Pheebz777 BSN, RN

I'm currently thinking about getting a CPEN certification. But I need to ask administration if they have any "monetary incentive" for achieving the certificate. Besides the addition knowledge in PEDs and additional $$, I love having an extra set of ...

Can't go wrong starting at that academic hospital. Start with a strong foundation and move your way up to ICU when you feel the time is right.

Just curious, did you let your CCRN lapse?

Just think of lighting a bright flashlight in a dark hallway, the flashlight being the inflated balloon of the swan wedged in the pulmonary artery. You can see everything in front of the light, and you can't see anything behind the flashlight. Now im...

Sounds like you have muscle strain endured during the code. When you are improperly positioned to perform high quality CPR you tend to use other muscles to compensate. Most places I worked at strictly adhere to the 2 min switching of those assigned t...

Have you looked into working for the Military to pay off school loans?

Do 1 full time job and another as agency or PRN at another facility for more flexibility and more pay. Be sure to max out your tax deductions (ex. filing for single on your W2) that way by the end of the year you will (most likely) not owe the IRS. ...

Plus the B2 stimulation promotes better perfusion through the pulmonary vasculature. Esmolol is primarily a B1 antagonist which has very minimal effect on B2 receptors.

Print out the CEN blueprint and study all the material there. You can get by just by watching and understanding YouTube content on each topic. Also watch Mark Boswell videos over and over and take notes. Sheehy's Emergency Nursing book is also a help...

We start weaning off sedation around 6am. Usually have orders for mittens to be applied just in case they awake enough to pull at lines, IVs, etc.

The actual exam didn't seem as difficult as I thought it would. I had was getting high 60's in PASS CCRN. So I studied Laura Gasparis review book and studied all the material on the CCRN blueprint. Watching YouTube videos on most of the blueprint con...

You will need the BLS/ACLS/PALS in the E.D to start with.

Congrats! recently passed mine last July 16. I contacted HR to add that to my badge, but I have a long first name and I don't think the CEN will fit. Or maybe I could take away the CMC-CSC. We'll see on Monday what HR says.

Good luck! You'll enjoy it there and learn a lot!

Just explain to them how the respiratory triggers work for normal people as opposed to COPD'ers and that fine line between killing that respiratory drive and becoming too hypoxemic. Because a blood gas alone is only a few numbers.

I would suggest getting solid ICU experience for now at least 2 years. Seems you like floating around and working different units. Having ICU experience will get you some good foundation to booster your confidence working other departments.

Location: McAllen Texas Experience: 22 years. 2 years Nursing home, 1 year Med Surg, 2 years Telemetry, 15 yrs CVICU, 2 years ED Specialty: ED Facility: 530+ Bed educational hospital with ongoing expansions. Base Pay: $38/hr Differentials: $6/hr I...

Technically your preceptor was asking, "are you in yet?"

Go for E.D. Certifications. CEN, CPEN, TCRN, etc.. That will broaden your knowledge and improve your skills which is majority of the reason why nurses feel anxious in going into work. Watch a lot of YouTube videos on disease pathophysiology, trauma s...

That's what I wanted to know because the OP never mentioned if it was a doctor who ordered the dose or the RRT nurse following ACLS protocols

Unless you really need to hear heart murmurs, or better yet, identify systolic from diastolic murmurs, there is no reason to get any of the higher end expensive stethoscopes. In the ER, realistically all you would be listening to is breath sounds, wh...

Wouldn't hurt to take the CCRN. But the topics in Cardio and Pulmonary topics will be more in depth. You would have to memorize many hemodynamic values and understand each values' significance. Pulmonary will be the harder of the 2 topics to understa...

Don't start by looking for a dropped QRS. Pay attention to the PR/QRS pairing which is key. On Mobitz II, technically you'll find a consistent PR/QRS interval pairing on every QRS that isn't blocked. On 3rd Degree you will not, PR interval will vary ...

I work at a Freestanding ER which has no RT and no phlebotomists. I love it here. It can be challenging at times when train wrecks walk through the door, (STEMI's, Strokes, Gunshots, stabbings, Cardiac/Respiratory arrests) since we are not informed a...