apocatastasis

apocatastasis

Psychiatry, ICU, ER

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All Content by apocatastasis

  1. Texas Nurse practitioners-expert advice needed please

    apocatastasis replied to Bodhi123's topic in Texas Nursing

    You will not have trouble finding a job as a psychiatric provider in Texas, which is in dire straits as far as mental health goes. We lack providers and they continue to cut away the pennies that had...

  2. Importance of floor nursing experience for PMHNP

    apocatastasis replied to rr0416's topic in Student Nurse Practitioner

    I'm a FPMHNP student, graduating in May. I started an alternate entry MSN program in 2008 and have been a nurse for about two and a half years. I went part-time for the year after I became an RN to...

  3. What's up with these nurse practitioner/DNP discussions

    apocatastasis replied to Nolander's topic in Doctoral Nursing Degrees

    There have been multiple (i.e. too many) threads on this multi-faceted issue. Whether or not you can call an NP "doctor" is determined by state statutes. Salary should be negotiated by the NP...

  4. Failed pre-employment drug screen

    apocatastasis replied to OlderRNinGA's topic in General Nursing

    What happens with hospital employment is going to look like child's play if they report you to the

  5. What was the funniest/crazy thing you have heard another Nurse doing?

    apocatastasis replied to madwife2002's topic in General Nursing

    One of my co-workers ate the leftovers from the dirty, nasty patient meal trays from our dirty inner city hospital ICU crawling with MRSA and VRE and E. Coli ESBL and all kinds of other goodies. Day...

  6. Admissions during change of shift

    apocatastasis replied to brokenroads27's topic in General Nursing

    We get large numbers of walk-ins, codes, EMS patients, admits, all of whom don't give a rat's you-know-what about our shift change. We shouldn't be the only ones who have to bear the brunt of it....

  7. Admissions during change of shift

    apocatastasis replied to brokenroads27's topic in General Nursing

    I'm an ICU nurse who didn't get how admissions worked until I started working ER. Most non-ER nurses don't get it. It's real easy to blame us for "holding" the patient until 645 to call report......

  8. new grad interviewing for ER tomorrow!

    apocatastasis replied to sf415's topic in Emergency

    Also, good luck... don't sweat

  9. new grad interviewing for ER tomorrow!

    apocatastasis replied to sf415's topic in Emergency

    You can never tell what they'll ask. Sometimes the questions come from last field. Don't worry about it. Hospitals generally make you jump through at least a couple of hoops, and bringing several...

  10. Nursing students...I can't believe...

    apocatastasis replied to ThePrincessBride's topic in General Nursing

    I'm tired of reading that "Direct-Entry Master's" students, or whatever you want to call us, have no experience as nurses. While in school, I've worked full time in ICU and ER for 2 years now, and...

  11. If I see one more post titled....

    apocatastasis replied to PinkRocksLikeMe's topic in General Nursing

    How do you REALLY

  12. student nurse venting about paperwork

    apocatastasis replied to bernikitty's topic in Nursing Student Assistance

    I was just talking about this to my NP classmates. Except we were talking about how ridiculous it was that they made us paper chart everything... which nobody does anymore. Ok, a bit of an...

  13. How do you pick your vein for an IV?

    apocatastasis replied to Chandra Lancaster's topic in General Nursing

    If you're having trouble threading the catheter, remember that when you get a flash, advance the needle just a little further before you try to float the catheter. The needle's tip comes before the...

  14. Your Most AWKWARD Nursing Moment

    apocatastasis replied to Mully's topic in General Nursing

    I had two interactions with a 650 pound, 30something, slightly MR male who I admitted to ICU for pneumonia. The first was him asking me (and four other people) to turn him q15 minutes to "check for...

  15. Does your facility allow the floor/unit nurses write up other nurses?

    apocatastasis replied to DayDreamin ER CRNP's topic in Emergency

    I would not have done the consent in that situation, either. You were right not to do it, though there is always pressure for you to get it done by people who don't want to do it themselves. Stand...

  16. The problem with floating ER Nurses

    apocatastasis replied to crabalot's topic in Emergency

    Cross-training is ok if the nurse feels compelled to do so, but a lot of ICU nurses have no desire to work ER and vice-versa, and I don't think that's an issue that should be forced. I'm an ICU nurse...

  17. All Those NPs with No Bedside Experience

    apocatastasis replied to Ruby Vee's topic in General Nursing

    I am responding to the negative attitude I perceived in the original post, which I find pretty disrespectful in its own right. My attitude certainly does not prove the OP's point. The OP's point was...

  18. All Those NPs with No Bedside Experience

    apocatastasis replied to Ruby Vee's topic in General Nursing

    If you're talking about me in particular, I have administered pretty much all of the major psychiatric medications many times. I hope that this "marginal psych nurse" is good at diagnosis and aware of...

  19. All Those NPs with No Bedside Experience

    apocatastasis replied to Ruby Vee's topic in General Nursing

    Also, the sword cuts both ways. There are a couple of "experienced" nurses (decades of direct patient experience) and they are on the whole TERRIBLE at learning to be providers and not bedside...

  20. All Those NPs with No Bedside Experience

    apocatastasis replied to Ruby Vee's topic in General Nursing

    I'm an NP student, with slightly over 2 years of experience, and I resent the OP's post. I say this as a ICU nurse who, with a measly YEAR of experience, had multiple opportunities to save the asses...

  21. Vented Patient PEA

    apocatastasis replied to whitecat5000's topic in General Nursing

    PEA, as others have noted, is characterized by a lack of pulse. Of course, they won't be breathing either. Note that EKG monitoring will not always tell you if you have PEA, which can look like a...

  22. Vent: "I should warn you, I'm a tough stick..."

    apocatastasis replied to Anna Flaxis's topic in Emergency

    Actually, it's spelled

  23. Vent: "I should warn you, I'm a tough stick..."

    apocatastasis replied to Anna Flaxis's topic in Emergency

    If they've had a PICC, I'll take a quick look at non-obvious places... but if I can't find anything, usually I just call the PICC nurses to insert an IV using the ultrasound

  24. Vent: "I should warn you, I'm a tough stick..."

    apocatastasis replied to Anna Flaxis's topic in Emergency

    I hate it when people are so in your face about it. I rarely miss on patients that say they're a tough stick. My standard line is to put it very casually, "Well, if I can't get one in your arm, I'll...

  25. DKA and Potassium

    apocatastasis posted a topic in Emergency

    So I had a situation the other day when I came on shift and took a patient from an RN, and she goes, "This patient has DKA, started the insulin drip, K was 6.3 so we gave Kayexalate..." I stopped her...