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meandragonbrett

meandragonbrett

Registered User

Content by meandragonbrett

  1. meandragonbrett

    San Francisco Registry

    Does anybody have any recent updated SF Registry information? I am ICU and PACU. Looking to work Peninsula, South Bay, or in SF Proper areas. What agencies do you guys work with here in the area? Thanks!
  2. meandragonbrett

    Prednisone

    Dexamethasone IV can cause it.
  3. meandragonbrett

    EPIC/MEDHOST training

    Ned.... While each system can customize their epic to suit their needs.....Epic still functions the same. Your order entry is the same, care plan screens are the same, flow sheet documentation is visually and functionally the same. While the facility might document certain things in certain places....Epic is functionally the same in each and every facility...and I am seeing more and more facilities require previous experience with Eoic in their postings.
  4. meandragonbrett

    Need to rant

    Giving cacl without there being an order of some sort? You practiced medicine without a license. End of story.
  5. meandragonbrett

    Should ICU get more pay than floor nursing?!?

    So get in contact with the managers of those units and tell them you're willing to pick up extra for the incentive pay. Not all nurses make the same...education, experience, specialty backgrounds, etc all play a role in salary determination. So either pick up extra and make some extra cash or just be happy that you have a job in the first place.
  6. meandragonbrett

    Are swan-ganz (PAC) still around in your area?

    Yes you still see them. It's very dependent on specialty. You tend to still see them in SICU and Trauma ICU. And then the cardiac surgery population.
  7. meandragonbrett

    Travel in Memphis

    Memphis is not crazier than any other large city. Just be aware of your surroundings and you'll be fine. Be prepared to work!
  8. meandragonbrett

    Should ICU get more pay than floor nursing?!?

    Your autonomy is perceived autonomy and risk to your license is moot. There is nothing riskier about working in a critical care environment vs another specialty when you practice as a prudent nurse would. You're still a young nurse and it is definitely showing.
  9. meandragonbrett

    "You are now a stepdown nurse too"

    You either accept it of you quit your job and find a new ons. There are many hospitals that IMCU is staffed by the ICU core staff.
  10. meandragonbrett

    Maximum number of IV meds & lines

    I don't quit understand what you're aiming at here. You run things that are compatible wherever you have to run it...end of story.
  11. meandragonbrett

    What are your Missed Shift company policy? How about Sick Calls?

    It's not personal...it's business. The company charges the missed shift adjustments to make up their costs for housing because you're short your commitment. My current company does not charge me if I call off
  12. meandragonbrett

    Maximum number of IV meds & lines

    No, typically run propofol/fentanyl/Midaz/ other sedatives all together.
  13. meandragonbrett

    Best Travel Agencies For Short Assignments

    Fastaff and Nurse Choice come to mind.
  14. meandragonbrett

    New travel assignment in east bay- does this pay sound ok?

    I generally don't consider any assignments in the Bay Area that result in me bringing home less than $1600 per week after taxes. Depends on your specialty, how bad the need is, etc. I wouldn't even consider that contract but that is just me.
  15. meandragonbrett

    CAUTIs in Critical Care

    Strict cath care Frequent reeducation Post-op day 1 at 5am they come out Condom Caths for incontinent makes We have had a cauti in two years in our unit.
  16. meandragonbrett

    Best travel company?

    You go with the company that has the contract that you want.
  17. meandragonbrett

    Confused about licensing

    The license will expire just like your home license expires. You pay the renewal fees and you keep the license active.
  18. meandragonbrett

    Traveling with only MS experience

    Your travel assignments would be on floors that you're qualified to work. You'd not be eligible for a contract in the OR with no experience.
  19. meandragonbrett

    Where are the most jobs?

    Travel jobs wax and wane. The speciality areas (i.e. OR, ICU, L&D) tend to be the most in demand/numerous but if you're not concerned about location or top pay you can pretty much travel in most specialties without difficulty.
  20. meandragonbrett

    Travel Nursing in CO

    The UofC in house travel is a good program to do...much better hourly rates than what you can get on a travel assignment generally. Enjoy your contract!
  21. meandragonbrett

    Lap Chole Bundle

    0.2 of Dilaudid q5min up to 3mg. Give them hydro or oxy in PACU and IV acetaminophen. As far as PONV...hit all of the receptors and make sure they are adequately hydrated. Droperidol and examethasone. Most people get 4mg of Zofran before emergence...so no need to waste time redoing with that class of drugs. Another thing that can speed up discharge times is whether the surgeons place local when closing. Our real surgery group is generous with the marcaine and that makes it super easy to get them out of the door within 45-60 minutes post op. Usually don't require any IV opioids in phase I. We just get something PO in them in phase I so that they don't get stuck in phase II over pain issues.
  22. meandragonbrett

    I'm an ICU RN with MRSA:-(

    It sounds as though the abc you've been taking are ineffective. I took PO and off an do for 4-6 months and I finally had a PICC put in and did vancomycin at home for a few weeks....never to have another problem again
  23. meandragonbrett

    Verbal Orders

    It's not nursling's job to police providers and orders. If they tell me they aren't near a computer...how are we to know different? Some hospitals are on a warpath about this and strictly forbid it and others are much more laid back. Your management team needs to go to the medical staff to solve the issue. It shouldn't be your concern at the bedside. And the "losing your license" scare tactic is nothing but a sign of a poor management team IMHO. They like to use this to encourage the flock to follow their directives and not question or seek our rationales. Look at your state's BON hearings and you'll see what people lose their license for or get disciplined....it's generally NOT the things you see members on here and your management telling you that "could" happen. Just be a PRUDENT nurse and practice mindfully and you have nothing to be worried over.
  24. meandragonbrett

    Moreno Valley Travel assignment

    When I clicked on "Hospital Profile" it looks like this is a contract from Access Nurses aka Aya Healthcare, OP...is that true? You can likely do better with other companies....Just saying.
  25. meandragonbrett

    Moreno Valley Travel assignment

    I wouldn't be working for that OT rate. My last few contracts have paid my OT rate off of my blended rate (Taxed + non-taxed hourly) and not the hourly taxable rate.
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