vanburbian

vanburbian

ER

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All Content by vanburbian

  1. remember the flight attendent who quit creatively?

    At my last job (Insurance managed care for Medicaid & Medicare) I did prior auths for services and inpatient reviews. I used to have to deny services that weren't covered and I fantasized ALL the...
  2. Yes, but probably just on
  3. worried

    report to DON, and board of nursing.
  4. Mental overload with cardiac class!

    the above link, to icufaqs.com may not be the one you want, but this one, http://www.icufaqs.org/ is likely the one NeoPediRN
  5. Help! Pre-employment nicotine test!

    We just got info a couple days ago from our CEO explaining the next years upcoming benefit changes. Stated in a politically correct way of course, but smokers will now be heavily subsidizing the non...
  6. Quick answer to question, pls..

    All, any, or none. Neutropenic infections often have no symptoms aside from fever initially. What did your professor say? Or, your co
  7. Can they do this?

    Would FMLA apply to a per diem position? At least check with
  8. New Grad First Job Question

    I would accept pretty much any job, as a new grad. I do feel you can be limited by working in a SNF or a clinic, but those are also areas you'll be learning global nursing skills too, just at a lesser...
  9. Who makes the hiring decision?

    And, sometimes it can get political. The manager of the unit may want you, but the CNO or the director of that service want's someone else, or the qualifications don't exactly meet, etc. Sometimes,...
  10. a mess!

    PTT values are generally considered "critical" at ~ 75 or >. Depending on the diagnosis and what is being treated, as well as other comorbidities, the heparing gtt. goal PTT is generally 70 to...
  11. a mess!

    I am at a loss to explain why a med student would say he was the doc. If this in fact the case, I would hope he is seriously reprimanded, maybe even expelled. Harsh, I know, but these are the types...
  12. a mess!

    Well, if she is supposed to be on a heparin gtt., then the expectation is that she will indeed have a critically high PTT, that's the goal, right? The first thing I would have done is check with ED...
  13. what is the top rate of pay for an RN in the states?

    Wow...$ 60/hour seems very generous. Do you work in cath lab?? Portland Or metro area generally ranges 40 to 48 bucks an hour at my "experience" level (22 years) for general med surg/OR/ED/ICU etc....
  14. Can a stroke cause cardiac arrest?

    ST elevated Myocardial Infarct, a classic EKG with a generally unmistakable "elevation" in the ST segment. These patients go to cath lab, STAT- vs a non- stemi, generally medication management. JCD??...
  15. Can a stroke cause cardiac arrest?

    Yes, a stroke can be a result of or a cause of, cardiac
  16. Have you done case management, utilization review? That is what they're looking
  17. get ER wait times on your phone ?

    I work at a community hospital system that has 5 hospitals. One of them advertises their ED wait times on their home page, it is currently 0 minutes. I happen to know this 0 minute wait time is...
  18. Thank you to all the experienced ED RNs

  19. Thank you to all the experienced ED RNs

    RHF, are you in an Oregon Versant program? We have had 2 so far thru my current employer, both men. They both seem pretty sharp and I know the competition for the positions is intense. Enjoy your...
  20. No nursing shortage: roll call!

    Portland Or/Vancouver Wa. Glut of new grads. Glut of experienced nurses even, competition is tough. Very few, but some, new grad positions thru either Versant or a similar type of position, but...
  21. CPOE Computerized Physician Order Entry

    We use EPIC, have used it at 3 different hospitals, and depending on how much money your facility spends for all the bells and whistles, it can be great, or an onerous task in the first 6 months. The...
  22. ER Nurse Salary??

    If I worked 5 to 6 shifts (12 hour shifts) every week, for one year, I'd make 200k. However, Mr. & Mrs. Taxman would keep about 75 k of that. Some weeks if I could pick up what we call an...
  23. Interview Tues, leaving ICU for LTC

    I have never seen any LTC facility pay more than an acute care hospital. They'll love you there, more than likely will be very happy for your massive experience. Good
  24. Average IQ of a BSN nurse

    LOL..yes, I may have. Teach me to reply while watching a movie at the same
  25. Average IQ of a BSN nurse

    ADN IQ range depending on specific test 134 to 165 on my best day. That was high school though, when the neurons fired much more rapidly. No desire, nor need for BSN, however~ given the desire by...