Music in My Heart

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  1. Music in My Heart

    NURSING...the to die for career...hmm

    Yep, really. It makes it much easier to see those statements to which I'm replying. Not particularly... I'm just very adept. Well, I guess you realize now. Often times, yes... sometimes, no... that's...
  2. Music in My Heart

    When to clamp tubing when doing IV push

    If the line is on a pump and running, I don't bother clamping it since there's already positive pressure upstream of the port. Usually, the pump won't even alarm if I'm delicate on plunger. If it's...
  3. Music in My Heart

    How Nurses Feel...

    Not me, man. I just slap in a Foley when I arrive and I'm good to go for the whole shift. Forget the leg bag, I wear my 2000 cc bag outside my pants... shows management just how committed I am. Now if...
  4. For issues of ratio violations, contact the Dept of Public Health. For issues of lunch/break violations, contact the Dept of Labor... and they can't make you accessible during lunch or it doesn't...
  5. Music in My Heart

    NURSING...the to die for career...hmm

    And not all of them have 'great benefits.' My wife is a public school teacher and her district has decent benefits but nothing great (e.g. no family medical, no retirement medical...), and...
  6. Music in My Heart

    57 and need to start over YET AGAIN!

    Really... nurse educator, diabetes educator,
  7. Music in My Heart

    LOC or ABC first?

    Only with peds, not with adults.Only pulseless adults get compressions. Symptomatic bradycardia gets you an ambulance ride, external pacer pads, and probably some atropine... PALS vs
  8. Music in My Heart

    Why did you choose your nursing school?

    If this is in response to my comment, this is what I would tell MYSELF at 19. I was still very much unfocused and didn't have a career plan or goal, even though I was a very good student (still am...
  9. Music in My Heart

    Why did you choose your nursing school?

    Smiling at the notion of a 19-year-old nursing hopeful lecturing someone 30 years their senior with more time in nursing than you had in high school.Note that I didn't say that those things are...
  10. Music in My Heart

    "Throwing Out" questions on a test

    Except in egregious cases, I am opposed to tossing test questions based on class performance. Occasionally, most of the class simply didn't understand the material or failed to read the question, etc....
  11. Music in My Heart

    Why did you choose your nursing school?

    I chose my undergrad school based primarily upon my ability to matriculate there. I am firmly of the opinion that university is for studying and learning, not for socializing, partying, or finding...
  12. Music in My Heart

    Whats your biggest pet peeve working in the ED?

    Used to see this more at my last job but pt's who come in and then, when I bring the ordered meds and/or d/c instructions, say, "Oh, I don't like to take drugs. I'm into natural healing." Um, OK.......
  13. Music in My Heart

    Whats your biggest pet peeve working in the ED?

    Abd pain or light trauma pts who get belligerent because they're NPO. You know, either come and work the program or get the heck on your way and open up the bed to somebody who actually wants to let...
  14. Music in My Heart

    Whats your biggest pet peeve working in the ED?

    "I'm huuuuungreeeee." Yeah... so am
  15. Well, if they don't follow the rule about breaks, report them. You get paid DT plus a penalty if they don't provide breaks and no nurse should accept an assignment to 'cover' beyond their ratio...
  16. Music in My Heart

    So we can't wear clogs...

    I wear a couple of different Merrell slip-ons... don't know the name but I've pulled 16 hours of busy ER duty and never had my feet hurt at all. Check out
  17. Simply not true... perhaps early on, but not now. I can only speak of the three hospitals I've worked at and four others locally of which I have inside knowledge... float pools, yes... travelers, no....
  18. I work in California and hear stories from my colleagues about the pre-ratio days. Now, we have floats cover lunches and close pods if we're understaffed, not just keep piling 'em on. Unfortunately,...
  19. Music in My Heart

    nurse rights

    Just because I need to be licensed doesn't mean that patients need to be able to see my license. They are free to seek care elsewhere. Speaking from my heart, of course... for 25 cents per page, the...
  20. Music in My Heart

    nurse rights

    I work in a large ED where we regularly get psych holds (like at least once per week I have at least one psych pt and at least once per month I have a whole pod full of them) and prisoners, as well as...
  21. Music in My Heart

    ACLS

    Study the rhythms and the algorithms well ahead of time. It's really not that
  22. Music in My Heart

    Chloraprep for foley insertion?

    I've only used betadine. However, Chloraprep is not alcohol based: 2,2'-(1,6-Hexanediyl)bis(1-{(E)-amino[(4-chlorophenyl)amino]methylene}guanidine) - D-gluconic acid
  23. Music in My Heart

    What's YOUR Dream Job?

    We end up with ICU patients that we hold onto for awhile.At its best, the ED is exciting, fast-paced, and offering critical care experiences without repetitiveness. At its worst, it's boring as sin...
  24. Music in My Heart

    pharmachology question

    Keep in mind: The parasympathetic system is tonic... running all the time. The sympathetic system goes on and off in bursts to overcome the para. The para offers fine control over individual...
  25. Music in My Heart

    Finding peripheral pulses

    One suggestion: Make sure you don't press too hard or you will simply occlude the