Valerie Salva BSN, RN

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All Content by Valerie Salva

  1. Infection control is important for this pt. How would you prevent spreading her infection to others, and prevent her from being infected further by others? Would she have increased nutritional needs...
  2. Valerie Salva

    I *think* I've figured it out..

    "Also, why not NSAIDs?" Here's what I'm thinking: NSAIDs suppress inflammation and inflammation is part of the immune response. About diarrhea- Severe yeast infection (Candida) can cause severe,...
  3. Valerie Salva

    Need finding some pictures of Diverticular Disease

    There are tons of images of divurticulitis on google images. An interesting note: Docs used to tell pts with this disease to avoid nuts and seeds. I recently read that new research shows that nuts...
  4. Valerie Salva

    To Be Or Not To Be

    AlaskaEMT, You've gotten some good advice here. I'd bet that trauma nursing is right up your alley. If you are moving to a metropolitan area of KY, there is probably a trauma center there. If you can...
  5. I am an RN, looking into getting an online BSN. To those of you currently enrolled or who have graduated from such a program- Would you recommend it to others? Why or why not? What online program are...
  6. Valerie Salva

    low heart rate

    I have never had a pt with a HR that low, and I pray my good fortune continues.
  7. Valerie Salva

    Would you have called rapid response?

    I would have checked her baseline, rechecked the bp, see if she had had any bp meds, made sure to hold the next dose. Since she was A&O, and asymptomatic, I would not have called rapid response....
  8. Valerie Salva

    misleading general public thru lies

    Please report her to your BON. In some states, it is actually required that if a nurse knows of another nurse who is breaking the law, she must report it. I would make a copy of the business card and...
  9. Valerie Salva

    acute renal failure scenario

    I really don't think this secenario gives enough info to decide on dialysis or not, but I know it's all you have to go by. I would give IVF, and if the urine output didn't go up markedly in a short...
  10. Valerie Salva

    Scary Moment in Orangeburg SC

    Wow- that is really scary! Glad your company is moving
  11. Valerie Salva

    lost all self-esteem

    No one is perfect. So the doc had to wait. He'll live. Don't let one mistake that didn't hurt anyone get in your
  12. Valerie Salva

    Side rails x 4 and falls

    Side rails- Darned if you do and darned if you
  13. Valerie Salva

    Anyone ever get off "the" List?!

    Please be aware that nursing is not in high demand everywhere. In some areas of the US, there are too many nurses, and nurses find it very difficult to get a job. In these situations, employers often...
  14. Valerie Salva

    Most Dangerous Part of Nursing

    Back injuries are the biggie for nurses, and aides. I've known several nurses who have lost their careers due to back injuries. People generally think getting stuck with a dirty needle from an AIDS...
  15. Valerie Salva

    Discourged a bit...

    I was a CNA before becoming a nurse, and you do wipe butts, clean up feces and urine, clean dirty dentures, give baths, feed people who can't eat on their own, and so on. As long as I had someone to...
  16. Valerie Salva

    Are you happy being a nurse?

    [color=#4b4b4d]do employees perceive that their work is meaningful? [color=#4b4b4d]yes and no. caring for the pts and improving their lives is very meaningful to me, but a lot of paperwork and stupid...
  17. Valerie Salva

    Venting about classmates with families...

    :yeah::yeah:
  18. Valerie Salva

    Anyone ever get off "the" List?!

    I felt from reading this post, the poster had not been a nurse for very long. When I looked beneath the poster's name- sure enough- one year of experience. I have seen many wonderful nurses and CNAs...
  19. Valerie Salva

    Why still IV gtt rates on exams?

    This reminds me of a quote I read years ago. I don't know who said it. "If you truly want to make an apple pie from scratch, you must first create the
  20. Valerie Salva

    culture-shocked...i want to understand why

    The pt had her own cigarettes, and asked the nurse to give her one. It is routine practice in most nursing homes that cigarettes are kept in a drawer at the nurse's sation or in the med room with the...
  21. Valerie Salva

    Why still IV gtt rates on exams?

    If a situation ever comes up that would require us to make our own ASA, we've got bigger problems than not having
  22. Valerie Salva

    The RESPECT Act and What it Means for ALL Nurses

    Advocateforsafety, I read your story, and it is infuriating. I too, have worked for an HCA facility, and it was one of the worst experiences of my life. I am sorry that corporate America did this to...
  23. Valerie Salva

    Why still IV gtt rates on exams?

    Yes, I have given protamine a couple of times- for pts who were given IV heparin and would not stop bleeding after a procedure. Btw- it didn't have an affect either time, as the bleeding turned out to...
  24. Valerie Salva

    Why still IV gtt rates on exams?

    I have been a nurse for 18 years. I have never had to do a manual drip rate, and I have seen a med ordered in grains one time. I remember being taught, having a lab on and being tested on scultetus...
  25. Valerie Salva

    Things you wish you knew before you entered nursing

    For me, the BM, urine, puss, smells, etc are the easy parts of nursing. The hard parts are work loads that are too heavy, unrealistic expectations of mgmt, pandering to pts and families as "clients"...