zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

Member

  • Content

    1,338

  • Visitors

    17,682

  • Followers

    0

  • Likes

    11

All Content by zacarias

  1. Doctor on the edge of ethical behaviour.....

    zacarias replied to kersti's topic in General Nursing

    The doctor was probably trying to hasten the guy's death with induced cardiac arrest. Reminds me of this one nurse from Mass. who killed her pts with

  2. Heparin therapeutic range?

    zacarias replied to All_Smiles_RN's topic in General Nursing

    Just like above, the the aPTT will show if it is therapeutic. Heparin doses vary...for instance a large 350 lbs man may require a much larger dose than someone else to be therapeutic but again we...

  3. Long Term Goals

    zacarias replied to ali_gator's topic in General Nursing

    FNP and work in the

  4. i need help

    zacarias replied to belmomma's topic in General Nursing

    in John Q, the kid had heart failure

  5. languages

    zacarias replied to guest64485's topic in General Nursing

    Hey there, Great goal to be come fluent in another language. I am bilingual and in the hospitals I've worked at in the past, it's been great because of the large latino population. The hospital I...

  6. Scenario:What would you do?

    zacarias replied to Happy-ER-RN's topic in General Nursing

    It sounds as if the pt is dying. If the idea is comfort care, then why do vitals? He already has low BP and sats. The morphine will make him more comfortable might drop his BP more and surely his...

  7. Live In Mexico, Work In California?

    zacarias replied to agnescwal's topic in General Nursing

    I've thought about doing this. Hundreds of thousands of people commute from Mexico to the US everyday. It's not a quick commute thing but it's surely

  8. NG/OG tube placement

    zacarias replied to Happy-ER-RN's topic in General Nursing

    Xray is the definitive method for checking placement on every NG tube. This is done right after insertion, prior to use. The air insufflation-auscultation method is traditional nursing and still...

  9. Clocked in - sent home

    zacarias replied to jyoung1950's topic in General Nursing

    look at your CNA contract. Here in WA, my union contract states that if you show up and they give you low census, then they have to pay you for at least four hours. Of course if they call you prior...

  10. What has happened to simple, basic care???

    zacarias replied to barefootlady's topic in General Nursing

    Baths are important as is mouthcare. We are so busy in nursing these days that it's great when patients can help themselves in some way. However, those that need mouthcare should get it. The techs...

  11. Kaplan Course Book or Saunders Comprehensive Review?

    zacarias replied to cracker jack's topic in General Nursing

    I agree with Suzanne. I used Saunders Comprehensive Review and reviewed as many questions as I could. I didn't find Kaplan as useful for

  12. I'm lucky b/c I enjoy 12hr noc shifts

    zacarias replied to raindrop's topic in General Nursing

    I agree with all you noc shift lovers. I enjoy staying up and while I'm tired in the morning, I usually don't have that difficult of time falling asleep. Some nights are absolutely crazy busy and...

  13. Staffing a telemetry unit

    zacarias replied to ShayRN's topic in Cardiac

    On our telemetry floor it's 6:1 on nights with a tech for every eight patients. This is pretty good but still it can be horrible at times! Mostly because we have a high med/surg

  14. Do you know guys, we ARE an action figure!

    zacarias replied to Thunderwolf's topic in Men in Nursing

    I saw the action figure for sale at Powell's in Portland. I kicked myself for not buying it. Maybe they still have

  15. Consent forms?

    zacarias replied to SouthernLPN2RN's topic in General Nursing

    You are witnessing the patient's signature yes, but ethics dictate that you do verify that the patient's Dr. has discussed risks, benefits, and alternatives with the patient. This is usually verified...

  16. Pension

    zacarias replied to Butternut's topic in General Nursing

    my hospital has a pension plan in addition to a standard 403b retirement

  17. C'Mere & Play a New Game: "GIVE OR HOLD"?

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

    funny that the K+ would be that low with such a severe acidosis. But I guess if they diuresed tons already and were dry, it could be that low. (I don't ever see active DKA...only

  18. Not for profit vs for profit facility?

    zacarias replied to veegeern's topic in General Nursing

    I worked for a for-profit hospital last year and now work for a non-profit hospital. As you know, for-profit hospitals are not very popular, especially on the east coast because they are so...

  19. Charge Nurse responsibilities?

    zacarias replied to joamy2's topic in General Nursing

    A charge should never take patients except in rare emergency cases. There are too many things on their plate and taking even a partial load is unsafe and

  20. Troponin levels

    zacarias replied to mysterybe's topic in Cardiac

    Also beware of false-high troponins often caused by sepsis, "leaking" troponin, or even coumadin usage (the blood has to clot to accurately measure troponins; may not clot completely if on

  21. Please help me with a few nursing Q's I have

    zacarias replied to raindrop's topic in General Nursing

    Just a quick note on #4: Make sure that when you are concurrently hanging two drips/IVs that the total fluid volume isn't super high. If this person is easily affected too much fluid then the combo...

  22. Want to attach Stethoscope to your Hip? Here is the answer!!!!

    zacarias replied to Nathalie's topic in General Nursing

    I hate it when I see nurses or doctors wearing their ear pieces around their neck. It's like I'm just waiting for them to collapse onto the floor from carotid

  23. public's view of nurses

    zacarias replied to bulldawggirl's topic in General Nursing

    I told my mom that the techs at work usually do vitals and she said, "you mean you don't do your own vitals? You're too good for that?" I was shocked...my own mother

  24. IVs - Scared Nursing Student

    zacarias replied to sweetieann's topic in General Nursing

    In clinical we hung IVs without pumps. This was at a level 1 trauma center and it was only for certain cases, like quick antibiotics for someone with cellulitis, oral abscess etc...where you could...

  25. ABGs

    zacarias replied to ZZTopRN's topic in General Nursing

    Nene said it. If the pH is normal, then obviously they are compensating. Also, you would expect BOTH PCO2 and HCO3 to not be normal for a person who is