highlandlass1592

highlandlass1592 BSN, RN

Critical Care

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All Content by highlandlass1592

  1. Nurses Union Plans Ad Campaign Against Nevada Republican

    highlandlass1592 replied to Anxious Patient's topic in Activism, Healthcare

    First off, I don't accept your arguement that issues can't be put to the membership for a vote. With today's access to the internet, a simple survey is easily conducted. In the case of the union for...

  2. NEW guidelines for CPR - ABC to CAB

    highlandlass1592 replied to NurseBear10's topic in General Nursing

    You are very rarely going to find an airway issue being the reason that an adult would arrest. And, for sake of arguement, if you have a choking victim and need to clear the airway, how do you clear...

  3. New CPR, Does it affect also in NCLEX?

    highlandlass1592 replied to watchasay10's topic in General Nursing

    Actually, they are changing CPR for BLS as well. The issue of Circulation is out, the changes are listed. Basically, it's CAB for BLS as well...Compression, then Airway, then Breathing. I think it...

  4. Cardiac drugs explanation or good books to read

    highlandlass1592 replied to roxiejay's topic in CCU, Coronary, Cardiac

    Diepenbrock's Quick reference to critical care is a book you will need. It has a section on any drug you're going to run into in critical care, gives a great explanation and how it effects...

  5. Charge nurse who doesn't give a rat's patootie.

    highlandlass1592 replied to OttawaRPN's topic in General Nursing

    Actually, I'd tell your friend she needs to make a report to the BON where she works. In most states I've worked in, nurses can lose their licenses for sleeping on duty...at the very least, they may...

  6. Dilantin (phenytoin) & food/enteral feedings?

    highlandlass1592 replied to iridius's topic in General Nursing

    Why in the world would you say this is better asked of a pharmacist? Nurses are empowered to look up meds..that's what pharmacists do too. They don't walk around with a mental catalog of EVERY med...

  7. Leveling Art Line

    highlandlass1592 replied to TangoLima's topic in MICU, SICU

    In support of the other nurses who have already posted, you need to look to the agency which is responsible for setting the gold standard of ICU care. That is the AACN. They set the standards we...

  8. Travel Nursing

    highlandlass1592 replied to crna2b-RN's topic in Travel

    Gonna depend upon your priorities. Are you gonna want more hand-holding from an agency or are you fine with someone who doesn't call after you start working? Smaller agencies usually have a more...

  9. How to become a BLS instructor?

    highlandlass1592 replied to dianacs's topic in General Nursing

    You have to maintain affiliation with a training center but you can teach BLS classes on your own. You do have to follow AHA guidelines (which actually aren't that hard, most of the teaching is done...

  10. Nurses Union Plans Ad Campaign Against Nevada Republican

    highlandlass1592 replied to Anxious Patient's topic in Activism, Healthcare

    I definitely agree that nurses should be involved in politics. HOWEVER, I am a member of a union that is under the umbrella of the NNU. I DO NOT support their stance on Reid...and I don't think they...

  11. Seeing Psychiatrist hurt job chances in this market

    highlandlass1592 replied to Summers_Off's topic in General Nursing

    No one is going to see a med list unless you give it to them. If you need a drug test, you may be asked to provide proof of prescription if something you takes flags positive. They still are not given...

  12. blood cultures after antibiotics

    highlandlass1592 replied to wishiwereanurse's topic in General Nursing

    You will culture a patient before they go on antibiotic therapy if possible. Some patients develop s/s infection while already on antibiotics (say routine post-ops who are finishing a course). So you...

  13. Does this follow ACLS guidelines?

    highlandlass1592 replied to aCRNAhopeful's topic in CCU, Coronary, Cardiac

    Actually, in hospitals where I've worked cardiology (and ended up pulling my own sheaths post-cath) we were covered by protocol not ACLS guidelines in that type of situation. We also had an order to...

  14. Nitrates to Patient with Aortic Stenosis

    highlandlass1592 replied to leahvm's topic in CCU, Coronary, Cardiac

    Just a random thought: if this cardiologist was so adament about this statement, he/she should have used it as a teaching moment instead of letting you flounder and worry about hurting a pt. I'm big...

  15. Nitrates to Patient with Aortic Stenosis

    highlandlass1592 replied to leahvm's topic in CCU, Coronary, Cardiac

    Backing up what aCRNAhopeful said, nitrates can cause a drop in preload which, according to Bojar " can lead to decreased cardiac output and precipitate sudden cardiac arrest". You also must be...

  16. Did you ever see a patient taking two laxative at the same time

    highlandlass1592 replied to Blackheartednurse's topic in General Nursing

    OMG! HHH....I will never forget the day as a nursing assistant when I learned what that meant. And we used to get Molasses on the floor weekly to make enemas for constipated pt's. That sweet smell,...

  17. Attacking a Doctor Makes News; Attacking a Nurse is Business As Usual

    highlandlass1592 replied to Ruby Vee's topic in Patient, Colleague Relations

    ok ruby..i"m stealing your signature line. that one is

  18. Attacking a Doctor Makes News; Attacking a Nurse is Business As Usual

    highlandlass1592 replied to Ruby Vee's topic in Patient, Colleague Relations

    I disagree that this post was in poor taste. While I am not glad an MD got injured on the job, the numbers of nurses injured on the job in just as serious situations is staggering. The OP is...

  19. Attacking a Doctor Makes News; Attacking a Nurse is Business As Usual

    highlandlass1592 replied to Ruby Vee's topic in Patient, Colleague Relations

    Oh yes..your theraputic communication skills...they will solve ALL problems! LOL at least that's what I'm hearing right now. (communication workshops at work). "You need to learn to ACTIVELY listen to...

  20. Attacking a Doctor Makes News; Attacking a Nurse is Business As Usual

    highlandlass1592 replied to Ruby Vee's topic in Patient, Colleague Relations

    Ruby: Another spot-on post! I think there should be metal detectors visitors should have to pass thru. One article I read (while researching this topic for a paper I was writing) quoted a hospital...

  21. BCLS

    highlandlass1592 replied to RNRooBee's topic in General Nursing

    Depends upon who your instructor status is through. If it's Red Cross, you need to contact your chapter where you got your card and ask. If it's American Heart, I can tell you Heartsaver instructor...

  22. Central Line Insertion

    highlandlass1592 replied to haji's topic in MICU, SICU

    Lot of places I've worked are now requiring anyone assisting the doc to be gowned, hat, gloved (assist doesn't have to be sterile) and masked. If I'm not mistaken, TJC guidelines necessary to be in...

  23. My patient takes ibuprofen for sinus congestion!

    highlandlass1592 replied to Blackheartednurse's topic in Patient Medications

    If she's having sinus headaches, why do you think this would be contraindicated? And I'm a bit confused as to what a diuretic has to do with possibly using a decongestant? Need way more information...

  24. Did you ever see a patient taking two laxative at the same time

    highlandlass1592 replied to Blackheartednurse's topic in General Nursing

    Frequently used in cardiology and post cardiac surgery to avoid stress on the

  25. precepting GN's

    highlandlass1592 replied to newwavegirl89's topic in General Nursing

    You need to get with the BON for your state. How people can practice once they've graduated before they are licenses is entirely up to the BON. In our state, there is no such thing as a GN. If you...