Lacie

Lacie BSN, RN

jack of all trades

Member
  • Content

    1,037
  • Visitors

    13,002
  • Followers

    0
  • Likes

    19

All Content by Lacie

  1. help?! PEG tube incident

    Wow!! I remember when Docs used to order Coke to prevent clogging of NG tubes. Tells how old school I am haha!! Good
  2. pH Acid Base question

    Agree with previous poster, Pick your battles. I attended a refresher course in 96 and was shocked to find I had more experience (I was a former CCRN) and was surprised how much I hadnt forgotten...
  3. In the above instance if the pt is female definitely investigate further as they may not have chest pain. I have had women pts show symptoms very atypical having an acute MI. Wow this is a great...
  4. It is a tough exam and they also require you have a certain amount of critical care hours under your belt before you can sit to take it. Try to move into ICU/CCU something in the meantime then give...
  5. New Davita RN needs info!

    I never had an issue with Cigna paying my claims. In fact they were paid quickly and without hassle. I elected to get Supartz injections in my knees for a service connected disability issue since VA...
  6. pay in central florida?

    I cant tell you specifics as it's dependant on each facility. I can tell you that Central Florida is one of the lowest paid areas not only in the State but the nation. As I went from making over...
  7. Correct way to give IM injections?

    Certain medications that stain need z-tracked such as Iron but there is no need per Literature to z-track most other meds. I agree with previous poster - overkill. Good link may be helpful to you as...
  8. patient care while on prescription pain meds...

    Your best bet due to your medical condiditon is to find a position with little on hands patient care if any. Even though you are on prescribed medication I have known employers to report to the BON...
  9. New Davita RN needs info!

    Maybe this should have been posted in the Dialysis forum? I worked for Davita and after I left the new company I went with also had Cigna. I took the PPO in both situations and was very happy with it....
  10. Are these grounds for termination legitimate

    If you are in an "at will state" then they dont even need a reason to terminate you. Sounds like a hospital I used to work at in Kentucky that had an "occasion" policy. It didnt matter why you were...
  11. Are your Nurse to patient ratios changing

    I think we are seeing this at most facilites whether it be hospital or outpt clinics. Recently was working outpt chronic dialysis and staff were not being replaced as they left. As a result as the DON...
  12. fired after 25yrs of service, where to go from here

    There isnt more to My story. Obviously like many you are not familar with outpt dialysis which is much more hours then an 8 hour clinic. I was not only the DON I was working 5-6 day weeks 14-16 hour...
  13. Safety Question - Nurses rights

    Dangerous not only for you but for the pt also. That size patient should never have any less then 2 people for a hoyer lift and 3-4 for blanket lift. Appears you facility doesnt mind compensation...
  14. fired after 25yrs of service, where to go from here

    I'm in the same boat with job hunting. I recently left a chronic outpt dialysis unit as the DON/Clinical Manager and cant get a job for the same excuse "Want recent in-hospital experience"....
  15. How often do you work short?

    You will find this on a daily basis in most out-pt dialysis clinics also as there are NO state or CMS guidelines for staffing ratios. (At least in my state). I cant remember when I had a second nurse...
  16. Is there REALLY a nursing shortage?

    I will join you in writing to the representatives you have mentioned also as I sit here "jobless" with over 28 years experience as a BSN prepared RN. I left bedside nursing for a period of 3 years to...
  17. Nova's Masters in Health Law Degree

    I dont believe any are over a 2-3 day period. Dont remember what the first visitation is for but the 2nd is to present your project (thesis) subject then the last is to give the presentation of your...
  18. Good luck as to get the "call" is exciting I know. Consider though most Transplant Coordinators (at least one's I have dealt with) were required to have several years experience either working on a...
  19. No help from Charge Nurse

    Agree with the above poster as I've always had to take patients even as a charge nurse. Heck I took them as a DON when it was applicable and I was asked for
  20. I also use "Glove in a Bottle" which I purchased in the local uniform shop and I love it!! Apply it before shift and again about 3-4hours later. It helps protect hands from the constant washing....
  21. I have just had a positive PPD

    I took the INH and Pyridoxine tx for a year and that was over 25 years ago. Back then they didnt bother checking for liver function etc. I was in rural Kentucky at the time which TB was always a...
  22. I have had to do the same thing many times "I apologize Doctor but I am having a very hard time understanding your verbal order and would like to ensure I am getting the proper documentation. Would...
  23. Great advice given here!! You will find this situation just about anywhere you go. I just left a DON position in which the secretary would drive us absolutely crazy at times. Outpatient chronic...
  24. I've been an RN with a traditional BSN for over 28 years. You hit this nail right on the head!!! I'm just sorry it took me the last 3-4 years to finally see the light on this issue. Even with my...
  25. EKG tips for Dummies

    Online course for a fee but really not that expensive and very good program. I really enjoyed it and being virtual helped alot. 5 ceu's for if I remember around $57.00. The 12-lead course is bit too...