pgotm

pgotm

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All Content by pgotm

  1. Sedation in ICU... your opinions/ experiences?

    pgotm replied to IheartICUnursing's topic in MICU, SICU

    Fentanyl is used the most. We are teaching hospital, and they don't like propofol, plus there is a nation wide shortage. Precedex is rarely

  2. Variable staffing based on patient acuity & census in ICU

    pgotm replied to lcsmithrn's topic in MICU, SICU

    I want to have a vent 1:1! :) Wow that is

  3. Variable staffing based on patient acuity & census in ICU

    pgotm replied to lcsmithrn's topic in MICU, SICU

    I want to come work, where there are aides!

  4. Fevers In CCU

    pgotm replied to Nursingbride12's topic in CCU, Coronary, Cardiac

    Cooling blanket. I had a septic patient that got up to 104. I was nervous but with tylenol suppository and cooling blanket, it took all shift for the temp to climb back down. I thought we wanted to...

  5. Do you do assessments after a patient is discharged?

    pgotm replied to Nurse ABC's topic in General Nursing

    They aren't discharged until they are out the door! :) That's my personal opinion. They can have their paperwork, but I still treat them as my patient. They get all the same

  6. worst, most corrupt agency ever!

    pgotm replied to lsvalliant's topic in Home Health

    Time to put in some applications for somewhere else. Do you really want to continue to work for this company? Best not to risk your license for their

  7. Do you do assessments after a patient is discharged?

    pgotm replied to Nurse ABC's topic in General Nursing

    Always assess, pt's can change at any time. You would rather know that you charted an accurate view of the patient's condition whether it be positive or negative. And of course if you ever have to go...

  8. witnessing a DNR

    pgotm replied to turnforthenurse's topic in General Nursing

    Working in Risk Mgmt, I think you need to have your policy revisted. This is not ok in any US hospital in America. If it is, this is a crime! I would contact your administration or risk department for...

  9. How many of you are forced to clock out to stay back and chart?

    pgotm replied to HelloM1M1's topic in Geriatric, LTC

    If something happens to you, you will not be covered under workman's comp. May want to check in with local labor board about working conditions. Attempt to find greener pastures if

  10. Is this what I'm always going to deal with?

    pgotm replied to mom_coach_nurse's topic in Pre-Nursing Students

    Be happy doing what ever you want. Just be sure to research your local healthcare market. Where I live in Vegas, most hospitals don't have LPNs. Not sure about outside of hospitals, also the job...

  11. Nurses love to give...

    pgotm replied to Joe V's topic in Nursing Humor

    It is always better to give than

  12. This made me laugh

    pgotm replied to Bec7074's topic in Nursing Humor

    giggling in my office, nice way to start the

  13. Wrong side/omitted procedure

    pgotm replied to guest64485's topic in Operating Room

    i work in risk management, and cringed the whole time, reading your post. unfortunately i'm sad to hear that you gave in and signed the consent. imagine a patient in the same position doing that, and...

  14. Detectives and PD- how much information can we give out?

    pgotm replied to FLGAZRN's topic in HIPAA Challenges

    I work Risk. :) Our policy is to have the detective come to risk. We get a copy of their business card, and give them the information they need. They are in a way covered to get information depending...

  15. stress relief kit

    pgotm replied to ACute RN's topic in General Nursing

    I need that kind of

  16. PTO/Sick Leave for Nurses

    pgotm replied to zem2002's topic in General Nursing

    I earn about 7 hours a pay period. I have worked for this company for 1.5 years. I think I have about 114 saved at this point. I find that I do have balance, but wish I could have more time

  17. Is nursing "care" a thing of the past?

    pgotm replied to AnneBlunnRN's topic in General Nursing

    I am not sure what happened in the OP's case. But I just want to say that I went to nursing school to acutally help people. I believe that 100% of my co workers also want to help their patients. But...

  18. Medications Commonly Used on a Cardiac Unit

    pgotm replied to VickieStudentNurse's topic in General Nursing

    simvastatin. crestor . propanolol. tricor. lovenox. procardia. vasotec. stool softeners after CABG, as not to strain the heart, like MOM, colace, ducolax. dobutamine IV (adrenergic agonist) increases...

  19. A Passionate Note in Support of All Night Shift Health Care Staff

    pgotm replied to Hockeydoll88's topic in General Nursing

    Op that was very well put. I do try to do bathing before they sleep if I have enough time. My total care patients that usually sleep all the time I try to get them up at 5am and perform care before I...

  20. what are common times to run IV's in ?

    pgotm replied to Amy10BSN's topic in CCU, Coronary, Cardiac

    K 10meq over 1 hour IV/Mg 2gm rider over 2 hours/Las Vegas

  21. Previous Bachelors degree going into nursing - Should I do BSN or ADN???

    pgotm replied to k.ronning's topic in General Nursing

    Finacially for me it made sense to go the ADN route. I started in Aug 07 and Graduated in May 09. Found a job, started working and will finish my BSN Summer 2011. It cost me about $5000 total for ADN....

  22. Pretty Anxious About Drawing Blood!

    pgotm replied to gymnut's topic in General Nursing

    Butterfly needles usually take longer to draw from when getting labs. But great on people with small

  23. What is the market like in Las Vegas

    pgotm replied to Keko89's topic in Nevada Nursing

    As a new grad last year I started at 27.00 per night + night diff and weekend diff. Tough market to crack as there are 6 schools putting out new nurses twice a year. Hospitals are wanting at least 1...

  24. Should I make a switch??

    pgotm replied to stampede122's topic in Pre-Nursing Students

    Yes there is a shortage of nurses, but at this point in the market.....hospitals want nurses with at least one year experience. I am in Las Vegas and it took me 4 months to find a job, and that was...

  25. Pay for new grad

    pgotm replied to rshenry's topic in Nevada Nursing

    When I started in 09 for Valley health system at