in General Nursing

    One word : BORDERLINE (personality

  7. TN Nurses Against Proposed Bill (SB 0009) for "Certified Medication Technicians"

    APRN. replied to ccuRNinTN's topic in Tennessee Nursing

    I have worked with CMA's (Certified Medication Aide's) in a state where they have been around for quite some time. You would never see them in a hospital, passing meds in that manner. The CMA's...

  8. LPNs and RNs---does your hospital see a difference?

    APRN. replied to Riseupandnurse's topic in General Nursing

    My hospital, and the three closest surrounding hospitals are RN only in my area. They do not hire LPN's/LVN's for acute

  9. CMA posing as nurse...?

    APRN. replied to WannaBeNrse's topic in General Nursing

    I guess that means I'm not a nurse. You should probably let the California Board of Registered Nursing know that as well, 'cause there's about three other "nurses" I know who are out there driving...

  10. what do you do about phone calls if you could come to work extra on your day off

    APRN. replied to olli975's topic in General Nursing

    I never cry poor. I also never pick up an extra shift. I work part time in a high stress environment. This is my way of following through with the pre flight airplane and the oxygen theory protocol...

  11. massaging a hematoma post sheath removal

    APRN. replied to msperkey's topic in CCU, Coronary, Cardiac

    I would be applying firm pressure for at least 5 minutes post sheath pull. Some facilities use what is called a Fem-stop to mechanically apply pressure for you. I would not be massaging a fresh...

  12. what do you do about phone calls if you could come to work extra on your day off

    APRN. replied to olli975's topic in General Nursing

    I answer every single phone call from staffing at work when they call me to come in. My reply is always the same; "No. I am not coming in. I work all of my scheduled hours. Tell management that...

  13. Refusal to give written drug order

    APRN. replied to mactheknife's topic in General Nursing

    A Code Blue situation comes to mind....but the MD signs the code sheet

  14. Med-surg float - change jobs to get out of med-surg

    APRN. replied to applesRN's topic in General Nursing

    Getting sick and tired of being sick and tired is one thing.....but having the wolf at your door and a teenage girl in your house is a very heavy burden for one person to bear. My :redbeathe goes out...

  15. ICU fighting admissions?

    APRN. replied to NurseyPoo7's topic in General Nursing

    Yes. :redbeathe So you get my point about having an easy patient come in once in a while...............(Not that it's an appropriate admission, but......hmmmmm......gee, maybe I need a day or two...

  16. ICU fighting admissions?

    APRN. replied to NurseyPoo7's topic in General Nursing

    I can remember nursing texts talking about the 80/20 rule. On any given shift, there's going to be a patient that takes up 80 % of your time, while the other patients take up 20 % of your time....

  17. ICU fighting admissions?

    APRN. replied to NurseyPoo7's topic in General Nursing

    This post should be about needing better staffing......not who should/shouldn't go in to the

  18. ICU fighting admissions?

    APRN. replied to NurseyPoo7's topic in General Nursing

    After last night with a 1:1 patient "Iced" in the ICU for Hypothermia protocols and 9 drips, A line/CVP line , I wouldn't mind kicking back with a few observation patients....Just waaaiiiiting to see...

  19. What kind of nurse are you?

    APRN. replied to BroadwayRN's topic in General Nursing

    I think you should be given a big pat on the back for showing a good example therapeutic use of self. Unfortunately, your manager seems to imply that your emergency department is all about the "treat...

  20. ICU fighting admissions?

    APRN. replied to NurseyPoo7's topic in General Nursing

    A good Med/Surg Nurse is worth her weight in gold. I worked Med/Surg for YEARS before migrating to the ICU. BTW - The RN to patient ratio in Med/Surg is 1:5 in California. (Tele is 1:4). Despite...

  21. IV infusion through the Arterial Line

    APRN. posted a topic in Infusion, Intravenous

    I was taken aback the other night when I observed a nurse start an infusion through a patient's Art line. To my knowledge, this is not okay. Did the rules change on me and I didn't notice? What...

  22. ICU fighting admissions?

    APRN. replied to NurseyPoo7's topic in General Nursing

    I concur. At my previous hospital, the MD had to get an okay from the Intensivist in order to get their patient admitted to the ICU. In addition, the Intensivist was required to do a physical...

  23. IV infusion through the Arterial Line

    APRN. replied to APRN.'s topic in Infusion, Intravenous

    This nurse is fairly new, and although I was never assigned this patient, I believe the patient did not sustain any obvious injury. The situation had already corrected itself before I could intervene...

  24. New Grad RN Interview for Telemetry Position -- Advice, please?

    APRN. replied to Qtp2t RN's topic in Cardiac

    question #1. "how long is your orientation period?" question #2. "will i be with the same rn during my orientation period?" question #3. "do you utilize monitor techs, versus each rn watching their...

  25. RN program; not much credit given to LPNs!!!

    APRN. replied to amjowens's topic in LPN to RN

    I want to let you know that I understand how you feel. It is very frustrating to possess knowledge/critical thinking skills and to not be recognized as possessing them. Nursing school is THE Ivory...