zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. Do You Get A Lunch or Dinner Break?

    You know, I was just thinking that I know I used to occasionally stay late to catch up on charting. Or I would say, "I'm OK cuz I can catch up when my shift is over." I haven't done that in like a...
  2. Nurse called "stupid cow" in Oscar movie

    Well you can lower the freezing point of the liquid by adding a little rubbing alcohol to the mixture.
  3. What would

    I'm a registered nurse, know NPs, and have a best friend who was in a PA program. The bottom line is that NPs and PAs are mid-level practitioners!! A lot of employers/physician groups will just put...
  4. In Her Shoes - Interesting Observation

    What I really liked about that movie was that all the retired people in the movie were actually residents in an independent living senior
  5. BSN vs BS title

    Man if I get to have more then two sets of initials after my name, you better believe I'm putting on my checks!
  6. Check out the AHNA (American Holistic Nurses Association) at http://www.ahna.org BTW, it's complementary with an
  7. Diabetic Pet Peeves

    Actually if a type 2 person gets to the point where they require insulin, they are type 2 insulin dependent. They don't "become" type 1 if that makes
  8. NP practice in MEXICO?

    No it not a recognized "position? in Mexico. Now you could go with a volunteer work with a group like Doctors without Borders and work as an NP with that organization depending on what you're going...
  9. V Tach

    I'm so glad this thread came up. This EXACT same thing occured at my unit. I had a patient with a four beat run of VT and didn't call the doc. I charted it and of course the tele is available. The...
  10. Breech of ethics

    It sounds as though this person was A&Ox3. But seriously, if this person was demented and takes Coumadin every day for afib, what do we do? If the patient says "no" and I don't give it, I'm not...
  11. Diabetic Pet Peeves

    DKA folks who aren't treated can get life-threatening
  12. What Next?

    Please don't leave nursing. You can leave bedside, but please stay in the field. Your vast years of experience and expertise are too needed for you to stop
  13. I could see how maybe it possibly could decrease nausea as the patient usually feels better after transfusion. I will keep my eyes
  14. ACLS protocol vs Real life

    I believe Lidocaine research shows it doesn't work. Of course, why then did it work to stabilize the ventricles of patients during all these previous years? Who knows? Anyone know where we can find...
  15. Little funny thing pt said about Reglan

    My grandma who is 91 gets thinked mixed up occasionally even though she is sharp as a tack. She's had CHF and a-fib for years and recently when telling someone about her swollen legs, she said "it's...
  16. I need assertiveness training big time but I'm always scared if I buy on book on said subject, try the suggestions out, everyone will say, "Man what pr**k that guy is!" and hate me
  17. Insight please on contact isolation??

    I didn't see this mentioned in the thead but an important to remember with C-Diff is to wash your hands with soap and water (like the OP did). Spores from C-diff aren't always killed by alcohol gels...
  18. Man dies after falling out of bed wearing a vest restraint

    Restraints are totally on their way out. I can't believe this happened at a hospital. In a vest restraint you MUST have limb restrains on too to reduce risk. Also, a vest restraint is LAST RESORT...
  19. Im sorry, but light stomachs please do not read!

    I totally agree. Now if after this kid put urine in a drinking cup he went home and tied a squirrel to the tree, and aimed roman candles at it, then I would say he's sick and
  20. leaving with iv lock in

    Let me ask you this, do doctors round and say "Guess what you're outta here. Take care."? Of course the patient doesn't know that nursing still has to do the paperwork, get the patient to sign,...
  21. mistake in clinical and instructor freak out.

    Wow, for a student, I think all you did was amazing. You definitely have got the patient advocate thing down good!! Your instructor is not looking at all the good things you did for this patient and...
  22. Getting hit!

    Maybe this is illegal but I think if a resident (confused) tries to hit you and you grab their hand and put it down, this is completely OK. I mean what is this soccer where we can't use our hands?...
  23. "Nursing assistant dies of flesh eating bacteria.

    It is VERY rare but can happen to anyone. If you get cut or hurt and the swelling, pain, and cellulitis grows and grows and doesn't seem to equalize stop. Get to the ER!! A CT scan can rule out NF...
  24. Killer Nurse Gets 11 Life Sentences

    He used Digoxin. We talked about this at work the other night. The bad thing was we were talking mercy killings etc. and how people have used epi, dig, and K+ to do it. Then we stopped because we...
  25. Does anyone like working 7p-7a?

    I work this shift on a tele floor. I like it because it's generally somewhat quieter (not so much family, docs, PT, etc) and usually night shift staff really get along great. Don't get me wrong,...