zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. Your State Nurses' Association

    I belong to it because I have to at the hospital I work at. I could elect to not join, but I would still have to pay the dues
  2. 8 hour or 12 hour shifts

    12s are pretty common but 8s are not in the past either. Many units in hospitals still use 8 hour shifts. Some do a mix. That would be something you would ask when a nurse manager/HR person is...
  3. diluting I.V lasix

    You don't really need to turn down the infusion unless it's going super
  4. Certification for ADN nurse

    Hey all, I am debating whether to pursue certification either in med/surg or cardiac/vascular. I have the two year requirement for med/surg but not tele yet. Also do you have to be sheath...
  5. Certification for ADN nurse

    Hey guys, I reread my initial post and it doesn't THAT confusing hehe. "Certification for ADN nurse" means an RN with an associate degree who wishes to pursue certification. I don't know how else...
  6. NPO-student question:)

    It depends on the med sometimes. If they are going to be gone awhile then yes I would give it if I thought ahead. Occasionally I might not give it early if it's IV BP med or something that would...
  7. but why all limbs? I'm don't know that much about flesh eating bacteria but wouldn't you just have to amputate one limb, why all
  8. In your opinion what makes a great nurse?

    A great nurse is someone who worries about their patients and tries to make sure that everything is being done for them that can be done. Of course my last couple of shifts have been psycho and I have...
  9. Certification for ADN nurse

    bump
  10. Wages for RN in Seattle

    Hi Pe! Welcome to Seattle! I am a native and live downtown. It is a great, progressive and very diverse city with incessant rain (don't worry, summer does come) and beautiful scenery. There...
  11. One hour up and two out post cath.

    Also if any antiplatelet is used like integrillin or aggrastat, you should be down for at least 2-4 hours no matter what closure system they used. Anyone
  12. Medical/Telemetry

    That's the problem with telemetry. There are dedicated tele floors, tele/med/surg floors, and progressive cardiac care units. They are all tele but different. That's why you have to talk to HR...
  13. I would have no idea how to put a trapeze up. If I have to know that, please give me a private lesson
  14. Night Shift Nursing

    I work nights and if I'm not careful, I can end up sleeping the days away when I'm off. The more you sleep, the more you sleep and vegg, and feel down. So my thing now is to set my alarm to get up...
  15. Nurse having personal relationship with patient

    What if she's ever called into court and asked why she did a certain nursing action? She's gonna have a VERY difficult time proving that she is "objective" in providing nursing
  16. Do you call your patients by first or last name?

    Ms (as in Mizz) should not be offensive to anyone. I always address my patients initially by last name unless they introduce themselves by their first name. I will take that as a sign that I can use...
  17. dismissed from job r/t recent surgery

    generally FLMA requires you to have worked at the facility for at least a year. Maybe that's why she wasn't eligible? Just a
  18. Continuous Bladder Irrigation help

    Thanks for all your suggestions and ideas guys. Angie, I agree that I feel more comfortable running it fast. There was acouple times on this shift where I thought it was clogged and then when I...
  19. Hey all, Last noc shift was one of the worst of the last two years. Mostly because of this guy who had CBI going and I needed to be in there all the time. He also had blood, pain, elevated...
  20. Can someone please describe c diff poop?

    Probably was related, although I don't think that was C-diff in your
  21. Potentially unstable rhythms

    If it's not life-threatening at that moment, I would get a set of vitals and ask the patient how they are doing...of course the next step depends on what they say and what rhythm they are
  22. How useful would a Spanish major be?

    They do sell bilingual medical dictionaries, at least for Spanish. Barnes and Noble should have a
  23. Dedicated Lines

    I usually think of a dedicated line as something has a drip running through it constantly like diltiazem, amiodarone etc. If I had a port that only was used for intermittent IV infusions/pushes, I...
  24. I think it's good to see a Dr. outside of where you work for your health needs. I know one OBGYN office where the women have the GYN they work for do their pelvics. To me that's just a little...
  25. $$$$ to be made!!

    anyone who sells urinals and specimen cups on ebay has issues. Of course not as many issues as the person who buys the stuff! If I ever need that stuff for home care or something, I would get it from...