blondy2061h

blondy2061h MSN, RN

Oncology

Member

All Content by blondy2061h

  1. EpiPen Alternative

    Why are you recommending 0.5mg, when 0.3 would be a standard
  2. Not taking a break

    I don't always get a 30 minute uninterrupted lunch break, but I always eat and stay hydrated and use the facilities when
  3. interview ideas

    Im talking continuing ed, like CEU's, conferences, and certifications, not going back to school. Units are sick of hiring nurses, getting having them just start becoming truly competent at the bedside...
  4. Also, diabetics use insulin multiple times a day, so they're well practiced at it. People may need epi once in several
  5. Diabetes

    Another hint- look up the purpose of glycogen and glucagon. Consider how long the body can go without food even though we need adequate blood sugar levels to stay
  6. interview ideas

    You can ask about patient ratios, but know it's unlikely to be true in the ugly sense of the word. Ask about continued educational opportunities and mentorship availability after orientation is...
  7. I hate to call some of epipen sales hype, but I definitely think that the great marketing has lead to more prescriptions than would otherwise exist for it. I have talked to some people who have...
  8. Adrenaclick is available in the US for around $100, too. Your doctor just needs to prescribe that one instead of "epipen." I think suggesting people try and draw up 0.3 mg of epinephrine in a syringe...
  9. Subtle deterioration on the floor

    We had signs posted in all patient rooms with the rapid response numbers for years for family members to call. The signs have since disappeared, but I don't remember a family member ever calling a...
  10. I have 60 grand of student loan when I finished BSN

    If only it were that simple. In some states if you make $60k and have no deductions you're making essentially $40k out of pocket after taxes, while the person making $40k is a lower tax bracket and is...
  11. Skills performed on tele and/or med/surg floor??

    Agency orientees are expected to be able to preform independently, or at least mostly independently, on a unit after two shifts of orientation usually. My hospital has identified that they do much...
  12. Our pressor orders usually have what they want the response to be (i.e., MAP 65), and the max rate, and that's it. They don't say how often to adjust or by how
  13. This is now the second thread you've made along the theme of not wanting to be a nurse, working too hard as a CNA, and becoming a dietary aid because they make the same as CNAs. That's great. Live...
  14. Unfortunately, lots of hard, back breaking jobs pay low. That's because they require a low level of education and therefore there is a wide applicant base for them. High supply, low demand. As far as...
  15. Subtle deterioration on the floor

    I remember when I was working on a step down unit and had a patient in rapid afib. I had pushed adenosine twice and lopressor twice trying to break it. No go. Then they ordered a cardizem bolus and...
  16. Subtle deterioration on the floor

    So the rapid response triggers are the same for everyone? I hope you have a dedicated rapid response team with a policy like
  17. Subtle deterioration on the floor

    Did you read the post I quoted? The person said the facility she worked at wrote people up if they didn't call a rapid response if vitals were above or below parameters. She didn't mention any...
  18. Subtle deterioration on the floor

    How were athletes with resting HR's of 40 and COPDers who haven't had an O2 sat above 87% since the Bush Junior administration handled? My asthma admissions when I'm on steroids and theophylline and...
  19. Subtle deterioration on the floor

    Adding another check list is anther thing that takes eyes off of patients. Eyes on patients is what you need. One thing you can do is make sure nurses are well inserviced on sepsis warning signs and...
  20. Hmm... Behavioral Health or Triage Nursing?

    I don't think a 35 min drive is that bad. Get some good music or audio books and enjoy the
  21. PTO Problems

    You're
  22. When housekeeping...

    We actually got sited by the health department for having tape in patient care areas on the walls before. Apparently that's a violation in my state. We had to switch all of our signs over to magnetic...
  23. Should nurses get paid according to specialty?

    We have a $2.50/HR critical care differential for our ICU nurses and a $2/hr differential for our step down unit nurses. I think it's ridiculous. Our ICU nurses are highly trained and experts at what...
  24. Has pain scale contributed to opiate problem?

    0-10 isn't just bad for the pain scale. We now have to ask our patients to rate fatigue on the same scale. As someone with lung disease, I've been asked to rate my shortness of breath on that scale as...
  25. looking for work

    You get frustrated with using the VA's website? Are your computer skills weak? Perhaps you can see if there are any charities, schools, or community organizations in your area that offer free...