zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. [b]Congratulations Love-a-nurse![/b]

    zacarias replied to live4today's topic in General Nursing

    steph, congratulations!! you have waited for this moment for so long. i'm proud of you and i know you are gonna rock as a

  2. MD, DO, NP, DC, OD -- Who deserves the title PCP?

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

    ep, just to clarify, the op never mentioned wanting to have the same privileges as a pediatric neurosurgeon. he/she was talking about wanting more recognition as primary care

  3. Fluid Overload questions

    zacarias replied to zacarias's topic in General Nursing

    No I don't work at Harborview but I LOVE that place! It is awesome and have worked there in the past and did clinicals there. I would consider it in the future. I work it's sister hospital, the UW!...

  4. Fluid Overload questions

    zacarias replied to zacarias's topic in General Nursing

    Thanks all for your replies! It's nice to know I did OK int hat situation. You know I can imagine edema crackles sound different than atelectasis but unless I can compare them one right after the...

  5. compartment syndrome-did I cause it?

    zacarias replied to Lynn RN ER TX's topic in General Nursing

    If any of you all are interested, here is an article from the journal Anesthesia and Analgesia that is very relevant to this topic. Transient Compartment Syndrome of the Forearm After Attempted Radial...

  6. Can you blow the vein when removing IV catheter??

    zacarias replied to lilbiskit78's topic in General Nursing

    While ideally you want to avoid blowing the vein, I think the swelling largely can be avoided by applying firm pressure for several minutes to the area to try to stop from blood leaking into the...

  7. compartment syndrome-did I cause it?

    zacarias replied to Lynn RN ER TX's topic in General Nursing

    I've been following this thread. Some posts are good and others are high and mighty. I'd like to say that while Phenergan burns when given IV, who knows if this is the actual culprit. It seems...

  8. How common is Work Violence?

    zacarias replied to Dr. Gonzo's topic in General Nursing

    Never was attacked until two weeks ago when a patient bit me before we gave her

  9. Horrible day

    zacarias posted a topic in General Nursing

    Hey all :stone Last noc was a nightmare. I can't go into it but basically my patient desatted and had a high heartrate and I feel I did everything OK and my charge feels I was unsafe in my...

  10. Horrible day

    zacarias replied to zacarias's topic in General Nursing

    Hey all :stone Last noc was a nightmare. I can't go into it but basically my patient desatted and had a high heartrate and I feel I did everything OK and my charge feels I was unsafe in my...

  11. Extra pay for certification or degrees?

    zacarias replied to Baby Catcher's topic in General Nursing

    This is about going to an RN-BSN program so it's sorta on topic :). Anyway, I work at a large university hospital and am starting the RN-BSN program at the university this June which will last a...

  12. Do RN's co-sign assessment sheets at your hospital? What does it mean to you?

    zacarias replied to nursenatalie's topic in General Nursing

    Exactly. While states vary in what they will and will not let LPN's do, the law is very clear that only RNs can initiate the nursing plan of

  13. compartment syndrome-did I cause it?

    zacarias replied to Lynn RN ER TX's topic in General Nursing

    Lynn, I think you should be proud that you chart a lot because documentation is so important because of what happened to you. Please let us know if you know what happened to the lady. Did...

  14. Survival Tips for First Year Nurses

    zacarias replied to rosemadder's topic in General Nursing

    Offer to help other nurses on your floor. Doing this shows that you are all for teamwork and it will put you in a positive

  15. More help, please..

    zacarias replied to NurseEPV's topic in General Nursing

    Another thing to keep in mind is hard eschar wounds in the foot area. You want to make sure that they have good vasculature to that area before you start debriding. Once that eschar comes off,...

  16. Can nurses in the US really work a straight 24 hour shift??

    zacarias replied to care bear's topic in General Nursing

    I've worked 16 hours but I don't do this frequently and I definitely won't do more, plus thankfully it's illegal here to do

  17. As a BSN student in clinicals it seems like many floor nurses are "mean spirited".

    zacarias replied to Love767's topic in General Nursing

    I'm so sorry you were treated this way. It just makes me sick that this goes on and that that nurse would suddenly turn on you after talking to the CNA. I work at a large teaching hospital and...

  18. Charge Nurse with patient assignment.

    zacarias replied to RNPATL's topic in Nurse Management

    At the large teaching hospital I work at, the charge on days and evenings has no patients unless there is an emergency or some nurse doesn't show up. Night charge has maybe two

  19. NP salary range starting at 26.00 per hour!

    zacarias replied to smk1's topic in General Nursing

    Actually, in the Seattle area, hospital RNs start out at around $20 to $21 an hour which seems low compared to other areas in

  20. How often do surgeons order a basal rate for PCA?

    zacarias replied to nursenatalie's topic in Medical-Surgical

    Don't you have PCA protocols that have it written the standard basal rates? I once had a resident order a PCA Dilaudid with a 12mg incremental dose!! I told him he meant .2 but what if I didn't...

  21. CRNA To MD

    zacarias replied to rigor0313's topic in Certified Registered Nurse Anesthetist, CRNA

    It seems like a lot of folks are asking about becoming an NP then MD, or CRNA to MD, or RN to MD. I'm concerned that this is because of the public's perception of provider hierarchy. They assume...

  22. Triple lumen central lines/test question/and flushing

    zacarias replied to passing thru's topic in General Nursing

    How will using the distal for feedings dilute it? I thought it would just take longer to get to the

  23. Switching to night shift?

    zacarias replied to JacelRN's topic in General Nursing

    All the nurses I work with seem to like me on all shifts. There is on nurse though on nights (I'm now on nights too) who barely talks to me and is hardly civil to me unless she is charge. She...

  24. Patients thinking others are their nurses?

    zacarias replied to maddiecat's topic in General Nursing

    One gal patient I had was in for a PE. One day, the med student and docs came in around her and started talking about her case. I stayed there wanting to be "in the know" to help explain anything...

  25. Strange and overwhelming, but good day!

    zacarias replied to lilbiskit78's topic in General Nursing

    Lil, What a day!! I hope you find time to really enjoy these accomplishments. It also sounds like you're pretty modest not even knowing you'd be elected. That is the kind of leader I would...