zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. hydralazine BP range?

    zacarias posted a topic in General Nursing

    Hello! I'm new at the VA but have been an RN for years. My question is on more than one patient I've seen to give hydralazine if SBP > 150. I've also seen to give hydralazine if SBP >150...

  2. constructive criticism, what to do

    zacarias posted a topic in General Nursing

    Hello all! So I'm a traveling nurse and I finally found a hospital where I would like to stay on permanently and I let my desire be known to the current manager who I believe I have a good rapport...

  3. Question on liver disease pt, MAP, and lactate level

    zacarias posted a topic in General Nursing

    Hello all! OK so I'm not a new nurse but I'm new at a certain hospital and maybe need a brush up on somethings or just would like to see what y'all think. Last night I took care of a cirrhotic pt...

  4. Question on liver disease pt, MAP, and lactate level

    zacarias replied to zacarias's topic in General Nursing

    Thanks for all your comments!! This is definitely one of those threads on this website where everyone is learning. FYI, I know liver disease makes lactate levels less useful. My question mostly...

  5. IHS nursing RN license

    zacarias posted a topic in General Nursing

    Hello all, I've worked IHS facilities before and I love it. I know true IHS facilities let you work with any RN license from any state. My question is for Alaska. I do not have an Alaska RN license...

  6. IHS especially in AZ and NM

    zacarias posted a topic in Travel

    Hey all, I've looked online and called a couple agencies but am having a difficult time finding a travel nurse agency that staffs a lot of the IHS facilities especially those in AZ and NM. I found...

  7. Phoenix Arizona Advice

    zacarias replied to emb92250's topic in Travel

    I worked at JCL NM in 2007 at 2008 on their progressive tele floor and I loved it. Very good teamwork and MDs were OK. It was a great unit and I loved the hospital. It is a level 1 trauma center....

  8. Being Pulled into the Office for calling CAT

    zacarias replied to ryuunohime's topic in Patient, Colleague Relations

    I agree with all the responses and I have to say this. The manager that called you in to the office to reprimand you for not checking a blood sugar is an absolute idiot and should not be a manager....

  9. IHS especially in AZ and NM

    zacarias replied to zacarias's topic in Travel

    Thanks guys. I actually talked to MSN and a recruiter was going to call me back with info on the IHS contracts and he never did. That doesn't make me feel good. I'm talking with another agency now....

  10. Albumin and DKA

    zacarias replied to JVerne07's topic in Critical Care

    Next time you take care of patients, look at the albumin levels of your patients. I bet more than half will be lower than normal. The sicker they are, often the lower the albumin.

  11. Chlorhexidine patch on central lines

    zacarias replied to andiekae2's topic in Infectious Disease

    I'm not aware of people being sensitive to chlorhexidine. I do know that I don't like it much for an open wound!

  12. Male Nurses, the reality of false allegations and the potential dooming effects

    zacarias replied to downsouthlaff's topic in Men in Nursing

    I don't think about this possibility very often but you're right, it is something that could happen to any of us, at any time. My own policy is if I'm going to to put a Foley in a female pt, I will...

  13. Receiving 13wk contract offer without a phone interview?

    zacarias replied to tampanurse2000's topic in Travel

    It is a weird feeling I know to be offered a contract without having talked to the manager, but it has happened to me before. Just make sure you get the contract to state exactly what you want it to...

  14. New wound care work

    zacarias posted a topic in Wound, Ostomy, Continence

    Hello all, So I'm doing a short-term travel assignment in a small clinic for eight-weeks until I get another job. This is totally out of my element as I normally do step-down tele. This clinic...

  15. Contacting manager through email beforehand?

    zacarias posted a topic in Travel

    Hello all, I know that contacting a manager beforehand of a unit at a hospital you're being submitted to is a big no-no but I'm wondering if it would be OK in the following case: I had a GREAT...

  16. What's so wonderful about working at the VA? (San Diego)

    zacarias posted a topic in California Nursing

    Hi all! OK so I've received an offer for employment (contract employment initiall) at the VA in San Diego. My first question is: It seems everyone in healthcare considers it awesome to get a gig...

  17. Want to move to North Canada from with partner.

    zacarias posted a topic in Immigration Advice

    Hello all! I have looked at how do this process over the last couple years but still seem fuzzy on it. It just now is getting to the point where we could actually start the process. But where do I...

  18. ETOH withdrawal, CIWA, and transfer to the ICU.

    zacarias replied to HeadingWest's topic in Medical-Surgical

    Poppycat, I see you have a lot of experience in nursing . As if you're scanning member posts to see where you can call the poster on their misdeeds. As stated, she was charting on the patient...

  19. DVTs and PEs

    zacarias replied to kaitef07's topic in General Nursing

    Usually the ones with DVTs that are able to walk around have been on anticoagulants (heparin/warfarin) for a little while and it is determined to be "safe" for them to walk

  20. Working on specialized stepdown unit

    zacarias posted a topic in Cardiac

    Hello! I've been a nurse for years in telemetry and PCU and while I feel really good about arrhythmia management and assessment, I'm starting work in a specialized unit and have a couple questions....

  21. Brian Short News

    zacarias replied to tnbutterfly - Mary's topic in General Nursing

    I am in shock just as all of you are. I can't believe it. What a horrible thing to happen to someone who revolutionized contemporary nursing. This site has facilitated nurse-to-nurse communication...

  22. trouble understanding thoracic pressures

    zacarias posted a topic in Pulmonary

    "Breathing consists of two phases, inspiration and expiration. During inspiration, the diaphragm and the intercostal muscles contract. The diaphragm moves downwards increasing the volume of the...

  23. understanding pneumothorax

    zacarias posted a topic in General Nursing

    Hello all, I'm having trouble understanding specific points of pathophysiology regarding pneumothoraces. I understand why tension pneumos are so deadly, but I have a couple questions. When you...

  24. Am I missing something about Ebola??

    zacarias posted a topic in Disaster Preparation

    Hey all, OK I know that Ebola is spread by bodily fluids, so effectively it should be contact precautions. If this is so, why all the extensive PPE recommendations and N95 masks etc. It just...

  25. Nursing CEs and Evidenced Based Practice

    zacarias posted a topic in General Nursing

    Hey all, I need to do some CEs and I know there are so many CE providers out there. Is there one that focuses on Evidenced Based Practice? I know they all offer info, but looking for one that...