zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. Should I have written an order?

    zacarias replied to ShayRN's topic in General Nursing

    lidocaine and amiodarone? a little overkill

  2. My Mom has extensive Arteriosclerosis and no risk factors, need advice please!

    zacarias replied to DutchgirlRN's topic in Cardiac

    Dutchgirl, Thanks for the info on your Heart scan super duper CT scan. It looks amazing. I can't wait to see how it affects patient

  3. Are WA RNs Unionized?

    zacarias replied to Corvette Guy's topic in Washington Nursing

    Corvette Guy, The WA forum is always pretty quiet. I've seen it almost go a month without any posts! But it's doing OK for

  4. Go Seahawks!

    zacarias replied to Corvette Guy's topic in Washington Nursing

    GO HAWKS!! A week from today folks, start the

  5. My Mom has extensive Arteriosclerosis and no risk factors, need advice please!

    zacarias replied to DutchgirlRN's topic in Cardiac

    I don't know about the scan your Mom had done, but a lot of those full body scans are problematic and I sometimes I doubt their usefulness. Good she's gonna see a cardiologist, a doctor who can...

  6. EKG strip

    zacarias replied to Nikkik163's topic in Cardiac

    I agree with what shortsteph said. The important thing is to systematically go through it like she said. Look at the r-r, p-r, and then see if the qrs is narrow or is it wide. If you just look at a...

  7. Nationalized Healthcare and Nursing Salaries

    zacarias replied to ZASHAGALKA's topic in General Nursing

    Timothy, what a COSTCO size can of worms! :) Personally, if healthcare was nationalized, I'd feel better about this country we live in for various reasons. I'm not into nursing for the money itself....

  8. Anyone read "The Spirit Catches You and You Fall Down"?

    zacarias replied to evans_c1's topic in General Nursing

    Anyone have recommendations of other books that are shocking, make you feel sad, pensive, and/or challenge everything you believe in regarding healthcare, medicine, culture, and life? I would love to...

  9. restraints? What would you have done (Long)

    zacarias replied to jessnurse05's topic in General Nursing

    I think you did great! Your a new grad yet you sound like you've been doing this a while! The thing is Jessica, sometimes I have nights where I feel like I did a good job and then I have other nights...

  10. Almost fired today

    zacarias replied to NP2BE's topic in General Nursing

    so many people hate giving ativan to older folks in fear that they will have a paradoxical reaction and freak out. haldol is the better drug for calming combative, or older patients out of hand no?...

  11. National RN Salary Trends ADN or Diploma vs BSN

    zacarias replied to Darcifly's topic in General Nursing

    The first hospital I ever worked in was Magnet and they gave a differential for both BSN and certifications. The current hospital I work at only gives differential for

  12. Do you need an order for this???

    zacarias replied to flashpoint's topic in General Nursing

    I would write the order as "UA per standing orders" if the UA is truly part of standing

  13. Foley Irrigation

    zacarias replied to jamminworld's topic in General Nursing

    Generally, if UO is low with a foley, I check to see if there are kinks. If there are none and the pt is draining some urine, I call the doc. I don't wait and irrigate just because I think there...

  14. Starting IVs!!!

    zacarias replied to nurse4theplanet's topic in General Nursing

    When I had to do an IV for the first time on a patient at my first job, the nurse wanted me to advance the needle all the way in. I did only because she was insistent. I did get the IV but in the...

  15. What do you think?

    zacarias replied to MeechiesRNBSN's topic in General Nursing

    It depends on what you like. Do you like EKGS and the inner workings of the heart? Does that make you tick? (no pun intended hehe) Or do you like helping post-op patients through their recovery? I...

  16. Are WA RNs Unionized?

    zacarias replied to Corvette Guy's topic in Washington Nursing

    Most of the hospitals in WA are unionized. For instance some hospitals have WSNA (WA state nurse assoc.) as their union. Other hospitals use SEIU. Western WA is a very progressive state regarding...

  17. Wages for RN in Seattle

    zacarias replied to niceone's topic in Washington Nursing

    I like the Providence system but I don't have any experience about Tacoma hospitals. I'm a strictly Seattle and parts

  18. Diastolic BP of zero

    zacarias replied to littlehobo's topic in General Nursing

    Timothy, where did you read we will ALL be using MAP in 10 years? Plus of a lot clinicians use it anyway. Some nurses also can quickly "guesstimate" the MAP when they take a pressure

  19. personal wishes statement/advanced directive/living will

    zacarias replied to lpnstudentin2010's topic in General Nursing

    You know, by law we are required to ask patients that are admitted to the hospital if they have a living will/advanced directive.....even if the pt is 18. My point is that I believe we should all have...

  20. What is your biggest nursing pet peeve?

    zacarias replied to ferfer's topic in General Nursing

    SBP is not "small bowel

  21. Anyone feeling stressed.......??

    zacarias replied to IloveSnoopy's topic in General Nursing

    I work tele and all the staff AND the patients have been sick with colds. I don't know who originally brought it in, a pt. or staff. Doesn't really matter but it makes you nervous taking care of...

  22. What can cause the heart rate to drop during exertion?

    zacarias replied to dawnb70's topic in Cardiac

    I agree, I thought of the Cardizem too at first. As a calcium-channel blocker, it "blunts" sympathetic stimulation. By that I mean that when she exercises, her HR is not as able to "jump up" because...

  23. Staying up-to-date on med/studies

    zacarias replied to zacarias's topic in General Nursing

    Trauma, Thanks for the tips. I might look into JAMA or to an online cardiology journal, something medical to supplement my nursing

  24. Staying up-to-date on med/studies

    zacarias posted a topic in General Nursing

    Hey all, I'm asking you if you know of a place to keep up-to-date on new meds and LARGE study results that are affecting practice. I'm not looking for brand new med info as much as I'm looking...

  25. Nurse having personal relationship with patient

    zacarias replied to wheelofadeal's topic in General Nursing

    The simple rule I follow is "a nurse and patient should not have a romantic/sexual relationship until significant time has passed from the time of the nurse/patient relationship." Does this mean that...