zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. New grad reality shock?

    zacarias replied to hmccartn's topic in General Nursing

    Hey, I'm a new RN and getting more and more comfortable at my job every day. "Culture shock" is a reality that every new nurse will face after school but it doesn't have to be a horrible...

  2. Tonight's ER

    zacarias posted a topic in General Nursing

    Anyone watch tonight's (1/15) ER? How'd you like that NICU nurse? I loved the episode but was disappointed that they would portray a nurse like that as an obstacle that med students have to overcome...

  3. EKG question

    zacarias replied to zacarias's topic in Cardiac

  4. EKG question

    zacarias replied to zacarias's topic in Cardiac

    Thanks guys. They do treat NQMI differently, or they can. For instance without ST elevation, thrombolysis will likely not be considered. Anyway, I'll have to take an EKG class one of these...

  5. Woman Lives To Tell Of Skin Sloughing

    zacarias replied to colleen10's topic in General Nursing

    The skin sloughing off, isn't this called Steven Johnson's syndrome?? I mean I remember something about it in nursing school connected to

  6. Survey: Has your facility implemented nurse to patient ratios?

    zacarias replied to Brian's topic in General Nursing

    The ratio is about 4:1 on the Gen Med floor I work on. We do take acuity in mind and sometimes we only have three

  7. Patients and medical terminology....What the heck?!?!

    zacarias replied to Big Bab's's topic in General Nursing

    What's really funny is I know an RN who works on a telemetry floor and she was talking about her patient's "Myocardial Infraction!"

  8. RN to MD track

    zacarias replied to rhp123's topic in General Nursing

    Hey Marilyn, That is very troubling. Do you know any sites that deal discusses this? RNs should have high acceptance rates unless these RNs that aren't getting accepted are cocky and...

  9. Large man wound care

    zacarias posted a topic in General Nursing

    Hey all!! Just poking my nose in and saying hi to everyone. Just one day off and I'm back for more 12s tomorrow! I do have a question/comment about a patient that I just don't know what to do...

  10. Large man wound care

    zacarias replied to zacarias's topic in General Nursing

    Thanks guys... I'm a pretty caring guy and I just wish there was something we can do. I appreciate all your comments and encouragement and stories. At least I know I'm not alone. And for the...

  11. Nice docs but sometimes frustrated

    zacarias posted a topic in General Nursing

    Hey folks, So last week we had this 300+ lb pt with 13 pressures ulcers, some to the bone and I had noticed that there were two EKGs done within 45 minutes of each other on admission to the...

  12. Accuchecks

    zacarias replied to webbiedebbie's topic in General Nursing

    At my hospital, only RNs (no LPNs employed here) are able to do accuchecks which is kind of annoying since depending on how many you have to do, it can take up a lot of time. Plus I hate serially...

  13. Blood cultures

    zacarias posted a topic in General Nursing

    Hey all, I'm a new nurse working on a gen medicine unit in a huge teaching hospital in the Pacific Northwest. Anyway, I have a question regarding obtaining blood cultures. I had a patient the...

  14. Air in IV lines

    zacarias posted a topic in General Nursing

    Hey all!! I'm a new nurse and have a couple questions about IV lines. I saw an MD say that a correctly administered IV line should not have even the tiniest airbubble in it. I wonder if he's ever...

  15. Oh my goodness computer shut offf at 75

    zacarias replied to peaceful2100's topic in First Year After Licensure

    Tonya, I have every faith in you!! 75 is a good sign!! I am defininetly thinking about you. I'm glad you're not as worried as last time because I remember you were quite upset understandably...

  16. Flushing Hep Lockes

    zacarias replied to happygray's topic in General Nursing

    Flushing with heparin is generally not needed on peripheral IV lines unless your hospital does otherwise. Flushing with Heparin is usually required for non Groshong central caths and PICCS. Check...

  17. JCAHO visit

    zacarias replied to tylerrose's topic in General Nursing

    Did you guys here that JCAHO is gonna start visiting hospitals unannounced starting 2006?? Scary

  18. Chest Pain in LTC

    zacarias replied to gizzy76's topic in General Nursing

    And then what do you do with this info, just tell the doc? I mean, moist sounding breath sounds seem like CHF and irregular heart beat could mean cardiac dysrhythmia that will lead to Vfib. What...

  19. Blood Administration & KCL Bolus

    zacarias replied to petiteflower's topic in General Nursing

    This thread is interesting. I have another thought also. What if for some reason the infusing RBCs were to hemolyze and the intracellular K+ was released. Then we got the KCL coming in...

  20. fundus checks

    zacarias replied to zacarias's topic in Ob/Gyn

    Indy, thanks so much. Now one mother I had this week, I can tell she's a thin woman normally. She still has a distended abdomen postpartum and this may be a stupid question, where that distention...

  21. Almost zero WBC count

    zacarias replied to misti_z's topic in Oncology

    Hey all, I'm a student and don't know a lot but just one quick question, it sounds like a lot of your oncology patients are neutropenic. Is this because of the chemotherapy usually or are there...

  22. Need ideas for pinning ceremony

    zacarias replied to NurseDixie's topic in General Students

    Hey all, Well I am part of our student nursing association and a we have control over the pinning ceremony especially for when we graduate in a million years. :) Right now they're doing it...

  23. Anyone working as a nurse tech/student nurse?

    zacarias replied to craff1's topic in General Students

    Krista, Wow I didn't know that about Evergreen. In fact I distinctly remember reading something about them not hiring techs, maybe that was another hospitals. LOL Who knows, I've been contacting a...

  24. Anyone working as a nurse tech/student nurse?

    zacarias replied to craff1's topic in General Students

    Hey all, Well, I'm also interested in the Nurse Tech positions. In Seattle here, Harborview (Level 1 Trauma) offers these positions for about $14/h and the next orientation is in March. Well, I...