sameasalways ASN, RN

Hi, I did infusions for almost 3 years at a rheumatology clinic and loved it. I am considering applying for home infusion nurse in Spokane WA and am not sure what I should ask for with pay. It says they pay travel time and 0.58 cents per gallon or ...

Most of our pts are long time steroid users and have autoimmune issues. I always assess for possible valves etc. It's not always possible to detect a valve prior to IV insertion, and we try to avoid the AC if possible, which is usually the easiest ...

Hi..I just started at a Rheumatology office for infusions. I have never worked infusions before, and the infusion clinic uses the Nexiva IV. I used to work Pre/Post at a hospital and then a GI clinic, and we used regukar IV'S which we could float t...

I know this isn't probably approved technique, but when using any other IV besides Nexiva, I would take a 4x4 or 2x2 and once the IV is in, I would place it under the port so that any blood that leaked out would drain on and get absorbed by that when...

Frankly, neither do I!! I am stuck with them at my new job. I could finagle IV'S into almost any vein until these guys, and I have watched their videos and read forums on common IV mistakes made with them. They simply aren't as adaptable as regul...

Hi...Today was my 2nd day at new job in GI. It was my 1st day in procedure, with a nurse and observing and assisting with the cases..mainly learning how they do things, and the paperwork aspect of it. I have lots of concerns. The patient acts like t...

Somehow I don't THINK I read everyone's posts/replies and just now saw them. It is obvious to me I was not clear about a few things. The pt did not have "order", verbal or written, to give the meds every 3 minutes and titration to effect. After ev...

Thanks it's helpful to see what others are doing. The dr writes a 1st time order such as 75 of Fentanyl and 3 of Versed. Then we give the dose and he is not present. He comes back when the pt is "asleep". (Nurse rubs her finger across forehead ...

Hi, I am AN RN with 3 yr med-surg experience on a very busy floor, 2 years office RN & telephone triage experience, and will have close to 2.5 yr experience in a small community hospital Pre/Post (PACU) when I arrive. I am basically just looki...

Thanks I appreciate it. So far, I enjoy pre-op the most and PACU is okay. Of course always better than working the floor. Office work was okay, but I missed the hands on care I have now. Hoping for an outpatient surgery center of some sort, up th...

New grads make about 22/hr here..(just as a reference point).

thx, I make almost 34/hr here and I heard Cola was higher there... I will definitely be disapointed if I don't make more there. It looks like getting a Nursing license transferred is more complicated than it was here, as NC and VA are compact states...

Hi, we are a small Pacu and so when we do phase 1 patients we do phase 2 for them as well. Sometimes (like for GI) we only do phase 2. How many patients do you typically have in a situation like this? I am a little concerned because management re...

Our GI patients are phase 2 ut not always awake and talking etc. Some of them are super sleepy for up to 10 minutes then start snapping out of it but they are wide awake once they are awake and we an get them out the door close to their 30 minute ...

According to Aspan standards, or my interpretation of them, what you are saying about a max of 2 pts if one is a phase 1, seems accurate. The email sent out last week states that the expectation will be to take 2-3 pts at a time, but doesn't specify...

Oh I forgot to say that the regular pacu bays (4) are on one wall, and the 2 GI rooms are right next to them, but they are actually rooms with doors, so if you are in one room you don't know what's happenning in the other room. If you have a pt in ...

I tread very very lightly, I am actually afraid to say very much at work because management has been so poor. The manager of surgical services who oversees Pre and Post-op has worked in the OR pretty much her whole life and she has no idea what we d...

Anyone do moderate sedation? I have recently been nominated to be on the moderate sedation committee where I work. I wondered what your yearly check-off consisted of and what your training consisted of in order to do moderate sedation? I am very con...

Thank you! The requirement here is taking a moderate sedation CBL. We do moderate sedation on the weekly here, but like I said, it rotates through each nurse. We do moderate sedation for radiology procedures, bronchoscopes, Pain injections mainly....

I was a med/surg nurse on a 60 bed unit for 3 years, then in a cardiology office for 2 years. Now I am in what I would call a "very small" hospital (they have about 40 beds, and about 10 of those are "ICU" beds, which is very rarely full, and often ...

I am getting hired to a cardiovascular clinic in the region and I have 3 years nursing experience (August will be 3 years). I understand clinics pay less than the hospital. I was wondering what an appropriate and fair salary range might be for that...

Hi everyone, I am an RN on a very busy post-op surgical and medical floor. We receive all sorts of surgeries and also medical patients. They typically have multiple co-morbidities; However, even if they have a cardiac history, we are not treating t...

This sounds like extreme discrimination to me. How long have you been employed? I work on a super busy Med-Surg floor as an RN and we have nurses all the time who are pregnant!!! CNA's too! Are you kidding? Yes I would think they need a Doctor's ...

i have applied for this job. it is a 30 minute drive during good traffic. they said i would get 4-5 patients a day and that it is 8-5 mon-fri and that we are paid hourly. the area is kind of spread out in that town but she said i would get the southe...

I have applied for this job. It is a 30 minute drive during good traffic. They said I would get 4-5 patients a day and that it is 8-5 mon-fri and that we are paid hourly. The area is kind of spread out in that town but she said I would get the sou...