zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. moving to las vegas from seattle!!!

    zacarias replied to ngindagirl's topic in Nevada Nursing

    but see, moving after you receive job offers makes it not a stupid idea :) of course, i am sure the economy will be slightly different by then...better i hope.

  2. New RN BSN over 50 and Can't Get a Job

    zacarias replied to HoosierMale's topic in General Nursing

    HoosierMale, It is the economy. I am a travel nurse and have had a hard time trying to find contracts. Hospitals are just not coming through with a lot of jobs for people right now. I am sure...

  3. Anxious about new agency assignment

    zacarias posted a topic in General Nursing

    Hey all, I am starting to do agency at a nice hospital but I have some concerns. First the good thing is that the ratio on IMC (PCU) is 4:1, never higher. However here is the scary part for me,...

  4. moving to las vegas from seattle!!!

    zacarias replied to ngindagirl's topic in Nevada Nursing

    September is aways out so things may be different but right now like Suzanne said, it is tough here in Vegas. I'm from Seattle also and moved here to Vegas in mid-Dec right before the holidays without...

  5. Hiring a nurse that's a carrier of MRSA - Can that happen?

    zacarias replied to Halla17's topic in General Nursing

    An HIV + nurse can get a job as a nurse so why can't a person colonized with MRSA? Most of us have colonized staph aureus on our bodies..some of us have methicilin-sensitive and some of us don't, so...

  6. MRSA in sputum with trach?

    zacarias replied to kc1985's topic in General Nursing

    I would wear a mask. Just say, "I'd prefer to wear a mask" and that's it. MRSA in the sputum is an automatic mask requirement if you get within three feet of patient. While the closed suction...

  7. Help me get over this irrational fear of Agency nursing.

    zacarias posted a topic in Agency Nurses

    Hey all, OK, so for severe hardship reasons:o, I'm going to have to have do some agency shifts in a new town. I have five+ years experience as a hospital RN and while I feel like I'm good nurse,...

  8. Need help with Sunrise system!!

    zacarias posted a topic in Nevada Nursing

    Hey all, I'm working at Sunrise hospital and I really need someone's help who knows a couple things. I'm confused about the MRSA screening (when it's done, where, and under what situations) and...

  9. Well, I'm here in Vegas...starting a new job, advice please!

    zacarias replied to zacarias's topic in Nevada Nursing

    Thanks all for your replies!! Also, you're right about the five patients thing. I was told by the ICU manager (not the IMC manager) that max was four patients. But I'm finding out that's not how it...

  10. Well, I'm here in Vegas...starting a new job, advice please!

    zacarias posted a topic in Nevada Nursing

    Hello all, Well, I'm here in Las Vegas. Money is tight, and I'm living downtown in a hotel. (not as fun as it sounds). I will be starting a contract at Sunrise on IMC. I've worked...

  11. venting

    zacarias replied to rashan1053's topic in Nevada Nursing

    I'm sorry to hear you have that kinda of load every night. Vegas traditionally has some of the worst conditions for nursing in the country. A lot of for-profit hospitals trying to stretch the...

  12. 1st agency shift, horrible

    zacarias posted a topic in Agency Nurses

    Hey all, Last night I worked my first agency shift in a brand new city. I am nurse with 5+ years experience in med/surg tele stepdown but last night they had me work in ER psych hold. I wasn't...

  13. 1st agency shift, horrible

    zacarias replied to zacarias's topic in Agency Nurses

    Thanks to all who replied. You really have made me feel better. Just to clarify, I didn't work ER, but in a pscyh hold that was located in ER. I would have refused to work there if I was in the...

  14. CVA questions

    zacarias replied to lakec4me's topic in General Nursing

    I believe all people with CT evidence of a stroke should have a neurologist consulted, but I haven't seen this in all

  15. Pancreatitis...with no pain?

    zacarias replied to lovingtheunloved's topic in General Nursing

    the weight gain seems strange though for

  16. can't wrap my head around traction

    zacarias posted a topic in Orthopedic

    Hey all, I'm not a new nurse but don't quite get traction. I understand it's supposed to "align, immobilize and decrease muscle spasm" but how? I mean, to me, pulling on a limb would separate and...

  17. Moving to Canada?

    zacarias replied to 2008el's topic in International Nursing

    Even British Columbia is requiring BSN now???

  18. Confusing Labs

    zacarias replied to EJSRN's topic in General Nursing

    I'd like to point out in addition that liver enzymes AST ALT are tests that look at liver damage or injury, not liver function. Someone in end stage liver disease days from death could easily have...

  19. Normal PT/INR w/DIC??

    zacarias replied to oeue2007's topic in General Nursing

    How can you have a normal PT/PTT and yet them be dysfunctional? Or how do you mean?

  20. What is happening to me?

    zacarias posted a topic in Health, Stress Management

    Hey, I've posted here a long time ago and although I haven't posted here for a long time, I often come here just to read and read :) I need to talk though. I've been a nurse for more than five...

  21. to Vegas for travel assignment

    zacarias posted a topic in Nevada Nursing

    Hello, I'm about ready to finish my travel assignment up here in WA and am looking for a travel assignment in Las Vegas. I know next to nothing about the area but have been researching. I would...

  22. PICC line flush solution

    zacarias replied to UM Review RN's topic in Patient Medications

    I notice that triple lumens always draw blood well...probably the lumen is bigger and less catheter

  23. Need help with Ostomy patient

    zacarias replied to kc319's topic in Wound, Ostomy, Continence

    So you're saing to put the duoderm over the area where you just put the powder and non-sting

  24. Low pay in Seattle

    zacarias replied to WAstateRN's topic in Washington Nursing

    I'm shocked at this thread. I'm born and raised in King County but have lived elsewhere. The Seattle area is actually known to pay to a be high paying area for nurses. I'm talking downtown...

  25. Urinating around catheter

    zacarias posted a topic in General Nursing

    After a long night feeling useless, I then had to insert a foley and that didn't even go well. I had this ETOH withdrawal guy with MS and he was retaining. I inserted the catheter and eventually...