zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. nurse's error--yikes?

    zacarias replied to studentrnstudent's topic in General Nursing

    Actually D5.45NS is isotonic but still that was an error to hang the wrong bag. Stuff like that happens sometimes in the real world of nursing, we just hope it doesn't do harm and strive to learn...

  2. Chart Checks

    zacarias replied to BowlerRN's topic in General Nursing

    At my hospital we have a 24 hour check that night shift does. And of course if a unit secretary takes off an order, a nurse will look at it and check it. So everything is double checked that way. I...

  3. The Beautiful, Beautiful Pacific Northwest

    zacarias replied to Foxfour's topic in Washington Nursing

    foxfour, are in the RGV? I love the Rio Grande Valley and I'm in the Pacific NW. You probably can't imagine someone liking the RGV better than the Pacific NW but i do! I love the weather, the...

  4. new nurse dead at 23

    zacarias replied to RN@34's topic in Infectious Disease

    Carolinapooh, Reading your post, your would totally be awesome as a public health nurse or a nurse specializing in worldwide travel health. Think about

  5. Patients always needing something no matter what.

    zacarias replied to OliveVinesRN's topic in General Nursing

    Along these lines, I hate it when a newly admitted patient in the middle of the night suddenly tell you that they take Vicodin 7.5 mg twice at night. Couldn't they have told the ER doc? Now I have to...

  6. Does nite shift make you fat?

    zacarias replied to badabinggirl's topic in General Nursing

    I think people tend to gain weight on night shifts. Those who don't change weight are probably not prone to fluctuating a lot in weight anyway. If stress is a factor, then that emotional connection...

  7. new nurse dead at 23

    zacarias replied to RN@34's topic in Infectious Disease

    This is sad. There had to be something else going on...maybe he was severely immunosuppressed prior to being exposed to MRSA. I mean we all are exposed to nasty germs but to just get MRSA pneumonia...

  8. Blood Pressure

    zacarias replied to JEEMA's topic in Cardiac

    That's a tricky thing. You will feel more at ease as time goes on regarding this. You did the right thing calling the doc for that 180/100 BP. Even if he does nothing, you notified him and that is...

  9. Men in Nursing

    zacarias replied to Roy Fokker's topic in Men in Nursing

    I can't wait. I ordered it two times. The first time they said that it wasn't ready yet. The second time they said it is almost to press and that was like three weeks

  10. Help...are these feelings "normal"

    zacarias replied to TallyJofutureRN's topic in General Nursing

    My first nursing home clinical experience was horrible. I hated it. For some reason I made it through and it did get better. I must have known that I wouldn't have to be in that nursing home...

  11. IV albumin question

    zacarias replied to LPN2RNdude's topic in General Nursing

    Also, having adequate albumin in the body is conducive to wounds healing

  12. Noise on the Night Shift

    zacarias replied to becksgr's topic in General Nursing

    This has been an occasional problem at my work. We have one CNA says "sshh" around us if we get to loud. We don't resent it, we love it and it reminds us to keep it quiet. We can't eliminate noise,...

  13. Help needed with Case study

    zacarias replied to suprnurs40's topic in General Nursing

    Good assessment skills suprnurse. He does sound like he's gonna crash. I would note that he's not getting enough O2 to his lungs. Also, because his HCT is low, that means he's even getting less O2...

  14. "Natural Cures"

    zacarias replied to seeking33's topic in General Nursing

    I think he's a money hungry

  15. New Nurse questions Illinois nrsg monitoring

    zacarias replied to classactkellie's topic in General Nursing

    Just what Suzanne said....of course make sure the MAs are telling anybody that they are a

  16. The Last Two Days

    zacarias posted a topic in General Nursing

    Hey there all, So the last two days on my tele/stepdown/med-surg/ has been good. The first day I got two admits and had to float to another floor and found about it only 15 minutes prior to having...

  17. IM injection help: maximum amount given in ventrogluteal site

    zacarias replied to christine2005's topic in General Nursing

    I always thought ventrogluteal is further away from most people's sciatic nerve. Will have to look that

  18. new grad starting in critical care

    zacarias replied to watsondr's topic in General Nursing

    I see your point wooh but I would like to mention one thing. I've seen critical care nurses start working on the floor and get VERY stressed while caring for 5-6 patients and it's very noticeable....

  19. Applying to two jobs at same facility, acceptable or not?

    zacarias replied to Lurksalot's topic in General Nursing

    In my experience too, most NM that you interview with know that other NM in the hospital may be interviewing too. I think it's pretty cool way to do it since you get to pick your area if you get...

  20. IV Lasix, Phenergan, Solumedrol

    zacarias replied to free50's topic in Infusion, Intravenous

    Lasix should be given slow IV push...it is not a benign drug. If given too fast, it can cause ototoxity or in the worst case scenario, cardiovascular collapse. (the latter won't happen if you...

  21. Staffing a telemetry unit

    zacarias replied to ShayRN's topic in Cardiac

    ark-two, can you explain about the stroke scale assessment for stroke-certified hospitals? Our hospital is looking to become certified and the floor I work on is a candidate the "stroke"

  22. Incorporating care plans into daily nuring

    zacarias replied to KcRN07's topic in General Nursing

    To the OP, you are absolutely right. The nurse who admits the patient theoretically should be the one to organize the plan of care. Now it's not like in school; At the hospital there are preprinted...

  23. IM injection help: maximum amount given in ventrogluteal site

    zacarias replied to christine2005's topic in General Nursing

    Mariah, did you have IV access already? Why on earth would that nurse give it to you in the

  24. I'm happy to report...........

    zacarias replied to VivaLasViejas's topic in General Nursing

    Congrats Marla! Now get back to work girl!

  25. I got written up and it's bringing me down

    zacarias replied to porterwoman's topic in General Nursing

    What about the "white shield"? You can give it another name if you'd like. I'm talking about the "blue shield" that the police have. I'm not saying that you cover for your colleague for gross...