solneeshka

solneeshka BSN, RN

PACU, Surgery, Acute Medicine

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All Content by solneeshka

  1. Does your facility keep cricothyrotomy kits on crash carts? I'm getting info that it's not standard, which seems odd to me. Just trying to survey the landscape and see what others are
  2. Block Time Utilization?

    Any ASC managers out there, or any other folks who would happen to know, care to share how you arranged block times for your surgeons, and more than that, how you calculated room utilization rates?...
  3. Anyone out there from Cleveland Clinic who would be willing to field some questions about how you arrived at EVAR/TEVAR endograft pricing? I know you can't share the prices and wouldn't ask you to,...
  4. Cleveland Clinic EVAR graft question

    I'm a nurse. I'm involved in negotiating prices for our implants. I know what they cost; we use them and I can see very easily what we pay for them. My question was is in regard to a specific other...
  5. Cleveland Clinic EVAR graft question

    Sorry, I wasn't clear. I'm not looking reimbursement information or or total cost of stay info or anything like that. I know that no one can give out the prices that they pay for the actual grafts....
  6. Why do nurses constantly say they don't hire ASN?

    Are you sure they *have* to pay for that ACLS? I have to have a license to be a nurse but my facility doesn't pay for
  7. Why do nurses constantly say they don't hire ASN?

    As someone who has spent time in management (and thus making hiring decisions), I can say this sounds a little paranoid...what manager has the luxury to say I'm going to hire Suzy over Sam because...
  8. Hypoglycemia Mystery Theater

    All nurses! Put on your sleuthing caps because I cannot figure this one out and it's driving me crazy. Had a pt last night who had a carotid stent placed yesterday afternoon. He had come out of the OR...
  9. Hypoglycemia Mystery Theater

    It wasn't a cardiac stent that he got, it was a carotid stent. He wasn't a Cath lab pt, although the stent was placed via groin access. He didn't need the neo to keep his BP safe or at baseline, it...
  10. Hypoglycemia Mystery Theater

    I haven't checked in to allnurses for a while, sorry! But the only resolution I got was that he did go home the next day, as scheduled. I assume that means there wasn't a concern for some unusual...
  11. Hypoglycemia Mystery Theater

    At the time of the incident, there were no IVF infusing because he was eating and drinking very well. They had been
  12. Looking for some career insight

    Apply! This kind of thing is not that unusual, and you have a great reason to give to your "new" employer - you realize how much you loved working for them in the first place and you want to go back!...
  13. It's posts like this one that make me glad I work at a gigantic teaching facility. The place is crawling with residents, and on the medicine floors, crawling with hospitalists, even at night....
  14. 12 hour shifts and young kids

    A lot depends on whether or not you have another adult living in the household. Are you married? If so, does your husband pick up the slack? If so, then your kids will be like a bazillion other kids...
  15. Hypoglycemia Mystery Theater

    The BMP glucose was
  16. I'm tired of screwing up at work

    Worked 7a to 7:30 p in our busy PACU today. Reported off on a vascular pt who had arrived hours earlier on a phenylepherine drip from the OR in company of both the service and anesthesia. Both said...
  17. I'm tired of screwing up at work

    In our facility, incident reports for lab specimens are automatically done by the lab. When it happened, I also e-mailed my manager to let her know what had happened (so I could provide the...
  18. I'm tired of screwing up at work

    I so need to do
  19. I'm tired of screwing up at work

    You know, I have not thought previously about possibly not needing an order for a drip started in the OR. If that's the standard in our facility (and I will need to find out!), then I guess all of my...
  20. I'm tired of screwing up at work

    Agreed! Thank you for the
  21. How do you do it? Advice/Tips

    We nurses spend too much time nursing the charts and not enough time nursing our patients.
  22. Interest in Nursing is wavering

    I seem to recall things settling in for me at about four months. For most of that time, I felt like I was always running around crazy and I almost never left on time. By four months, though, things...
  23. I'm tired of screwing up at work

    The neo was actually started in the OR, but you have the idea, it was obviously something the service wanted, and they didn't need a written order at the time it was initiated because it was in the...
  24. I am still considered as a "New Graduate"?

    If you have only passed the NCLEX but have not actually worked as a nurse yet, then yes, you should apply to new grad job postings. Those postings are intended for nurses who don't yet have...
  25. Identity as a nurse.

    I started to feel it in nursing school. No one thrust it on me, it just happened. I guess a few people started asking health-care questions. At any rate, I felt like I always had to be ready to...