nathanfl

i like to schedule myself 6 days on, 7 days off. Saves a bunch of PTO, and it reall isn't that bad after 3 nights, you just kinda go numb

cool updated the email portion, thanks for letting me know about this.

i looked in the database and it shows that you are activated, is that still a problem? what problem did the activation token give you?

I've been trying to get a job as an iForms analyst, and, as part of this effort, I made an online tool to take an iForm web page and generate boiler plate VGR code. If any of you all use McKesson or are involved in making or maintaining iForms, please check out this tool. You will need to register with an email address and a password, although I don't send you and email and that information is encrytped in the database. If you don't have any iForms handy to check out the tool, there will be a link, when you log in, that says Download iForms, and it is a zip file of iForms and VGR files. Unzip it, then click on New iForm, where you can upload an iForm and submit it! The second page allows you to add custom error messages by click on the variable name from the iForm (in a list) and typing it in a text box, then click add. It will appear on the left hand side in a list of error messages you've added, which also has a Save button, click that when your done and you will be given a list of forms, just look for yours and you can download the VGR file. If it's handy for any of y'all then please make use of it. If there are any web apps that would make your life easier, just add the ideas to the comments and I'll see if its something I can whip up. http://instantvgr.com/vgr

i've used Cerner, Siemens, and McKesson and to be honest, Siemens is the best of those three, but not by much. Cerner was really slow, McKesson looked hideous and had a weird naming scheme, and Siemens just has waaay too much to click on or over, needs some serious restraint. Pluses and Minuses all of them.

hey all, thanks for the responses, i truly appreciate the advice. Right now, interviewers are still pitching a perfect game, but I have been through this before with the dot com bust. this time it helps to have an actually fulfilling role as charge RN on a burn unit, so i'm being patient! I've been working on my own software too, which I will post about.

hey, i work on an acute burn floor in UNC chapel hill and it is fantastic, we are hiring and the training is great, not too far from Winston-Salem.

Thanks for your comments, I have read those articles and I can provide more information. Regarding #1 and #2, I have worked in telemetry, radiology, and I currently work in burns, I also did a one year internship/residency during the last year of nursing school in CICU. The NI position I had was just a temporary position as I had already given a one month notice of resignation at the hospital, but coincidentally a friend in the NI department did to and recommended me for the position. I gave them six weeks because I was going to be starting my new position, which I had already accepted and even signed a lease for an apartment prior to this new gig. As for #3, I have super user status for McKesson HED, HEO, as well as AdminRx, and I did train incoming nurses onto the unit in charting, etc. Additionally, during the six weeks that I was in NI, we were doing an HEO with iForms implementation project. I was taken on to right the course of the ship because for 6 months, the group had completed no work despite having HEO installed. I had to first educate myself in HEO, iForms, and VGR - lucky for me this was basically all web development stuff and I had been doing that formally and informally for a decade. I also had to train the NI and clinical system analyst staff in HTML, JS, CSS, Dreamweaver, iForms, McKesson Toolkit, etc. I had to teach the two project managers how to manage a technical project, creating timelines, estimation, etc. I interviewed contractors, wrote training documentation for the IT and clinical staff, documented the project, setup and administered a source code repository, etc. I completed all of the protocol order sets that had been developed by the NI staff in two days and then wrote the VGR to process the orders in two more days. I reported to the CNO and the CTO and things were actually running really well until I left. I had produced hand off documentation and had hand off meetings with each staff individually. For IT experience, I've only worked on projects, and they've ranged from biometric ID systems, corporate intranets, designing corporate IT infrastructure, data mining and sales analysis applications for executive teams (really advanced versions of dashboards, which I did this on the side as it was worth a lot of money, but alas I didn't realize it at the time), massive vacation sales system for the biggest entertainment company in the world, etc. Really good IT experience. The whole interview process seems to go really, really well. I always get very positive feedback and so far no one has had anything negative to say which is frustrating because I don't know exactly what I am doing wrong here. The most I have gotten out of anyone was "We've decided to go with someone else." But I can never get an explanation for why. Thanks for your feedback, I am re-reading those articles you've linked too hoping for inspiration as I have another interview Monday

I was hoping to get some information from y'all regarding how to break into the industry. I have a bachelor's in computer science with over 5 years experience and my ASN with 3.5 years experience, so I have the skill set (I believe). I can get to the interview process, receive excellent feedback, but can never seal the deal. I have some major successes at launching massive, complicated, web applications from a variety of positions, and this can translate very well. At one point I was in an informatics position for 6 weeks and completed in one week what the rest of the team completed in the next 4 months (I left because my wife & I had accepted another position in a different state prior to being approached about the NI position), but I still cannot break in. I am very frustrated because for the life of me I cannot figure out why, despite having overwhelmingly positive comments during and immediately after the interview. At this point, I am spending a lot of time researching making my own health IT software. Any comments would be helpful, and I will answer any questions. Don't hold back!

yes, PIVs are rated for power injection. I worked in radiology for a year and my hospital's policy was: for adults: 24g - non-power injectable 22g - up to 2ml/sec 20g - up to 4ml/sec for new AC PIVs, otherwise up to 3ml/sec 18g - up to 6ml/sec and up to 8ml/sec for new PIVs in the AC at the nurses discretion 16g+ - up to 8ml/sec Smaller kids were never power injected but rather hand bolused. Additionally, my radiology department was performing research on extravasation events and the preliminary results showed that ultrasound placed long catheters had a significantly increased rate of extravasation, with higher amount of contrast material extravasating than traditional PIVS.

I've just started rad - about 2.5 months now, and work doing CT, MRI, Interventional (CT + US guided), and sedation for peds doing MRI. I do a lot of screening for safety, IV starts, and sedation. It is a great place to work but things can turn into an emergency fast. What is really important, it seems, is being very flexible and working as a team. Believe it or not, people code here all the time - not as much as in the ED or ICU but way more than a step down/PCU or floor. my main skills are: IVs, IVs, IVs. Emergency response to allergic reaction (just had one today in the MRI scanner next to me, but I couldn't leave as I had a sedated kid. Talk about akward...). Safe administration of IV contrast and sedation medications. Management of sedated patients. Competent screening skills as this can easily be a life saver. Screening is important. I can't emphasize this enough. The allergic reaction that I witnessed today was very severe and the nurse did appropriately triage the patient and knew she was allergic to magnevist but the MRI tech did not read the nursing screening document and contrasted the patient. Instant emergency.

I just started in rad a few months ago and have only done a few heart ctas but this is what we do where I work: #1 16g to RAC, sometimes 18g but we run contrast at up to 8, only @6 on 18g. #2 we have either 2 med options: 15mg IV lopressor in 5mg doses. when we give this we give it like adenosine, hard and fast. we were lead so they are shooting while we are in there. if that isn't working, we give 1/2 tab NTG SLG, as long as they don't take ED drugs. The key for our pictures has been the 16g because they can run the contrast faster and get the images quicker. We've also recently started hearts for valves and we don't give meds for that, just 16g.