Lacie

Lacie BSN, RN

jack of all trades

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All Content by Lacie

  1. Drug Screen

    Sounds like a good plan per your last post. Dont stress yourself out over it as anxiety is the worst. Just go in and fill out your info. My last ones they didnt ask what I was on. Although my...
  2. Drug Screen

    At least in my experience when hiring new staff, RX for narcs were renewed every 6 months. Personally I wouldnt tell them what meds you are on unless it shows up or they ask. You may prepare ahead and...
  3. Do you keep your license(s) in your wallet?

    We were always told you should always have it in your immediate possession. In the 3 states I'm licensed in they send me a wallet and a certificate form of proof of licensure. I do carry the wallet...
  4. Chemistry skills relevant to nursing

    biochemistry helps in the of biological sequences. you will learn the chemistry of interactive compounds such as proteins, carbohydrates, lipids, vitamins, and metals. how they work within the body...
  5. Trying to understand the death of an Organ Donor

    My husband was only 34 when he said he was going to bed early one night due to a headache. When I woke the next morning to get the kids off to school I found him nonresponsive and cheyne stokes. I...
  6. Many interviewers are also going to Behavioral type questions. Not saying they will but be prepared in case. I know as a DON and several other interviews I recently underwent myself utilize this...
  7. Chemistry skills relevant to nursing

    I didnt like chem either and my program required 3 semesters of it!! Inorganic, Organic and Biochemistry for my BSN. I found it was useful particularly when it came to pharmacology and pathophysiology...
  8. IM/Rhogam Injection Gone Wrong?

    Contrary to another posters response "older" nurses were not taught VENTROGLUTEAL injections landmarks? We were taught the same as newer nurses in this regard so yes we were taught. I always give my...
  9. Thank you so much for your story!! Like you I'm one of those "oldies" in the profession and have worn many many hats. There are instances in my time as an RN I will never forget and always that one pt...
  10. How To Document Sleeping On Night Shift

    CMS came into our unit recently and we were informed that according to thier guidelines "sleeping" is no longer to be used. We were told to utilize "eyes closed, appears to be resting quietly, etc"....
  11. There was a previous thread on this very issue and I would have to hunt it down but according to the CDC guidelines Aspiration is NOT required during Flu immunizations. It's unlikely to hit any major...
  12. Liquids to thin mucus

    I had an MD who RX coffee for pts in the ICU routinely to help with bronchodilation and thinning of secretions. My son was asthmatic and his pulmonologist also recommended coffee for him when he was...
  13. job after knee surgery?

    It may be too soon post op to consider Supartz but here's the site to give you abit more info as it's not steroidal injections but joint fluid therapy. Utilizes Hyaluronan. I had one injection per...
  14. Totally agree here!!! I have several Vietnam Vets in my dialysis unit who wouldnt even speak to us and very grouchy most of time. We had a stray Simease Cat who hung around the clinic daily for about...
  15. job after knee surgery?

    I've had a total of 3 seperate surgeries same procedure as you underwent. Had 2 on my rt knee(2000 and 2003) and 1 (95) on my left. I continued to work in chronic dialysis until the pain just got so...
  16. how can I be a nurse w/ a bad back???

    My most recent facility we had a NO lift policy. If the pt could not stand independantly or pivot easily then 2 persons were required with hoyer lift only. Too many work comp claims in a short period...
  17. Do you have a side jobs that is not related to nursing?

    I left nursing for a few years after my husband suddenly passed away. Needed to be a parent when my kids most needed me. I opened up a cleaning business doing private homes and post construction. I...
  18. She called the Dr and the MD gave an order to allow him to go out to smoke? I have seen this many times in which my charge nurses will call the MD over a non-compliant pt to inform him of the...
  19. Keep in mind also your license from another state is valid at any VA hospital or Federal facility. The VA in Gainesville is also associated with Shands. Teaching hospitals in this area due to UF which...
  20. IL RN moving to FL, now required to retake NCLEX ?

    Wow as I did mine by endorsement in 2006 from PA. Hadnt worked actively as an RN since 96 and was in case management at that. That's a new one on me but maybe it was changed
  21. Quit?

    I would do my best to stick it out as I did quit my job as a Clinical Manager and taking forever to find a new job even with 28 years behind me with a BSN. I was doing chronic outpt dialysis and most...
  22. "Scrub the Hub" means... ?

    It's standard practice and CMS guidelines to "soak" the hub for 3-5 min prior to taking the cap off for further prep for dialysis then scrub the grooves of the tip prior to putting on your syringes to...
  23. Grr! "Customer Service" Nursing Gone Crazy!

    We always reserved drinks, snacks, etc specifically for pts and not family members also. If they needed these things they are directed to the cafeteria. I futher encourage patients to do for...
  24. "Scrub the Hub" means... ?

    We always put a betadine or chlorahexadrine soak around the hub WITH cap on and soak for 3-5 min before removing the caps. Then scrub the hub then attach our syringes for removal of the heparin dwell...
  25. The Beginning to an End

    Hang in there and if there is the possiblity of finding an externship to work weekends before you graduate will help a great deal. Some hospitals will hire starting in your junior year. I did this an...