highlandlass1592

highlandlass1592 BSN, RN

Critical Care

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All Content by highlandlass1592

  1. Code on the way to CT scan

    And for all those who say they take pockets full of meds with them, don't forget saline flushes for those meds! I learned that one the hard way one time...had all my emergency drug then nothing to...
  2. Trach suctioning. Bullet vs. no bullet

    Here's a link for all those who question why bullets should not be used: http://www.medscape.com/viewarticle/552862 Free registration required to access--great CEU resource site. Karen I know the AACN...
  3. Can I do this to help me insert a Foley?

    I actually heard the same thing, research is showing not to test the balloon first. However, I've been unable to locate any research articles to get our educators to work on changing the policy...do...
  4. Who Would Do It...Monitor Handwashing?

    I'm reading the posts and not sure if your question was totally answered. As someone else stated, the software being utilized would already have been set up by the IT department. However, the...
  5. Code on the way to CT scan

    Echo reveiwing policy as to where to take the patient. In critical care, we have to transport for testing quite a bit. This can be a bit dicey at times. We take all the necessary monitoring equipment,...
  6. I would agree that discussions would take place about how to chart what your physical assessment reveals. Every facility has different ways of having nurses document their assessment. I don't think...
  7. Is this out of my scope?

    I don't think it should be a problem but why not call the BON? When I lived in NC and had such questions, I called the BON in Raleigh and they were VERY helpful. I'm not sure of the role of LPN as I...
  8. RN feeling discouraged, can't find niche

    Are you honestly giving yourself enough time in any position to truly find out if it's a good fit? I'm not going to comment upon the ADD issue..it appears others have given you support regarding that...
  9. Almost sounds like you are trying to get someone to talk you out of going back to nursing. In attempting to read your post, it appears to me you've already come upon your answer. You don't think...
  10. Online class Vs traditional class room

    Yes, "online" degrees are recognized by employers. And many reputable universities are turning to online curriculum to expand their student base. I graduated from University of Michigan-Flint's online...
  11. Not really sure if this is okay.

    I'd agree with the idea that it would be best that an RN take report but I'm unable to find anything in my state's practice act regarding that topic. Although honestly, our practice act is hidden in...
  12. Continuing education for nurses

    Ok first take a deep breath. :-) You should check with your state's BON for specific requirements to maintain licensure. Once you know the guidelines , the rest is easy. Yes, you can obtain CEU's in a...
  13. Fired By Patient Family

    Yup. I'm gonna tell you to not let it bother you but it will. I know it did me. But you know what, the doc backed you up to your face but did they say it to the family? That is the key. Family members...
  14. Can NPs do bedside nursing?

    Yes, I have many friends who staff at the bedside pen. If really curious, check the practice act of the specific state you are curious
  15. Oh Crap I Just Lied On My Application

    Good heavens calm down! You made a mistake, pure and simple! Call on Monday, tell them you forgot to upload some information and ask how you amend your application. I guarantee you aren't the first to...
  16. Losing patients you are close to...vent

    Been a stressful couple of weeks at work. We've suffered some losses of beautiful people recently. I deal with patients who get LVAD's as well as other cardiac surgeries. I chose the patient...
  17. Torn between Nursing and Medicine

    Uh, no difference in the programs I went to. No "survey" stuff, it was the real deal. And it's the real deal when you go back for advanced practice nursing. May be that way near you but not
  18. What is up with these Sickle Cell Patients?!

    You know, there have been some great posts here. AACN had an article on pain management, talking about acute pain versus chronic pain, just completed the module for my license renewal. I've had to...
  19. Are you going to work tommorow in the big storm?

    My friend had to work Tuesday night, she got a call from her manager to come in 2 hours early. Here's the kicker: the manager was concerned for my friend's safety as she would be driving into the...
  20. discharge postponed due to weather...does insurance/Medicare pay?

    While I'm not a coder nor a discharge planner, I was told by someone in one of those departments that if it's not safe to discharge a patient home, then it is covered. Same issue when I lived in NC,...
  21. Natrecor and dobutamine drips at the same time

    Without talking to that MD directly and not having access to this pt's history, I would guess he was trying to alleviate CHF symptoms (using Natrecor) while supporting overall function (Dobutamine). I...
  22. An RN can work as a CNA?

    You are asking the wrong people, you need to contact the BON of that state or who ever is responsible for oversight of CNA's. I don't know why you would need to take a CNA course, as an RN you are...
  23. oral care on vent patients

    You should start with the term "ventilator assisted pneumonia"...google it, use CINAHL, etc. The American Associat of Critical Care nurses has a position paper which has a great deal of references....
  24. Never driving to work in snow again

    Kudos to your staff for their dedication! Strong work! And Kudos to you for recognizing your staff with lunch, I'm sure it was greatly
  25. One of my favorites: ( We deal with LVAD pt's on our unit) Happens frequently before any holiday: Me: "So, your AICD has been firing off and on for the past few days..why didn't you call us before...