zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. Maybe some schools do this but mine didn't. I think they should have a class in nursing school called "Practical Application" or something. It would be a informal, fun class session where students...
  2. Cna, Cma, Cmt?

    Hi there!! Those initials can be confusing. I'll try to help. CNA is Certified Nursing Assistant which is a "nurse's aide" that works in hospitals and nursing homes providing direct care to...
  3. I like the indepth explanations but can't the bradycardia be just like when adults have MIs. Often MI folks get bradycardia which if, unsymptomatic, can be great because it decreases myocardial...
  4. Your Perceptions on Health

    I think "health" is a state of being that is either improving or worsening. It is never static. Some folks have to work really hard to be approaching "healthy" while others do it quite easily....
  5. Infection from Hell/Pain Scale Epilogue

    On the floor I used to work at, we had a lot of SCI folks and they had implanted baclofen pumps. Of course, the first time I didn't know they were implanted so upon hearing that my patient had a...
  6. HELP...... Need Your Advice!

    Ari, What a tough decision!! I know you really want to work OR (I would too) and while I'm sure the OR program is good, giving them $1000 is a big deal. Is it at a hospital in NYC that has a...
  7. $20 h/r base pay for Seattle area hospitals. Differential of course for evening, night, and weekend
  8. International Nursing

    Hey Walter, http://www.supplementalhealthcare.com is a travel nurse agency that sends people to like 11 other countries. For the UK, you actually don't need a company per se, you can just contact...
  9. Friend w/ severe chest pains?

    But how do they differentiate between Costochondritis and Acute Coronary Syndromes without an EKG or labs? I mean I guess if it was shooting pain and his palpations could elicit more pain, but what a...
  10. The online programs like Jacksonville and UoP sound really great but the cost seems prohibitive. I plan on a lot of graduate education so I really don't want to have huge loans out already just for...
  11. Anyone have/had extreme anxiety?

    Boy do I remember clinicals and my anxiety. I was so anxious I could barely sleep the night before clinicals and my heart rate would be so high. It's definitely not a good feeling. One thing that...
  12. Opportunities to connect with patients

    In acute med/surg, it is difficult to find time to have those "meaningful" moments with patients. When I did have them I felt very fulfilled. When I didn't get the chance, I actually felt like %$#%...
  13. How frustrating!! Great that your NM is backing you up but if the policy is not rewritten yet, no wonder it's concerning to you. The nurse who says "she feels comfortable with it" may love to...
  14. Precepting New Grads - Tips and/or Advice?

    This may not be practical for either of you but when I was a brand new nurse, we had a preceptor gal who meet with the new grads once a week for like 2 hours after our shift to talk about how things...
  15. How much to spend on a stethoscope

    Wow, I didn't know a lot of you had Master Cardiology steths. That's cool. I had a littman classic but of course it got stolen (by residents I'm sure) and then for months I've used those $2...
  16. Very concerned about my 3 year old daughter - blood in urine

    Interesting symptoms...let us know when you hear something. Also, did they do a strep test on her just to be sure? Anyway, it does sound like glomerulonephritis s/p viral infection and your doc...
  17. feeling like there's a lump in my troat

    I don't remember if I actually tried antacids...I must have but I don't think they helped. It just went away eventually. I agree I see protonix given to almost EVERY patient. Sometimes I think...
  18. Lupus or Something else?

    So the ANA was drawn back in November? Did you start the 3-11 shift after this? If you're having fatigue and joint pain, I would go back to the doc and he might draw another ANA. If it's gone up,...
  19. Island Nursing

    I'd love to get in with your circle of friends! Just kidding. Seriously, if you're not going right away, I suggest getting some RN experience somewhere at a hospital. Of course if you're going...
  20. Contracting BBPs through skin

    I second what Agnus says. If I remember right, Hepatitis can live days in blood outside the body where as HIV dies outside the body within minutes. We hear more about nurses contracting HBV or HCV...
  21. Help on Accelerated BSN! Thanks.

    I just got some info mailed to be about the College Network. It sounded good and cheap(er) but I'm starting to think that there are cheaper ways and College Network will actually cost more. State...
  22. feeling like there's a lump in my troat

    Can you describe the pain? Was it substernal? GERD can do that, wow. I had pain a couple times two years ago in my chest and I was sweating and pale. A family didn't take me to the ER because they...
  23. WA board needs more action

    Todd you commute from Shoreline to Marysville? Wow, you must be taking beta blockers, just kidding. I actually graduated from Shoreline's nursing program and live in South Everett. I hate I-5 of...
  24. NCLEX preparation books?

    My study group and I used 'Saunders comprehensive NCLEX review' and it was great. The questions weren't that easy which was a good thing. Once a week or so after we graduated, we would get together...
  25. online BSN degree without clinicals

    Most online nursing degrees (RN-BSN) have one or two clinical practicums that are done in the area where you live. I wish to do an online program but the problem is the cost is horrendous. I plan...