Music in My Heart

being a Credible Source

The original ♪♫ in my ♥

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All Content by Music in My Heart

  1. 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 environs... ambulances bring patient in from the fiel...
  2. 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 environs... ambulances bring patient in from the fiel...
  3. 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 know.
  4. 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 cephalosporins are often administered to kids) or IV ...
  5. 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 an assigned project, I eschew time spent with othe...
  6. 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 your rational mind. Take this statement, for exa...
  7. 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 procedure Hospital/department 3: One RN for s...
  8. 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 critical care experience but not compared to the ICUs in...
  9. 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)... Regardless of who says what, access is MY respons...
  10. 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 a 22... despite all the transfusions that our NIC...
  11. 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 shifts.
  12. 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 time.
  13. 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 purposes. If a 22 was suitable for the patient c...
  14. 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 or (b) suffer from debilitating test anxiety... o...
  15. Music in My Heart

    Giving Report and IV Access

    Some comments are worth emphasizing... like this one.
  16. 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 left index finger and trace a path to the right... ...
  17. 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 of mRNA vax in a couple weeks.
  18. 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 where I clock in, I'm either an ED nurse or a Rapid...
  19. 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 awhile... and all these years and countless successes lat...
  20. 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 intervention then staffing and acuity levels could eas...
  21. 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 don't know what I was thinking," though, probably isn'...
  22. 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. " Absurd... One of my favorite colleagues just retired and h...
  23. Music in My Heart

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

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  24. Music in My Heart

    Give me the good, the bad, and the ugly of unionizing

    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 from excellent wages, good benefits, and codified nur...
  25. Music in My Heart

    PICC line

    CVP is blood pressure...