Lacie

Lacie BSN, RN

jack of all trades

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All Content by Lacie

  1. Continuing Education Credits in PA

    Check your state website or call your BON as if you are a new grad you most likely dont need them for your 1st renewal depending on the date of licensure. I'm licensed in 3 states non-compact (PA...
  2. Can I go by a nickname as a nurse?

    I've always used my nickname on my badge and then use my first and middle initials with last name for my signature. I have never been called by my legal name and it sounds very foriegn for me if...
  3. Do you use 2 Bags of NS or 1?

    We were cut down to limit total use per tx to only 1.1L per pt. Uf was turned off during recirc and to dump the prime only till the blood hit the venous chamber. Bags not changed out unless run dry....
  4. Frustrated RN returning to the field

    You are so right!! Places dont see dialysis as a specialty! I was even told that we dont do venipuncture or use needles in dialysis that everyone has a cvc in one interview for rehab unit LOL!!...
  5. Research Coordinator Interview

    Same here I have an interview on Monday and not sure as to what to ask in order to see any red flags. I dont want to be in the same situation I just
  6. PCTs want me to do there Work

    Welcome to the world of dialysis!! This is not just your unit. I was the clinical manager and still had to cover the floor and take patients as the only RN with 2 pcts and 12-16 chairs. Roles are very...
  7. Nurses can't draw blood, its always hemolyzed

    We draw our own labs in dialysis and what I found was they werent rotating the tubes gently after the draws and just setting them down also or shaking them too severely. The tubes would sit for a few...
  8. Frustrated RN returning to the field

    I understand how you feel. I recently left a chronic dialysis job and since I have been away from hospital nursing for 3 years I cant find another job!!! Even with 28 years experience in just about...
  9. Nurse or not I always ask family members to leave the room during any procedure particularly if changing a bed or bathing, peri-care, ng care, etc. During that time you wont feel there is someone...
  10. Nurses with tattoos, is it acceptable?

    Lol, well if they want to look at my body when I'm 80 in lieu of my ink go for it!! 10-1 90% of those young people caring for me by the time I'm 70-80 will have their own ink to show. And you are...
  11. Keep in mind you also may have signed a release of information in which they by law can not only contact your employer but ask specifics. As a DON I also thought that all we could give was dates of...
  12. I've worked in major teaching hospitals in the north (Pittsburgh) and small rural community hospitals in appalachia areas of Kentucky. I now reside in Florida. In all honesty I learned more in that...
  13. Nurses with tattoos, is it acceptable?

    As long as they are not visible particularly in clinicals you should be fine. I have a full back piece and no one would know it unless I tell them or they see me on off hours. I also have some on my...
  14. This morning I sat with a patient as he died

    To this day after 28 years I still remember my first memorable patients death. I assure you he knew you were there and the tenderness you gave during those last moments. I once had an instructor who...
  15. Depends on your state. Florida PCT's are not required to be certified and many dont even have a GED or high school diploma. I have never worked with a PCT who was certified. That being said I am glad...
  16. One of the very reasons I recently left working dialysis for good. Too many gray areas at the cost of my license. Most PCT's dont get this as they dont have a license to lose, we do. When I would...
  17. I did a no-no

    It doesnt matter if it was a controlled substance or not. Even a tylenol is considered crossing the line from nursing into prescribing. This is not in our scope of practice per nurse practice act....
  18. I did a no-no

    Yes you are very lucky you didnt recieve a suspension with probationary limits for that one. Also someone "tattletailed" most definitely. I made the mistake of setting down Mylanta on a bedside table...
  19. My daughter brought home head lice and...

    We've had to have the entire ER staff bath in Qwell Lotion/Shampoo a few times. Really something when your performing CPR on someone and can see it jumping off them. My son's school used to send a...
  20. VA has many educational opportunites and does have tuition assistance particularly if you sign to stay on once you get your RN. VA is very education oriented and encourages it. Even as a veteran they...
  21. Random vents

    Haha we didnt have internet when I went to school heck we had just got Apple's for the research dept!! Didnt have the benefit students do today and we had to do everything the old fashioned way -...
  22. I would jump on a primary nursing position if they keep the staff/pt ratios appropriate. I started out in primary nursing within the ICU's and CVICU. We never had more than 2 pts sometimes only 1 if a...
  23. How do you deal ith mouthy rude CNAs?

    Keep in mind also the CNA may have endured the "I know it all" attitude from some new nurses also. It may be a situation in which she and others may need to take the time to learn to trust you in your...
  24. Numbing cream for peds IV's?

    We routinely use it in dialysis units. I get young people moving from peds to adult dialysis units and they wouldnt let you stick without it even for venipuncture over cannulation. I've used it in...
  25. There are significant perks you dont get in the "civilian" settings of health care. The amount of time off per year to include holidays is generally more than most other nursing jobs. Also the...