Anagray

Anagray BSN

ER,Neurology, Endocrinology, Pulmonology

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About Anagray

Anagray has 17 years experience as a BSN and specializes in ER,Neurology, Endocrinology, Pulmonology.


Currently working as a care coordinator 

Latest Activity

  1. Hello, dear friends. I am Planning to leave NY state, as I ve had enough of it already. I am in adult/Gerry NP Program and it has been horrific. We are expected to find our own clinical rotations...
  2. Hello everyone! I currently live in NY state and work for the department of veteran affairs as RN care coordinator, I have 17 years of experience. I am currently enrolled in Adult NP Program in NY....
  3. I think I have an idea who your employer is because I work in “ specialty clinics “ also. This particular employer fostered the culture of punitive measures against nurses for decades. When...
  4. Thank you all so much for compassion! I considered going back to the ER. At this point they have me by the balls because they paid for a part of my BSN and I owe 2.5 years of service. I had a...
  5. 2.5 years ago I transferred from acute are into a multispeciality office in the same hospital. My old boss assignment me to a very busy area and I basically began managing my own area. Before I...
  6. IV Magnesium Sulfate in office???

    I feel that office and hospital are completely different settings as far as patient safety
  7. IV Magnesium Sulfate in office???

    My biggest concern is that this high alert drug is administered in an office setting without a protocol in place, no baseline labs and only with a blood pressure cuff and a manual pulse recordings....
  8. Is it safe to administer 1 gram IV over 30 minutes to migraine patients with no monitoring and no baseline levels? Having a meeting today with our supervisor to disuss this. If you know of any...
  9. Aspiring ER nurse with a few questions. :-)

    I'm not sure what the requirements are in your facility, but in NYS where i am it is not easy to find and retain a good ER nurse. Many of my co-workers just have AS. In my hospital it was much...
  10. RN counseling guidelines

    This is a neurosurgery patient. Typically PATs want LFTs addressed before the surgery happens because of anesthesia and the amount of drugs that will be given to patient pre, intra and post op, and...
  11. RN counseling guidelines

    Thanks for replying ! 24 pack per DAY. The appointment I made was not necessarily for the substance abuse but as part of his pre op physical. I am anticipating a liver ultrasound, so I wanted to get...
  12. RN counseling guidelines

    Is it in the scope of nursing practice to counsel a patient on substance abuse? I have incidentally identified a patient with a substance abuse problem ( habitual 24 pr more pack of beer) and elevated...
  13. It could be really good for you to have a goto person, a friend you can call with questions before calling the doc. I know that we should be able to call a doctor any time we feel like it, but...
  14. I have an interview for admissions RN position with VNA. I have almost 6 hears of acute RN experience - med surg, ER, dialysis, hospice, LTC, psych and amb surg. I am wondering how long does a...
  15. Advice needed on first shift in Detox

    Thank you so much, it was very helpful! a lot of what you are talking about is familiar and I agree, most people have a story behind their addiction. Thank you again and I am glad that patients have...