highlandlass1592

highlandlass1592 BSN, RN

Critical Care

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All Content by highlandlass1592

  1. Is there a nursing representative/lobbyist in washngton??

    highlandlass1592 replied to californiadreaming's topic in Activism, Healthcare

    Have you ever worked in a non-union state? Have you ever been told your job would be placed in jeopardy if you tried to vote a union in? Have you ever been told "nurses are a dime a dozen, if you...

  2. Renal floor to ICU; getting your foot in the door?

    highlandlass1592 replied to Jo Dirt's topic in General Nursing

    Well, some facilities do give preference to internal applicants over external applicants so that may help. As to the part about working 3-12's and going to FNP school, I've had a couple of friends...

  3. Work full time AND go to nursing school?

    highlandlass1592 replied to katy81's topic in General Nursing

    It may be RARE for it to happen but it does happen. Yes, it takes a lot to go through..and it's not for the squeamish at heart. However, with proper time management and realizing it's not necessary to...

  4. Work full time AND go to nursing school?

    highlandlass1592 replied to katy81's topic in General Nursing

    Uh, yes it's definitely possible. I had to support myself and I did it. You have to be good at self-discipline and have a really great calendar to keep track of everything but it's possible. Don't...

  5. Wow...needles?

    highlandlass1592 replied to blondy2061h's topic in General Nursing

    Nope, definitely not an OSHA violation. Lots of facilities I've been at aren't

  6. Anti-coagulants

    highlandlass1592 replied to HARLEYBEAR's topic in General Nursing

    You've got a great point about differing drug books focusing on differing things. I've found it's best to research the action of the drug and try to take it from there. I've used some references docs...

  7. Anti-coagulants

    highlandlass1592 replied to HARLEYBEAR's topic in General Nursing

    Unfortunately, the way lovenox acts affects the factor Xa..which the PT, INR will give you no indication of. Which is why you'd check the anti-Xa factor. I'm not really sure why your drug book says to...

  8. Anti-coagulants

    highlandlass1592 replied to HARLEYBEAR's topic in General Nursing

    Not usually...I've posted a link about lovenox facts here: http://www.aahcp.org/dvt/faqs.htm Pretty much squares with what I've seen when I did homecare. We use lovenox now (at the job I'm at) for...

  9. Anti-coagulants

    highlandlass1592 replied to HARLEYBEAR's topic in General Nursing

    You don't usually monitor any test while on lovenox. You will sometimes find they run a PTT for a comparison to baseline but if you really want to monitor a lab (when I did homecare, none of our...

  10. changing licenses in compact states

    highlandlass1592 replied to Wolfe24's topic in General Nursing

    If you are already licensed, you aren't applying "for a whole new license". You are applying for licensure by reciprocity. You should be able to go the to the new BON's website to find out how to do...

  11. What do I have to do to get my CNA certific transferred when I move to another state?

    highlandlass1592 replied to emily_ganshert's topic in General Nursing

    Check out this link and see what they tell you to

  12. fentanyl drip in an IVP or CADD pump

    highlandlass1592 replied to Zookeeper3's topic in MICU, SICU

    We use syringe pumps for our fentanyl gtts. Diluadid is used by PCA or IVP, depending upon situation. I like the syringe pumps, easy to give a bolus (just program in the dose) and easy to change, not...

  13. How to file a complaint against Charge Nurse?

    highlandlass1592 replied to BerryHappy's topic in General Nursing

    Hmmm, I'd definitely write a note to the DON but I'd also consider an incident report. Facilities have to have policies against lateral violence and it sounds like this charge RN is violating...

  14. Looking for a pocket-sized lab reference guide

    highlandlass1592 replied to MIA-RN's topic in General Nursing

    Well, I'm not sure if this is exactly what you're looking for but it may cover it. It's put out by the AACN (American Association for Critical Care Nurses). Go to www.aacn.org, click on marketplace...

  15. drawing blood from picc line

    highlandlass1592 replied to Ms.RN's topic in General Nursing

    If done properly, you can definitely draw from a Picc line (unless it's against policy of course). One thing to keep in mind is that on some Picc lines you should only use a 10 cc syringe to draw...

  16. Health Provisions Slipped into Stimulus Package

    highlandlass1592 replied to CinnScorpStudent's topic in Activism, Healthcare

    Unfortunately, there are those of us who think the government has gotten enough things wrong that is doesn't inspire confidence that they could get this right. I definitely think this has no business...

  17. 3% NS

    highlandlass1592 replied to moonischasingme1's topic in General Nursing

    Excellent reply. What's amazing is when you have those patients come in with what you would consider extremely low sodiums...I'm talking in the 119 range and have no neuro symptoms...

  18. Customer Service ratings ....

    highlandlass1592 replied to SoundofMusic's topic in General Nursing

    I understand about feeling disillusioned about what's going on. But one thing you have to ask yourself: do you feel you did a good job??? That's what counts the most. I work night shift, we recover...

  19. Ethical Question about NGs and medication administration

    highlandlass1592 replied to BeachyRNn08's topic in General Nursing

    Again, competence needs to be considered in certain situations and in the scenario the OP is describing, I'd say it really must be assessed. Just because someone is A&O x 3 per your assessment,...

  20. Ethical Question about NGs and medication administration

    highlandlass1592 replied to BeachyRNn08's topic in General Nursing

    Other posters have stated she has a right to refuse her meds, which she certainly does. However, just because you say "she's alert and orientated" doesn't mean she's competent to refuse. I"d highly...

  21. Can an NP work as an RN?

    highlandlass1592 replied to Rev Elvis's topic in Nurse Practitioners, NP

    You certainly can..you are still licensed as a RN. I've got many friends who are NP's who do it and make just about the same amount of money as their regular jobs since they are working per diem (pays...

  22. Can an NP work as an RN?

    highlandlass1592 replied to Rev Elvis's topic in Nurse Practitioners, NP

    Why in the world would you say you are held to a higher standard of liability when you are practicing as a bedside nurse? If you are working the bedside, your role is defined by your place of...

  23. Nursing Responsibilities

    highlandlass1592 replied to oldfashionedlove's topic in General Nursing

    Actually that's not quite true. Not all facilities in the US utilize certified nursing assistants, some still use orderlies and regular nursing assistants. And I believe oversees their titles are...

  24. More than 5 sick days taken in a year and disciplinary action ensues

    highlandlass1592 replied to FireStarterRN's topic in General Nursing

    This wasn't an attack..and as you posted your comment on a public forum, you shouldn't be surprised when it is commented upon...I found your opinion to be a bit condenscending. You may not understand...

  25. LPN student looking for RN and Advanced Practice Nurse to answer a few questions

    highlandlass1592 replied to Shelby5607's topic in General Nursing

    Sure..you can email me or PM me here. I'm an RN working on my BSN if I can