ChelleChelle

I'm going back to school to attain my MSN and am trying to decide between the CNS tract and the educator tract. Also debating on whether I want an on-line program or a "sit your butt" in the classroom program. Any recommendations or suggestions? I'm ...

Has anyone out there set up a in-house program to promote specialty certification? What creative or innovative strategies did you employ in order to create a culture of certification in your facility?

depends totally on the hospital that you are inquiring at: i've worked at many different hospitals and they all called their open heart surgery unit something different. inquire at the hospitals in your area. find out who does a large number of cardi...

Hi All, I haven't read any of the posts on this thread for 3 weeks or so...........so was very happy to read all of the notes from those who recently achieved their CCRN. Congratulations! :balloons: As for signing or not signing CCRN after your name....

Hi All, I haven't read any of the posts on this thread for 3 weeks or so...........so was very happy to read all of the notes from those who recently achieved their CCRN. Congratulations! :balloons: As for signing or not signing CCRN after your name....

MarySunshine, It sounds to me like you are describing the difference between "pole-mount" transducers mounted on an IV pole in a transducer holder with the transducer stop-cock at the level of the phlebostatic axis and "patient-mount"............wher...

I agree about the methemoglobinemia................but there is also a component with the vasodilators that increases perfusion to non-ventilated alveoli which contributes to the increased shunt or VQ mismatch.

Hello mdinelle, Yes! Absolutely it will get easier with time. It sounds to me that you are comparing yourself..............a new grad with 4 weeks experience to a preceptor with at least 2 years (probably more) of experience. That is just not a fair ...

One of the complications of nipride as well as nitrates is pulmonary shunting. Some patients are more sensitive than others. I can even remember a patient that we used hurricaine (benzocaine) spray (back in the dark ages) to numb up the back of an in...

Hello Windward Oahu RN, Thanks for your response and I appreciate the honest answer. The hospital that I work at offers a one-time specialty certification bonus. In your mind is that enough? Or would an hourly differential be more attractive? I'm st...

I originally learned them as: CHEAP MD Cardiac Tamponade Hypoxia, Hypovolemia, Hydrogen Ions, Hyper (Hypo) glycemia, Hyper (hypo) kalemia Embolus PE and Embolus MI Acidose Pneumothorax Myocardial Infarction Drug Overdose Now that it's the 6 H's and ...

Hi CVICU RN, A little pre-test jitters are normal. Everybody gets them. Do you have the 88 page application packet? Go through the packet and do all the test questions in there (even the PCCN, CMC, CMS, Pediatric CCRN, CCNS........all of them!) It w...

Hi CVICU RN, A little pre-test jitters are normal. Everybody gets them. Do you have the 88 page application packet? Go through the packet and do all the test questions in there (even the PCCN, CMC, CMS, Pediatric CCRN, CCNS........all of them!) It w...

Check with your hospital pharmacy to see if your institution has a specific policy. Because it it is a glass bottle, I put it in the biohazard trash (all glass items go in there) or in a needle box.

As at other institutions we use the IHI Ventilator Bundle 1. HOB up 30 to 45 degrees unless medically contraindicated 2. Sedation Vacation or Daily Awakening 3. Peptic Ulcer Prophylaxis 5. DVT Prophylaxis Other initiatives * Use of a CASS (continuous...

Hi Italian RN, Do you have a specific reason for asking this question?? The reasons for a patient going into DIC are many, and the outcomes are varied. DIC is never the primary problem...........it is always the result or complication of another issu...

Hi Princess Pam, I posted this response earlier today for another user. Happy to repeat it here for you: I took the PCCN exam about 2 months ago along with about 9 other nurses from my hospital. Of the group of 10..........7 passed. 3 nurses did not...

Hi skcrn, I took the PCCN exam about 2 months ago along with about 9 other nurses from my hospital. Of the group of 10..........7 passed. 3 nurses did not pass on the 1st attempt; 2 of those 3 have since retaken and passed on the 2nd attempt. The la...

I arrived in Hawaii as a travelling nurse in 1990 and have been here ever since. My husband and I always thought we would move back to the mainland after about 1.5 years..........but now, 17 years later here we stay. Hawaii like anyplace has it's pro...