Valerie Salva BSN, RN

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All Content by Valerie Salva

  1. Valerie Salva

    RN Job Bonanza in Dallas?

    Valerie Salva replied to solneeshka's topic in Texas Nursing

    Dallas hospitals utilize Group1 and are known for running nurses into the ground. Dallas hospitals attract plenty of nurses- they just can't keep them. Concierge services and so on are just gimmicks-...
  2. Valerie Salva

    MD ordered placebo for pain PRN~would you give it?

    Valerie Salva replied to beetlebailey524's topic in General Nursing

    I worked in a nursing home where the med director approved policy said that staff is to use "disctraction (play music, turn on the TV, sit and talk w/ pt, etc...) "provide diversional activities" and...
  3. Valerie Salva

    MD ordered placebo for pain PRN~would you give it?

    Valerie Salva replied to beetlebailey524's topic in General Nursing

    Finally someone admits that Ultram is a crap drug! It is very often prescribed for people who are already on Prozac and so on- so what's the point? To me, an Ultram Rx = "I don't want to deal with...
  4. Valerie Salva

    MD ordered placebo for pain PRN~would you give it?

    Valerie Salva replied to beetlebailey524's topic in General Nursing

    I know all of that- I just know that it has never helped me at all- or my mother, or my mil, several friends, pts and so on. I know a lot of people who have full bottles of ineffective Ultram in their...
  5. Valerie Salva

    Yelling Doctors, How do you handle them?????

    Valerie Salva replied to Danielle7's topic in Patient, Colleague Relations

    This is true, if the pharm was still open that late. When prudent, I always try to figure things out on my own and use other available resources before calling a
  6. Valerie Salva

    Yelling Doctors, How do you handle them?????

    Valerie Salva replied to Danielle7's topic in Patient, Colleague Relations

    When I was a new nurse, I would crumble. Now, I yell
  7. Valerie Salva

    oxygen and vaseline

    Valerie Salva replied to nrsman1's topic in General Nursing

    Can you imagine the headline? Nurse puts Chapstick on pt's lips- burns down
  8. Valerie Salva

    "And it's all going to be your fault"

    Valerie Salva replied to AngelfireRN's topic in General Nursing

    I would have paid good money to see
  9. Valerie Salva

    "And it's all going to be your fault"

    Valerie Salva replied to AngelfireRN's topic in General Nursing

    AngelfireRN, I do not want to flame you- I want to work with
  10. Valerie Salva

    Is my resident at risk for fluid overload/ CHF/ etc.

    Valerie Salva replied to lashuna1028's topic in LPN, LVN Corner

    I've seen orders to dilute tube feeding formulas with water a number of times over the
  11. Valerie Salva

    How do all the experienced ICU nurses feel about....

    Valerie Salva replied to student200977's topic in MICU, SICU

    When I was a new grad, I did med surg for 3 mos, hated it and never went back. I have been a nurse for eighteen years now, and a traveling/float charge RN for the past four. Not everyone needs the...
  12. Valerie Salva

    here goes again I am sure-acrylics-this time it's personal

    Valerie Salva replied to mel1977's topic in General Nursing

    * Between 1997-98, the death of sixteen (16) newborns in a neonatal intensive-care unit at an Oklahoma City hospital were linked to bacteria found under the artificial nails and long fingernails of...
  13. Valerie Salva

    here goes again I am sure-acrylics-this time it's personal

    Valerie Salva replied to mel1977's topic in General Nursing

    Original Articles A Prolonged Outbreak of Pseudomonas aeruginosa in a Neonatal Intensive Care Unit: Did Staff Fingernails Play a Role in Disease Transmission? RESULTS.Of 439 neonates admitted during...
  14. Valerie Salva

    Care Plans - What does the Experienced Nurse Think of Them?

    Valerie Salva replied to eriksoln's topic in General Nursing

    For students, I think care plans are very helpful in promoting critical thinking, and in kearning what specific nursing interventions you would use in specific pt situations. In the real world of...
  15. Valerie Salva

    Not Much difference in job duties by a PCA and LPN?

    Valerie Salva replied to Angela.RN2B's topic in General Nursing

    I was an LPN for several years before I became an RN. In my experience, the difference between the two is
  16. Valerie Salva

    MD ordered placebo for pain PRN~would you give it?

    Valerie Salva replied to beetlebailey524's topic in General Nursing

    Excellent post! Your first anecdote is a great example of unethical, inappropriate use of a placebo, and your second story is a perfect example of ethical, appropriate and effective use of
  17. Valerie Salva

    MD ordered placebo for pain PRN~would you give it?

    Valerie Salva replied to beetlebailey524's topic in General Nursing

    Very thoughtful
  18. Valerie Salva

    MD ordered placebo for pain PRN~would you give it?

    Valerie Salva replied to beetlebailey524's topic in General Nursing

    I've been given an Rx for Ultram twice- it really doesn't do a damn thing. I've never met a single person who said it helped
  19. Valerie Salva

    being mandated

    Valerie Salva replied to momtojosh's topic in LPN, LVN Corner

    Wow- are you in a union? I work 12-15 hrs shifts back to back- and I just get my regular
  20. Valerie Salva

    Travel Nursing ?

    Valerie Salva replied to ORhopeful's topic in Travel

    All agencies and hospitals require one to two solid years in a speciality before you can travel. I am a traveler and get very little orientation. When I float between facilities of the same health...
  21. Valerie Salva

    MD ordered placebo for pain PRN~would you give it?

    Valerie Salva replied to beetlebailey524's topic in General Nursing

    A placebo would never cut it in place of a pain med, but here is a situation in which I saw one work in place of a sleeper. I worked in a nursing home where there was a pt whom the doc felt was...
  22. Valerie Salva

    New LPN would like CNA input please

    Valerie Salva replied to chevyv's topic in Medical Assistant, CNA/MA

    Great
  23. Valerie Salva

    Concerns with brand new nurses

    Valerie Salva replied to NursePeace's topic in LPN, LVN Corner

    I've been a nurse for a looong time, and I went to a loooong, traditional nursing program- and I agree with the OP. It seems that more and more (not all) programs are mainly concerned with the...
  24. Valerie Salva

    What Song Describes Your Life? What Song Describes Your Attitude Towards Nursing?

    Valerie Salva replied to AngelfireRN's topic in General Nursing

    Song that expresses my attitude about nursing... "I'll never be your beast of burdon.. my back is broke, my feet are
  25. Valerie Salva

    VA Pay-Strictly Salary?

    Valerie Salva replied to OR Dude's topic in Government, Military

    I worked for the VA in one state, quit and later applied in another state. I had to write the "Nurse Qualification Standard" both