Rocknurse MSN, APRN, NP

Critical Care and ED

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All Content by Rocknurse

  1. Rocknurse

    Drinking water for low BP or blood loss

    Think about it this way...where do you think the water you drink goes? You don't just drink it and it comes straight out. When you drink water it is absorbed systemically and your renin-angiotensin...
  2. Rocknurse

    Racial Discrimination in the Nursing Profession

    On the subject of racism, I haven't seen it personally as my hospital is pretty multi-cultural and we're a tight knit group that respect each other. However, I know that just because I haven't seen it...
  3. Rocknurse

    Racial Discrimination in the Nursing Profession

    This is happening to me right now. A few years ago I could apply for a job and have a call the next day. Now I have even more experience, degrees and certifications up the wazoo and I can't even get...
  4. Rocknurse

    Omnicell vs Pyxis

    I currently use Omnicell and used Pyxis in the past. I find the user interface of the Omnicell very nice to use but honestly it can be a little frustrating sometimes when you want to waste or return...
  5. Rocknurse

    Do you ever get concerned about certain users on here?

    The only people I genuinely worry about on here are those obviously bigoted, hateful uber-right wing types that have no business being in healthcare. Like that psychiatric guy who hated gays,...
  6. Rocknurse

    Can you switch from a FNP to an ANP or NNP

    It depends where you are in the program. At my school they may allow you to switch but only if you're still in the didactic portion of the program. If you're already in clinicals they won't let you...
  7. Rocknurse

    Where Were You...9/11

    This just reminded me that for 9-11 I was in London, and for 7/7 I was in the US. I seem to be paradoxical. I panicked with 7/7 because I was so worried for my friends and family. I'm from London and...
  8. Rocknurse

    Where Were You...9/11

    I was working in an office in London (taking a short break from nursing) and I remember one of the consultants came running in telling us a plane had hit the World Trade Center. It was the afternoon...
  9. Rocknurse

    Provide clinical sites and preceptors

    The University of Connecticut does. I've never had to worry about clinical sites or preceptors as they have quality sites with vetted preceptors and they place you where you request. They hold...
  10. Rocknurse

    mixing pain medications with a flush

    The bioavailability of centrally-infused morphine is
  11. Rocknurse

    Question for Hiring Managers/Directors

    I agree with this sentiment. I interviewed for a position about 6 weeks ago. I was an excellent fit and shadowed the unit for a good couple hours. I felt the interview went very well and was expecting...
  12. Rocknurse

    mixing pain medications with a flush

    This isn't actually incorrect. A PICC goes centrally so if you instill a crap ton of narcotics centrally and the patient is unstable, you're going to start a whole bunch of hemodynamic instability....
  13. Certification can only be a good thing. Anyone that tries to talk you out of it would be exhibiting jealousy in my opinion. I have 3 certifications and not only does it look really good on my resume,...
  14. Rocknurse

    mixing pain medications with a flush

    I will dilute some meds like benzos that may be thick and viscous in order to facilitate their delivery, and I may dilute dilaudid if the amount I'm giving is small to make it easier to inject slowly....
  15. Rocknurse

    Worried about the future of ICU nursing

    My program has a very strict admission policy. You have to have a GPA >3.5 and have 2 years experience in critical care to be granted admission. Also, there were >100 applicants for 14 places....
  16. Rocknurse

    Worried about the future of ICU nursing

    You can place some of the blame on the administration who are not willing to hire older, more experienced nurses because they cost more and are harder to "mold". They love young, naive new grads...
  17. Rocknurse

    Do FNP's really make 80k to 90k a year?

    What kind of specialty do you work in, if you don't mind
  18. Rocknurse

    RN tipping Botox

  19. Rocknurse

    Old nurse won't retire

    Wait, wait, wait. So really ask yourself, is this woman truly not "pulling her weight" or is it just transference from the younger crowd who just believe she should retire because of her age? If she's...
  20. Rocknurse

    Are nurses and doctors equal?

    No doctors can't do everything a nurse does. You just have to spend a day in the ICU to know that. They haven't a clue how to work pumps, operate CVVH, the IABP or the therapeutic hypothermia. Just...
  21. Rocknurse

    Feeling discouraged about nursing school

    YouTube is an excellent idea. There are some truly fantastic tutorial videos on there. I use it
  22. Rocknurse

    First day of Nursing School

    This is awesome. Thank you for that. I'm an NP student starting my second clinical in the ICU on Saturday, and even after 30 years of nursing I can still apply this. Excellent
  23. Rocknurse

    'What's your plan of care?'

    Work through each system....neuro, respiratory, cardiac etc. If they have a problem within that system then address is. Here's an example: Neuro - patient is elderly and has a UTI (can cause...
  24. Rocknurse

    Documenting Ultrasound Guided PIV's

    I work for Epic. Just contact your informatics dept and speak with the Epic Inpatient team (if that's the EMR you use) and tell them what you need. They will determine the best way of documenting...
  25. You assume an awful lot, most of it incorrect. My school is of very high quality....one of the top 100 in the nation. All the faculty are practicing clinicians, and our clinical placements are in the...