Reno1978 BSN, RN

SRNA

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All Content by Reno1978

  1. Who's going!? I'll be there
  2. Reno1978

    Pain management post open heart surgery?

    Our standard pain management orders for post-open heart surgery patients are Tylenol 650mg q4 po prn, oxycodone 5-10mg q4 po prn, and dilaudid 0.2mg iv q2 hours prn (may repeat dose once within two...
  3. I'd would say at least 1 year. You want to be able to show that you're a nurse with experience that does not require further training in your specialty area. Also, it will show your new employer...
  4. Like you said, the job market in CA is tight. They don't have to shell out money to train new grads when there are so many experienced applicants. After you have a year's experience under your belt,...
  5. Well, my hospital is paying my way, so how could I say no!? Our unit just got awarded Beacon status for another 3 years - I fricken love it here! It'll be great to see you again, and Brian, and his...
  6. I'd look up and call some local anesthesia practices that utilize CRNAs and ask to shadow one. That's how I did it here. AANW is one group based in the Portland area that utilizes CRNAs. Good
  7. Reno1978

    Calling all CCRNs!

    I used the CD that came with Pass CCRN, too. I did not use the book. I did the 150 question practice exams until I averaged above 80%. I also watched the Laura Gasparis Vonfrolio DVD review several...
  8. Reno1978

    Hourly doses of vent sedation, is this common?

    For most vented patients, we use titratable drips: fentanyl and either propofol or versed. Sometimes precedex will be used if we don't want to lose our neuro exam. Our hearts come back on precedex...
  9. LOL - Looking forward to meeting you too, Brian. I think you'll recognize me from the time I helped you at the NSNA convention in Reno once upon a
  10. But to answer your original question, it didn't take me an awfully long time to endorse from NV to WA. I did this back at the end of 2008, though. I accepted a job offer up here in November and my...
  11. Job market is tough, but my only suggestion would be to get your WA license and forego the TX one unless you plan on working in TX. There's no reason to get a TX license after you graduate - this...
  12. Reno1978

    Multiple drip administration

    I understand that - there is still vasoactive medication between that point and where the lumen empties into the patient. If you do not have a free line available for emergency drugs, which is...
  13. Reno1978

    Multiple drip administration

    That sounds dangerous. If you used that first 0.9 line to push an IV medication, you're bolusing the patient with all of the vasoactive medication in the line ahead of that connection, and you will...
  14. I don't know what the rationale is, but the RTs do our 12-lead EKG's where I work. Fine with me - they're always there in a snap when I need
  15. Reno1978

    Multiple drip administration

    I don't see a need for the 0.9 chaser connected to your vaso. Although it infuses at a small rate, you have your 0.9 @ 150ml/hr running behind it which will help deliver it to the patient
  16. A new grad from my area, in Eastern WA, really wanted an ICU position and ended up finding one in Tacoma after finding out that the ICUs here are well staffed and not hiring new
  17. Reno1978

    Hey, Spokane RN's

    Kadlec, in Richland, WA, is a great place to work in Eastern WA. I'd check them out if you're interested in relocating to Eastern WA. Feel free to contact me if you have any
  18. Foal sclerotherapy was highlighted in an episode of The Doctors earlier this
  19. Reno1978

    CCRN Eligibility

    Because one association's rules of eligibility for a certification exam should be the basis to form opinions on the nursing
  20. Reno1978

    CCRN Eligibility

    There is simply a clinical hour requirement. 1 year of full-time employment (36 hours/week for 52 weeks) works out to be 1872 hours. If you've completed this in a setting where you take care of...
  21. Reno1978

    Blood Administration / Electronic Scanning & Charting

    We just went to EPIC Nov 1, and maybe it's the build you use or something, but I don't find it bad at all. You tell it what you have, scan the unit, enter vitals, have someone else verify it with...
  22. Reno1978

    Blood Administration / Electronic Scanning & Charting

    We use EPIC and all of this is done
  23. Reno1978

    ? on drawing PT/INR

    The blue top tube should have enough suction in it to get it filled. The brand we use has a line on the tube that the blood has to reach. If you're doing a stick, if you can just draw 3mL into a...
  24. Reno1978

    Does it matter where you got your BSN from?

    No and no one cares. I work in WA and went to school in NV. I get more questions about gambling when I mention that than I do about the nursing program I
  25. My best friend was wait listed for Fall 2011 and ended up getting a spot due to someone else declining their spot. Fingers crossed for