ApplePineApple

Latest Activity

1. MSN without a BSN.

   ApplePineApple replied to Selenaguardado11's topic in General Students

   Cost is usually a major factor. A decade ago, it was far cheaper to get a BSN at a partner state school then a MSN. I had probably 10k saved and the cost saving was anywhere from 5k to 25k depending on how many credits were added to a MSN bridge and ...

2. Access to medical records

   ApplePineApple replied to ApplePineApple's topic in General Nursing

   Well, turns out it is not policy and they do allow people to view charts with healthcare records. I am concerned about some of the responses here though. It doesn't seem like you guys would be providing adequate care. This is probably laws have ...

3. Access to medical records

   ApplePineApple posted a topic in General Nursing

   A nurse is probably trying to *** me because the hospital screwed up pretty badly and so now he claims he cannot let me review the last note the physician/resident wrote during rounds or review lab work with me. It literally takes 10 minutes. He said...

4. EVD/Ventric draining vs monitoring

   ApplePineApple replied to ApplePineApple's topic in Neuro

   Thanks! They also apparently had zeroed the EVD wrong too since they were discussing it

5. EVD/Ventric draining vs monitoring

   ApplePineApple posted a topic in Neuro

   So can you monitor accurately and drain at the same time? Does it depend on a brand? I was always told it was one or the other but this place swears you can do both.

6. Hospital requiring ER nurses to chart full admission assessment

   ApplePineApple replied to Halestorm21's topic in Emergency

   I work for a top ER that held patients precovid. We did an admission screen at I think 24 hours. Or were supposed to. They linked into the ER narrator so I wouldn’t whine too much about it because epic can link anything depending on if they have a go...

7. Should all EDs have a Triage Nurse?

   ApplePineApple replied to ED RN's topic in Emergency

   Perfect world? Yes. Realistically? How is the ER staffed?

8. ER Holding Due To No Beds

   ApplePineApple replied to emtpbill's topic in Emergency

   It depends. Some hospitals were like that pre-covid if they are a big name. Now? Everyone is having that because nurses are quitting and traveling

9. Moderate Sedation

   ApplePineApple posted a topic in Emergency

   What are your facilities’ policies? how many staff members? How many are providers or RNs? What roles do each staff member have? For example, apparently it can be nurse, physician, and RT for a sedation and reduction. Every other place I ha...

10. Bad signs? New department

    ApplePineApple replied to ApplePineApple's topic in General Nursing

    So the issue is that each place can customize EPIC to their own set up and I have no experience with the surgery side. Like 90% of it will be the same in say ED or flowsheets but the locations and details may be different. Like one includes LDAs on t...

11. Bad signs? New department

    ApplePineApple replied to ApplePineApple's topic in General Nursing

    It’s not really advanced for somethings like how to use single one step meds in the sedation narrator to accurately chart dose, when, route, and administration instead of hand typing out every single med push and then signing off a large dose of meds...

12. CCRN Exam 2020

    ApplePineApple replied to Nursng_life's topic in Critical

    I took the previous exam style in 2019. I have to say I used the same book although I think mine may have been a previous edition. I felt like sepsis was everywhere. I also was shocked at the amount of questions about cardiac output. I kinda took ...

13. Team nursing?

    ApplePineApple replied to emergencynurse2011's topic in General Nursing

    I’m sure CT will love the cdiff patients next to their cabg patients.

14. Transition to bedside shift reporting

    ApplePineApple replied to BRoBSN's topic in General Nursing

    I don’t know, I feel like pushing patient satisfaction scores may trigger a negative reaction in me. However, pushing the ability to look at your patient and using them as a visual reminder is beneficial.

15. Bad signs? New department

    ApplePineApple replied to ApplePineApple's topic in General Nursing

    When company B went live, some of the staff talked a little bit about this company (A). I remember B saying it was a disaster and that the doctors rebelled successfully so the entire corporate education had to be redone so nurses could enter orders f...