JustKeepSmiling ADN, BSN, RN

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  1. JustKeepSmiling

    Loyola University New Orleans CRNA - Fall 2025

    Those applying, how recent was your ICU experience and for how long? I emailed them asking what the stipulations were and they just said it would be considered with other
  2. JustKeepSmiling

    FPMHNP vs. PMHNP?

    Yep reviving an old post because I know I cannot be the only nurse to now discover the PMHNP and FMHNP difference. now if I could make sense of why PC has been added to some FNP programs, it...
  3. JustKeepSmiling

    Herzing University FNP Program

    Hey there yayFNP2018, did you go to
  4. JustKeepSmiling

    ICU to ER nurse = HELP ME PLEASE

    I landed a job in the ER at a rural-ish hospital very close to home, best pay of my nursing career, like the facility/staff/job itself. But I'm in ICU to EM transition HELL. I googled & reached...
  5. JustKeepSmiling

    Can you recommend a medication?

    I have always utilized SBAR. From working in a community non-teaching hospital full of seasoned doctors to a huge teaching hospital full of residents. Never once got ripped by a provider or coworker....
  6. JustKeepSmiling

    Lines not being sutured?

    Do you encounter a lot of lines not being sutured? Central, dialysis, alines? I did a dressing change yesterday on a trialysis that had not one suture and no securement device. No apparent reason...
  7. JustKeepSmiling

    Lines not being sutured?

    Going to look into that! We have statlocks for PICCs, but they aren't compatible with other lines. It wasn't a permacath. It was an IJ trialysis. Now if we could find something to keep the...
  8. JustKeepSmiling

    Lines not being sutured?

    They will come suture it in when we ask. I just don't like that sometimes they think the sutures are optional and want to promote a policy for
  9. JustKeepSmiling

    Lucky he was constipated, or he'd be dead

    I don't recall the specifics of the story but remember a patient who came in with stroke like symptoms. Was actively having a massive stroke but also had urosepsis and didn't know it. She died of...
  10. JustKeepSmiling

    Grumpy at change of shift (11-7)

    I get like that. More with new grads than experienced nurses. When I tell you about the rapid response patient I got then intubated, dropped every tube and line known to earth and started gtts then...
  11. JustKeepSmiling

    Lines not being sutured?

    I get it if it was dropped in emergently but still there are ways to secure it without taking time to tie a neat bow. I don't think we have a policy on this, going to bring it up to the powers that...
  12. JustKeepSmiling

    Which stethoscope color to choose?

    Get whatever color you like! I love purple, so I went with
  13. JustKeepSmiling

    Help w Littman stethoscope colors!!

    Purple Master Cardiology. Comfortable on neck. Incredible
  14. JustKeepSmiling

    UA Butter Soft

    I'm short and so need petite pants and scrub tops that don't look like a mini dress. I've worn Grey's Anatomy for a few years. I'm tired of the style and want more pockets on my pants. Grey's also is...
  15. JustKeepSmiling

    UA Butter Soft

    Thanks! Think I'll try a
  16. JustKeepSmiling

    Butter Soft - regular vs. stretch

    When I tried the on the stretch was more fitted. I liked the stretch
  17. JustKeepSmiling

    Scrubs

    They don't shrink at all. Or at least never have for me. The Butter Soft brand has a lot of cotton, so I'm expecting that to shrink a bit. Depends on your laundry habits too. I use cold water wash and...
  18. JustKeepSmiling

    Scrubs

    We're the same size and their XS petite pants are actually too tight for me. The 4252 XSP size fits well, I just bought them the other day. I have a hard time with tops because of cup size. XS snug...
  19. JustKeepSmiling

    UA Butter Soft

    Any problems with threads coming
  20. JustKeepSmiling

    Scrubs

    I've had a hard time parting with Grey's Anatomy because of their fabric. Hardly wrinkles, breathes well and has held up to 1000's of washes. I can't stand brands with thick
  21. JustKeepSmiling

    Missed order?

    Do you use electronic charting to acknowledge orders and document meds? If so, did you document that you gave it and forgot to give it - or - did you just acknowledge the order and forget to give it...
  22. JustKeepSmiling

    Clinical tidbits I wish someone would've told me.

    Not necessarily a "hack" but something I thought to do.. Put a stopcock on the IV to draw blood so not to have to undo the leur lock and reconnect. For example if you're getting continuous CVP...
  23. JustKeepSmiling

    Clinical tidbits I wish someone would've told me.

    Definitely going to check that out next time in that
  24. JustKeepSmiling

    Meds in unlabeled bags... Is it safe?

    How about this... Ignore his bags. Put in return bin. Pull your own meds just like you're going about your business. This is in accordance with "what you allow, you
  25. JustKeepSmiling

    Meds in unlabeled bags... Is it safe?

    This in theory sounds helpful. This in practice sounds like it has too much potential to cause a med error. I'm too neurotic for this, I want to pull my own meds. No narcotic should ever be hanging...