zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. PICC removal

    zacarias replied to agldragonRN's topic in General Nursing

    "the only way for a volume of air to move across the tegaderm membrane would be if their was a constant negative pressure on the tract side of the membrane for a very long period of time" I don't...

  2. Any questions for reducing anxiety?

    zacarias replied to zacarias's topic in Health, Stress Management

    Thanks guys for your comments. I really like nursing and feel that I belong in hospital nursing. However, my anxiety and brain has tricked me into thinking that I am not able to do things like...

  3. Any questions for reducing anxiety?

    zacarias posted a topic in Health, Stress Management

    Hello all, I'm an RN who's starting another job on the floor. I've had problems with work for years do to anxiety. I love nursing and am a good nurse but these past few years have been very...

  4. Any questions for reducing anxiety?

    zacarias replied to zacarias's topic in Health, Stress Management

    I do chronically suffer from anxiety. I am on meds and have a great psychiatrist in Tijuana, Mexico where I live. This job that I'm starting is a travel contract up in the PNW. I'm glad that you're...

  5. Any questions for reducing anxiety?

    zacarias replied to zacarias's topic in Health, Stress Management

    Well I'm not exactly sure about what triggers my anxiety. I always think that I somehow will lose it during my shift and won't be able to make it through the shift. I suppose that's a panic attack....

  6. Drug Testing for Newly Graduated RN

    zacarias replied to ManNurse7's topic in First Year After Licensure

    While I agree it is foolish that the OP smoked marijuana at all, I believe that most employers will just obviously not hire the person. I don't think they report to the Board. Why would they if...

  7. Two new grad offers which one to choose???

    zacarias replied to studentRN1218's topic in General Nursing

    I don't know the small hospital seems like a dream. You could cross train and get skilled in all types of

  8. Just ONE CNA on night shift?

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

    Yeah it does seem that at a lot of places the CNAs don't do vitals. That's OK I guess as long as I plan on being organized. Thanks

  9. Just ONE CNA on night shift?

    zacarias posted a topic in Patient, Colleague Relations

    Hello, I'm just wondering how others handle the night shift when there's one CNA only for up to 36 pts. The charge makes two of your patients total care, where you do the vitals, turns, cleaning...

  10. Just ONE CNA on night shift?

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

    Thanks all for your suggestions. I'm not against nursing doing their own vitals, it is just that sometimes and the start of your shift there is so much going on that vital signs is one more thing to...

  11. Just ONE CNA on night shift?

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

    I agree that it seems safer with CNAs. I agree that more RNs mean safer outcomes, but having CNAs to be also on the lookout seems appropriate. I see hospital systems all around using CNAs less and...

  12. Just ONE CNA on night shift?

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

    Apparently we'll have four patients each, three if we have a gtt. I guess that is not too

  13. Working at the VA in San Diego

    zacarias posted a topic in California Nursing

    Hello all, I'm close to getting a contract at the VA (need to do the testing) and am wanting to hear from nurses who work at the VA in La Jolla and how it is. The nurse manager that interviewed...

  14. Modesto or Oakland?

    zacarias posted a topic in California Nursing

    Hello all, Anyone have experience or knowledge of Highland Hospital (formerly ACMC) or Modesto Memorial in Modesto? I'm trying to decide between two offers. Thanks! P.S. I know Oakland is known...

  15. Going back to RN-BSN without concurrently working

    zacarias posted a topic in School, College Programs

    Hello, I know there is a plethora of RN-BSN programs out there and I want to do one of the programs but I have a problem. Because of personal problems, I have not been able to work steady and it...

  16. Good things about Vibra?

    zacarias posted a topic in California Nursing

    Hello, I'm about to start working per diem hopefully at Vibra hospital in San Diego. I couldn't find much written about Vibra. I know it's LTACH and very different than standard hospital acute...

  17. Going back to RN-BSN without concurrently working

    zacarias replied to zacarias's topic in School, College Programs

    Bump

  18. I am a good nurse, just in a bad rut that I so badly want to get out of

    zacarias posted a topic in Health, Stress Management

    Hello all! So I've dealt with anxiety and job problems all my life and one of the only things that I did complete and do well in my life was nursing school. It was due to me having a great support...

  19. I am a good nurse, just in a bad rut that I so badly want to get out of

    zacarias replied to zacarias's topic in Health, Stress Management

    I did purchase the book by Albert Ellis and love it!! It is hard to stop those damaging beliefs that are so ingrained but I am hoping with time I will be able to. The point is to keep at it I know....

  20. Providence Little Company of Mary Torrance?

    zacarias posted a topic in California Nursing

    Hello all! Just wondering if anyone has anything to say about Little Company of Mary in Torrance, especially on their tele floor. Do they have CNAs? How is it? Thank

  21. I am a good nurse, just in a bad rut that I so badly want to get out of

    zacarias replied to zacarias's topic in Health, Stress Management

    You guys aren't losers, none of us are. We just have problems with anxiety. WhomeRN, I'm sorry to hear what happened. Things like that can definitely make one feel afraid of future jobs. I wish...

  22. Mistakes Are Inevitable: No One Is Perfect.

    zacarias replied to Ruby Vee's topic in Nursing Professionalism

    great article and

  23. I am a good nurse, just in a bad rut that I so badly want to get out of

    zacarias replied to zacarias's topic in Health, Stress Management

    I have some insight into my problems, but insight is overated. It doesn't solve any of my problems. I live across the border from San Diego in Tijuana and there aren't CBT groups here I have a CBT...

  24. I am a good nurse, just in a bad rut that I so badly want to get out of

    zacarias replied to zacarias's topic in Health, Stress Management

    4 to 6 12-hour shifts a week? Wow, and you can't work less? Wow, I tip my hat to you, wish I could just do three nights a

  25. I am a good nurse, just in a bad rut that I so badly want to get out of

    zacarias replied to zacarias's topic in Health, Stress Management

    Tricia, thank you for your kind post. You're right in that I do expect way too much from myself and I put myself down a lot. This is something I learned from both my Mom and Dad. They always put...