zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. best hospital to work for in Washington state

    zacarias replied to badtz143's topic in Washington Nursing

    Most Western WA hospitals are awesome in my opinion. Seattle is a great place to work as a nurse in a hospital. There are people that complain but in my opinion, nurses in other states have it a LOT...

  2. "I'm NOT going to support his habit...." LONG

    zacarias replied to tencat's topic in General Nursing

    I always thought H202 was ok for minor wounds initially and not to use it again. I wouldn't use it for deep wounds. Is the research now saying NEVER to use

  3. funky situation + cardizem = eep!

    zacarias replied to Indy's topic in Cardiac

    I think you did great with this guy although I fear that another patient might have severely crashed in this same situation. His pressure was already not that great and to hope that "lowering his HR...

  4. Hematoma/ecchymosis?

    zacarias replied to zacarias's topic in Cardiac

    Thanks for your explanation. It turned out the doctor wasn't worried and the guy was d/ced later that way. Of course he was admitted again the next day!!! for something diff

  5. Heparin IV administration

    zacarias replied to starcandy's topic in General Nursing

    If a pt's heparin gtt is running at 35cc/hr, then you should be fine with heparin as the only line since that rate will keep the vein open. If you a have little frail pt who only gets 9cc/hr of...

  6. empathy vs sympathy

    zacarias replied to MrsMommaRN's topic in General Nursing

    Simply put, empathy is an being objective in your dealing with the patient. Sympathy is subjective No matter how much we feel for a patient, we must maintain objectivity on the job which is in the...

  7. 75 Questions on the NCLEX

    zacarias replied to TheDude,RN's topic in General Nursing

    passed at 75

  8. Is it normal to be this exhausted after a 12 hr shift?

    zacarias replied to lannisz's topic in General Nursing

    I used to work 3 12s in a row but don't anymore as I didn't feel well and even missed some days from such a schedule. (I'm pretty young and I know a lot of folks do 6 12s in a row, but I'm just not...

  9. Have you seen "I am my own Twin"?

    zacarias replied to BSNtobe2009's topic in General Nursing

    There was a episode of 'House' not too long ago that dealt with this

  10. Last night...

    zacarias posted a topic in Cardiac

    Last night was a shift and a half!!! I had one guy who was old, sick and kept getting sicker. He's an 81 y/o DNR with pulmonary fibrosis, often comes in with SOB due to AF with RVR. Well, I had him...

  11. double dosing

    zacarias replied to joli's topic in Cardiac

    I really don't think the medication reconciliation forms are as useful as they should be. I think when a doctor discharges a patient, he/she should be the one to write the medications on the form....

  12. V-tach question

    zacarias replied to evans_c1's topic in General Nursing

    Sotalol and Amiodarone are the main drugs to treat stable v-tach in my

  13. Nursing Job Satisfaction. Would like your input for school project.

    zacarias replied to Hoping LVN2BSN's topic in General Nursing

    BTW, this is a medium-sized non-teaching, not-for-profit community

  14. PLEASE HELP!!! so embarassed about sweating!

    zacarias replied to Bumashes's topic in General Nursing

    Most SSRIS pose an increased risk of

  15. Has anyone ever seen this happen??????

    zacarias replied to LoriAlabamaRN's topic in General Nursing

    Wow, you are very smart and quick on your feet. You knew exactly what to

  16. Math Quiz I Need Help....levophed

    zacarias replied to Furoffire's topic in General Nursing

    You want the bolus to go fast! You generally don't use the bag of diltiazem to take the bolus from. The bolus is separate, drawn up from a

  17. chart auditing

    zacarias replied to jonear2's topic in General Nursing

    My hospital is doing the same thing!!! I always make it a point to update the Kardex (even if I think they aren't that useful) and make sure all the things that are supposed to be filled in...

  18. Hypoxic drive?

    zacarias replied to lyallch's topic in General Nursing

    Nonrebreathers at 2 -4 lpm? I dont' think that would even work. About CO2 narcosis, I believe in it but I would like to see the research that the OP mentioned saying it was an old wives tale. I...

  19. Why IV pumps for Central Lines?

    zacarias replied to mysticalwaters1's topic in General Nursing

    I would love to do certain abx by gravity but as mentioned above, it isn't the "standard" where I am and I'd be surely

  20. Sleeping on the job..acceptable or not?

    zacarias replied to travelnurse63's topic in General Nursing

    We have nurses and techs who sleep on their breaks. The only thing that annoys me about that is that sleep in the conference room and break room so a lot of us don't have a eat our food or whatever....

  21. Last night...

    zacarias replied to zacarias's topic in Cardiac

    Good info Doug. An update, is that this patient did die two days later. His body couldn't take it. His + blood cx revealed

  22. About dorsogluteal injection, there's a risk will get in vein, how to avoid this?

    zacarias replied to leonar's topic in General Nursing

    Karen, that link to the article you posted was wonderful!; Great explanations with good

  23. Threat of needle sticks!!

    zacarias replied to Epona's topic in General Nursing

    The threat of a needlestick in today's US hospitals is VERY minimal for the prudent nurse who takes precautions. Worry about other things.

  24. What is the liability of faxing report

    zacarias replied to JessicRN's topic in General Nursing

    This is how it should work: The ER faxes report and then calls to make sure fax received. At this point, the ER and nurse agree on what time the patient will come up to the floor (10, 15, 20 min...

  25. Chem 7 vs. BMP/CMP

    zacarias replied to Jesskanurse's topic in General Nursing

    I've always had a doctor order "limites lytes." That was his super nifty term for BMP :rolls