core0

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All Content by core0

  1. core0

    Nursing student in outpatient surgery unit

    core0 replied to pinkiepie_RN's topic in Operating Room

    I can't speak to PALS but anyone can take ACLS. The ACLS "certification" is not what allows you to push drugs. The job and the license/state certification are. We were required to take ACLS in PA...
  2. core0

    FNP new grad and 1st job, red flags?

    core0 replied to emtneel's topic in Nurse Practitioners, NP

    The first job is always a mixed bag. I can't really speak for NPs but I know that for PAs in Colorado getting the first position is kind of hard. The RRCC grads usually have job offers right away but...
  3. core0

    Differences (Educative/Clinical) between NP & PA

    core0 replied to jstuben's topic in Nurse Practitioners, NP

    PA's do work in LTC in both SNF and LTACs. Like most things its very dependent on the area and the physician population. The issue that SNFs have is that they are usually competing with hospitalists...
  4. core0

    FNP new grad and 1st job, red flags?

    core0 replied to emtneel's topic in Nurse Practitioners, NP

    This probably isn't realistic. While I'm not current on NP licensure, it probably takes longer than a few weeks. According to the California web site first you have to have an active California...
  5. core0

    Blue Cross Rejects Critical Surgery for Orange County ICU Nurse

    core0 replied to pickledpepperRN's topic in Activism, Healthcare

    Not for or against this. As much as I would hate to ever side with Blues, there are some issues with the artificial discs. The NYTimes had a number of articles on this in January:...
  6. core0

    Lavage and the GI bleed

    core0 replied to olddog1's topic in Emergency

    For most GI bleeds (ie ulcer related) Octreotide really doesn't have a role. The key is getting lots of a PPI on board. If you can keep the pH above six it dramatically enhances clot stability. On a...
  7. core0

    Non-contact patient shares room with contact patient...is this typical?

    core0 replied to ChocoholicRN's topic in General Nursing

    Because they probably have a policy not to do this but don't follow it. JCAHO is mostly about documentation not what really goes on. The most telling issue is that I could walk into any hospital in...
  8. core0

    Co-worker stabbed in surgery

    core0 replied to ScaredNewNurse's topic in General Nursing

    The Board of Medicine's job is to protect the public from poor physicians. Unless you can show that the physician did this deliberately then there isn't much there. It would be hard to punish a clumsy...
  9. core0

    Co-worker stabbed in surgery

    core0 replied to ScaredNewNurse's topic in General Nursing

    Here's the CDC fact sheet for bloodborne exposure. http://www.cdc.gov/ncidod/dhqp/pdf/bbp/Exp_to_Blood.pdf It really depends on whether this is a high risk individual or not. There are a number of...
  10. core0

    Medication administer through the colostomy?

    core0 replied to Hopice's topic in General Nursing

    Interesting article, realistically it confirms what I've been taught. Its been done but no one really knows how well it works. If I'm treating pain, I would rather go with the surest thing. If the...
  11. core0

    Medication administer through the colostomy?

    core0 replied to Hopice's topic in General Nursing

    I think that RNs are plenty accountable. Thats why I am concerned about blanket statements regarding changing the route of the med. Even if an MD did give an order, any bad outcomes are going to come...
  12. core0

    Medication administer through the colostomy?

    core0 replied to Hopice's topic in General Nursing

    first, i will admit i was incorrect on one part. a physician can also compound drugs according to the us code. so if the physician did the compounding then according to this they are probably ok:...
  13. core0

    Medication administer through the colostomy?

    core0 replied to Hopice's topic in General Nursing

    fixed it for you. as for your second statement i would ask for a source. take a common drug that is used in hospice - oxycontin. to crush it and put it into jel-caps would be very dangerous as...
  14. core0

    Medication administer through the colostomy?

    core0 replied to Hopice's topic in General Nursing

    If it was small bowel intestinal mucosa I would agree. However, the large intestine has significantly different mucosa then the small bowel. In particular any medication that is protein bound or lipid...
  15. core0

    Ventricular septal defect

    core0 replied to wallywoman's topic in General Nursing

    What about impaired growth and
  16. core0

    Medication administer through the colostomy?

    core0 replied to Hopice's topic in General Nursing

    Umm that wouldn't work for most meds. There are quite a few meds that are absorbed rectally but not all. Most likely they would just pass through. To the OP I would ask your pharmacist about...
  17. core0

    Lavage and the GI bleed

    core0 replied to olddog1's topic in Emergency

    I would agree. There is really very little research on this. I would look at it as what is the utility. Lets say someone comes in and said they had coffee ground emesis. You do the lavage and its...
  18. core0

    Orthopedics

    core0 replied to disComBobUlated86's topic in Nurse Practitioners, NP

    the real problem with the rnfa is billing. while you may be able to get credentialled with private insurances, you can't bill medicare or medicaid. if you are doing sports medicine with lots of...
  19. core0

    aptt values

    core0 replied to nursiemellie's topic in General Nursing

    Most places have gone away from using APTT for heparin and are now using anti factor Xa (also know as a Heparin level). As far as a level you are correct depending on what your hospital uses for...
  20. core0

    ACNP...cardiothoracic surgery?

    core0 replied to LinZ_956's topic in Nurse Practitioners, NP

    If you have an ACNP certification it doesn't necessarily limit you to just CVS. To get the certification you should have to have other exposure besides CVS. To the OP I don't see a particular CVS...
  21. core0

    Orthopedics

    core0 replied to disComBobUlated86's topic in Nurse Practitioners, NP

    Its really not about being pro-nursing, its about realistically assessing the situation. Ortho physicians train with PAs, almost every practice has PAs. They are going to hire the product they are...
  22. core0

    Questions for OR Manager

    core0 replied to RNBelle's topic in Operating Room

    I'm not sure what the semi-official term is but I have worked in malignant areas where the team leaders were very controlling. They would not share information or techniques since this made them more...
  23. core0

    Orthopedics

    core0 replied to disComBobUlated86's topic in Nurse Practitioners, NP

    Clinical specialist is a wild card. You can get more information on the CNS page, but in some states they have the same scope as a NP, in some states they have a primary educational role (both staff...
  24. core0

    Liquid Stool - Orange

    core0 replied to AggieNurse99's topic in General Nursing

    Add antacids or bile salts. Also the following vegetables: Carrots Cilantro Collard greens Fresh thyme Kale Sweet potatoes Spinach Turnip greens Winter squash Basically anything with Beta Carotene....
  25. core0

    What does HWI stand for?

    core0 replied to Snoba77er's topic in General Nursing

    In the Army we used to use if for hot weather injury. That doesn't make much sense. I am guessing that the last letter is something different. Probably along the lines of Heal wound something. Maybe...