apocatastasis

apocatastasis

Psychiatry, ICU, ER

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All Content by apocatastasis

  1. DKA and Potassium

    apocatastasis replied to apocatastasis's topic in Emergency

    Thanks for sharing your experience! I have also d/c'd for several patients where noncompliance was the main issue, including an 18 year old who basically refused to take her insulin... although...

  2. IM dilaudid

    apocatastasis replied to thelema13's topic in Emergency

    Yeah, I find that VS policy pretty ridiculous. How do you determine "stable?" I don't think I have ever had a patient become "unstable" from 1mg IM dilaudid. To be on the safe side, I make sure...

  3. When do you stop feeling dumb and feel like a confident Nurse??

    apocatastasis replied to beatrice1's topic in Geriatric, LTC

    I didn't notice that this was in the geriatric nurses section until after I wrote this, but maybe you will find this applicable to you. I had a 3 month orientation in ICU, didn't feel "confident" till...

  4. Legal implications of free-text charting

    apocatastasis replied to EmmieRN's topic in General Nursing

    I believe free-text charting definitely has a place, and do it all the time in ICU/ER for CYA purposes. I would not write notes under the circumstances you describe. Report to so-and-so, all...

  5. Masters in Nursing- which specialty to choose?

    apocatastasis replied to jo1010's topic in Post Graduate Students

    I'm a psychiatric NP student. I didn't say my education is useless. My clinical courses are challenging, at least the psychiatric ones. Nursing theory courses, however, are another story and a waste...

  6. Masters in Nursing- which specialty to choose?

    apocatastasis replied to jo1010's topic in Post Graduate Students

    My opinion as an MSN-public health turned MSN-FPMHNP student, it boggles the mind why anybody would do a non-APN Master's in nursing. I mean, really. It infuriates me to think about how much even my...

  7. Select Specialty Hospital work environment

    apocatastasis replied to tyjane7's topic in General Nursing

    There was a Select Specialty renting space within our own generally very scary and backwards (outside of the ICUs) hospital. They had a high obs unit where we often sent our SICU patients when we...

  8. PRN Job outside your specialty

    apocatastasis replied to lara2121's topic in General Nursing

    None of the hospitals I worked at offered real orientations to PRN people, I mean, basically it was expected that if you are PRN, you already know how to do the work, you just need to get used to the...

  9. PRN Job outside your specialty

    apocatastasis replied to lara2121's topic in General Nursing

    As an ICU nurse who went ER... keep in mind that if you don't have ER experience but apply for a PRN ER job, you will be expected to keep pace with all the other ER nurses. This could potentially be...

  10. Where do Psych NPs work? (which states)

    apocatastasis replied to jamesy7's topic in Nurse Practitioners, NP

    I'm a FPMHNP student in Austin. If you want to network with Psych NPs in Austin, our local organization is Psychiatric Advanced Practice Nurses of Austin (http://www.psychnp.org/). There's a pretty...

  11. documenting titratable drips

    apocatastasis replied to Abby1974's topic in Critical Care

    When I worked ICU, we had to paper document drip rates hourly and vitals q15. When we switched to computer, we only documented rate changes, but vitals were still q15. Policy in my ER is vitals q15...

  12. ER vs. Dialysis (New Grad)

    apocatastasis replied to DysrhythmiaRN11's topic in General Nursing

    As an ER nurse, I say go for the ER... if you get a proper orientation. You'll see and do

  13. Lame Nurse Practitioner

    apocatastasis replied to CaLLaCoDe's topic in Patient Safety Issues

    I don't care if you're a nurse or not a nurse. If you have a wound, particularly one that you can easily see, which you apparently do, and you don't bother to look at it, you ain't nothin but a fool....

  14. Filter needles for glass vials?

    apocatastasis replied to jrsmrs's topic in Patient Medications

    I meant ampule but I actually use them to draw up everything. And to the poster who switches needles out, that is my

  15. Lame Nurse Practitioner

    apocatastasis replied to CaLLaCoDe's topic in Patient Safety Issues

    Neither I nor anybody I know in ER uses magnifying lenses to remove sutures and staples. Why didn't you check the wound prior to leaving the office? And what does this thread contribute to the...

  16. Filter needles for glass vials?

    apocatastasis replied to jrsmrs's topic in Patient Medications

    I would never administer a med out of a glass vial that wasn't drawn up with a filter needle.

  17. Do Chiropractors Hires Nurses?

    apocatastasis replied to Sl1011's topic in General Nursing

    If you disagree, when you have an MI, let's skip cath lab and send you to some sleazy pseudo-scientific crook so he can crack your

  18. Do Chiropractors Hires Nurses?

    apocatastasis replied to Sl1011's topic in General Nursing

    Sorry, but I'm not ignorant, have done a great deal of research on chiropractic, and I don't need YOU insulting my intelligence. I know the history of the movement, and it is entirely BOGUS....

  19. Do Chiropractors Hires Nurses?

    apocatastasis replied to Sl1011's topic in General Nursing

    Chiropractic is

  20. How did you switch to ED nursing?

    apocatastasis replied to sameasalways's topic in Emergency

    I've been in a high-volume, pretty low-acuity ER for 10 months... Had over a year of ICU experience in a high acuity SICU, which I found to be invaluable for knowing the drips, being comfortable with...

  21. ER Ratios and Delegation

    apocatastasis posted a topic in Emergency

    Hey y'all, I've been working ER for about 10 months now, and am curious about how other facilities staff their ERs. I've already searched what various posters have as ratios for their facilities, but...

  22. Is Becoming A NP Worth It?

    apocatastasis replied to 8mpg's topic in Nurse Practitioners, NP

    For what it's worth as a psych NP student with 2 semesters to go (!)... we are regularly inundated with postings for psych NPs. They are all over the internet and all over the place. The last one I...

  23. ER Ratios and Delegation

    apocatastasis replied to apocatastasis's topic in Emergency

    That's really sad. I can do and have had to do 5-6 patients on occasion, but you basically provide really crappy care. Sometimes with 4 it's a breeze... and other times even 4 seems too many,...

  24. ER Ratios and Delegation

    apocatastasis replied to apocatastasis's topic in Emergency

    Actually, I lie when I say we don't have medics. Some of our techs are EMT-B and EMT-P but they are forbidden to do anything outside the scope of UAP, so essentially their skills are useless to us....

  25. The Nurse Practice Acts and Direct Entry Programs

    apocatastasis replied to AnaLong's topic in First Year After Licensure

    What states are you talking