HollymedicRN

Some of you ladies need to lighten up. For crying out loud, it's just a story on a message board. It's not like you're selling a story to the national enquirer.

We have a newer CRNA (new to the hospital, I guess, not to CRNA) that puts nasal airways in the mouth. WTH?!

Yeah, in my PACU we don't use it either, but up on the floor when I was pulling lines it was routinely ordered by the cardiologists. I don't know what their rationale was, but I was VERY careful when I used it.

Research says you should avoid milking or stripping chest tubes. It's "old school" nursing, a bad habit, and one that needs to be phased out. Use the evidence based practice. http://ccn.aacnjournals.org/cgi/content/full/22/4/70 http://www.medscape.com/viewarticle/566590 http://ats.ctsnetjournals.org/cgi/content/abstract/42/1/77 http://icvts.ctsnetjournals.org/cgi/content/full/7/5/888

Thanks for all the great info, I'm considering traveling as well after my 2 year contract with my current hospital is up. Can you give me some insight as to how the staff nurses treat travelers? I'm worried they get treated badly sometimes because the staff nurses may think the travel nurses are making all kinds of money and might be jealous.

Yeah, it's only a couple docs that order it, most of them order Morphine. I've become so wary of Nubain during line pulls that I would rather use nothing at all. Which most patients really do fine with. The one time I gave it and was about to pull, we had just cut the stitch out of the art line when she started going nuts! Took 5 of us to hold this little old 70 something year old lady down for almost 2 hours while the nubain wore off. Jeez.

Nobody has come across this at all? Huh.

Hey there! I work in an interventional Cardiac unit where we regularly pull arterial lines post caths, and Nubain is frequently ordered for the line pull. However, I've had a couple of bad experiences with Nubain in pts that have been on a pain med at home for a long time; ie: Darvocet, Percocet, etc. where after I give the Nubain the pt goes absolutely nuts, acting very restless, c/o shaking and tingling feeling. We were told by a cardiac cath lab nurse that this was because Nubain competes for the pain receptor with the pain med and takes its place, effectively detoxing the pt very quickly. Has anyone come across this problem or heard about any research done on it? Thanks for reading!

Good luck!! I'll be sending positive vibes your way!

My tips are: don't kill yourself cramming for the NCLEX. You already KNOW this stuff! You can do some light content review, on your weak points (mine were meds and OB) and then just make sure you know that Kaplan strategy backwards and forwards. 1. Reword the question 2. Eliminate answer choices you know to be incorrect 3. Don't predict answers 4. Recognize expected outcomes 5. Read answer choices to obtain clues Just follow those steps and you will increase your chances for passing. Good luck! We're all pulling for you. I know that after the test, waiting for the results was almost worse than taking the test itself! Find out if there's a way to look up health care providers in your area (for example you can look up FL health care providers on http://ww2.doh.state.fl.us/IRM00PRAES/PRASLIST.ASP which is how I found out I passed.) It was there a little less than 48 hours after I took the test. Also, I had a 1:15pm appt to take the test and I showed up at 11:30 and they let me take it early. Don't study the day before or the day of the test, you'll just freak yourself out.

Just the book, I was told you should only do the Kaplan if you failed the first time. It's expensive. However, each person has their own way of studying, so who knows, maybe taking the review would really help, even the first time around.

Thank you so much guys, the support on this forum is enormous, and I'm so glad I found you. :thankya:

I didn't work as a new grad, but I actively worked as a paramedic, which, in my opinion, made it much harder for me. One of my paramedic friends who passed RN last year said they would "beat the medic out of me" by the end of the program. It was a difficult transition.

You guys have been so much help to me, I had to post a thread. I took the test Tuesday, it took me about an hour and shut off at 75. I found out today (through the health provider look up screen for Florida) that I passed! I was so excited I screamed. I may or may not have been seriously sleep deprived from working the night shift and just getting off. I just graduated on May 19th, pinning was on May 5th. I'm the first licensed RN in my class. Does this mean I can change my username now? whoohoo!! And, for the people going to take the NCLEX soon: I used the Kaplan book. It was SOOOO helpful. The strategies they used REALLY helped me during the test.

Good luck! :icon_hug: