zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. Cancer of the heart muscle

    Sarcoma = Cancer arising from connective tissue, bones, and
  2. IV Toradol?

    It's the kidneys that Toradol can really damage. That's why with any sign of renal insufficiency and it should not be used. A lot of times patients that have had reactions to dilaudid (weird...
  3. Spanish Certification? Specifically TX

    Same here and I'm in Western
  4. Mona, most are full-time programs and allow LPNs advanced placement into the RN programs. Excellent programs include those at Shoreline Community College and Bellevue Community
  5. Hospital Grub

  6. Atelectasis/Pulmonary Edema

    Hey all, I'm a med/surg nurse with a question maybe one of you can answer. We had a patient with suspected pulmonary edema although he had no crackles. The portable chest X-ray showed...
  7. Atelectasis/Pulmonary Edema

    Dianah, Thanks for the info!! I actually wrote it wrong, I was wondering if atelectasis can be a preliminary sign of pulmonary edema. Although I was also interested in pulmonary embolus since the...
  8. Question regarding treatment

    Thanks for the reply Tweety. It does seem like X-rays aren't exact. I guess they really have to look at the whole clinical picture. They couldn't do a VQ because he doesn't have IV access. He has...
  9. Question regarding treatment

    Hey all, So this week one of my patients had a BKA but his pain thing was that he had big clots all over his body in each extremity. He was heparin gtt and then Lovenox treatment dose. Also a...
  10. Nursing assitant levels

    At my hospital, we have CNAs but they can't do anything glucose checks, any catheterizations etc. It's primary nursing. That's why our ratios are fairly
  11. About MRSA

    i say that if the person's mrsa is sensitive to another med besides vanco, it'd be good to use it so we can keep vanco availabe for other
  12. Your Worst Mistake

    Brenda, I'm in WA too. It sounds like you and your familiy have been through a lot. May I ask what the heart condition
  13. How do you really feel about 5-star rooms?

    We have these mobile phones that we use on the unit so that we can be reached by another nurse, doc, lab etc... One day, I had a very demanding patient and was always on the light. Well, As I was...
  14. About MRSA

    Something I just learned a couple months ago is that when someone tests positive for MRSA, they can do a sensitivities check and some people with MRSA (depending on where) are sensitive to Bacrim...
  15. compartment syndrome-did I cause it?

  16. Does you hospital have magnet status?

    The teaching hospital I work at is a Magnet hospital. I don't know how they were before that but the majority of patients love the hospital. While nurses can find something wrong with every hospital...
  17. desperate need of info

    I would say that walking in a room and finding a patient on the floor is considered a fall no matter injuries they may or may not have. It still requires an assessment to see if there are any obvious...
  18. Are you part of any nursing organizations?

    Audrey, Are you a CDE if I may ask? I am very interested in opportunities for Certified Diabetic Educators. I'm a nurse with almost a year med/surg experience and would like to know more. I know...
  19. Are u extremely organized and meticulous?

    Yeah it is an interesting phenomenona but I think of it like this. At work, nurses are dealing with people's lives and since we appear before patients, we also seek to look organized and...
  20. Venipuncture and IVs

    Hey all, Just me again doubting myself LOL. Anyway, today I had a patient who needed a CT (pancreatitis) and needed an IV. I am always sorta nervous but do it because the more I do, the better....
  21. performing EKGs

    Hey, I'm a nurse in a teaching hospital that does maybe one EKG every couple months (we usually have a tech.) While I don't do them everyday, I am painstaking (probably too much so) about lead...
  22. Which watch?

    Chris, When I started nursing school almost three years ago, I got a Skagen from Denmark watch. It is awesome and I rely on it everyday. Before I didn't wear watches a lot but now I'm never...
  23. Volunteering at UWMC. Care to chat?

    Yeah I think every job can get crazy. So software engineering to nursing are fairly polar opposites? What drew you to nursing? I love the volunteers on my unit they worship me haha just kidding....
  24. Volunteering at UWMC. Care to chat?

    [color=dimgray]hey chris! [color=gray] it's great that you're testing out the waters to see if nursing is right for you. i work at uwmc on 6ne. it can be crazy sometimes but i like the staff and...
  25. Cell phones

    My hospital uses these phones. All the nurses are CNAs wear them. I think it's good as much time is saved when trying to find a nurse to tell them that Mr. fallsalot in room 2 is in a lot of pain,...