Reno1978 BSN, RN

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All Content by Reno1978

  1. Reno1978

    3% NS

    Reno1978 replied to moonischasingme1's topic in General Nursing

    I just re-read this and is it just me or is 3% NS for Na of 125 pretty aggressive? I've only ever seen them start 3% NS with Na results in the 110s. Usually if it's in the 120s I'd expect the docs...
  2. Reno1978

    3% NS

    Reno1978 replied to moonischasingme1's topic in General Nursing

    Thinking about the contents of the skull - you have brain, csf and intravascular fluid, basically. When serum sodium decreases, cerebral edema results. If the decrease in serum sodium is very...
  3. Reno1978

    3% NS

    Reno1978 replied to moonischasingme1's topic in General Nursing

    I agree 100%. The increase in intravascular volume can also cause heart failure. Also, like Gila said, there's a condition called central pontine myelinolysis where the myelin sheath of nerve cells...
  4. Reno1978

    I cant start IV's!

    Reno1978 replied to Creamsoda's topic in Emergency

    LOL - it's the same way in the ICU that I used to work at...charge nurse would send someone who wanted to practice their IV starts because we really don't do too many IV starts in the ICU. In the...
  5. Reno1978

    Highest Paid Area, All Things Considered

    Reno1978 replied to WantAccel.BSN's topic in General Nursing

    It all depends though...I live in WA state and make a great salary compared to the cost of living where I live in south-east WA state. However, if I were living in Seattle, my salary would be about...
  6. Reno1978

    Quinidine: Do most nurses measure QRS interval before giving drug?

    Reno1978 replied to RealNurseMom's topic in General Nursing

    Where I've worked, patients in critical care, or telemetry floors have ECG strips printed and interpreted every shift. To determine if cardiac measurements are becoming prolonged, you compare your...
  7. Reno1978

    Highest Paid Area, All Things Considered

    Reno1978 replied to WantAccel.BSN's topic in General Nursing

    There was some report, I forget where, that listed Dallas, Houston, then Sacramento, CA as the top 3 places where nurses make the most money relative to cost of living. Does anyone remember this...
  8. Reno1978

    Renown in Reno, New Grad in ICU??

    Reno1978 replied to NVRN2008's topic in Nevada Nursing

    The 12 week orientation consists of both classroom time (ECCO, PACEP, other classes for new nurses, etc.) and preceptorship on the floor. When you're on the floor, you're always with a RN preceptor....
  9. Reno1978

    Renown in Reno, New Grad in ICU??

    Reno1978 replied to NVRN2008's topic in Nevada Nursing

    Yep! I worked in the Roseview ICU in Renown as a new grad. It's a 18 bed Medical/Surgical ICU. There's also the Sierra ICU which does mostly trauma and it's 28 beds and there's the Tahoe ICU that...
  10. Reno1978

    Attention OB or pediatric nurses

    Reno1978 replied to ijuanabhappy's topic in General Nursing

    It sounds like you already have many good ideas for community resources. Taking the the car seat idea to the community resource realm, find out where your local families can go to get their car seats...
  11. Reno1978

    Test result question...please help!!!

    Reno1978 replied to Tech_2_RN's topic in General Nursing

    My understanding of it is that it tests for occult blood in the stool...meaning usually that a positive result would be indicative of a GI bleed farther up the GI tract. If there is bright red blood...
  12. Reno1978

    Reamed for ordering an ethics consult

    Reno1978 replied to WalkieTalkie's topic in General Nursing

    Thank you for advocating this patient's and her family's wishes! I can't imagine how frustrating this must be for you and the family involved. It's almost as though the doctors you were speaking with...
  13. Reno1978

    Moving To Northern Nevada

    Reno1978 replied to Ex_Army_Nurse's topic in Nevada Nursing

    I would say that's the case in northern NV as well. The only LPN I encountered while working at Renown was the employee health nurse that did our annual PPD and flu
  14. Reno1978

    Moving To Northern Nevada

    Reno1978 replied to Ex_Army_Nurse's topic in Nevada Nursing

    Oh, there's also Incline Village Community Hospital and Tahoe Forest Hospital. Both are very small facilities. http://www.tfhd.com/ If you're going to be a new grad RN and require an orientation to...
  15. Reno1978

    Moving To Northern Nevada

    Reno1978 replied to Ex_Army_Nurse's topic in Nevada Nursing

    Carson-Tahoe is the only one in Carson City that I know of. Also close to you would be Barton Memorial Hospital in South Lake Tahoe. Reno has Renown Regional Medical Center, Saint Mary's, Northern...
  16. Reno1978

    How is the job market in Spokane?

    Reno1978 replied to Not_A_Hat_Person's topic in Washington Nursing

    I'm not sure what your reasons for wanting to relocate to Spokane are, but if you just want to be in the general area, I'd suggest the Tri-City area. It's about 2hrs drive south of Spokane, but there...
  17. Reno1978

    Recommended stethoscopes?

    Reno1978 replied to L&DForMe's topic in Washington Nursing

    I bought a Littmann Classic II S.E. Stethoscope in nursing school and it's the stethoscope I continue to use now as a RN. I have no problems listening to heart, lung, bowel sounds for a typical...
  18. Reno1978

    Someone told me something that upset me today.

    Reno1978 replied to oramar's topic in General Nursing

    A manager in my old hospital would allow her employees to swipe in whenever they arrived, even if 20 minutes early, and then would alter their IN punch to reflect 6:45. When timekeeping practices...
  19. Reno1978

    How much are nurses making?

    Reno1978 replied to ksauce20's topic in Washington Nursing

    For the hospitals covered by WSNA, the contracts could be found online. I'm not sure about other hospitals, but my contract includes salary and differential
  20. Reno1978

    Would you have done the same? Recieved wrong prescription.

    Reno1978 replied to RN BSN 2009's topic in General Nursing

    How would you feel if the OP wasn't such an honest person, took the narcs for herself, replaced them with some OTC medication, and returned them to the pharmacy? Then, after the pharmacy personnel...
  21. Reno1978

    Nursing shortage my !! (Bay Area)

    Reno1978 replied to JoblessRN's topic in General Nursing

    Because some schools graduate students in December and getting a license isn't always a quick process. I'm sure you'll notice that new grad positions will also start in July/August for the May...
  22. Reno1978

    ICU fighting admissions?

    Reno1978 replied to NurseyPoo7's topic in General Nursing

    I think Kymmi nailed it. These were my exact thoughts as I read the original post. I'm sure the patient status may be more complex than stated in the original post, but it seems like the priority...
  23. Reno1978

    RN Testing Question

    Reno1978 replied to TCLA's topic in General Nursing

    The licensure exam to become a RN in the US is called the NCLEX-RN. For LPNs, it's the NCLEX-PN. TEAS and NET are sometimes used by nursing programs for admissions purposes. It is not required...
  24. Reno1978

    secureing orogastric tube w/intubated pt

    Reno1978 replied to nightshift82's topic in CCU, Coronary, Cardiac

    That's the same rationale given by an anesthesiologist who removed one of my pt's OG's in surgery and reinserted it in a nare without checking placement. I push an air bolus and hear hissing coming...
  25. Reno1978

    Did AIDS patient can share same room with other patient?

    Reno1978 replied to Ilikelemontea's topic in General Nursing

    I would only be concerned with whether the roommate has any type of communicable disease. HIV+ patient would have compromised immune system even if not progressed to full blown