highlandlass1592

highlandlass1592 BSN, RN

Critical Care

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All Content by highlandlass1592

  1. new grad-advice on when to call doc for febrile pt

    highlandlass1592 replied to kbear1729's topic in General Nursing

    Sounds like you did the right thing. And more importantly, you assessed both your patient and the situation, reasoning what else the doctor would have done: IV abx already on board, taking in fluids,...

  2. lethargic(and need ABG) or just tired???

    highlandlass1592 replied to pink816's topic in General Nursing

    Agree about the EtCO2 but how many facilities will use these? Not too many of the hospitals in my area are using them in the units or in step-down. I always like a VBG if I don't have an arterial line...

  3. Wisconsin has gutted Medicaid, no mandated ratios!

    highlandlass1592 replied to EponaRN's topic in Activism, Healthcare

    FYI, your topic came up under general discussion, which is where I saw it. Again, I feel if you are worried about ratios, fight for state

  4. Wisconsin has gutted Medicaid, no mandated ratios!

    highlandlass1592 replied to EponaRN's topic in Activism, Healthcare

    To my knowledge the only state with mandated ratios is California, you've got 49 other states where ratios are at the whim of the hospital administrators. If you are truly worried about patient safety...

  5. Mobile Apps at work/clinicals

    highlandlass1592 replied to CNA2bRN13's topic in General Nursing

    Good heavens! I have a ton of apps I use for work and use them all the time. I have various drug references, nursing apps, clinical calculators and other various references. I like the online aspect...

  6. MSN/Nurse Practitioner - how to become one?

    highlandlass1592 replied to boogsmom's topic in General Nursing

    Actually, the 2015 "deadline" is only a recommendation at this point. No state has enacted legislation yet to make this legal. There are many MSN programs still out

  7. Electrolyte shifts and fluid overload in AMI patients?

    highlandlass1592 replied to Aliakey's topic in General Nursing

    As I see it, you have two very distinct issues here: did you follow the best treatment plan possible for your patient BASED UPON THE INFORMATION YOU HAD AT HAND and the unprofessional behavior of your...

  8. Diastolic Heart Failure

    highlandlass1592 replied to qt2168's topic in General Nursing

    Just thought I'd better apologize, I'm pretty tired tonight. I love teaching about heartfailure but I can't get my thoughts organized tonight which is why I put those links in there. Just one of those...

  9. Diastolic Heart Failure

    highlandlass1592 replied to qt2168's topic in General Nursing

    see if you can pull up this link: http://www.uptodate.com/contents/pathophysiology-of-diastolic-heart-failure?source=see_link If not, you could sign into medscape and search for pathophysiology of...

  10. Whats the most blood products you've given in a shift?

    highlandlass1592 replied to richard1980's topic in MICU, SICU

    52 units in 8 hours..then they finally decided to take him back for "possible bleeding"...oh the kicker? the family comes in to visit and relates they just diagnosed patient with Von Willenbrand's...

  11. Diastolic Heart Failure

    highlandlass1592 replied to qt2168's topic in General Nursing

    see if this helps: patients with systolic heart failure typically have a low lvef (usually less than 40 to 45%), a dilated left ventricular cavity, and a reduced cardiac output because of diminished...

  12. VS standards- Am I Wrong?

    highlandlass1592 replied to sicushells's topic in MICU, SICU

    Ruby : I wanna come work with

  13. Engraving for Ipad...

    highlandlass1592 replied to GoosbyLPN's topic in General Nursing

    you could try something like this: http://militarybest.com/arnurmillapp.html then your

  14. Amusement Park nursing?

    highlandlass1592 replied to eriksoln's topic in General Nursing

    When I've looked into working at amusement parks (or at Disney, my dream job) I didn't see anything about ER experience. I did see request for first aid, BLS and in one instance ACLS. One I looked...

  15. As a Travel Nurse can you go to other countries?

    highlandlass1592 replied to Skylarslaughter's topic in International Nursing

    You need to contact the accreditating body for nursing in the country you visit. You need to be prepared for the idea that nursing in other countries is very different than nursing here in the states....

  16. free nursing inservices

    highlandlass1592 replied to lingar88's topic in General Nursing

    why not try contacting wound care specialists to see if they can help you?

  17. Help? I need to reinvent myself

    highlandlass1592 replied to BrookeeLou_RN's topic in General Nursing

    I'm not sure if you've considered working for a company doing nursing education. For example, when a hospital I worked for signed up with Johnson & Johnson to change the IV catheters they used,...

  18. A Bit of Irony Pertaining to Organ Donors

    highlandlass1592 replied to Music in My Heart's topic in General Nursing

    There are programs out there that can cover transplants. I've seen patients with little to no insurance receive state aid that covered the transplant. What I find discouraging is the number of people...

  19. Lost a couple of favorite patients this week...

    highlandlass1592 replied to DroogieRN's topic in General Nursing

    It actually wouldn't be easier if you could disconnect. It's the human connection that makes healthcare so vital a discipline. I recently posted on the same topic. Been doing this a while now and it...

  20. help r/t NY-CA license reciprocity

    highlandlass1592 replied to kvd_RN's topic in General Nursing

    You do not need to go in person to get your license endorsed. California is a walk-thru state which means you can go to the BON in Sacramento (I believe) and if your paperwork is in order, you can...

  21. Maybe I'm just old and cynical, but....

    highlandlass1592 replied to KaroSnowQueen's topic in Patient, Colleague Relations

    Ok..seriously, let Brian know we need a "superkudos" button...standing ovation to your post! Thank you for so eloquently putting my thoughts to

  22. Maybe I'm just old and cynical, but....

    highlandlass1592 replied to KaroSnowQueen's topic in Patient, Colleague Relations

    Book to read: "Nursing against the Odds" by Suzanne Gordon. Talks about how hospital administrators have used this idea "nurses are altrustic, we don't need to pay them appropriately" to keep nursing...

  23. You know it's going to be a crazy night at work, when

    highlandlass1592 replied to JennRN65's topic in General Nursing

    when the dayshift charge nurse can't count, downstaffed you 2 RN's, you've got almost everyone vented, on CRRT, too many VAD's to count, the fresh post-op rolling in early is bleeding out..and oh, by...

  24. Terrible first clinical experience (CNA)

    highlandlass1592 replied to bustthewave's topic in General Nursing

    I am not going to agree that it is ok for this to happen. I've been in healthcare a while now, started out as a CNA/HHA and tech. I would never treat my patients that way then nor do I now. But what...

  25. Unsafe agency, unsafe case. Need advice please!

    highlandlass1592 replied to SDALPN's topic in Private Duty

    Without more details, an informed reply is a challenge. Suffice to say, no matter where you are working, you have a chain of command. Your agency has to have someone on call for practice...