zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. Hello all, Recently I wrote a post on being really anxious and scared to go to work in this thread: https://allnurses.com/general-nursing-discussion/scared-go-work-446096.html The tips everyone...
  2. I am also looking to move to Canada to practice and this news that there are not that many jobs for us looking to move to Canada. What if I was looking at Yukon or north British
  3. Thanks for your responses guys. My worry is that if I take the job, what I do if a hospital job comes up in two weeks!!!! I have another interview for a med/surg job at the end of January. But...
  4. Having trouble with understanding lasix use

    This was always something that I also never truly understood in my years of practice. I truly believe it is such something that MDs use because they think it can work. I don't think it's best...
  5. Do you push Fentanyl on the floor?

    Again, as licensed professionals, RNs should be allowed to push Fentanyl IV just like other narcotics. I remember a patient that had horrible wounds all over her body r/t to something strange. She...
  6. Pt Bites Nurse

    When I think of a bite, I'm worried about tetorifice and staph infection as potential sequelae. I think the risk of other bloodborne diseases is so little that they don't often draw blood in these...
  7. Physical test for RN

    I've had to do physicals for nursing jobs and it generally just is a basic physical where they check your weight, BP, U/A, cranial nerves, and basic stuff. The last physical I had came out bad...
  8. Hello, I want to thank you all for the thoughtful comments you all have made. Some have actually given some wonderful tips on dealing with my anxiety and lack of self-confidence. Some of these...
  9. Hello, I'm thinking I've posted this before a long time ago, but I am out of ideas. All last year was a blur, with several jobs but because I had excessive absences, I lost every one of them. The...
  10. Hello, I'm getting ready to take an assignment at Desert Regional in Palm Springs and am hoping some people out there have something good or neutral to say about the experience there. Let me know...
  11. Hey, Thanks for the message. I couldn't imagine going to Desert Regional on a first travel assignment! I feel better that you say management is nice and that there are some nice nurses. I've...
  12. bumps on back - HIV?

    Hey all, Ok I should know this but oh well. I have a friend who says that whenever he sees guys with bumps (tumors) on their back, he says there's a high probability that they have HIV. My...
  13. No one has anything good or neutral to
  14. Fluid status

    Hey all, So here's my question for today and for some reason I can't get my mind around it. I had a pt last night with 150 out on an eight out shift. Then later he developed loud wheezing...
  15. Hello all! Recently I started working on a tele/med/surg (transitioning to PCU) unit in a large hospital. I haven't had a permanent nursing job in over six months so I'm getting back into it...
  16. I want to thank each one of you for your kind responses!! Now for the plastic lining of the cardboard, when I first saw that I through it away as I thought it was the wrapping!! LOL (Again, not...
  17. Hello all, On Monday I'm starting a new PCU job in a hospital. I haven't had a permanent RN job for more than six months. I've done a few per diem shifts but nothing since then since I've moved...
  18. Ok, I arrived in San Diego almost two weeks ago with no job (I know I know) and immediately met with those at the Maxim Healthcare office in San Diego. I thought they would have me available to work...
  19. Rapid Afib

    Hey all, Last night was the busiest shift I've had in in several months. I've had busy shifts but this one was downright crazy!!! I didn't have a break ever and was constantly on the move. The...
  20. Patient crashing / K+ Rider

    Hey all, Had a busy night last night but one patient I had admitted for chest pain (hurts with laughter and palpation) decides to crash on me in the morning. She had basically perfect labs and...
  21. MRSA Swabs

    there is a HUGE variance in practice as far as MRSA isolation goes in acute care facilities. I wanna know the bottom line, what does the CDC recommend for hospitals? I've tried to look it up but...
  22. moving to las vegas from seattle!!!

    ngindagirl, I have about five years total nursing experience. Getting licensed by endorsement in Nevada is pretty straight-forward and I was pleased with the results, getting licensed in a week's...
  23. moving to las vegas from seattle!!!

    I applied for a couple permanent IMC jobs at St Rose over a week ago through CHW's website and have heard nothing. It is so frustrating that no one is hiring around here.
  24. Negative Insulin orders

    What the OP said about sliding scale is true. It is obsolete and not helpful in any way to patients. This new post-prandial method is good because it takes into account how much food is ingested in...
  25. does working as a nurse count as exercise?

    I don't think it's a workout. a lot of people gain weight when they start working as a nurse. To get a good workout, you need to get a sustained heart rate. While we may feel like we're running...