zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. What I learned yesterday as a nurse

    zacarias replied to HappyNurse2005's topic in General Nursing

    an Sp02 of 65 for 12 hours? Was this person DNR and COPD? I'm sure the person lost a few neurons during that

  2. Change, change, change

    zacarias replied to EmilyCCRN's topic in General Nursing

    Why are Swans out of favor? Forgive me, I'm not a critical care

  3. Bashful Nurses?

    zacarias replied to moosie's topic in General Nursing

    I am a timid person historically but nursing school and working as a nurse has helped me so much. I'm still generally shy but not with patients. I'm their advocate and feel confident in my skills...

  4. Bnp

    zacarias replied to steelydanfan's topic in Cardiac

    An old person with pneumonia can that elevates their BNP. Possibly they're in a little HF from the pneumonia but after getting treated, they are totally

  5. Catheter Question

    zacarias replied to sweetnurse1's topic in General Nursing

    Even when I irrigate patent foleys, I've noticed that sometimes I get very little back yet I KNOW they are patent because they still drain urine and my theory is that the pulling back of the syringe...

  6. HTN urgency with IV Beta Blockers

    zacarias replied to AndyB's topic in General Nursing

    Tele monitoring is a good idea, but I can see IV beta-blockers being given in a med/surg area without tele and it being fine. You still need to check frequent (before and after) BPs and HR of course....

  7. As a patient, do you disclose your qualifications?

    zacarias replied to lisalau's topic in General Nursing

    I don't tell every single person that is involved in my care, but I do tell my PCP. I go to a PA and we chat up all things including latest research on things, scholastics, my work, and her work. We...

  8. what is an interview at a hospital like? (RN)

    zacarias replied to JEWELZxO6's topic in General Nursing

    Nursing interviews seem to be laid back and easy going. However, I would still prepare well for a formal interview so that either way, you're ready. They may want to know how you problem solve and...

  9. What is "KVO" on your unit?

    zacarias replied to KellNY's topic in General Nursing

    I think ordering "KVO" is OK only if the hospital/facility has a policy that sets the rate for KVO. At my institution it's 42cc/hr. Strange number I

  10. Rapid A. Fib or PACs?

    zacarias replied to harley_fan's topic in Cardiac

    I don't know if this is right. But I think that if you see PACs, then it is likely that the patient's baseline rhythm is probably NSR. Now if it looks like A-fib, it's possible that a person is...

  11. ER Report

    zacarias replied to cnolan's topic in General Nursing

    Our ER started to do this months ago. It isn't a perfect system but what they usually do is fax up the report, and call up to see if it was received. Then they say the pt will be up in a half-hour...

  12. "open-heart" soon to become obsolete?

    zacarias replied to Tony35NYC's topic in Cardiac

    Of course this is just talking about valve replacements, not coronary artery

  13. Barcode Meds/Patient

    zacarias replied to CarVsTree's topic in General Nursing

    My hospital is starting to get ready for barcoding and computers on wheels. I am not all that excited about it as I do not want the computer to stop me if I'm 31 minutes late on a med as another...

  14. Soon-to-be cardiac nurse!

    zacarias replied to kellyo's topic in Cardiac

    Get Dubin's EKG book and learn basic arrthymias either in an EKG book or online if you don't know them. Congrats, it sounds like you will have a good cardiac variety!! Let us know how it

  15. Nursing Paper-Gender Bias and stereotypes

    zacarias replied to MainLV's topic in Men in Nursing

    I feel recruiting campaigns for men to get into nursing do promote stereotypes at all if they are done appropriately. I can't imagine any negative outcomes from these recruiting campaigns. I've been...

  16. holding BP/HR meds

    zacarias replied to limabean's topic in General Nursing

    This is my opinion, but this is something that comes by more easily with experience. If there are parameters for holding a medication, that is great. If there are no parameters and I feel I should...

  17. Rapid Response Teams

    zacarias replied to sarahlh's topic in General Nursing

    We've had RRT for about six months officially for all the floors. They are great. Most of our docs are good if we call them but still it's good to have a team that will always come when you suspect...

  18. Bnp

    zacarias replied to steelydanfan's topic in Cardiac

    Well generally we are ordering lab tests anyway for these dyspneic people when they come in, so why not throw in a BNP? The benefit of knowing that value outweighs the negatives of ordering it. It...

  19. Late for report

    zacarias replied to Hoozdo's topic in General Nursing

    JCAHO is focusing on this whole report thing. We use written report where I work. VERY succinct but gives good basic info about the care of the pt. People still need to verbally report off and...

  20. Postural Vitals

    zacarias replied to Rhonda V's topic in General Nursing

    I agree with the above. I usually wait 3-5 minutes. Postural blood pressures are particularly useful for people that have been in bed a while and you are first getting them

  21. Ever caught a visitor playing with an IV pump??

    zacarias replied to TweetiePieRN's topic in General Nursing

    I had a patient who wanted to shower so the tech told me I needed to unhook the IV so she could take off the gown to shower. I was in another room so I said "OK I'll be there in a minute." I go in a...

  22. 140 mg lopressor with no effects to me.

    zacarias replied to ak47m203's topic in General Nursing

    Maybe you metabolize it SO fast that it never can have it's greatest affect on

  23. Lupus

    zacarias replied to katheriner's topic in General Nursing

    The article mentioned above (Hep B being linked to autoimmune) doesn't have ANY solid info. It says 'this study links this to that and that study links that to this." No numbers, no statistics, no...

  24. Blood Transfusion Reaction...Doctor order to go ahead with transfusion anyway...!

    zacarias replied to DutchgirlRN's topic in General Nursing

    Rapid Response Teams are so cool. We have them at our hospital and I truly believe they save lives and prevent

  25. Infection Control

    zacarias replied to oreocookie's topic in General Nursing

    Thanks for the tips. Good to know Angie makes a mess too lol. I'm on a tele/stepdown floor because I dislike PEG tubes but sometimes they