Hannahbanana BSN, MSN

Physiology, CM, consulting, nsg edu, LNC, COB

Knows a thing or two because she’s seen a thing or two.

Member
  • Content

    1,267
  • Visitors

    9,492
  • Followers

    10
  • Likes

    2,482

All Content by Hannahbanana

  1. Hannahbanana

    Stanford or Kaiser???

    I worked in the Stanford ICUs for five years. Freaking awesome, learned so much, had opportunities to start programs, great nursing management with a strong relationship with the union, worked c...
  2. Hannahbanana

    Working with an unlicensed RN

    It is true that students aren’t “practicing under the teacher’s license” but it’s not because they aren’t under the instructor’s constant observation. It’s because even a student has a...
  3. Hannahbanana

    Osteomyelitis Way Back When

    He was, but didn’t tell the allegedly licensed podiatrist who was treating a chronic foot wound because he had some stupid idea that his insurance rates would go up if it appeared in his records and...
  4. Hannahbanana

    Pressure injuries - WOC nurses, please help!

    Agree c hydration, protein intake, and tissue oxygenation. Other things to look at in chronic cases are Vit C levels, prealbumin and albumin, and testosterone levels. SCI units often see guys who...
  5. Hannahbanana

    Nurses Give EHR Usage a Usability Rating of F

    The old guys who didn’t even trust fax machines are mostly gone, LOL. Fortunately, most law firms nowadays deal with electronic files, so I get my cases in PDF via Dropbox or other FTP (file...
  6. Hannahbanana

    ADN or BSN?

    Little-known fact: the reason NCLEX questions are what they are is because NCLEX is designed to weed out people who would lack the knowledge and judgment to be safe beginners. How do they know that?...
  7. Hannahbanana

    Incompatible IV Meds

    You can alter the times. I know that in some institutions Q4h means 8-12-4-8-12-4 and QD means 0900 or else, but this is obviously not a case when you are rigid. Also, the Institute for Safe...
  8. Hannahbanana

    Seeking advice

    First, a bit of homework. Look up the Case Management Society of America, CMSA, and read some of their work. Even though you aren’t yet eligible to take the CCM certification, look up the...
  9. Hannahbanana

    Former client in home health

    You cannot know whether/if his "Just want to be friends, don't care who knows it" pivots on a dime, or he becomes more incapacitated and his family thinks you're getting too close, or whether...
  10. Hannahbanana

    Online FNP programs?

    https://allnurses.com/advanced-practice-c150/
  11. Hannahbanana

    Online FNP programs?

    Go hang around the FNP/NP forum here and ask them what they think about the different models and
  12. Hannahbanana

    Seeking advice

    If you've been doing rehab you'd be a great candidate for case management.. If you already have the CRRN (if not, you could probably pass it with minimal prep after three years in rehab) you could...
  13. Hannahbanana

    Online FNP programs?

    I'd ask yourself if you would be happy having your child or parent, or yourself, receive primary care from a FNP whose program was primarily online. FWIW, a lot of employers have begun to realize...
  14. Hannahbanana

    Name title

    Yes, you are. Preferred order of credentials (Don't shoot the messenger and I don't need to hear how "RN" is all anybody needs cuz it's the very bestest because that's not the question being...
  15. Hannahbanana

    Nurses Give EHR Usage a Usability Rating of F

    LNCs review EHRs all the time. They are dreadful. My colleagues just hate them too, for related reasons. For one thing, unless you’ve been involved in a litigated case I’ll be you didn’t know...
  16. Hannahbanana

    Gross Me Out ? Contest | Nurses Week

    The fecal NG tube story reminded me of another from my first ICU job. Guy had esophageal cancer and, alas, an incredibly incompetent surgeon (even to my inexperienced eye) who basically snipped out...
  17. Hannahbanana

    Osteomyelitis Way Back When

    My first father-in-law died suddenly of ?sepsis after a similar course of “treatment,” but that was decades
  18. Hannahbanana

    Grading integrity

    I can guarantee you that a lot of the people who rely on shortcuts and cheating in lieu of putting in the intellectual work to learn and understand the material will be here later, whining about not...
  19. Hannahbanana

    case study

    The ones asking for interviews who expect their Q&A will satisfy the objectives of the assignment and fail to understand that part of the point is searching out local resources and steeling...
  20. Hannahbanana

    case study

    Isn’t there a header somewhere that asks students to tell us what they’ve done or tried on their own before asking us to do their homework for them? There are many good teachers here, but I’d...
  21. Hannahbanana

    Does the shot mess with your DNA?

    Low bar, low bar.
  22. Hannahbanana

    Osteomyelitis Way Back When

    When I was a probie with Florence we had a number of old vets with 30+ year-old osteomyelitis. Several were alcoholics who would snooze off in the sun, have flies stop by for a snack, and come in c a...
  23. Hannahbanana

    Working with an unlicensed RN

    Don’t co-sign your shift change med counts, narc sheets, report sheets, etc. with her. If she is signing “Suzie Q , RN” she must stop, because she is not an RN (you should be able to verify this...
  24. Hannahbanana

    Bad Clinical Experience Today

    Oh yeah. We had a guy once at the city hospital with endocarditis (from IV drugs, natch) who they put a central line in. He would have breakfast, get his 0800 dose, and go outside to resume his usual...
  25. Hannahbanana

    Need Help With Med Calculation

    500 + 250 = ?