TiffyRN BSN, PhD

Nurse Scientist-Research

Determination > Anything else

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All Content by TiffyRN

  1. 1. Middle of nowhere? I'll give you that 2. Hurricanes? Not a problem to most of Texas, You're as likely to get hurricane affected weather in DFW, San Antonio & Austin areas as you would to get...
  2. TiffyRN

    Met with supervisor today....

    I was a charge nurse once, and for a while I believe I was a good charge nurse. Complaints came in and I was spoken to. I cried for 3 days, felt betrayed by my co-workers (the complaints were not...
  3. TiffyRN

    No,new grads dont make big bucks !

    So sorry I can't help you with the current starting new grad rate. What I can tell you is that Texas in general is hiring new grads, which is way more than other States can say. I don't know about...
  4. TiffyRN

    Was I wrong? Needle question

    I thought I've seen multiple dentists using the same needle for multiple injections in my mouth. I'm just saying maybe dental standards are different. I can conceive that a dentist would be...
  5. TiffyRN

    Is it True About Florida?

    There's a difference between individual hospitals requiring BSN and the entire State. The hospital where I work is a magnet facility and they "encourage" BSN, but I would estimate 50% of the RN's are...
  6. TiffyRN

    Is it True About Florida?

    I don't know anything about Florida in particular, but as I recall there has only been one State that has ever required BSN+ for RN licensure. It was either North or South Dakota. And then they...
  7. TiffyRN

    Securing ETT's in the NICU

    Vast majority of the tubes are secured using "pants" white cloth tape, plus a logan's bow with the ETT also secured to the logan's bow. A tiny percentage are secured using neobars. I personally love...
  8. TiffyRN

    I just need some moral support...

    There are some areas of the country that still hire new grads, even into specialties. I would be willing to bet that the hospitals tell you the BSN is preferred, but it's just a line they use because...
  9. TiffyRN

    associates in nursing is pointless

    The thing is that hospitals are being "picky" right now because they can be. This job situation is the most blatent evidence of what many here have been saying for years. There is no nursing...
  10. TiffyRN

    Tape use in Neonates

    The unit where I work generally uses transpore tape for most IV's. Sometimes tegaderms are used in conjunction with transpore. For some reason usually people use paper tape with benzoin for scalp...
  11. I've heard of placing a cotton ball in a bag that is attached to a neonatal/pedi patient then squeezing the cotton ball to obtain the specimen. That is only acceptable if one needs the specimen for...
  12. TiffyRN

    Polycystic syndrome

    I did some research on pre-diabetes as I was warned if my next follow up blood glucose was elevated I would be classified as such. My understanding was the following conditions; pre-diabetes, insulin...
  13. TiffyRN

    What is a "one-sided heart"?

    I really should know my congenital heart defects better, but we ship all heart defects out if they need surgery right away. I bet what they meant by "one-sided heart" is a surgical procedure that...
  14. TiffyRN

    pH Acid Base question

    Couldn't agree more. Until you get the results from your NCLEX, then maybe you can send a nice article about blood gases to your nursing instructor. I had an extremely low opinion of my nursing...
  15. TiffyRN

    pH Acid Base question

    Clinical correlation is always helpful, but not usually available in test questions like this. But of the body's compensatory mechanisms, I can't recall ever seeing a patient hyPOventilate to raise...
  16. TiffyRN

    pH Acid Base question

    This is a very typical blood gas, you will see this very often in chronic lung patients. COPD's, infants with BPD. Compensated respiratory acidosis. Compensated acidosis evidenced by pH low side of...
  17. TiffyRN

    Do You Wear Your Colors To Work?

    I've only seen a couple of people wearing team colors, Longhorns burnt orange a couple of times, Cowboys colors off and on, especially game
  18. TiffyRN

    Pregnant NICU nurse

    I understood from your posting you weren't looking to be induced at 36 weeks, but that you were just not wanting to go all the way to 42 weeks. If your unit does the "cooling" then I'm sure you see...
  19. TiffyRN

    Describe your worst...

    Heaviest was a team assignment. Myself, a good friend LPN and a CNA to care for 19 patients on a general med-surg floor. One was on dopamine drip for renal perfusion. We did okay because myself and...
  20. TiffyRN

    The "woes" of 12 hr. Shifts

    I made this argument in support of 12 hr shifts once in a discussion of whether to take a job with a longer commute but with 12hr shifts. There is no guarantee with 8 hr shifts that you work only...
  21. I work NICU, we do a lot of tiny precise calculations. Almost everything that we double check each other on is done some with paper and pencil, some with calculators. We write out our equations and...
  22. TiffyRN

    Dressings for CABG/Valve patients

    It's been 7 years since I worked with CABG patients, and like most they didn't have sternal dressings in place once they came out of ICU. In my 9 years of caring for post-op CABG's I only remember...
  23. TiffyRN

    Do you actually wear gloves/gowns/masks ?

    I & my co-workers do wear gloves, gowns & masks when appropriate. Sometimes the same kind of infectious agent will have different precautions d/t the the location of the infection (and that...
  24. TiffyRN

    Insurance - The Latest Outrage

    I think it's really good to hear comparisons of health plans. I remember just about 6yrs ago hearing about grocery store employees striking in California. One of their big complaints; They were...
  25. I've said it many many times, I'm going to say it again: We don't need to concern ourselves with other people's worthiness to be a nurse. Nursing school will wean out the majority of those not fit...