RNKPCE

RNKPCE

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All Content by RNKPCE

  1. New RN looking for a job!! I am desperate!!

    There are many job openings in the SF Bay area. FYI though the cost of living is very
  2. ACLS vs. BLS

    Up until 2007, I think, you did receive your BLS card when you did ACLS. Now in the US they make you do it
  3. ACLS vs. BLS

    No they are separate certifications. They expect you to be proficient in BLS when you attend
  4. appy scar on left side??

    Why would someone have their lap appy scars on the left side of their abd, none on the right, and one in center? My friend just had her appy out in June and I was surprised to see the scars in that...
  5. appy scar on left side??

    It was laproscopic. My husbands was a laproscopic and on the right side. It just seems weird to go in on the opposite side then have to go across to the other side of the abdomen with whatever...
  6. First needlestick :( :(

    I am sorry to hear of your needle stick. I always looks at what can be done to prevent this from happening again. I have found that if I try an IV with either an angiocath or catholon and can't get...
  7. CHF and low BP

    We had a pt who two nights in a row had asymptomatic low blood pressure, bp in the 80's, found on regular vitals, the doctor was called and treated this patient with a 250cc saline bolus. The patient...
  8. CHF and low BP

    Wow thanks for all the insight! I don't know what his BP did as they started the bolus around 9:30p and I got to go home early, yahoo! I didn't have a chance to look at EF. I just want to understand...
  9. CHF and low BP

    I think the cardiology consults was requested but the pt wasn't seen yet. The nurse also had the patient in trendelenburg and I got her to take the patient out of that and they had her flat. I kept...
  10. I think it is all personal preference and that preference can even change when the individuals personal circumstances change. If I had to work full time or close to it I'd rather do 12hrs. I work part...
  11. Low census?

    From Tuesday July 1st til about mid Sunday the Jul 6th were were low census. Total of 22 patients on 52 bed unit. I just worked This past Wednesday and we were sooooo tight for beds. Our CCU which can...
  12. IV piggyback question

    The pumps we have you have one chamber that the cartridge sets in the piggyback gets hung at the port above the chamber, the chamber or pump does not know what is coming down the tubing, the higher...
  13. Career alternatives to traditional nursing?

    I work both bedside inpatient and surgery center. Surgery center is a wonderful atmosphere without even considering the M-F work days. Sometimes the hours do go into the early evening but not often....
  14. Several yrs ago I attended a class where an IV expert talked about a hospital that did an IV admission screening on every inpatient. It would start in the ER or the first unit they were admitted to....
  15. IV Assessment on Admission

    My original post was quite a few years ago. I am still wondering if someone uses a screening tool on admission to assess for IV need while
  16. Who does your pre-op phone calls or health screening? This could apply to people at the surgery center or an acute care hospital? Is the person a licensed RN or a clerk? They are wanting to do a pilot...
  17. I work 2 jobs. One is union and all mandatory trainig whether in-house or taught by another company pays for any training that is mandatory. The other is non union and they have been wishy washy about...
  18. Per Diem who pays for Mandatory training

    There is a difference in what CEU's one needs to maintain their license in their state and what education or skills you need to work on a unit. For instance if PALS is required for all employees on a...
  19. Where I work if you use the 2x2 under the opsite( or other transparent dressing) then it is not considered as occlusive and has to be changed more frequently. I am not sure off the top of my head but...
  20. holidays=need to turn off my phone

    Just like kids/teens regarding drug use and peer pressure, like a previous poster said "just say NO". I use caller ID or am actually not home most of the time they call. On the rare occasion I am not...
  21. What are advantages of per diem?

    I think every hospital does things a little differently. Some hospitals the per diems are always in the float pool at others you are assigned to a unit and some have both unit per diems and float...
  22. Have your hospitals recently changed their policy for IV Phenergan? Just this week I noticed that we now have to try 6.25mg first then 12.5mg, it has to be diluted in 20ml and given over 15 minutes....
  23. Doctors Enter Their Own Orders??

    Yes 30 yrs. For more info see this link I found
  24. Doctors Enter Their Own Orders??

    Yes doctors enter their own order with rare exceptions. However we have had computer entered orders for over 30 yrs. We adopted a new computer system spring 2006. Everyone including the doctors went...
  25. Tele or M/Surg Exp B4 OR

    I interviewed a med-surg unit and the tele when I was a new grad. I was offered noc's on med/surg and days on tele(shock huh). So I took tele. My nursing school was a very good program and prepared...