glasgow3

glasgow3

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All Content by glasgow3

  1. Thats It!! Im Calling The State!!

    glasgow3 replied to zimsaint's topic in General Nursing

    Strictly patient care issues aside, once your administrator was informed that residents were being "cursed at and roughed up", that administrator had an immediate OBLIGATION to report that abuse to...

  2. Did not get new position

    glasgow3 replied to rn-jane's topic in General Nursing

    You have to understand the Powers That Be mindset. The position that you desired, and positions like them are quite easy to fill. On the other hand, people who can really take care of patients,...

  3. Vacation Time

    glasgow3 replied to jmcan999's topic in General Nursing

    Countercontrol is a beautiful concept: If administration can predict short staffing several months in advance, you should be able to likewise predict a 2 week "illness".

  4. APACHE II info please

    glasgow3 replied to 1happygirl's topic in General Nursing

    1) Just google "apache icu validity" and you'll get plenty of info. Nope, we don't use it. 3) Also the score is not a factor considered in reimbursement; medical complexity is a factor and there are...

  5. Online ACLS certification

    glasgow3 replied to trace_element's topic in General Nursing

    Another type of place that might offer ACLS?......junior/community colleges that offer ems/paramedic programs. Also some EMS organizations offer ACLS training/recert courses for their employees and...

  6. Final Warnings

    glasgow3 replied to litbitblack's topic in General Nursing

    Most organizations have so-called progressive discipline practices: first offense, verbal warning, second offense written warning, third offense suspension and so on........ Employees in the vast...

  7. I can't believe this! Help again Cardiac Nurses!

    glasgow3 replied to RN75's topic in General Nursing

    In general, plavix should be held 5 days before surgery. It probably would have been best if you had followed through your own investigation completely and verified the original order and/or called...

  8. A&P Respiratory Question

    glasgow3 replied to Delta18's topic in General Nursing

    Ok....I think I know about most of this stuff except maybe the combat portion. What surrounds the lungs is the visceral outside) and parietal (inside) Pleura.....the area between them is the pleural...

  9. S/P Cardiac Cath question

    glasgow3 replied to megananne7's topic in General Nursing

    A report of pain 10/10 at the site post cath is in no way normal. I am surprised that neither the physician nor your preceptor believes otherwise. Realistically, other than following your post cath...

  10. Please Help! Accelerated BSN cost

    glasgow3 replied to ConnieM's topic in General Nursing

    Why yes, this most certainly is the right school in terms of cost. The princely average nursing salaries of today easily justifies the mere $57,000+ to attend this school for one entire year. The...

  11. Nursing Theorists Trivia

    glasgow3 replied to pagandeva2000's topic in General Nursing

    Ahhhhhhh......so I may conclude from your argument that you believe nursing care is NOT necessarily a place for purely testable hypotheses? .....that the unprovable, the untestable, and the...

  12. Nursing Theorists Trivia

    glasgow3 replied to pagandeva2000's topic in General Nursing

    Frankly, I think ANYTHING about nurse theorists is trivia. What other discipline save nursing accepts unproveable/untestable ramblings of ivory tower inhabitants as worthy of discussion? Unless...

  13. STEMI and Dopamine

    glasgow3 replied to MikeyBSN's topic in General Nursing

    Did you miss what I said about small, repeated fluid challenges to effect, getting a line in to facilitate infusion and monitor CVP etc etc? Catacholomines used to improve cardiac...

  14. STEMI and Dopamine

    glasgow3 replied to MikeyBSN's topic in General Nursing

    Pump problem? Cardiac output issue? Balloon pump? Rate problem? Gezzzzzzzzzzz--------the patient has a B/P of 40/20!!! The dysrhythmia (s)this ED doc SHOULD have been worried about was v-fib or...

  15. EF of 78-88%

    glasgow3 replied to emersushea's topic in General Nursing

    Don't extrapolate from what your Clinical Instructor actually said. He/she was trying to give you some idea that the low end numbers for EF are not set in cement. That is there is 1) some degree of...

  16. EF of 78-88%

    glasgow3 replied to emersushea's topic in General Nursing

    Yep, it's probably bad.....suggests the possibility of hypertrophic

  17. Lovenox Sub Q...but where!?!

    glasgow3 replied to chenoaspirit's topic in General Nursing

    The Lovenox maker's web site is quite specific as to the correct administration technique in order to obtain the desired effect. And no, they do NOT recommend just any SQ

  18. Shift Staffing Question

    glasgow3 replied to perfectbluebuildings's topic in General Nursing

    perhaps my previous post was unclear. with a staffing ratio model there can be little argument with respect to compliance; for example, if the mandated ratio is one nurse for every four patients and...

  19. Shift Staffing Question

    glasgow3 replied to perfectbluebuildings's topic in General Nursing

    There is nothing wrong with staffing ratios, per se, as your own local example demonstrates. Minimum staffing ratios are clear and understandable unlike acuity based systems which contain tons of...

  20. Weight nurses required to lift?

    glasgow3 replied to psychnurse1998's topic in General Nursing

    A few comments if I may: If a person is injured at the work place, I always suggest that they consult with an attorney who specializes in such matters. Initial consults are usually free of charge....

  21. Getting involved with a co-worker

    glasgow3 replied to Runman1914's topic in General Nursing

    Is your hospital a member of a system with other local hospitals? At the very least could you transfer to another unit within your current hospital? Trust me on this one: Do NOT attempt to date this...

  22. Medicare: "Hospital-Acquired Conditions" and "Present on Admission"

    glasgow3 replied to NRSKarenRN's topic in Activism, Healthcare

    Yup....We've started swabbing for MRSA on every admission these days. Just one more chore added to Home Medication Reconciliations, Suicide Scales, Skin Scales, Stroke Scales etc etc etc.....Never...

  23. When should an infusion pump indicate an alarm

    glasgow3 replied to djmac's topic in General Nursing

    On the Baxter Colleague infusion pump, failure to unclamp the piggyback line will in fact result in the infusion being "pulled" from the primary bag (instead of the piggyback) and no alarm will...

  24. Number of shocks

    glasgow3 replied to rnwithtof's topic in General Nursing

    Sure, I've shocked patients that often...and it needn't be pulseless v-tach or fib. Just refractory to medication drips/rebolus and still going into sustained

  25. Preventing Pt Falls and success rate

    glasgow3 replied to Advocate1's topic in General Nursing

    We place purple wrist bands on all patients who are fall risks; these bands repel all fall goblins and gremlins totally eliminating patient