JustMe

JustMe

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All Content by JustMe

  1. CCU - Removal of Femoral Sheath by Registered Nurses

    JustMe replied to CWhite's topic in CCU, Coronary, Cardiac

    i read a summary of the abstract. wow! we have pretty good luck with the devices, but it has a lot to do with the skill of the cardiologist, i think. and how many times the doc had to stick the groin...

  2. Being an RN with an Associates Degree or a Bachelors Degree.....

    JustMe replied to caseyrb's topic in General Nursing

    Have you thought about online learning? I looked for a long time to find a graduate program for nursing education. Found it at Walden University. Look for an online program--it's great to go to school...

  3. CCU - Removal of Femoral Sheath by Registered Nurses

    JustMe replied to CWhite's topic in CCU, Coronary, Cardiac

    Arterial sheath removal in our hospital is a competency. I've been pulling sheaths for 19 years and we do it differently now than way back then. I'm most comfortable premedicating with MS 2-4mg and...

  4. Help! I am very dizzy

    JustMe replied to HarryPotter's topic in General Nursing

    I see that you are in California. While you're in the ENT office, ask about seasonal allergies. They can cause dizziness

  5. "Low frequency sounds" Littman Classic II

    JustMe replied to LorraineCNA's topic in General Nursing

    Low frequency sounds are heart murmurs and rubs. It takes a lot of practice to hear and diagnose murmurs and is a more advanced

  6. Internal Defibs

    JustMe replied to Antikigirl's topic in General Nursing

    In my practice I usually only see the PCDs admitted because either the defib failed to activate or is activating too frequently, i.e. several times per day. The idea is to treat the arrhythmia with...

  7. Husband appaled when I chose to do nothing

    JustMe replied to JacelRN's topic in General Nursing

    I have "RN" on my license plate, but I can't see myself vaulting over pews to help. I'm more like "JacelRN"--do a quick visual assessment then go on about my business if things are under control. I...

  8. Embarassing Q's that I don't want to ask my instructors...

    JustMe replied to raindrop's topic in General Nursing

    The other difference between a central line and a PICC line is that a central line must be placed by a Doc. A PICC line can be placed by an RN. Our docs are getting soooo lazy now that they know an RN...

  9. Call me crazy but...

    JustMe replied to moonshadeau's topic in General Nursing

    Soooo--educate yourself! There's tons of articles, books, etc. out there. Also critical care classes galore. If you still need help, ask your education dept. to step in, or ask management for...

  10. Scary thing happened on way to work...

    JustMe replied to jessjoy's topic in General Nursing

    I'm sorry you're having problems. After I turned 40 (you didn't say how old you are) I started having periods of rapid heart rate, SOB, slight chest pain. But I never had the numbness or tingling. My...

  11. Nursing Salary Hall of Shame

    JustMe replied to eagleriver's topic in General Nursing

    I'm a 3rd generation Californian--not going to leave the state. I'm making about $33/hr here in the Valley, but our cost of living is much higher than other parts of the country. In the Bay Area the...

  12. Extra pay for certification or degrees?

    JustMe replied to Baby Catcher's topic in General Nursing

    Our hospital was one of the first in our area to have financial compensation for advanced degrees and/or certification. Staff Nurse I is new grad. Staff Nurse II is AD nurse with 6 months experience....

  13. Carotid Massage - very cool!

    JustMe replied to Sadie04's topic in General Nursing

    I can relate to the SVT--started having it about 10 years ago. Very sporatic but scary when it happens. HR 180, BP 180/100. Dizzy, SOB, chest pain. Adenosine works real well, but OOOUW what a feeling...

  14. What do you think is the MOST difficult clinical skill to acquire in your experience?

    JustMe replied to Roland's topic in General Nursing

    The hardest skill for me to master was organization. It was hard during nursing school and it's hard now. I mean, gathering all my supplies at once, not having to make two trips. I can usually...

  15. Back pain with tissue expander

    JustMe posted a topic in General Nursing

    I hope somebody out there can help me. I was dx'd with early breast ca and had mastectomy with placement of a tissue expander for reconstruction. So far 400cc in the tissue expander, but my back is...

  16. A tiny nurse

    JustMe replied to Teresa76's topic in General Nursing

    I fully sympathize with the problem--I'm 5ft 1in. I have the same advice as the others--watch your back! It's the only one you have and an injury can end your career. My pet peeve? Those Amazon nurses...

  17. IV Dilantin

    JustMe replied to LINUS's topic in General Nursing

    I've seen Dilantin plug up a central line!! So I've ALWAYS started a wide open NS line and give the Dilantin no faster than 50mg/min also watching the pt's monitor and BP closely. If another IV...