AnnieOaklyRN

AnnieOaklyRN BSN, RN, EMT-P

Adult and Pediatric Vascular Access, Paramedic

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All Content by AnnieOaklyRN

  1. so many questions I don't know where to stop

    AnnieOaklyRN replied to Pendy79's topic in Nurses Recovery

    Cannot help with the legal issues, but I highly recommend you rescind your state of residence and your actual name on your post, just to protect your own

  2. Nursing Salary Guide: How Much Nurses Make by State

    AnnieOaklyRN commented on allnurses's article in Nursing Resources

    I think you are missing the point. This is similar to saying a CNA can become an LPN as long as they pass the NCLEX PN, even without any additional education. Would you want a CNA with zero formal...

  3. Could I get into trouble for this?

    AnnieOaklyRN replied to SentinelTruth's topic in General Nursing

    Yikes, you gotta be careful what you say on the internet. When I had Facebook I didn't use my real name, or even my real location, and most definitely don't put your school or employment

  4. Are RNs being phased out of Urgent Care?

    AnnieOaklyRN replied to Lemon Bars's topic in Ambulatory Care, Clinic

    Hi, I think it just depends on the area and who "owns" the urgent care. Most hospital based urgent care centers hire RNs and LPNs, while many other non hospital based tend to hire paramedics,...

  5. Why Succs after Etomidate?

    AnnieOaklyRN replied to ck8ws3's topic in Critical Care

    Hi, As a paramedic who has intubated people who are not paralyzed it can be extremely difficult, because even if the gag reflex is gone, the vocal cords will continue to open and close...

  6. Nursing Salary Guide: How Much Nurses Make by State

    AnnieOaklyRN commented on allnurses's article in Nursing Resources

    I disagree with you! The test represents only a small portion of the knowledge and experience gained through didactic and clinical classes, so no an LPN should not be allowed to test out of RN...

  7. Can I get a nursing job that lets me keep the Sabbath?

    AnnieOaklyRN replied to Nurse Beth's topic in Career Advice Column

    Honestly, I think you will have to get an out patient type job that does not involve weekends, as no in hospital floor job is going to guarantee you every Friday to Sunday off. In most units,...

  8. The Unsung Hero of The Emergency Department: The 24G IV Catheter

    AnnieOaklyRN replied to Damon McGill's topic in Emergency

    It's 2025 (and even in 2023, when this article was written), the ultrasound should be the unsung hero in the ED, not a 24G IV

  9. Trying to get out of this job but no one will accept me :((

    AnnieOaklyRN replied to Maddogg's topic in Nursing Career

    Hi, A couple of ideas... Work on your resume and cover letter, as those are REALLy important in getting you an interview. Look at the job descriptions and find a way to put those words on...

  10. 60, is it worth going back to school

    AnnieOaklyRN replied to sondon's topic in Nursing Career

    YES, do it, never refuse free schooling, UNLESS there is a stipulation that you have to pay the money back if you do not stay at your current work place for xxx number of years.

  11. Working full time

    AnnieOaklyRN replied to DeputyNurse's topic in General Students

    Hi, I worked 48 hours a week as a paramedic while going through nursing school, and I was able to make it work. I realize being an officer is a bit different, as you guys have less down time...

  12. Worried losing her license

    AnnieOaklyRN replied to Guest1239342's topic in General Nursing

    Also stealing something is not a mistake, it's a choice... A poor choice at

  13. Threatened with being fired for calling off for bowel prep

    AnnieOaklyRN replied to Nurse Beth's topic in Career Advice Column

    I am going to be the minority here and disagree. You scheduled a non emergency colonoscopy, and intended to do prep when you were expected to be at work. I don't know anyone that would think...

  14. Worried losing her license

    AnnieOaklyRN replied to Guest1239342's topic in General Nursing

    She should def contact a lawyer first, before talking to BON, just my opinion. While she didn't steal a controlled medication she did steal a prescription medication by self dispensing it, which is...

  15. Tiny vein tips for IVs

    AnnieOaklyRN replied to mariaconcetta's topic in General Nursing

    Please do not put PIVs in the chest, that is not the standard of care, and could get you sued if a large infiltrate occurs!! IO or ultrasound, pick one of those instead!! If you cannot find a PIV...

  16. Forced to Assist in C-Sections

    AnnieOaklyRN replied to Promacta's topic in Nursing Career

    As someone who worked in L and D for a few months, before deciding it wasn't for me, I can understand the OPs concern. As new L and D nurses we were expected to learn both the circulator role and...

  17. Made a huge mistake as a new grad

    AnnieOaklyRN replied to Peaceofnurse's topic in General Nursing

    Honestly, Amiodarone can be just as bad as chemo when it comes to being a vesicant and injuring soft tissue. It can cause significant tissue destruction if left untreated! Glad you learned, most...

  18. Switching from Engineering to Nursing? Worth it?

    AnnieOaklyRN replied to lea123456987's topic in Pre-Nursing Students

    Hi, Feel free to just ask questions on here, in the thread. You will get more answers and interest vs. PMing an individual. Nursing isn't for everyone, as the others have stated, it's A LOT...

  19. Strange symptoms after flushing PICC....suspect arterial placement?

    AnnieOaklyRN replied to UnbrokenRN09's topic in Infusion, Intravenous

    I would be more concerned about aCHG allergy, if your catheters are impregnated with them like ours are. We have had an increasing number of patient reacting to the CHG, and sometimes it is vague like...

  20. PICC Line Clarification

    AnnieOaklyRN replied to JayMal's topic in Infusion, Intravenous

    There is no such thing as distal lumen, proximal, medial lumen etc on a PICC line, as we cut them to fit the patient, so all lumens end in the same place. This can be confusing on Epic, because...

  21. Tiny vein tips for IVs

    AnnieOaklyRN replied to mariaconcetta's topic in General Nursing

    Oh I get it, BUT with that being said a good majority of us do vascular access nursing, not just because we like it, but because it's usually a day/evening job with no nights, unless you are at a...

  22. Tiny vein tips for IVs

    AnnieOaklyRN replied to mariaconcetta's topic in General Nursing

    The bevel down allows the most pointy part of the needle to be up, rather than down where it can easily penetrate the back wall of the vein when you advance. Look at a picture of the end of an IV...

  23. Tiny vein tips for IVs

    AnnieOaklyRN replied to mariaconcetta's topic in General Nursing

    Hi, vascular access RN here.... It saddens me that this day and age so many hospitals still don't have someone trained on Ultrasound guided IVs available at all times, or a vascular access team!...

  24. Concussion - What did I miss?

    AnnieOaklyRN replied to BunnyBunnyBSNRN's topic in School

    Just wondering if you read my post? Concussion is a diagnosis of elimination, meaning there are no specific symptoms or tests that can be done to confirm it, and it is often times thought of as a...

  25. Concussion - What did I miss?

    AnnieOaklyRN replied to BunnyBunnyBSNRN's topic in School

    I wouldn't worry too much. A concussion is essentially a dx given after nothing is found by CT scan. There isn't anything you can do for that anyway, regardless, other than symptom management....