JustKeepSmiling ADN, BSN, RN

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All Content by JustKeepSmiling

  1. JustKeepSmiling

    Student Nurse with a poop problem

    GENIUS LEVEL!!
  2. JustKeepSmiling

    Is anything at your work that puzzles you

    ROFL!!!!
  3. JustKeepSmiling

    Swan-Ganz - CCRN exam

    I work in a cardiac ICU, we get a lot of swans. Personally I've had 4 different patients with one in the last 3 weeks. I'm still new, will do CCRN one day
  4. JustKeepSmiling

    Blue Pigtail on Nasogastric Tube

    Crazy awesome thread! Icumaggie you teach me so
  5. JustKeepSmiling

    Nurse Recruiter and HIPAA violation?

    OMG!!!!!! I would be so infuriated!!! Lawyer
  6. JustKeepSmiling

    I failed out of Nursing School... Appealed and WON!!

    I considered that. But the ASN vs BSN is such a dead
  7. JustKeepSmiling

    "The Doctors don't know how to help you."

    A receptionist at your PCP's office said the doctors do not know how to help you? You, the
  8. JustKeepSmiling

    Tell us about a GOOD day at work!

    Not sure I understand? I don't work psych - I do
  9. JustKeepSmiling

    Metformin IV contast

    I have encountered patients with severe renal impairment after a cath where contrast was given and metformin on board. (I.E. STEMI pt who took metformin that morning) As healthcare professionals we...
  10. JustKeepSmiling

    An RN who isn't good at math?

    Ok so you need stats to graduate the BSN you plan on doing later? Algebra is not required for your ASN? I took stats by itself after I finished my ASN and then started my BSN program. It was required...
  11. JustKeepSmiling

    An RN who isn't good at math?

    I don't disagree. I was setting up my answer to the OP in a way a pre-nursing student could understand. A pre-nursing student has no idea of those principles - that takes education and skill. I am...
  12. JustKeepSmiling

    An RN who isn't good at math?

    IMHO math isn't a "huge" part of nursing. Knowing how to calculate a drip is important but its not statistics or calculus. Nowadays pharmacy calculates everything for you but when in doubt, especially...
  13. JustKeepSmiling

    Do RN's insert EJ's at your hospital

    Only doctors at my facility. I wouldn't feel comfortable with that. I have used the lower extremities before - we get MD order for that. Rare, usually a last ditch effort before a line. On the note of...
  14. I want to hand this out to baby nurses!!! #16 - DRIVES me nuts! I
  15. JustKeepSmiling

    Most drips at once

    I start my dream CICU job in a week but when I was in nursing school I had a trauma ICU patient with 8 IV pumps, I'll never forget that sight. Plus 2 chest tubes and a ventric. Sooo many
  16. JustKeepSmiling

    Esme Needs Your Prayers

    Sending
  17. JustKeepSmiling

    Metformin IV contast

    Metformin is a nephrotoxic drug and so is IV contrast, both even to a healthy kidney. If metformin is not held before & after IV contrast it can cause AKI, or worse in a patient who already has...
  18. I never realized how much of a "safety net" nurses were. Its hard for a lay person (before nursing school) or even a nursing student to understand. We are the last step before a treatment or med...
  19. JustKeepSmiling

    How do you shake off the horrible?

    There's a couple patients I still think about sometimes. Especially clinic pts I got to know. I don't think I'll ever be able to shake it... they remind me why I am a nurse. What you are asking is...
  20. JustKeepSmiling

    Not getting charge nurse position

    I agree with this entirely. I was recently the young charge. And an older much more experienced nurse was very upset she didn't get it instead of me. She quite visibly shower her resentment towards me...
  21. JustKeepSmiling

    CRNA interested in FNP

    That's pretty cool. In what setting do you plan to practice? Have you considered ACNP or a dual program? I plan to do NP one day, most likely South Alabama. I know several graduates from there and...
  22. JustKeepSmiling

    CRNA interested in FNP

    I'm just curious, why interested in the change? What did you do before
  23. JustKeepSmiling

    IV bolus ordered because pt hypertensive

    IcuRNMaggie & SubSippie had nearly identical thoughts as I did. Hypertension does not always equal hypervolemia. It sounds to me perhaps the patient was septic. I'd correlate to lactic acid, WBC,...
  24. JustKeepSmiling

    what is CDL

    Are you sure it wasn't CDI which could stand for clean, dry and
  25. "You are not a jar of nutella, you cannot please everybody." I really adore that saying. If you provided good patient care, kept your pt stable or as close to stable as possible given his...