All Content by vivasmom
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Mri nurse and icu pts
ICU pts nurse must stay with pt during MRI/IR. We don't really do critical ER pt. They get a CT and then MRI once they are an ICU pt as needed, see previous.
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Who accesses central lines in radiology?
Nurses start Iv's/acces central lines and administer contrast for all awake outpatients.
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Moving to LA area... advice on hospitals?
Hi, I work at CHLA. The pay is not great, but my friends who work PICU love it. The acuity is VERY HIGH. It would not be hard to be hired there with PICU experience. CHOC is not LA, it's in Orange County, a completely different animal. People who don't live in LA don't realize how far apart and how different they are. See above post, re: traffic. Mattel Children's @ UCLA, not really a children's hospital. The Westside of LA is VERY expensive, but they will pay more than CHLA, would probably be harder to get a job there as there are fewer beds etc. You could also try county-usc, they have peds, also white memorial, or Miller's Long beach. But until you become familiar with LA geography, do not decide anything until you have all the pieces of the commute/pay/rental prices/acuity/ work environment puzzle. Good luck PS. CHLA is THE place for heme-onc so if you want to move into Heme-Onc we see a bazillion pts with every type of disorder you can think of
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ER Nurse Interested in Radiology
I just transferred from PEDS ED to Peds Rad. I do lots of iv insertions, caths, port a caths access, drop ngs for contrast. We basically preop the kids prior to GA for the MRI's, then we recover them in a little mini PACU. We also scrub in for IR procedures, inject contrast etc. It's a nice change of pace while still being short stay with your patients
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New Grad ER residency/orientation?
i would look for versantrn residency program. they have a well structured orientation. i completed it and started in the ed. please note, the ed is an extremely difficult place to start out as a new grad. do not take that statement lightly. extremely difficult.
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Hospital Using FirstNet in ER?
We use it. pm me
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Are you doing this at work?
Ok, now that is sounding more like my job. I forgot to add, we do the EKG's too:D We are supposed to "walk" our patients everywhere. From triage to the ED, to radiology, CT to checkout on the way out. Not just the sick ones, the ambulatory ones too.
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Are you doing this at work?
Wow, I must be getting hosed!!! I do all of that and I work at a big level 1 Trauma Center. No wonder I'm so tired and stressed:confused:
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Are you doing this at work?
A thread about rural nursing got me thinking......are you doing this at your work? Giving nebs Drawing own labs Starting your own iv's Running own blood gasses Cleaning own rooms Walking pt to radiology, CT etc Testing urine Mixing meds All caths, ng insertions, trach suctioning ???
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Triage shifts: how long/how many pt.'s?
ummm, no. no magical wonderland..! We see over 50,0000 pt.s a year:eek:
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Triage shifts: how long/how many pt.'s?
When you triage, do you do it for a full shift? And if not for how long? Also how many pt's do you average per triage stint? I am brand new to triage after having spent 1 1/2 years in the ED. Most of my fellow nurses do it for a full 12 hours. I was fried after 8 hours. I saw about 60 patients. We are expected to triage a pt. start to finish in about 6-7 minutes. Full set of vitals, major medical problems and assessment. By the way this is peds and it can be a real hassle to get vitals on an uncooperative kid!
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Differences Between Pediatric ER and Adult ER
It may be an adjustment for you re: how long things can take. When you have a uncooperative/irrational child you cannot restrain them the same way you can with adults. IV starts can take 20 minutes or more. Our policy is 2 tries and you are done, someone else needs to step in. Add the factor that they might be a chronic kid with horrible veins, contractures and is doesn't really stop moving because they are MRCP. Also, most peds ER's are teaching facilities. So you have the resident, who then needs to present to the attending, who may ask for a consult. We see tons of seizure, asthma, vp shunt problems, neutropenic and septic pts. PALS will help. Hope this helps
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Question about magnet hospitals
I have an ADN and BA in a non-nursing field. My magnet hospital accepts ADN with BA or BS in another area.
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ED ratio across the US
Los Angeles 4:1, Level 1 high acuity, 60,000 pts a year. Satisfaction is so-so. I'm totally stressed about the acuity of my assignments on a regular basis
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Cool Jobs to do after you gain ER experience
My co-worker got a job as a nurse at Universal studios
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Child head circumference in the ER
We do it only for SCAN kiddos, SCAN=suspected child abuse/neglect
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Genetics in Nursing
I see genetics cases all day long working at a major children's hospital in Los Angeles. Tons....
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CA students, fastest way to NCLEX results?
It's my understanding that CA NCLEX takers cannot access the quick results. Is this true? I'm scheduled to take the test this Friday the 5th of Feb. I'm done Kaplan and am scoring well. My HESI was great. However, I'm still a nervous wreck. I am blessed with a job waiting for me that I need to pass NCLEX inorder to secure and I'm starting to freak out....Thanks in advance for your answers and support.
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Glendale versus Valley - Nursing Programs
Everyone will try to scare you about nursing school, including the director at Glendale. Is it hard, yes, but it should be. clearly it is not impossible, as there will be about 50 of us finishing in 3 weeks. Contrary to what you might hear from others and on these boards.....I've been on vacations, gone to the movies, still volunteered in my daughter's classroom, seen my husband, been to parties etc etc AND I have straight A's. You still have a life. With that said, i have never been late to or missed a class and have never been late to or missed clinical. Have never missed an assignment etc. The teachers at Glendale are EXCELLENT, no freaky mean unfair clinical instructors like those you read about on these boards. They are there to help you succeed and want you to do your best. I have cried from the stress about school, but i've cried about work and being a parent too. nursing school is very grown up stuff, but you can do it! There is tutoring to help you, a mentoring program and lots of other support. Make sure all of your other non-nursing coursework is out of the way.
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Glendale versus Valley - Nursing Programs
I'm 4th semester at GCC and have been very happy there. The facilities and campus are much nicer than Valley. We also have a brand new nursing building and lab. Very good reputation. Valley campus is run down and depressing to me. Just my 2 cents.
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Glendale Community College ADN program Spring 2010
Hey kids, 4th semester here. You do not start clinicals in the introductory intersession. They usually accept 30 day and 30 weekend/evening students. Of those, you will probably lose at about 5 students total in the first 2 semesters. PM me if you have any questions!
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Myers-Briggs Profile Typing and Nursing
I'm another INTJ and it seems a good match.
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Cedars-Sinai New Grad Summer 09
Thank you for your response!
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Cedars-Sinai New Grad Summer 09
Sorry if this has already been addressed, but I didn't want to wade through the 13 pages of this thread.....regarding GPA, is it your nursing school GPA? For example, my nursing school GPA is 4.0, however I graduated with a BA 18 years ago. Am I supposed to incorporate those grades too? I have almost 200 non-nursing credits as I actually have 2 bachelor degrees. But they are from so long ago...Thanks in advance for your feedback.
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This monster careplan is taking 4ever !
Our Assessment takes about 2 pages, we have to do one chronic and one acute patho, expected tests and diagnostics for each, prognosis for each, history, all labs,unmet Maslow needs in detail, physiologic NANDA, and a psychosocial NANDA with at least 4 interventions with rationales each, gerontological considerations and all meds incl. PRN meds. yep, ours are about 20-25 pages, plus they have to be in APA format and have cited sources.