zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

Member

  • Content

    1,338

  • Visitors

    17,681

  • Followers

    0

  • Likes

    11

All Content by zacarias

  1. Question About Postural Vitals

    zacarias replied to Rhonda V's topic in General Nursing

    Before I got to the part where you said the doc thought she vagaled, I was already thinking that. So you were trying to get posturals on a patient that was recovering from a vagal drop. Between each...

  2. Canadian Rules and morality beliefs

    zacarias replied to loquacity's topic in General Nursing

    If I'm not wrong I think every employer (law-abiding employer) in the US is required to reassign or excuse it's employees from certain tasks should it be against their beliefs, religious or otherwise....

  3. Nurse Practitioner ECG practice

    zacarias replied to sirI's topic in Nurse Practitioners, NP

    Duh, I just looked at Siri's original post and you gave us three options. Heck we were coming up with all sorts of answers..but you told gave us only three options originally!! Will read better...

  4. Nursing Made Easy Magazine

    zacarias replied to Nathalie's topic in General Nursing

    I want to subscribe to 'Nursing Made Incredibly Easy' but my only hesitation is I don't like the name. It's like it's a magazine "For those off the street who would like to do some nursing, here's a...

  5. Obtaining/verifying consent

    zacarias replied to Gampopa's topic in General Nursing

    Good replies. Limabean, Thanks for that info about JCAHO, it makes sense. I ask patients always if they've received info from the doctor and know of the risks. No matter what they say sometimes I...

  6. Obtaining/verifying consent

    zacarias replied to Gampopa's topic in General Nursing

    Suzanne, What I don't like about most facilities that I've worked at is that they have the nurse present the consent form to the patient after the doc has ordered the procedure. Then the nurse...

  7. Required and Optional textbooks

    zacarias replied to Sammi15's topic in General Nursing

    Well you should go to bigwords.com. It's a website that compares low/used prices for textbooks. With that many textbooks you could end up saving a

  8. Abbreviations No Longer Allowed by Medicare

    zacarias replied to BabyRN2Be's topic in General Nursing

    Some of this upsets me. I mean they (TPTB) are "dumbifying" healthcare. Healthcare has a unique language but because certain mistakes have been made, they are forbidding the use of certain...

  9. For those working 12 hour shifts, what is your schedule like?

    zacarias replied to JCRN's topic in General Nursing

    I'm at a new job at it is .9 FTE. I thought the most I would work would be 3 12s in a row. Well I just saw my master schedule (repeats itself every four weeks) and at once a month I have 4 12s in a...

  10. treatment of IVDA patients

    zacarias replied to browniepoints's topic in General Nursing

    browniepoints, I applaud your desire to give everyone, without judgment, good nursing care. Stay with that and never lose that focus because you know it's right. I've worked with a lot of IVDA...

  11. Nurse Practitioner ECG practice

    zacarias replied to sirI's topic in Nurse Practitioners, NP

    Siri, Did not know that about your daughter, I'm sorry to hear that. About the EKG, it looks like pericarditis. I do see ST problems in lead II and

  12. Possible Avian Flu Pandemic

    zacarias replied to Demonsthenes's topic in Public, Community Health

    Yeah the bird flu is really scary. 'Foreign Affairs' did a whole section on it in their July/August issue. If there every is sustained human-to-human transmission of avian flu, how virulent will it...

  13. Cut in charge differential

    zacarias replied to Nurse Ratched's topic in General Nursing

    I think all charges should get an equal differential. Like Ratched said, the tiered approach to the charge role leads to staff

  14. flush bags

    zacarias replied to natawee's topic in General Nursing

    I think the best reason to use a "flush" bag is that it clears the line of abx or whatever medication was running. If you are running the abx as a primary and you don't get there right when it's...

  15. New grad program at U of Wash, Harborview, Swedish, Va Mason - what do you think?

    zacarias replied to smile123's topic in Washington Nursing

    My first RN job was at U of WA. It was on their General Medicine floor. My orientation and preceptorship was six weeks long. I think I got pretty good support, but the staff support is definitely a...

  16. what is the difference between BNP and pro BNP

    zacarias replied to wrkoutgirl's topic in General Nursing

    We just started using ProBNPs at the hospital too. I think it's supposedly more specific than the regular

  17. Solution to ADN vs BSN--Revamp Nursing Education?

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

    I think that possibly there needs to be more clinical time in hospitals but I still think there needs to be a didactic part of nursing education. Nurses are required to know indepth pathosphysiology,...

  18. NP market?

    zacarias replied to Papadoc's topic in Nurse Practitioners, NP

    It does seem that the market is flooded with FNPs but I wonder if this is just in certain areas. I mean NPs are still in high demand and will continue to be for at least 10 more years right?...

  19. They didn't teach me this in nursing school and I could have killed someone!

    zacarias replied to Roland's topic in General Nursing

    If a PICC line is truly in a central vein, you are OK with incompatible drugs in DIFFERENT lumens. However, if you are drawing blood from a PICC, you have to make sure that the other lumens are...

  20. New HIPPA Law in USA

    zacarias replied to papawjohn's topic in General Nursing

    HIPAA is often misunderstood. Nurses and other healthcare professionals don't understand the this federal law and related laws that they overly worry about what they can and can't do. HIPAA has a...

  21. Here we go!!!

    zacarias replied to alwayslearnin's topic in Travel

    Hey I'm from that area, born and raised. If you have any questions let me know. I work in Bellevue which is just 15 minutes from

  22. Renal Question

    zacarias replied to traumamedic's topic in General Nursing

    Enfermera, I've never heard that + nitrites being diagnostic of pyelo. But + nitrites does suggest bacterial infection somewhere in the urinary

  23. Soon to be new grad, Seattle Area Hospitals

    zacarias replied to Akpywackett's topic in Washington Nursing

    Well I would immediately suggest Harborview and UWMC!! But I see you'll be staying in Bonney Lake and so commute is an issue. I've worked at UWMC and it is WONDERFUL. I was there when they built...

  24. What Prfessional Organizations/Magazines Do You Subscribe To?

    zacarias replied to Jen2's topic in General Nursing

    Subscribe to Nursing2005 (awesome) and will soon be getting 'Nursing Made Incredibly Easy' although it makes it sounds like a magazine for idiot nurses hehe. I don't get AJN anymore as it's...

  25. Puuuuuuulese!!

    zacarias replied to HeartsOpenWide's topic in General Nursing

    Print for your MIL a few articles on antiobiotic resistance and "superbugs" and maybe she will get the