apocatastasis

apocatastasis

Psychiatry, ICU, ER

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All Content by apocatastasis

  1. Use of the title nurse

    I am in Texas, and "nurse" is a protected
  2. BSN to NP: to wait or not wait

    I'm in the Alternate Entry program at UT and am a psych NP student. Been an RN for a little over a year and a half. After I did the intensive RN part of my program, instead of immediately taking the...
  3. How do you chart verbal aggression by a client?

    Word for word. If there was a lengthy exchange, then the most salient quotes suffice. I chart not only for the patient, but also for
  4. At my old inner city SICU in San Antonio, we saw everything from CABGs to guts to respiratory failures to DKAs. We were always understaffed, and often staffed with brand new nurses. I was charging...
  5. Best floor to work on for an aspiring Nurse Practitioner

    You need to specify what kind of NP you want to be. I'm a psych NP student but we have a year of advanced health assessment and primary care rotations. I worked in ICU for over a year and have been...
  6. Jehovah's Witness nurses in the critical care unit?

    As an ICU/ER nurse (and atheist), I don't think I should have to pick up the slack because of your religious beliefs. Sure, I'll check the blood with you, but YOU are responsible for YOUR patient:...
  7. Psych APRN Programs? (Repost from prenursing)

    Don't get me wrong, I'm really excited about becoming a psych NP, but UT is political and I find many of the faculty members condescending, unhelpful, and disrespectful, particularly during the first...
  8. Psych APRN Programs? (Repost from prenursing)

    We have one at UT-Austin. I'm in it. Year and a half to go. I can't say that I'd recommend it, but based on what i'm hearing about other NP programs, I can't say that anywhere else would be any...
  9. Morphine vs Dilaudid vs Oxycodone

    Certain drugs work better for certain people. As for shutting off the PCA, not sure, unless the nurse was worried about respiratory suppression. Along this vein but somewhat off-topic, if you don't...
  10. Large bore IV

    Yeah... I'm a new ER nurse at a level III trauma center, making the switch from ICU for a little while. I got pulled over on day 2 and told by my orienting nurse that I would eventually be written up...
  11. How did you get into the ICU?

    Please. BSN nurses generally do not go to nursing school for the first 2 years of their bachelor's, and their clinical time is NOT spread out over 4 years. I did the BSN competency of my accelerated...
  12. Report from OR: What do you want to know?

    I like it simple. History of present illness, other pertinent history if you know it, procedure, any complications, drains, drips. If you don't have everything, no worries, MOST important is present...
  13. Nurses, do you immediately take bath after duty?

    I just got off an hour ago... and I do believe it is that
  14. Would you ever own a motorcycle? YES or NO?

    I work ICU and am planning to get an Aprilia 300-500 cc scooter this year and possibly a Aprilia Shiver motorcycle next year. I've never ridden before, but I am a road (bi-)cyclist and have been for...
  15. Malpractice Insurance

    Hey y'all, I'm going into my 2nd year as an ICU nurse... I'm currently insured by NSO, and I paid like $200 or $250 last year for the insurance. I just now got a statement from them saying that...
  16. Malpractice Insurance

    Thanks, y'all... I do live in Texas... like BluegrassRN, I never gave thought to the geographic factor, so thanks for bringing that to my attention, elkpark. Seems so obvious, now that you mention...
  17. eICU ever heard of this?

    Our hospital has an eICU. It's owned by our hospital system and staffed by nurses from within our system... they're also outsourcing to other hospitals. I can only speak for our hospital system and...
  18. Deciding to call MD

    As a relatively new nurse who works nights, I have this problem also. In a case such as the pressor issue, I'd first ask the offgoing or ER nurse something like, did you ask the doc why he didn't...
  19. Young and jaded.

    Hi all. I got my RN license at about this time last year, right after I started working as a GN at a downtown San Antonio ICU. It's a SICU but we see a wide variety of medical/surgical/cardiothoracic...
  20. Young and jaded.

    Thanks to everyone for the words of advice and encouragement. I'm heading back to work tonight. I've been considering a change in scenery... and for now I'm taking a deep breath and looking forward...
  21. Nurses obtaining blood consent

    In Texas, we not only do blood consents but also surgery consents on behalf of the physician. If physician writes for blood, you have to get the consent. If the physician orders "consent for...
  22. Plum A+ hospira iv pumps

    Also: for insulin and heparin, another trick I figured out was to set the rate equal to the volume to be infused so you don't accidentally overdose your patient, as one of my fellow nurses did and...
  23. Plum A+ hospira iv pumps

    I usually just set the volume to be infused (VTBI) at whatever amount the bolus is (e.g. 6 mL for 6 units insulin, assuming a 1 unit per mL ratio). Run the pump at 999 mL/hr and it'll beep after VTBI...
  24. Quoted for truth! Love
  25. Considering relocating to San Antonio, Dallas or Austin

    She asked, why I hated it. San Antonio is not a gay friendly city. That's a pretty big deal to me. Number one on my list, in