ibnathan

ibnathan

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All Content by ibnathan

  1. discussion regarding education of NP (DNP) and PA compared to MD/DO

    ibnathan replied to RN to Medschool's topic in Nurse Practitioners, NP

    I would like to see advanced nursing education changed. The first year would be devoted to clinical sciences such as bio, genetics, gross anatomy, and pharm. During the later part of first year start...

  2. Levophed vs. Neo

    ibnathan replied to hell000nurse's topic in MICU, SICU

    I am not 100% sure but the cardiothoracic surgeons use it on almost all of their open heart patients. It's usual concentration is 2 grams of (2 amps) epinephrine and 2 grams of calcium chloride in 250...

  3. Is there a max dose of Levophed?

    ibnathan replied to KevinS's topic in MICU, SICU

    In our facility our max dose for Levophed is 30mcg/min. Just like the other posters have stated once you start to go beyond the max dose it is pointless. I once had a patient on Levo, Neo, Vaso,...

  4. Levophed vs. Neo

    ibnathan replied to hell000nurse's topic in MICU, SICU

    Epical is usually used by our cardiac surgeons after a cabg. The mixture is 2 grams of Epi and 2 to 4 grams of calcium chloride. Vasopressin is a good drug to use as well. Generally once you hit two...

  5. Levophed vs. Neo

    ibnathan replied to hell000nurse's topic in MICU, SICU

    When I worked the ICU we used Levophed as our first line in the septic patient along with boluses of Albumin. Neosynephrine was usually used as a second line agent. Remeber levophed works on beta and...

  6. Former hospital nurses got a ? or anyone who can answer

    ibnathan replied to henryswife's topic in Correctional

    I was making 26.50 when I left the ICU. I now make and this is starting wage 42.02 an hour. I think one reason is the perceived danger and enviroment that we work in. Really though it isn't as...

  7. Pay for Correctional nurses?

    ibnathan replied to TashaLPN2006RN2012's topic in Correctional

    Sweet 10+K a month. We start at 7285 and top out around 8400 a

  8. Pay for Correctional nurses?

    ibnathan replied to TashaLPN2006RN2012's topic in Correctional

    I worked in one of the local hospitals in Bakersfield CA. It's funny in Kern County (Bakersfield is largest city in Kern County) we have the greatest shortage of nurses in Cali. ,but we are the lowest...

  9. Pay for Correctional nurses?

    ibnathan replied to TashaLPN2006RN2012's topic in Correctional

    I just got hired on at the California Department of Corrections and Rehabilitation. My starting pay is 42.02 an hour. I just left the ICU were I was only getting paid 26.50 an hour plus shift...

  10. STEMI and Dopamine

    ibnathan replied to MikeyBSN's topic in General Nursing

    It may be a inferior wall MI with RV infarct. But all in all we need a pressure, the patient needs perfusing pressure. A. Start Levophed or Dopamine as well a a 250cc bolus of albumin or NS B. Watch...

  11. STEMI and Dopamine

    ibnathan replied to MikeyBSN's topic in General Nursing

    Well it definitely sounds like a cardiac output issue. The patient is going into cardiogenic shock/ Heart failure. I agree with everyone that Dopamine should not be used at all you would have a real...

  12. would you be a RN for $11.00/hr?

    ibnathan replied to PHLEBOTOMIST_TO_RN's topic in General Nursing

    Hell NO! New grads should be paid at a min. of $25-30 an hour. An experience nurse with 10-20 years of hospital experience 45-60 an hour PERIOD. This is why nursing is behind in pay, we self sacrafice...

  13. Passed the exam at 213 questions!

    ibnathan replied to khirbz's topic in NCLEX Exam, Programs

    Congrats!

  14. My NCLEX shut off at 77 Q

    ibnathan replied to v1cky84's topic in NCLEX Exam, Programs

    Yeah I had OB, Peds, Meds that I have never heard of, Priority and Delegation, and Pysch. How many questions did you have

  15. My NCLEX shut off at 77 Q

    ibnathan replied to v1cky84's topic in NCLEX Exam, Programs

    Wow! I just took mine today and I got 107 questions then it just shut off. The board just got out transcripts two weeks ago and every who took the test after the board got our transcripts new within 3...

  16. NCLEX-RN 86questions... DID I PASS???

    ibnathan replied to Brndyherbert's topic in NCLEX Exam, Programs

    Hey there don't worry! Me and my friend are taking our boards Monday. Many of my other classmates have taken there boards alreadly all but one has passed and she had 75 questions. One of the girls in...

  17. how do i max my income as new grad

    ibnathan replied to focker-male nurse's topic in General Nursing

    I will be starting my orientation Jan. 15th. My starting pay will be $24.75 an hr. After my 14 wk orientation I will be eligible for overtime, overtime at my hospital for the first 4hrs. it is...

  18. Can NPs work as RN's?

    ibnathan replied to 1nuttynurse's topic in Nurse Practitioners, NP

    Thanks Trauma just got back from graduation ceremonies time to party!::balloons: I know that our instructor was saying that when she went to go on an interview for a position at a MD medical group...

  19. Can NPs work as RN's?

    ibnathan replied to 1nuttynurse's topic in Nurse Practitioners, NP

    Yes you can be a NP and work as an RN. Both of my instructors at my college are Acute Care Nurse Practioners. Here in Bakersfield it is the good ol' boys Doctor Club they are really resistant to most...

  20. Living off student loans smart idea or not?

    ibnathan replied to rkim525's topic in General Nursing

    I'll be working as an R.N in an ICU. For instance my sister just graduated optomety school in Chicago with 180,000 dollars of school loan debt. Her first job she will make around 80,000 a year, even...

  21. Living off student loans smart idea or not?

    ibnathan replied to rkim525's topic in General Nursing

    The "opportunity cost" of not working dwarfed my tuition expenses. Exactly quickbeam, especially if you have a family and not 18yrs and Mommy and Daddy will pay for everything. Also there are...

  22. Living off student loans smart idea or not?

    ibnathan replied to rkim525's topic in General Nursing

    Hey you have to do what is best. I was a manager a local retail supermarket making about 50K a year working six days a week with overtime. After they started to downsize I lost my position and took a...

  23. If this is what they call nursing...

    ibnathan replied to MKZ's topic in MICU, SICU

    Wow! I can't believe you only got 6wks of orientation. I will be graduating in Dec. and starting orientation in the middle of Jan. The hospital that I will be going to work for has 14wks of...

  24. question about salary in the US

    ibnathan replied to norhubez's topic in General Nursing

    I will be graduating in December and I live in Bakersfield Calif. which is approx. 2 hours away from LA. Starting wage for new grad RNs is $23-26 hr. If you work an extra day a week equals out to...

  25. Need advice: should I start out in ER or tele/med-surg?

    ibnathan replied to secondfiddle's topic in Emergency

    I was going to say go for it, but if you are going to get pregnant then I would go to tele instead of med-surg. I myself am graduating in Dec. and I will be going straight into ICU. In tele you will...