zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. WA board needs more action

    zacarias replied to zacarias's topic in Washington Nursing

    Hey, well it's very good of you to take of your mother even though it's not your ideal location. You mean to tell me there's nothing you like about Eastern WA? I've been in Seattle all my life and...

  2. airembolism

    zacarias replied to mehwan's topic in General Nursing

    Like the other poster said, it takes a LOT of air to cause an air embolism. A huge pocket of air would be needed in the heart chambers to prevent blood from pumping. Now if a patient has a septal...

  3. Using one secondary set for all IVPB's

    zacarias replied to Robinr1958's topic in General Nursing

    I'd love to see documentation on this. The truth is that if you know your drug compatibilities, using the same tubing is not a risk at all and will be more efficient and possibly lead to better...

  4. digital stimulation, any suggestions

    zacarias replied to tiroka03's topic in General Nursing

    Leslie, Isn't that difficult to do? I mean I know the rectal lining is very thin but I imagine that you'd have to really poke hard, have long nails, or be completely oblivious to the task at hand....

  5. Political Nursing Assigments

    zacarias replied to findingmywayRN's topic in General Nursing

    That used to happen to me too!! I mean I'd be running here and there and busy and lunch never entered my mind when I three, count 'em three phone calls (we carry cells) telling me there was pizza in...

  6. Did anybody see "Monk?"

    zacarias replied to beaglenurs's topic in General Nursing

    I liked her!! She may have been unprofessional and bossy but maybe that's why she doesn't work in a hospital! (I assume she didn't) Also if she's privaty duty, she can demand an hour lunch and a TV!...

  7. If you could change NURSING what would you change?

    zacarias replied to 1BlessedRN's topic in General Nursing

    I'm a newer nurse and also a shy person relatively, but I find the vast majority of doctors at our local teaching hospital are awesome and not condescending. The med students are VERY kind to me,...

  8. GTube, med administration..HELP

    zacarias replied to perksrn's topic in General Nursing

    Thanks hoolahan for posting these articles. I wonder how many nurses know the above. EVERYONE does air insufflation. A major shift in practice needs to occur and

  9. unprofessional behavior in RN community

    zacarias replied to miphillli's topic in Nursing Professionalism

    I imagine this nurse looking at a blood gas report and deciphering the pH, PCO2, and HCO3. That takes skill, yet she uses the word "sh***" which almost negates all her intelligence that she displayed...

  10. GTube, med administration..HELP

    zacarias replied to perksrn's topic in General Nursing

    That does sound familiar and I think that was standard practice maybe up to two years

  11. GTube, med administration..HELP

    zacarias replied to perksrn's topic in General Nursing

    Leslie, I actually meant "whoosh" although for some reason I called it "gurgles." :) pH paper is great to test acidity but a tube that's lower than the stomach will show a higher pH just like...

  12. GTube, med administration..HELP

    zacarias replied to perksrn's topic in General Nursing

    I was just thinking, who's to say you can hear bubbles (gurgling) when the tube is in the duodenum. Plus if a J-tube and G-tube, insufflating air in both will make that sound. I did research a a...

  13. What do you love about our job, what do you not love about your job?

    zacarias replied to SoulShine75's topic in General Nursing

    Love your siggy SoulShine. I'm a 26 y/o male and I'm very glad I went to nursing school and became an RN. Being a nurse has helped satisfy my thurst for knowledge and learning. It also opened my...

  14. What to do when a family member complains about a coworker

    zacarias replied to Sadie04's topic in General Nursing

    We need to really listen to our patients but one time I had a patient who told the doctor and her daughter that the night shift nurse tied her up and made her so scared. The patient had septic emboli...

  15. Insulin drip questions

    zacarias replied to nurses4all's topic in General Nursing

    Hey there, Good of you to be concerned about keeping the line open but when an insulin drip is running, you should have main fluid running too (D51/2NS, NS etc.) for your patient. If your patient...

  16. Getting OOB during a Blood Transfusion

    zacarias replied to PAKRHMC's topic in General Nursing

    This reminds me of a situation that happened at work a few months ago. There was this nurse that was always rude to me and for some reason she didn't like me. She made me feel bad a lot even though...

  17. Voluntary surrender of LPN license vs. suspension/revocation by Arkansas State Board

    zacarias replied to blue_butterfly87's topic in General Nursing

    Really extreme. I mean at my magnet hospital, a seasoned nurse helped another seasoned nurse lie in the report room and and sleep for 15 minutes. They turned off the lights and we didn't disturb her....

  18. how long til you feel competent?

    zacarias replied to newbie nurse's topic in General Nursing

    Hey there, Remember to not be too hard on yourself. You're on your 5th week, you're still pretty new. But that is also enough time to start feeling more comfortable at your facility (knowing...

  19. Weird question about taking my pulse in the middle of conversations

    zacarias replied to susanna's topic in General Nursing

    Recently on a date I found myself feeling their radial pulse while talking and it does calm. I think it's the regularity of it. Of course someone with a-fib would put me in a panic mood probably

  20. Professionalism and Nurses

    zacarias replied to Dixiedi's topic in General Nursing

    I'm sure it's my generation and the area of the country I live in, but I prefer first names for staff. I want patients to call me Zach but I always call patients Mr. or Mrs. so-and-so. I, however,...

  21. Nurses are better in Impression management tactics!

    zacarias replied to harryp's topic in General Nursing

  22. Stupid Nurse Tricks -- Or as a Patient, I should have known better

    zacarias replied to Ruby Vee's topic in General Nursing

  23. PICC Line Question

    zacarias replied to VickyRN's topic in General Nursing

    I agree with above posters. One thing to note is if you are drawing blood from one of the PICC ports for labs (lytes etc), you need to flush the other lumen well otherwise results can be altered from...

  24. Where did you start?

    zacarias replied to beccaleigh72's topic in General Nursing

    hey, i am from the nw and i started at the only hospital that i didn't have clinicals at. i was going to go straight into a specialty but to my surprise, i started working on a med/surg floor. the...

  25. Any hearing-impaired nurses out there? Need advice.

    zacarias replied to kynurse2be's topic in General Nursing

    Stephanie, By any chance do you have hemifacial microsomia/Goldensar's? My name is Zach and I'm a 26 y/o nurse in the Seattle area with what you have it sounds like. I can't hear out of my left...