zacarias

zacarias ASN, RN

tele, stepdown/PCU, med/surg

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All Content by zacarias

  1. Overboard over HIPAA

    zacarias replied to jjjoy's topic in General Nursing

    I agree that most people went overboard. I think it has settled down largely and people are being more reasonable about the whole

  2. I saw my first patient that died today...

    zacarias replied to heartlover07's topic in General Nursing

    In floor nursing, I don't see death all that often. But this last week there was a death and it was hard on me. I had admitted the patient the night before. I came on shift and she sleeping so I...

  3. Smoked cannabis reduces pain caused by HIV-associated neuropathy

    zacarias replied to HM2VikingRN's topic in General Nursing

    how do they do that study. I mean how objective is it? It's probably double-blind but the patients know that they could be smoking marijuana right? So this anticipatory delight might make people...

  4. how many hours a week do you work?

    zacarias replied to Christine950423's topic in General Nursing

    I work 36 hours a week at a new job. I can't possibly imagine working more. I'd like to to because the money incentive is great. When I am working though, I give 150% and I need somewhat of a break...

  5. Starting IVs on old sick people

    zacarias replied to zacarias's topic in Infusion, Intravenous

    Hey guys, thanks for all the tips and tricks! I was wondering something. The other day I tried an IV and got it but to get a flash I had withdraw the needle a little bit like I had gone through and...

  6. Humidify low flow oxygen?

    zacarias replied to RunningWithScissors's topic in General Nursing

    this is something that annoys me to no end. There are so many things that are still done despite clear research to the contrary!! I heard about this over a year ago and I agree with...

  7. s/p thoracotomy question

    zacarias posted a topic in Pulmonary

    Hey all, I had a pt s/p RUL thoracotomy for lung CA who had two chest tubes to water seal. I assume one was for the pleural space and one was in the mediastinum? She had serosanguinous drainage...

  8. s/p thoracotomy question

    zacarias replied to zacarias's topic in Pulmonary

    pinoyNP, Thanks for the detailed info on the chest tubes. It makes sense

  9. Any Nurses worked for JCL North Campus?

    zacarias replied to mytoon38's topic in Arizona Nursing

    I've worked at several hospitals and I've heard stories of people's cars getting broken into at everyone of them. And two places I've heard of staff getting attacked. It is horrible when these...

  10. Blood Sugar Guidelines

    zacarias replied to zacarias's topic in Diabetes, Endocrine Nursing

    Siri, thanks for those links although I had already seen those. That's why I'm posting here. It says that the glycemic goals for fasting blood sugar is 90-130. That is not what I tought in nursing...

  11. s/p thoracotomy question

    zacarias replied to zacarias's topic in Pulmonary

    Thanks Marie, that does make sense. Z (hate chest tubes

  12. Phenergan IV changes in policy

    zacarias replied to RNKPCE's topic in General Nursing

    I've seen Phenergan kill people and it sure does burn. I never start with 12.5 any more, but rather 6.25mg IV to begin with. Of course PO I'll do 12.5 no

  13. Important Drug Tips!!

    zacarias replied to TigerGalLE's topic in General Nursing

    ok REALLY stupid question. I've been out of med/surg for song (tele stepdown), but why do you shut off tubefeeding for an hour after giving meds. I can see suction but

  14. Oxygen... Comfort or Life Saving?

    zacarias replied to TigerGalLE's topic in General Nursing

    Also, you said category 3 or 5 (new to those terms) means no CPR or ventilator. Like another poster said, these are heroic and invasive (broken ribs) procedures for patients. DNR is the same thing...

  15. Lost in a sharps box

    zacarias replied to MSN_Ed's topic in General Nursing

    But do you agree that if someone did lose their diamond ring in the sharps, that would have a witness with you to get it out?

  16. "You're gonna need to learn Spanish...."

    zacarias replied to smkiya's topic in General Nursing

    Hey there, I've haven't read this whole thread but I but I definitely believe healthcare professionals should speak another useful language. I would love it mandated in certain states but with a...

  17. Any Nurses worked for JCL North Campus?

    zacarias replied to mytoon38's topic in Arizona Nursing

    I just started at JCL North Mountain on 6E. I'm learning how they do things although I'm a nurse for three years. It's an old hospital but with a pretty good standard of care.

  18. Acls

    zacarias replied to Christie RN2006's topic in General Nursing

    Yeah I guess in days past ACLS was hard but now adays, ACLS is pretty easy. If you like, go to a bookstore and buy an ACLS book just for review prior to the course/mega code. You will do

  19. Question about endorsement

    zacarias posted a topic in Arizona Nursing

    Hey all, I'm gonna try to contact the Board on this but of course they're closed right now. My question is #1 When you get transcripts for the Board, do they need to be official or unofficial? #2...

  20. Moving to AZ!!

    zacarias posted a topic in Arizona Nursing

    Hey all, Well, it's for sure, I'm actually moving to Arizona probably the end of this week! I'm going to be working at JCL and looking forward to it. The pay is very competitive (I'm coming from...

  21. Moving to AZ!!

    zacarias replied to zacarias's topic in Arizona Nursing

    Hey cardiacRN and nurseguinness, I am in Bakersfield, CA right now staying in a hotel. I'm drove from north of Seattle and plan to arrive their either tomorrow night or Tue morning. I'd like to...

  22. Seattle Children's / Harborview opinions?

    zacarias replied to anamset's topic in Washington Nursing

    Anamset, I don't know where you come from but moving to Seattle, you should find that you are well

  23. IVs at John C Lincoln NM

    zacarias replied to zacarias's topic in Arizona Nursing

    Jamonit, Thanks for the info. I love starting IVs (I know we're poking people but...:)) I want to reply to my other thread thanking you guys for the great, positive information, I'm just on my...

  24. IVs at John C Lincoln NM

    zacarias posted a topic in Arizona Nursing

    Does anyone know if floor nurses at the JCL -North Mountain get to start their own peripheral IVs? Thanks!

  25. Mandatory Hep B testing

    zacarias replied to jimmy_hat's topic in General Nursing

    Wow, Jimmy you might be on to something big here. The travel company must not not realize they're requiring. They're no way they need to hep B status. I'm sure... Anyway, ACLU can clear it up. I...