Music in My Heart

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All Content by Music in My Heart

  1. Music in My Heart

    Kaiser RNs

    OT in the ED and in IR... nowhere else that I'm aware of... for now... it'll change... always
  2. Music in My Heart

    Switching from Engineering to Nursing? Worth it?

    I was an engineer for many years before making the switch. I didn't switch due to passion nor any other high-minded reasons... mine was purely pragmatic... looking for a stable job with a decent...
  3. Former engineer here... Was always easy to find new work in my 30s... once I was in my 40s, though, being laid off was brutal... and that's what finally led me to bail out of engineering...
  4. Music in My Heart

    advanced physiologic foundations

    no
  5. Music in My Heart

    Good ICU reference book?

    Hands down: Marino's "The ICU
  6. Music in My Heart

    ER Monopoly

    11 years of Level 1 (adults and peds + burns) and Level 2 for me... TNCC x5, ATCN x2, ENPC x3, CEN, ABLS... and I disagree... trauma really isn't that complicated... large-bore lines, blood products,...
  7. Music in My Heart

    Y-site compatibility

    Trissel's IV compatibility is state of the art... and lets you check fluids as well as meds. Davis Drug Guide also lists them but you have to look it up... and is only updated with the new...
  8. I'll stand with the minority on this one... Like it or not, in the healthcare setting, the term "doctor" is considered by the general public to mean "physician." I consider it inappropriate for...
  9. Music in My Heart

    I Suck at Giving Handoff Report

    I personally believe that verbal report is grossly overrated... and a lot of nurses seem to take great joy in asking numerous detailed questions that are beyond the scope of a basic SBAR handoff......
  10. Music in My Heart

    USGPIV national success rates

    My personal success rate is, including infants/neonates: 1 stick or less: 94% 2 sticks or less: 98% 3 sticks or less: 99.8% Total USGPIV insertions: 4,200 Total lab draws via...
  11. Music in My Heart

    Feel responsible for deteriorating patients

    Old patients die Sick patients die Frail patients die Infections happen; sepsis happens. I'm glad that you're meticulous in your care and introspective/self-critiquing, but take a...
  12. Music in My Heart

    School vs. The field

    Since you've gotten no replies, I'll chip in... 1) Your title, "School vs The field" reflects a misunderstanding of terminology... the field is everything that happens outside of the hospital...
  13. Music in My Heart

    School vs. The field

    Since you've gotten no replies, I'll chip in... 1) Your title, "School vs The field" reflects a misunderstanding of terminology... the field is everything that happens outside of the hospital...
  14. Music in My Heart

    Working as a nurse with a severe allergy to Cephalosporins

    Personally, I WOULD NOT speak to your professors or clinical instructors. They're not going to have a good answer for you and it simply creates... difficulties... they have no need to
  15. Music in My Heart

    Working as a nurse with a severe allergy to Cephalosporins

    I wouldn't worry about it and I certainly wouldn't share that information with anybody in your management chain. Your allergy was quite likely to have been in response to an IM injection (how...
  16. Music in My Heart

    Dislike Everyone In My Cohort

    While I've generally got on well with the people in various study groups, I've never been part of one that was as effective as I am when studying by myself. Unless required to join a group as part of...
  17. Vent away, my friend. But lighten up on your feelings, brother... feelings are just that... not logical, not predictable, not rational, not reliable... your feelings are getting in the way of...
  18. Music in My Heart

    Moderate Sedation

    Hospital/department 1: Two RNs doing sedation (opiods/benzos); MD + tech doing procedure Hospital/department 2: One RN, one MD doing sedation (ketamine, propofol, dexmetomidine); MD + tech doing...
  19. Music in My Heart

    Student nurse questions...

    Once you get through nursing school, I'd suggest trying to land in an ICU rather than an ED, just for the critical care experience. Large, urban EDs will generally provide a fair amount of...
  20. Music in My Heart

    Giving Report and IV Access

    Even in the ED and the ICU, regardless of what anybody tells me, the first thing I do when I assume care is a quick flyby to introduce myself, do a quick ABCD assessment, AND flush the line(s)......
  21. Music in My Heart

    Giving Report and IV Access

    Vessel integrity and hemodilution... that's what it's about. People are, I think, confused about the WHY of the bore size... a myth persists, even, that one cannot give blood through a 24 or even...
  22. Music in My Heart

    What's the most consecutive hours and days you have ever worked?

    Between two jobs (1x 12h and 1x 8h), 42 days consecutively I once did 19 straight 16h
  23. Music in My Heart

    Giving Report and IV Access

    I would love to entertain this as a topic unto itself but limited time and energy at the moment... other than to say that I would challenge this contention. Perhaps another
  24. Music in My Heart

    Giving Report and IV Access

    Short of volume resuscitation, a larger bore isn't necessary. And I figure that if you/they want additional access, they/you are perfectly capable of attaining whatever is necessary for their...
  25. Take comfort in the knowledge that about 85% of US-educated, first-time test takers pass... do you really think you're in the bottom 15%? And... unless you either (a) have HUGE knowledge deficits...