zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. Brown Recluse bite wound

    zacarias posted a topic in Wound, Ostomy, Continence

    Hey all, Last night I had a patient who suffered a Brown Recluse bite (seems to be verified? back in August. He was initially treated with antivenin, abx, and removal of necrotic tissue....

  2. abandonment, what is it?

    zacarias replied to canoehead's topic in General Nursing

    If you are unionized, you can fill out an "Assignment Despite Objection" form. This states that you do not accept the assignment willingly. Who knows what these forms do but I've filled them out and...

  3. Help - Suspended

    zacarias replied to AnnetteER's topic in General Nursing

    I am surprised that he was SO hypoglycemic 6.5 hours after the insulin was given. I mean that just seems so

  4. What do you think makes someone good or bad in emergencies?

    zacarias replied to kstockdaleRN's topic in General Nursing

    when you say frequently, how frequently do codes happen there? On an acute telemetry floor they shouldn't happen that

  5. Nursing Dreams

    zacarias replied to 2bnursescrubs's topic in General Nursing

    I just had another one last night! I dreamt that I was doing home health and I had a patient at MY home and I had set up the old outdoor shed (dark, no light, cement floor, messy) for this old...

  6. Online nurse jobs

    zacarias replied to xng's topic in Washington Nursing

    xng, If you are looking for a hospital job, I would just look up the websites for specific in the NW. Big hospitals in the city and even medium-size are always looking for new grads and on their...

  7. Brown Recluse bite wound

    zacarias replied to zacarias's topic in Wound, Ostomy, Continence

    Lori, what an ordeal!! It sounds exactly as you described. Brown Recluses are endemic where you are aren't they? They weren't here but I think they've set up

  8. cheapest & shortest RN-BSN programs

    zacarias replied to MoriahRoseRN's topic in Online Distance Learning

    University of Wyoming RN-BSN is one of the cheapest and totally

  9. Un-accessing a port-a-cath?

    zacarias replied to DutchgirlRN's topic in General Nursing

    Why leave syringe on? To protect against air embolus or just for

  10. Salary question??

    zacarias replied to joe134's topic in General Nursing

    I would reckon that it really isn't as EASY as you think to get fired as a nurse. Does anyone agree? We here stories of people getting let go here but that's not representative of the whole...

  11. Nursing Dreams

    zacarias replied to 2bnursescrubs's topic in General Nursing

    I dream about work quite a bit. I'm glad it's not just me. One time I dreamt that we got meds not out of pyxis but a wooden lock box smaller than a toolbox. It was old and you had to have a special...

  12. UPDATE on my pt in other thread "Hypotension and when to treat"

    zacarias replied to HappyNurse2005's topic in General Nursing

    I hate Norvasc. It is such a bad drug. I have seen more patients and even members of my own family have bad side effects from that. Doc's love that CCB but I hate it..did I say that already? Also,...

  13. EXTRA work on TV

    zacarias replied to becky88's topic in General Nursing

    Isn't Strong Medicine over with? I loved that

  14. Hypotension and when to treat

    zacarias replied to HappyNurse2005's topic in General Nursing

    Happy, you did excellent. A fluid bolus of 250cc is not that much and it is highly likely that this is patient was a little dry anyway. An SBP of 66 is too low for me

  15. Gulteal shots

    zacarias replied to MikeyBSN's topic in General Nursing

    The ventrogluteal muscle is safer; you generally don't have to worry about accidentally hitting the sciatic nerve. Plus, it actually let's patients have slightly more modesty while getting the...

  16. suctioning

    zacarias replied to LISAMAR's topic in General Nursing

    I'm not that familiar with NT suction has RT has always done it and I don't work critical care. My question, is RT able to suction down into the trachea or do they often get into the esophagus

  17. Seeing your doc on unit ANGRY

    zacarias replied to ctunurse's topic in General Nursing

    That's why I never work at a hospital where my personal doctor works/has privileges etc. I think sometimes it can be such a conflict of interest. His treatment of you and the staff was unacceptable...

  18. HIT...short notice (help!)

    zacarias replied to RNin2007's topic in General Nursing

    J, How did your presentation

  19. ? for Nurses who deal with nursing students

    zacarias replied to AllyRN82's topic in General Nursing

    I love students. I love asking them questions and have them excited/eager to treat the patient and learn about the patient's disease process. I'm more of the "let's look up the current research on...

  20. HIT...short notice (help!)

    zacarias replied to RNin2007's topic in General Nursing

    Yeah too complicated. Basically just talk about how heparin can make platelets antigenic (foreign) to the body and so it makes antibodies to "label" it for the body (spleen etc...) to get rid of...

  21. Lost It at Work!

    zacarias replied to UM Review RN's topic in General Nursing

    I work nights and this is a frustrating thing. One time I had a nurse just look at me with this "you imcompetent fool" look because I didn't get the patient to sign a cath consent that was just a...

  22. DAR charting

    zacarias replied to jgookin's topic in General Students

    I remember learning DAR and SOAP...I never got it perfect the first time according to my instructors....since then no supervisor/employer/colleague has ever complaines **knock on

  23. Anyone use meditech computer charting?

    zacarias replied to nursenatalie's topic in General Nursing

    I use meditech but it's just for looking up labs, placing orders etc. We still do "paper charting"

  24. What was your accomplishment at work today?

    zacarias replied to Thunderwolf's topic in Men in Nursing

    Good job Steve! 26 guage...is that thinner than a strand of my hair?

  25. Aarrghh!!

    zacarias replied to AMARTIN1's topic in General Nursing

    Please tell me you work on a psych unit and not a med/surg unit! LOL Actually, you could use a leg bag for a foley and people might not notice. If it's too busy and you can't get a break, the...