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I am board certified in Orthopaedics Have been since 1998 Ordered tapes and books from the ortho site and also CD with test questions on it..The book test was waaaaaaaaaaay old but the CD's were current.. The tapes were nice because as you say I could listen when walking and on the way to work. I think there are two certifications. Regular if you have ADN or diploma and Board Certified if you have BSN Many certifications wanted to be only available to BSN so that is why they divided them.. I don't really see the difference in education affecting certification but I had no say it the matter LOL bobbi Good luck to you and remember to just take a deep breath you know more than you think you do...............

of nursing in your area..Many of them offer refresher courses and the State Board of Nursing in the state where you settle may have a list of possible courses...Good Luck and welcome.... bobbi

I work in an outpatient setting and we give most of the antibiotics the last 45 -20 minutes of the treatment.. If possible to give after treatment i.e. in hospital environment that is ideal. But an outpatient will not stay to receive them as they have already been there > 4 hours... And yes most to them do dialyze out and that is why they are given as late as possible in the treatment.. We give them for the same amount of time that you give them in house..Cipro in the hospital 20 min Cipro in an outpatient setting 20 minutes.. May the sun shine brightly on you, in peace, and may the wind be always at your back or something like that..

I sort of "fell" into dialysis too.. I had just taken a new position at a medical center and the unit I was working on was being remodeled and so was I..I was in the process of a divorce... When the unit was remodeled the staff was "farmed out" to other med/surg units. I ended up on the renal floor.. And fell in love.. I guess God knew I needed some extra love right about then.. See, I am a fatalist also, except I am an optimistic fatalist... I believe that God has a plan for us if we will mind our own business and let that plan unfold.... And the rest is history as they say... Glad to see that you love dialysis as much as I do.. I may not be making the big bucks and have a fancy car and lots of toys. BUT . The best things in life are not things.....One thing I can say is that I don't dread going to work every day... bobbi May the sun shine brightly on you, in peace, and may the wind be always at your back or something like that..... Remember that God created men with a member and a brian, unfotunately he didn't give them enough blood to run both at the same time.. Robin Williams on Clinton/Lewinsky

If you are intereseted in a dialysis position you should go and apply for one.. As an ICU nurse you would practically be given the position.. And it is a demanding position, You will have to use all the critical skills you have and some you didn't know you possessed... Dialysis is like long term care because you see the same people over and over.. But it is different because these people do get "better" NO they are not cured although rarely one of them will regain function.. You get to interact with them on a more personal level.. How are the grandkids doing, you going to FLA this winter we'll see ya in the summer, your wife is the best cook in 40 counties, thanks for the flowers your garden must be beautiful... And we do have a code cart, a phone to dial 911, and we are ACLS certified....So check it out hope you find it as rewarding as I have.....

The tums starts to dissolve with the heat of the body and a gel like substance mixes with the oozing blood and it clots it off.. Suppose we should be checking their Ca++ levels more often too. LOL May the sun shine brightly, in peace, on you and may the wind be always at your back...

Hi everyone. Got a cool idea from transient dialysis patient the other night.. He uses Tums on his sites after the needles are pulled to stop the bleeding quickly.. Stopped in 5 minutes.. We have used it on several patients who would not stop bleeding after 35-40 minutes and they stopped in 5 minutes.. Don't really know how it works it just does.. If it ain't broke don't fix it... bobbi May the sun shine brightly on you and may the wind be always at your back....

When did IV therapy fail to be a part of total patient care..??... Let's not let anyone take more away from us... We have many excellent nurses who can start an IV because they do it all the time.... We have lost enough direct patient care as it is... May the sun shine brightly on you and may the wind be always at your back...

Funny you should ask. I am a Med/Surg nurse with 13 years at the same hospital. Last four as an RN and previously as LPN. I have been looking for a med/surg job since end of January. No luck. I don't know where the nursing shortage is. I call people to interview and they never return my call. I.E. any time tomorrow I'll be there. No luck. If I have an interview they don't get back to me. Also, offer for less than I am making now, and they know what I am making... Respect for the nurse interviewing goes a long way. You are her first impression and if you don't make a good one she won't be interested in any job you might have for her. I might have to take a job in PACU because it is the best offer I have had. Money wise and shift wise. Too bad I have to leave med/surg. I really love it.... Just my two cents worth..... Also,I went to interview for CCU and had filled in app and sent resume and the nurse manager asked me if I had any critical care experience. Now don't you think that if I had experience I would have stated that. A waste of my time because they had no training program and didn't have a position for me. At my old hosptial I was asked by the director of the Quality Management team to apply for a Nursing Home Placement Specialist position and interviewed and they gave it to someone with less experience than me.Disconcerting. Thinking of going to the travel companies....

Just curious. What do you do when you have to wait for the IV nurse to start. Does the patient have to wait for antibiotics, blood etc. I haven't worked where there is a IV team since 1980 UNC at Chapel Hill had one but we were in another building and rarely used them. Also, how does a floor/staff nurse ever learn to start IV's if she doesn't get the chance. I have my days when I couldn't start one for beans and other days when I can do it blindfolded. The best starts are the one's where the patient says," No one can ever start and IV on me." Probably a 98% start rate on those people for me.... Also, how does not trusting your nurse to start an IV help instill confidence in the patient. Who determines that the IV should be removed. Does the patient have to wait for the IV nurse while the fluid continues to infiltrate into his/her arm... Seems this would be a problem. Who's responsible for the day to day of all those IV's..... Interesting,,,,,>>???

I just turned 50 this. Yes, I'm above average . I would like to leave bedside nursing because of the multiple stress factors involved there. Any ideas or new adventures out there. All replies will be given serious consideration....TTFN

A couple of flaws in your thinking. First you could still lose your license, get fired and lose your home, car etc with or without insurance. Next ask an OB or surgeon what he pays for malpractice insurance. The probability of a lawsuit is proportional to the amount of money you have to pay for it. Also the area where you work. Just as insurance costs more for that Mercedes. If you insure an Escort you pay less. The insurance companies have it all figured out.... Yes, I could sue anyone I want to today but would I get anything probably not and would any compentent attorney take the case. Probably not.... The lawsuit involving the hot coffe from the golden arches netted that elderly lady $10,000.....The rest was eaten up in attorney's fees. Of course, they are going to encourage you to carry insurance it's a source of revenue for them..... Also, if you lost your home, etc you have probably gone into a criminal area and will probably spend time behind bars so you won't have to worry about a roof over your head.. .. TTFN

A couple of flaws in your thinking. First you could still lose your license, get fired and lose your home, car etc with or without insurance. Next ask an OB or surgeon what he pays for malpractice insurance. The probability of a lawsuit is proportional to the amount of money you have to pay for it. Also the area where you work. Just as insurance costs more for that Mercedes. If you insure an Escort you pay less. The insurance companies have it all figured out.... Yes, I could sue anyone I want to today but would I get anything probably not and would any compentent attorney take the case. Probably not.... The lawsuit involving the hot coffe from the golden arches netted that elderly lady $10,000.....The rest was eaten up in attorney's fees. Of course, they are going to encourage you to carry insurance it's a source of revenue for them..... Also, if you lost your home, etc you have probably gone into a criminal area and will probably spend time behind bars so you won't have to worry about a roof over your head.. .. TTFN

A couple of flaws in your thinking. First you could still lose your license, get fired and lose your home, car etc with or without insurance. Next ask an OB or surgeon what he pays for malpractice insurance. The probability of a lawsuit is proportional to the amount of money you have to pay for it. Also the area where you work. Just as insurance costs more for that Mercedes. If you insure an Escort you pay less. The insurance companies have it all figured out.... Yes, I could sue anyone I want to today but would I get anything probably not and would any compentent attorney take the case. Probably not.... The lawsuit involving the hot coffe from the golden arches netted that elderly lady $10,000.....The rest was eaten up in attorney's fees. Of course, they are going to encourage you to carry insurance it's a source of revenue for them..... Also, if you lost your home, etc you have probably gone into a criminal area and will probably spend time behind bars so you won't have to worry about a roof over your head.. .. TTFN

A couple of flaws in your thinking. First you could still lose your license, get fired and lose your home, car etc with or without insurance. Next ask an OB or surgeon what he pays for malpractice insurance. The probability of a lawsuit is proportional to the amount of money you have to pay for it. Also the area where you work. Just as insurance costs more for that Mercedes. If you insure an Escort you pay less. The insurance companies have it all figured out.... Yes, I could sue anyone I want to today but would I get anything probably not and would any compentent attorney take the case. Probably not.... The lawsuit involving the hot coffe from the golden arches netted that elderly lady $10,000.....The rest was eaten up in attorney's fees. Of course, they are going to encourage you to carry insurance it's a source of revenue for them..... Also, if you lost your home, etc you have probably gone into a criminal area and will probably spend time behind bars so you won't have to worry about a roof over your head.. .. TTFN