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diveRN

diveRN

ER, PCU, ICU
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diveRN specializes in ER, PCU, ICU.

Married with children

diveRN's Latest Activity

  1. diveRN

    Viagra for women...

    Just read this a 1/2 hour ago. Linky
  2. [[Template core/front/system/searchResult is throwing an error. This theme may be out of date. Run the support tool in the AdminCP to restore the default theme.]] [[Template core/front/system/searchResult is throwing an error. This theme may be out of date. Run the support tool in the AdminCP to restore the default theme.]]
  3. diveRN

    a rapid response team that responds to the pacu?

    Ditto on the above post. PACU is it's own critical care area. In 99% of cases, they have direct and immediate access to MDs if a pt frumps. No OR, PACU, ICU, or ED. Our RATT (Rapid Assessment and Treatment Team) responds only to floor requests.
  4. diveRN

    Paramedic before finishing nursing school?

    Strongly consider your nursing degree because the paramedic scope is pretty narrow. If you get burned out, you won't have many options as a medic. With an RN degree and license, you can take an accelerated medic program, some agencies will often allow you to challenge the didactic portion, and then all you have to do is your clinical time. Here, medics have to do 400 precepted clinical hours. I had considered going this route to have something outside the hospital to do, but 400 unpaid hours would take me several years to recoup at a medic's pay. It didn't make any financial sense for me to proceed. I've recently dropped a few resumes for local CCTRN positions. Would get me out of the hospital now and again and pays pretty well comparatively.
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  6. diveRN

    Nurses expectation of a unit clerk

    Our better monitor techs / WCs will: - Answer call lights & direct appropriate staff. (CNA vs RT vs RN) - Screen calls/visitors - Verify orders and diets with me daily and enter them in the computer appropriately - Page MDs then let me know when they're on the phone - Thin charts regularly and make sure they're stuffed daily with blank order sets and prog note sheets. - Let's me know within a short time of ANY conduction changes or abnormal VS not caused by artifact or activity. (And knows how to tell the difference) - Enters work orders / requests for me related to hospital services like housekeeping following a DC or transfer, biomed, plant ops, etc, etc. - Keeps the coffee pot filled with good coffee.
  7. diveRN

    what do nurses hate about doctors?

    I recently had a Cardiac Interventionist go off the hook at me when a pt stopped making urine for better than 3 hours in spite of a liter of saline over 12 hours to flush the kidneys out. The doc went off on me. He has a history of doing this, mostly with women though. "Why did you wake me up at this hour for that? Get me a nurse who knows what they're doing..." After I explained that I was concerned about ARF secondary to the contrast media, he continued to read me the riot act for waking him up. My final reply was, "with all due respect Dr. P________, if you didn't want to be woken up at all hours, perhaps podiatry would be a better specialty." I hung up without orders and called the house supervisor. Yes, there was a meeting the next morning in the Critical Care Director's office. Our director waved the P & P in front of him and pretty much told him the same thing... sans the podiatry comment. I didn't say a word the whole time. Arrogant MDs make good pt care tough.
  8. Yeah. That. ^^^ almost exactly. Our class is 4 hours and we orient to the assessment and machines for a shift. The only difference where I'm at is that most of the HD RNs are pretty good at looking after the pt if they're compliant, relatively stable, and not too needy.
  9. diveRN

    What age do you plan to retire?

    Who says you have to be home all the time?
  10. diveRN

    What age do you plan to retire?

    One of our RN educators is 71 and she's still going strong. She's something of an icon/legend in local EMS and acute care circles. Was my plan to retire at 55. Doable, but I've got to bust me arse a bit more than I have been lately. At my current pace, it'll be more like 65. I'm 39 now.
  11. diveRN

    Case management position

    Many of our discharge and case managers are LVNs. In fact, it's pretty much the only position in our hospital that uses an LVN. We just don't have them around. Agree with prior post - arranges for health care needs post discharge such as home O2, medical equipment (liaison with suppliers/insurance), follow up care, STR, LTR, SNF, interfacility transfers and the like. Very administrative in nature, not much if any, bedside care. Requires solid communication and organizational skills.
  12. diveRN

    Labeling IV lines

    Our pumps have electronic labels for the Guardrails drugs so it makes it easier to look at when you have 8 channels infusing something... We also label at the pt.
  13. diveRN

    Procrit.....SubQ?

    Procrit is usually refrigerated. I've found that pts don't complain AS much about the ouch factor if you let it warm up to room temp before administration. I usually take out the procrit about 30 minutes before I give it. There are only a few drugs off the top of my head I can think of where this helps... EPO and Octreotide.
  14. diveRN

    New Grad RN programs in Northern Cali??

    The ones I know of are in the Central Valley, specifically from Madera (Valley Children's) north to Sutter Roseville and a few in between.
  15. diveRN

    New Grad RN programs in Northern Cali??

    Yeah, where? I know of several. Just depends on where you want to be.