solneeshka BSN, RN

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 doing.

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? I'm managing an ASC that is a department of a large ...

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, just would like insight as to the process of how you...

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 facility, who I'm told uses a different pricing mode...

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. Just looking for the process that they (or, more lik...

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 it.

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 Suzy will have to go into debt because she doesn't ha...

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 on neo with a MAP goal of 80-90 and still had the...

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 was because the surgical team wanted to maintain a c...

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 issue that might have caused it, but I don't know for ...

At the time of the incident, there were no IVF infusing because he was eating and drinking very well. They had been DCed.

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! Keep in mind that it might close doors at your cur...

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. Everything (usually) moves fast; you call for help, it sta...

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 all across America who don't have full time stay-at...

The BMP glucose was "

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 they thought he just needed to wake up more and expe...

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 information while I still remembered it). This situation ...

I so need to do this...

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 angst has been for nothing. We in PACU chart in th...

Agreed! Thank you for the replies!

We nurses spend too much time nursing the charts and not enough time nursing our patients. Sigh...

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 just seemed to get better. I can't say exactly why, ...

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 OR, but they should have provided (and I should have...

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 experience.

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 provide first aid or offer my two cents worth about what...