All Content by RussA
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IV Flagyl
Intravenous Medications, Mosby - indicate DO NOT refrigerate, will precipitate.
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Med surg certification
There are two ways to become certified. Through the Academy of Medical-Surgical Nurses (AMSN), or the American Nurses Credentialing Center. This site provides the necessary time requiring to be an RN http://www.amsn.org/cgi-bin/WebObjects/AMSNMain.woa/wa/viewSection?s_id=1073744070&ss_id=536873595
- nursing program at Clovis Community College
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For those of you who passed the RN-BC for MedSurg certification
I took the ANCC test in July 2010. Trust in your ability and experiences. Be familiar with Test Content Outline (look at the percentage of questions from each category). Take the sample test questions on ANCC website to get an idea of the type of questions posed on the exam. For myself, I purchased a used Medical Surgical Nursing Certification - Study Guide, 2nd Edition, Phyllis Healy and Leona Mourad (1998), ISBN 0-87434-919-2. Read/reviewed the book (look over "All" areas, i.e. Ethics, Legal, Behavioral, etc. Again look at the test content outline). From the amount of questions on the examination - you don't have to get all of them right...just 70% (350 of 500 possible points). Good Luck!
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Med/Surg is great because...
You ratio 5-8!? That's probably part of the reasons nurses get burnt-out or leave the profession all together. With 8 patients, care at best is "okay".
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PCA Pump- is Normal Saline best practice flush?
On our unit, PCA are run concurrent with IVF. If no IVF been designated, we use NS at KVO rate. If there is an IVF ordered, eg D5 1/2 w/ 20 meq KCL - we use that fluid. For antibiotics - if the antibioic is compatible with the PCA analgesic, i.e Morphine, and the IVF solution, then it can run as IV piggy-back. Your method of using NS with PCA, and another available line for IVF and antibiotics is another option.
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Chest Tube Help
This site has a "short" chest tube setup/operations video - that explains bubbling and tidaling. Atrium Medical: Oasis Dry Suction Drain
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Getting certified in Med-surg
The American Nurses Credentialing Center (ANCC) does not require a BSN to be certified as Medical-Surgical nurse, however as mentioned by previous poster - certain specialties do require a BSN. For M/S certification, both bodies do require you to have practiced as an RN for 2-years. I've cut/pasted link to AMSN that shows the differences between both certs (CMSRN vs RN-BC). http://www.amsn.org/cgi-bin/WebObjects/AMSNMain.woa/wa/viewSection?s_id=1073744070&ss_id=536873595
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Clovis/Portales Job Opportunities? Do they exist?
LDRNMOMMY. Here's the website for the hospital located in Clovis, NM: - Presbyterian: Career Opportunities Did a search at this website, there wasn't any L&D positions open now, but you can continually to check. The other hospital located in Portales NM, does not have L&D. Its a 22-bed med/surg unit. Cannon AFB, NM is what it is....Good Luck at your future assignment.
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Help with ER blood draw order and tube color!
I like your mnemonics in remembering draw sequence. Russ
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Help with ER blood draw order and tube color!
Read previous post...and provide test tube needed and sequence of draw. Information extracted information from: Fischbach, F. (2002) Common Laboratory and Diagnostic Test, 3rd ed. Lippincott, Philadelphia The following sequence for blood drawn: 1. Yellow-top tube - blood cultures 2. Gold-top (SST) / red top non-additive tube - chemistry 3. Light blue-top coagulation tube - plasma-coag studies, ie PT and PTT, D-dimer 4. Light green-top (PST) / green-top additive tube - ammonia, hormone, electrolyte 5. Lavender-top additive tube - CBC, hematology, genetic, RBC folate 6. Grey-top additive tube - Glucose 7. Royal blue-top tube with EDTA - cadmium, mercury, toxicology, nutritional chemistry 8. Royal blue-top without EDTA - aluminum, orificenic, chromium, copper, nickel, zinc 9. Yellow- top (ACD) tube 10. Tan-top tube
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Challenging boards?
Shelley304, In the military, a medic receive specialized training that provide skill/knowledge that include skill-sets that is comparable to an LVN. The 12-month requirement for bedside does not equate to CNA duties. Depending on branch of service and duty location - medics can be seen doing NGT, IV, foleys, EKGs, cast/splints, etc. Advance skills obtained for some of these medics provide them to work independently (within protocols) that have them diagnosing, treating, and prescribing. - So, when presenting military credentials of experience to the board, the submitter provides the skill-knowledge/skill-sets that is gained from AT LEAST 12 months beside experience to be considered.
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Challenging boards?
To be allowed to sit for the NCLEX-PN examination - See Method #4 for military. The website for California Bureau of Vocational Nursing and Psychiatric Technician (BVNPT) is: http://www.bvnpt.ca.gov/Licensing/Forms.asp NOTE: You need at least 12-month "bedside" experience. If you have specific questions, you can contact BVNPT, information can be found at http://www.bvnpt.ca.gov/Contact.asp Are you planning to reside and practice in California? This method of obtaining a LVN/LPN license is not recognized in many states. Things change, and State legislatures/Board of Nursing can restrict reciprocity - I would check requirements for the state you plan to practice before going this route. BTW what branch of service/MOS/AFSC?
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Retire by 30, thanks nursing!
Good for you...thinking ahead. Between now and then, social/family life comes into play. Have you thought about getting your BSN and joining the military? After 20 years, you get 50% of your base pay with annual increase rate annually, and you pay a very low premium for healthcare. Plus the traveling to different countries is exciting.
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Challenging boards?
There are several states that accept license from California that is gained by military members taking the NCLEX-PN. I sat on the NCLEX-PN in 2001 and was licensed in California, and I was able to gain reciprocity and gain New Mexico licensure in 2004. I would have been able to do the same in NC, W.VA, and two other states that I can't recall. California did allow (2004), Independent Duty AF personnel with hospital/in-patient skill-set to sit on the NCLEX-RN. Also, I have met an Army medic that gained his LPN in Texas, and enter nursing programs as an LPN to later sit for the NCLEX-RN in a year. There are corpsman/medics performing task in the military that surpass basic LPN skills - so having them challenge and work in the civilian sector IS (as safe or more so) safe. One just need to know their own weaknesses and limitations. RussA, practicing RN....and still continue to learn
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Has anyone switched from a BSN program to an ADN?
Matriculation for nursing classes from a university's 4-year program to a community college nursing program is "probaly" nil. It appears that each college has their own methodology what subjects are taught at each point of the curriculum. The program I attended were based on 4 semesters. 1 & 2 for LPN, Semester 3 & 4 for ASN. Each semester had a theory and clinical phase -these needed to be simutanously passed. Failure in theory or clinical required both to be taken again. Program also allowed new students with a LPN license to entry into the 3rd semester.
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Has anyone switched from a BSN program to an ADN?
I think some of the response is slightly off the beaten path from the original question. Has anyone switched from a BSN program to an ADN. TazzRN - as you know, a BSN program takes you through GenEd, Science, and Nursing courses. So, a person can withdraw, and enter an ADN program. Again, it's dependent on completion of the ADN pre-reqs, and other entry stiplulations...by merit or waiting list (first come basis). For University vs Community College cost - it's what you can afford/obtain through grants/loans. Personally, I wished my children started off in a community college...but they both wanted to go to a University. My eldest got his MBA 1 1/2 years ago, and his younger brother has another semester to go to earn his MBA (both on my dime). So it cost me a bit more, but I think its well worth it. Good luck on your family decision
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Finish old degree first?
I'm curious, why would it take 2-3 years to get into a Community College Nursing Program. If you already have 90+ credits, I'm sure some could be applied towards pre-reqs. What are the pre-reqs for your school. The school I went to - all the pre-reqs could have been done in a year. There was a waiting list, but was based on "best" candidates...bascially GPA. Once in the nursing program, the pre-reqs, nursing classes, and couple more classes - I received an AS, in Nursing and a AA, in General Studies. I agree with other post - work on you Nsg pre-reqs....the previous schooling will come into play down the line. I'm now a RN, and currently in a BSN-completion program....and those previous credits filled lot of the gen ed requirements.
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I wanted to explain what happened to me...
It is good that you are employed again. The story you shared resonnate others who had similiar experiences, and will surely help others when similiar situation confront them. In reading the posts, your situation could have been handled better by your nursing home DON. But, the result with you being dismissed was not that out of line. The DON has the responsibility to protect the residents. And provided you somewhat the benifit of the doubt by releasing you without reporting you to the BON --> which would have made you unemployable for sometime, to get the situation resolved. I was dismayed to hear, that you were seeking information on how to skirt the issue of your dismissal (for the interview). Not being upfront with you new employer doesn't show integrity...but then again, I may think different if I was in the same circumstance. Glad everything is working out for you.
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Tired question but I gotta ask about OB clinicals
It was a good experience going through L&D, postpartum, and newborn nursery. Liked the professionalism of the staff. I have to desire to work in the field, but thought it rounded out the curriculum - all that reading, made sense with the practical experience. - And yes, I was asked to leave the room on two cases. Which I truly understand.
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PLS help a newbie !!!
Robo_Petz, Howzit! What island are you from? What college were you planning to attend? I'm originally from Wahiawa, Oahu, but currently reside on the mainland. Don't know if you already met with counselor, but if you did - that's great. Just wanted to say Hi!, since I noticed you're from Hawaii. The last time I was back home was 7 years ago, but I got to see my mom/brothers when we all madee our way to Las Vegas. Good Luck - nursing is a great profession.
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Taking Boards this morning at 10.
Pam, Congratulations!!!! Now go out there and heal!!
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how do you afford to live while in school?
I had classmates work 2-3 days/evening while they were attending Nsg School. You just have to do - whatever it takes to get through the process. I was fortunate to have the GI Bill like Kurosawa/E-man. Tuition/Book expense wasn't much, just the cost of living. Fortunately, there was some extra money from the GI Bill to live off on. Just got my RN License, but I plan to continue my education, since I have another year left on my GI Bill. Good Luck in Nursing Schoool.
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Taking Boards this morning at 10.
Qween - Continue to think positive. I felt the same way when I took my PN and RN NCLEX. Test seemed difficulty - missed some questions, but thats what adaptive test is all about. Number of questions don't matter, I have friends that had 200+ questions and passed.
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Anyone not feel freaked after nclex?
Unlike KristiePDX, I didn't spend too much time reviewing. I purchased the Saunders RN, but just covered the areas that I thought I needed a review. I based my review on the ATI test results that outlined my weak areas. I would have been more comfortable if I reviewed the areas outlined in the NCLEX Test Plan. There was an area that I should have studied, but it wasn't listed as one of my weak areas after the ATI test or during our class MedsPubs NCLEX-RN Exam Essentials Review. However, it turned out alright - I took the NCLEX-RN on 1 June and found out today that I passed.