highlandlass1592

highlandlass1592 BSN, RN

Critical Care

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All Content by highlandlass1592

  1. Let the chaos begin....family initiating rapid response teams

    highlandlass1592 replied to sistasoul's topic in General Nursing

    We have the same program at our facility. It's been pretty successful actually and I've not heard of any abuse issues. On my service, we try to respond to issues pretty quickly so our patients haven't...

  2. Does this follow ACLS guidelines?

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

    Just to throw a bit of a monkey wrench in your scenario, what you see as asystole could possibly be fine Vfib...in which case you'd need to go with epi first anyway. But with the scenario you...

  3. Central Line dressings

    highlandlass1592 replied to BeckyLRN's topic in General Nursing

    While I don't know of a type of dressing you are looking for, may I recommend contacting the nurse's infusion society? They may be able to point you in the direction of an alternative dressing as they...

  4. OK, ummm............well...........

    highlandlass1592 replied to eriksoln's topic in General Nursing

    OMG!!!

  5. TB question

    highlandlass1592 replied to RachelBa's topic in General Nursing

    I was taught like you were but as I read your post, began to doubt myself. So I went to the CDC website and found the following information for you: Couple of links I found for you:...

  6. Distrust of Dr's-Paxil Withdrawl

    highlandlass1592 replied to KimGau's topic in General Nursing

    I'm a little confused as to why you think the doctor is at fault regarding your "withdrawal" symptoms. (I put withdrawal in quotes since I can't honestly diagnose your problems.) Yes, he may have...

  7. ACLS

    highlandlass1592 replied to LMoonRN's topic in General Nursing

    There's no reason you can't take ACLS but it may not really help you land that job. I strongly disagree with others here that it would be too hard, you can't be successful at it, etc. All it takes to...

  8. Lab test pocket reference book

    highlandlass1592 replied to JeanettePNP's topic in General Nursing

    Nursing made incredibly easy has a pocket reference (a true pocket reference, some of them are actually too big to fit into my small pockets). Got it on sale at Borders, awesome book

  9. Can I apply to RN jobs out of state or do I need endorsement first?

    highlandlass1592 replied to esunada's topic in General Nursing

    Depends upon the facility. Some will actually offer you a job pending licensure, others won't even look at your app if you're not already set. You need to investigate where you want to go then proceed...

  10. CPR in LTC

    highlandlass1592 replied to pretty70's topic in Geriatric, LTC

    The issue of compressions vs. rescue breaths is more for lay people, not healthcare professionals. The issue was risen because lay people as a whole were delaying compressions trying to assess pulse...

  11. CPR in LTC

    highlandlass1592 replied to pretty70's topic in Geriatric, LTC

    Really? New "guidelines" are out? What is your supporting reference for this? The new BLS guidelines come out this fall but I think it's a bit early to say we will eliminate using drugs in hospital...

  12. Amiodarone and Lidocaine drips for VTach

    highlandlass1592 replied to deemo21's topic in CCU, Coronary, Cardiac

    Little late here but I've done it too. You run the risk of changing VT to polymorphic but sometimes you've got to do what you've got to do. Maximizing electrolytes is of course mandatory, we run K...

  13. Fed up with Stupid Parents

    highlandlass1592 replied to TXPediNurse's topic in General Nursing

    You are trying to improve your situation, there is no reason to be ashamed to be on medicaid. I am quite sure, based on your post, a sense of entitlement is the last attitude you would exhibit. You do...

  14. Holiday Scheduling

    highlandlass1592 replied to scoochy's topic in General Nursing

    By our contract, we all have to do one summer and one winter. And those are based on seniority with certain people mandated they won't be able to be in rotation to get it off due to the staffing mix....

  15. what I wish I could say to my AAOX3 patients!

    highlandlass1592 replied to Lola77's topic in General Nursing

    Good grief, if I had a nickel for everytime I heard that one, I could take early

  16. what I wish I could say to my AAOX3 patients!

    highlandlass1592 replied to Lola77's topic in General Nursing

    I want to know why your left great toe pain, which according to you has been going on ALL day, suddenly becomes an emergency at 2 am and why you expect me to call someone and wake them up about it?...

  17. How do you handle phone calls from family/others?

    highlandlass1592 replied to Lola77's topic in General Nursing

    Well, if you can't ask the patient for permission to share information (say they are intubated) then we do follow guidelines. Usually, if lots of family or friends are calling, we refer them to the...

  18. First code- sort of a vent..

    highlandlass1592 replied to Cat_RN's topic in General Nursing

    What "terrifies" you? Is it a lack of understanding of what may take place, what your role might be? The idea of losing a patient? I have found over my career that when something terrifies me, in my...

  19. VA (Ann Arbor) vs. UM Hospital

    highlandlass1592 replied to Wolverine2010RN's topic in Michigan Nursing

    I staff at U of M, drive over an hour to work so I must love it! :-) Seriously, not sure what specific info you're looking for. Bennies at the U are pretty darn good. Retirement is why many work...

  20. Traumatized by pt's attempted suicide

    highlandlass1592 replied to SlightlyMental_RN's topic in General Nursing

    I'm a bit late to the party in adding my support to you but you're gonna get it! :) I know it sounds a bit trite, saying you did all you could do but there is really a lot of power in that statement....

  21. Coding visitors?

    highlandlass1592 replied to blondy2061h's topic in General Nursing

    If you realize you need to know your facility's policy, what type of information are you seeking here? If you don't have an ER at your facility, I'm quite sure they do have a mechanism in place to...

  22. Coding visitors?

    highlandlass1592 replied to blondy2061h's topic in General Nursing

    Making blanket statements like this aren't always a good idea. In some facilities, dialing 911 INSIDE the hospital (not accessing an outside line) is how the code team is activated. And yes, many...

  23. Coding visitors?

    highlandlass1592 replied to blondy2061h's topic in General Nursing

    Instead of posting here for opinions, you need to look at your facilities POLICY. All facilities I've worked at have a policy for just such an incident and how to handle it. In my present facility,...

  24. how old were you when you realized you weren't going to make real money as a nurse

    highlandlass1592 replied to pilotstudentnurse's topic in General Nursing

    I may not ever be rich as a nurse but I should be able to expect cost of living raises and fair compensation for my knowledge, experiences and skills. But nursing doesn't offer that.Actually, the...

  25. Transition to electronic medical records

    highlandlass1592 replied to hollierncrrn's topic in General Nursing

    That's about the same amount of training time we got. They did upstaff for the first couple of weeks but once we started playing with the system, it wasn't that hard. And it's actually made the job...