SWEnfermera

SWEnfermera

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All Content by SWEnfermera

  1. Nurse educator certification

    Hi Organic, I took the CNE Exam last year and quite frankly, I didn't find it very difficult (however I had just completed my MSN in Nursing Education). I studied using the Certified Nurse Educator (CNE) Review Manual by Wittmann-Price, Godshal...
  2. Ever get the urge to release a horde of flying monkeys?

    I love this video (11 minutes long). Just when I am at my wits end, it reminds me that there are good people out there, and restores my faith in mankind.
  3. Concept based nursing

    New Mexico is in the process of developing a concept-based stewide curriculum. Here is the link to what has been developed thus far. http://www.nmnec.org/wp-content/uploads/2011/10/Concept_List_7-1-2011.pdf
  4. Transition to Practice Model

    I just wrote a paper about orienting new grads into critical care. Look at these 2 articles. The first explains a model for critical care orientation used at Northwestern Med Center in Chicago, and the 2nd article is a follow-up showing great outcome...
  5. Advice on Chest Tube & mistakes by colleague

    Check out these two excellent sources on chest tubes The 1st is ICUFAQs- Click on the Chest Tubes link http://www.icufaqs.org/ This second link is from Atrium- Check out the PPT http://www.atriummed.com/EN/chest_drainage/education.asp
  6. Advice needed!!! New graduate....1st interview!!!

    I found this AWESOME site and have been sharing it with the new grads I know. It has some real good advice. Once you're on the site, scroll down to "Nurse Interview" on the tabs on the Left. GOOD LUCK!! http://www.best-job-interview.com/
  7. PICC line cap change question!

    There are several PICC catheters on the market that have one-way valves built into the catheters. The catheters I have seen used most often are from Boston Scientific. They are called PASV (Pressure Activated Safety Valve) catheters. The manufactur...
  8. Cuban Nurses In NM??

    Welcome to New Mexico Bigbro!! You will soon find out this place is truly the "Land of Enchantment". Autumn is my favorite time of year in New Mexico, the cool crisp mornings and the warm afternooons are just delightful. Did you have a chance to ...
  9. To much focus on care plans for students

    Read the thread "Rant: Care Plans" Take a look at entry #7 from scribblerpnp who is a Nurse Educator. She does a fantastic job of explaining he importance of Care Plan Writing for the student nurse. Hang in there!! https://allnurses.com/forums/f50/...
  10. Cuban Nurses In NM??

    Come to think of it, I've never met a Cuban in New Mexico. But there is a town called "Cuba" in northwest part of the state.
  11. After cardiac cath

    Here are patient instructions given by 2 different institutions. From what I gather, it seems that the ice packs are used to minimize or relieve discomfort. http://www.advocatehealth.com/system/info/library/articles/heartcare/invasive/cathicad.html ...
  12. After cardiac cath

    i've never heard of ice packs being used either, but i found this article. maybe you all are ahead of the game! a randomized controlled trial assessing the use of compression versus vasoconstriction in the treatment of femoral hematoma occurring aft...
  13. New to ICU, Orientation and Assertiveness

    You have gotten some great advice here from other posters. Another thing I have my orientees do is spend a day with the unit secretary. Transcribing numerous orders will help you to learn which department handles what, how do you locate the call l...
  14. Opening a new heart program

    I worked in a semi-rural hospital that started a CV Surgery program while I was there. It took over a year of planning. Several meetings took place with representatives from lab, radiology, blood bank, OR, EKG, anesthesia, nursing, pharmacy, PT, ca...
  15. EKG and Axis

    I found Dale Dubin's book to be the most helpful. Axis begins on page 203. http://books.google.com/books?id=EWVo9DT2-A4C&pg=PA302&lpg=PA302&dq=dubin+axis+deviation&source=web&ots=eS7Pj5EmkZ&sig=rBBqzunxMSpLbx3AaijgIt3heB0&...
  16. Nurse Buy-In

    I totally understand what you're saying. When I worked as a Staff Educator I had the same problem. I can also understand where the staff is coming from. Many have to commute an hour or more to work, and if they have to come in for an hour workshop...
  17. TPA didn't infuse

    Thank you so much for sharing your story. It gives us all an opportunity to learn something valuable here. I worked at one hospital once as an agency nurse that also had very old pumps (unfortunately I can't remember the maker, but they were small,...
  18. Pronation and pressure sores.

    "research has shown that simply putting a patient into a steep bed rotation on a bed equipped to do rotation is very similar to prone ventilation." Do you remember the source in which you found this? If steep rotation works just as well, I'd like ...
  19. Mouth care on ventilator patients

    Thank you Nightshift for the feedback on your trial. What we found to be helpful to get staff to comply with the oral care regimen was 1) a lot of education and 2) assign a nurse champion to audit on each shift. Peer pressure works better than thre...
  20. Bed Baths

    "We got rid of the "redi-bath" packages as well...in part because people were flushing the wipes down the toilet and clogging them up. I personally prefer the washcloth and basin method myself, because I like to mix up the soap with baby lotion, mout...
  21. Mouth care on ventilator patients

    My only experience has been with the Sage Products. Kimberly-Clark also makes an oral care product. When we were developing our VAP prevention protocol I wanted to trial their product, but I couldn't get past our purchasing agent since we already c...
  22. Why isn't there's a Men's Health NP specialty

    Recently the "Today" show featured Dr. Marianne Legato- author of "Why Men Die First". The book focuses on Health issues that relate specifically to men. It was a rather interesting spotlight. Check it out. http://www.msnbc.msn.com/id/21134540/vp...
  23. Clinitron Bed

    Went on Hillrom's website. Couldn't find too many specifics. Here is the site: http://www.hill-rom.com/usa/Clintron_RiteHite.htm There is a Customer Service Number: (800) 445-3730. No mention as to whether they answer 24 hours. Sorry I couldn't ...
  24. How To Determine ET Tube Placement

    Remember, A CXR is only a 2-D image. It only tells you where the ET tube is in relationship to the level of the carina, it does not tell you if you are in the trachea or esophagus. You shouldn't rely on only one assessment tool. You should check a...
  25. Would you use a sub-clavian heading towards the head?

    If I had a PICC line or any other central line that flipped up into the pt's IJ I would definitely not use it to infuse pressors, however I would not pull the PICC as this can be easily fixed. The PICC nurse can easily pull the PICC back aseptically ...