Music in My Heart

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  1. Music in My Heart

    Giving Report and IV Access

    Some comments are worth emphasizing... like this
  2. Music in My Heart

    Giving Report and IV Access

    I'm an ED nurse and I get so tired of them asking this question. Usually I respond with, "I don't know" to which they sometimes get snarky. When I'm feeling snarky I've responded with, "Start at the...
  3. Music in My Heart

    A Little Rant And Some Failures

    I wonder what kind of morbidity these folks end up living with (those who do, that is) directly attributable to the profound and prolonged hypoxemia. Meanwhile, I'm lining up to get my 5th dose...
  4. Music in My Heart

    A Little Rant And Some Failures

    Said venting among people who really get it... and who else besides us actually does... is vital... about the only thing that let's me walk back in the door. Depending on the facility...
  5. Music in My Heart

    Med Error

    For what it's worth, I once made a much worse med error than that. Pt didn't die but could have had some permanent damage... nobody could really say one way or the other. It was tough for...
  6. Music in My Heart

    A Little Rant And Some Failures

    Just to throw this out there... I'm not sure that this guy's case was necessarily just about "staff convenience." If a patient requires that much intervention in order to tolerate/accept the...
  7. Music in My Heart

    Epic HIPAA violation

    The investigation isn't a foregone conclusion... I underwent a "compliance audit" following access to a chart for a patient that was not mine and I was ultimately absolved of any fault... "I...
  8. Music in My Heart

    Diploma and Associate Degree in Nursing

    "encourage students to aim for ADN instead of diploma to be more competent and educated. The rationale to get better patient care as the average intelligence of nurses would be higher. "...
  9. Music in My Heart

    Are most nursing programs a hot mess or is it just mine?

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  10. Working here in Northern California I am always struck by how often I meet travelers or transplants from anti-union 'right-to-work' states, or even locals, who denigrate unions... while benefiting...
  11. Music in My Heart

    PICC line

    CVP is blood
  12. I've worked in industries prior to nursing which had performance bonuses. I think it would be exceedingly difficult to generally quantify nursing performance such that bonuses could be attached....
  13. The positive part is simple: You have a contract which spells out the terms of employment and that contract is negotiated by an advocate on your behalf. Without a contract, you are an at-will...
  14. Music in My Heart

    PICC line

    Hard to say... I'd think it would clot off before exsanguination... but BP and platelet count would probably be partly
  15. Music in My Heart

    Tricks to getting an Spo2 reading on a difficult patient

    I've been told that they are a requirement of the Joint Commission, as well they should be. Substantial data has been published on the effectiveness of RRT and early intervention to reduce poor...
  16. Music in My Heart

    Staff Management And Nursing Assignment

    Well... Some ICU players are pretty soft and require "intensive" care rather than "advanced" care; and that's an important distinction. An expert nurse off of a tele unit can reasonably be...
  17. Music in My Heart

    Tricks to getting an Spo2 reading on a difficult patient

    From the perspective of a rapid response nurse in a large urban medical center: While I get a fair number of calls that ended up being 'nothing,' I always thank them for calling and encourage...
  18. Music in My Heart

    Dilutions/ Med Info

    The only thing I dilute is famotidine and that's because pharmacy specifically directs us to. Up until a few years ago, I did dilute phenergan, too, but they've taken IV phenergan off of the...
  19. Music in My Heart

    Staff safety in the ER

    Our intake folks are sitting ducks... and our security is mediocre... some of them are pretty solid but many are bordering on
  20. Music in My Heart

    Hospital requiring ER nurses to chart full admission assessment

    Sounds ******* stupid... I barely have time to hit the high-points on the flowsheet but a full admission assessment? Not a chance. Of course, our admission assessments are ridiculously
  21. Music in My Heart

    Which route should I go to achieve dream?

    I don't think that it's terribly competitive to get into NP programs focusing on primary care nor to get those jobs. A general med-surg gig would be a reasonable place to
  22. Music in My Heart

    What the heck am I doing wrong in Fundamentals?

    You appear to be spending plenty of time... fifty hours per week of studying should be ample for any field of study... that is, if you mean that you are actually studying... doing homework isn't...
  23. Music in My Heart

    New Nursing Student Questions

  24. These are formatted as 3x5 cards and were printed on individual 3x5 cards. Have at 'em if you think they'll help... they certainly worked for me. Again, they are entirely my own creation...
  25. Music in My Heart

    Pharmacology Flashcards (drug cards)

    I hope they