zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. Infection Control

    zacarias replied to oreocookie's topic in General Nursing

    Question on this, I often get splatter from PEG tubes when I open them to flush, give meds, or whatever. Usually just gets on my gloves. But does this happen quite a

  2. Moving to FT Lewis, WA area...

    zacarias replied to Corvette Guy's topic in Washington Nursing

    Welcome to WA Corvette Guy! Glad your wife got a job close by! I will echo RN130's sentiments about WA pay. Western WA is one of the best areas in the country with respect to pay for

  3. Anybody work at, or heard anything about, these hospitals?

    zacarias replied to jen42's topic in Washington Nursing

    Stevens just laid off a whole bunch of staff due to financial issues and low census. I don't recommend them anyway. The other hospitals you mention are good. Valley and Skagit are

  4. The MATRIX

    zacarias replied to RN130's topic in Washington Nursing

    Good lord what is this MATRIX thing? Do you work in a community

  5. need help!

    zacarias replied to pantawan's topic in Washington Nursing

    There are lots of places hiring. Pantawan, are you looking for hospital jobs? What specialty are you interested in? I am here in Seattle and while we don't have a huge nursing shortage here, there...

  6. Daily??? Newer nurses need "stand up" help!

    zacarias replied to onconurseRT's topic in General Nursing

    I have never ever treated a nurse that way. I know that the nurse giving me report has had a busy shift and if they mention that they didn't do something, I will plan to do it on my shift. It's THAT...

  7. 7p-7a question

    zacarias replied to fleasle's topic in General Nursing

    I work on an acute tele/med/surg floor night shift and most patients don't sleep. If they do tend to sleep, we wake them up! What I mean is there's plenty of stuff to do at night. There are meds to...

  8. Natracor and low bp

    zacarias replied to ark-two's topic in Cardiac

    This is a complicated case. I think he needs to go to the unit. His potassium is elevated. This needs to be corrected. Also his Cre is high. Lasix should be carefully administered with the Cr...

  9. backpriming/backflushing (student)

    zacarias replied to sweetieann's topic in General Nursing

    I back prime always for meds like (zosyn q 8) or whatever. If I have to hang a different abx, I just get another piggyback tubing

  10. Would you prefer a younger nurse to an older nurse?? (pls don't take to offense)

    zacarias replied to iheartnursing_cali's topic in General Nursing

    One cannot always discern this in a short encounter, but a nurse who obviously has deep clinical knowledge of disease process, pathophysiology, and appropriate interventions is the nurse that I want...

  11. Looking for answer about syringe pumps

    zacarias replied to bren3299's topic in General Nursing

    We occasionally use mini-infusers for large doses of Lasix etc, but people generally don't connect to a primary line unless there is already one going. I think using a primary line is a good idea, for...

  12. What should I have done?

    zacarias replied to kstockdaleRN's topic in Cardiac

    Usually RN's ride with a pt also if they're on a gtt like that cuz too many things can go wrong. Yes EMTs/medics are trained for emergencies but a cardiac nurse is almost a necessity with drips....

  13. Insurance Benefits

    zacarias replied to newnurse33's topic in General Nursing

    I have great benefits now where I work. I don't have to pick a primary care provider and I can see who I want to see without any referral. Nobody's gonna boss me around! BTW, I've reached 1,000...

  14. How rampant is understaffing?

    zacarias replied to poslac's topic in General Nursing

    Common occurence but not acceptable or necessary. I work in a hospital where staffing is generally OK. In my area also, most hospitals set the limit at 6 or 7 medical patients. Less for tele or any...

  15. Valium and Ativan?

    zacarias replied to limabean's topic in General Nursing

    How old was the patient? Valium is not the greatest for eldery people hands down. Ativan is tried and true for ETOH withdrawal. Librium is OK except long half-life. Whether or not the doc wrote...

  16. confused! wet vs dry crackles

    zacarias replied to tommytwice's topic in Pulmonary

    This is highly theoretical though. What I mean is that studies have been done that show that most nurses can't agree on what are "wet" crackles and "dry"

  17. Alcohol Withdrawal

    zacarias replied to Indy's topic in General Nursing

    Wow, you were so busy with that ETOH patient. You did well. I have one question though. Do you have an ETOH pathway at your hospital? It doesn't sound like he was getting enough meds at

  18. DNR - What would you do?

    zacarias replied to jesshopper12's topic in General Nursing

    Why wasn't the DNR written? Who's fighting it? It sounds like family is ok with DNR

  19. Looking for opportunities to volunteer overseas.

    zacarias replied to kaleeh's topic in General Nursing

    Try looking up Operation Smile, and Doctors without Borders. You should have two years nursing experience before volunteering

  20. NP practice in MEXICO?

    zacarias replied to brownrice's topic in Nurse Practitioners, NP

    texas fnp, I'm not discrediting your experience. But in my experience, nurses do not have the same status as a garbage collector. My familiarity with Mexican nurses though is mostly in large...

  21. DVT Prophylaxis in critical care

    zacarias replied to ParrotHeadRN's topic in General Nursing

    Your risk of bleeding on Lovenox is lower than Heparin but I imagine Heparin is much cheaper than Lovenox. I think Lovenox used for general DVT prophylaxis is a poor choice. Heparin should be used....

  22. Nursing Dreams

    zacarias replied to 2bnursescrubs's topic in General Nursing

    I dreamt last night a non-verbal patient had been raped and the nurse came back to discover it and was crying because she felt she could of stopped it. In the same dream, later our unit was held...

  23. How do you feel about your CNA's?

    zacarias replied to Blackcat99's topic in General Nursing

    I work with the best techs (CNAs) in the world on my tele night shift. They are not "my" techs but techs that also work with

  24. Patient leaving AMA

    zacarias replied to veegeern's topic in General Nursing

    In the spirit of benevolence, we must attempt to reason and help the patient understand why they need to stay. If they ultimately refuse, they they can

  25. NP practice in MEXICO?

    zacarias replied to brownrice's topic in Nurse Practitioners, NP

    An English-speaking healthcare worker may be needed in San Miguel, but not as a paid NP. If someone spoke fluent Spanish and drastically wanted to live a different occupational life, they could work...