highlandlass1592

highlandlass1592 BSN, RN

Critical Care

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All Content by highlandlass1592

  1. Albumin versus Plasma

    highlandlass1592 replied to melisgood's topic in General Nursing

    Had this beautiful post to you earlier today, discussing the use of plasma vs. plasmanate...and then my internet promptly went down so I lost all of it. Saw though that someone else posted to you...

  2. Reciprocity Advice?

    highlandlass1592 replied to KpontifexRN's topic in General Nursing

    Link for packet for BON for Michigan: http://www.michigan.gov/documents/cis_fhs_bhser_nurseendpkt_74432_7.pdf Think to remember here is the BON is listed under the Department of Community Health. I've...

  3. Getting thrown under the bus

    highlandlass1592 replied to Sugarcoma's topic in General Nursing

    Well, if your manager is backing you, then he/she needs to confront this doc. Is it possible to have the doc fax in an order?One hospital I was at, this happened quite a bit from a doc we refused to...

  4. Help. Is my outrage justified?

    highlandlass1592 replied to fairandbalanced's topic in General Students

    You stated an excellent point about your BSN..you worked your "butt off" and turned things around. Before nursing, I was a straight A student. When I was in nursing, I turned into an "academically...

  5. Totally implanted artificial heart

    highlandlass1592 replied to Blackcat99's topic in CCU, Coronary, Cardiac

    My facility has implanted 4 Total Artificial Hearts (by Syncardia-I put the name in so you could google it). The atria of the heart are left in place and the ventricles are removed. What's strange is...

  6. Management of Unanticipated Difficult Intubation

    highlandlass1592 replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    I think that's a great idea but how many patients would be able to remember such specific information and relay it correctly to future healthcare providers? My institution sends the patient a letter...

  7. Endorsement Process

    highlandlass1592 replied to shellypic's topic in General Nursing

    When I was a travel nurse, took me 12 weeks to get endorsed. They lost my paperwork twice and were quite snotty to deal with. I'd keep on them, make sure nothing has gotten lost. Personally, squeaky...

  8. Nurses really aren't the smartest people

    highlandlass1592 replied to Simply Complicated's topic in General Nursing

    Ok, now THAT statement is going on my email

  9. Best ICU for future flight nurse?

    highlandlass1592 replied to hockeynpolo's topic in MICU, SICU

    Found this link for you: http://www.astna.org/ see what resources they have for you. Best of

  10. Best ICU for future flight nurse?

    highlandlass1592 replied to hockeynpolo's topic in MICU, SICU

    Most friends I've had that have went into flight nursing had either a SICU/STICU/CVICU background (SICU/Surgical-Trauma/Cardiovascular). It's gonna depend upon what's offered in the particular unit....

  11. VTACH

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

    Without knowing more, I'd guess the doc was concerned about any hx of COPD/asthma. Look up selective vs. non-selective beta blockers and that might help explain things. In our patient population,...

  12. need help: RN Nurse interview paper (answer some questions)

    highlandlass1592 replied to Ya-Ya's topic in General Nursing

    Ok, I got your info so If you want to delete that message with your email, go for it. (You can go in and edit it all out). I am at work tonight, will be off tomorrow night. will email you the answers...

  13. need help: RN Nurse interview paper (answer some questions)

    highlandlass1592 replied to Ya-Ya's topic in General Nursing

    If you want to PM me with your email address, I'll be happy to answer your questions and email you a reply. I'm not too open to post that type of information here. Let me

  14. VA (Ann Arbor) vs. UM Hospital

    highlandlass1592 replied to Wolverine2010RN's topic in Michigan Nursing

    tuition is covered in the contract, paragraph is a bit long so I'll try to summarize: amount reimbursed is dependent upon your FTE (a 0.5 will get less than a 0.9 or 1.0). Also dependent upon where...

  15. NRB & COPD your input please

    highlandlass1592 replied to crb613's topic in Emergency

    That's correct, not all COPD'ers are retainers. You didn't state what the PO2 on the ABG was, but CO2 was very high and he was retaining. This might be the kind of patient you allow to have a higher...

  16. Nurses' role in financing healthcare

    highlandlass1592 replied to umichnurse's topic in General Nursing

    I've read your post here a couple of times. Stumbling a bit regarding the financial aspect of healthcare. I do know nurses have testified before Congress on issues like safe staffing, which can...

  17. APN role in Pressure Ulcer improvement

    highlandlass1592 replied to umichnurse's topic in General Nursing

    Definitely have used Braden, seems to be the standard at every hospital I've worked at. Redhaired nurse spoke of using albumin levels. In critical care, we look at pre-albumin as almost every patient...

  18. My Preceptor is making life miserable!!

    highlandlass1592 replied to AnnieOaklyRN's topic in General Nursing

    Definitely support all that llg said. And remember, try not to make this a confrontation. You can always fallback on the preceptor's teaching style and your learning style aren't a good mesh, using...

  19. APN role in Pressure Ulcer improvement

    highlandlass1592 replied to umichnurse's topic in General Nursing

    You know, just re-read your post. You mentioned as well providing education for nurses who utilize pressure ulcer care. I'm not sure but seems like preventing EBP in an education form would also...

  20. APN role in Pressure Ulcer improvement

    highlandlass1592 replied to umichnurse's topic in General Nursing

    Ok, I have to ask: are you a staff nurse at U of M??? Wondering if I work with you. :-) As for implementing a turning strategy in an ECF: back when I was a nursing assistant, we had a plan that...

  21. Non Compliant Wound patient

    highlandlass1592 replied to Katwel's topic in General Nursing

    Your post is spot-on. I deal with this quite a bit with the heart failure/cardiac surgery patients I encounter. Many nurses I work with get flustered when patients don't comply with "our" treatment...

  22. when you cant let it go (long vent after a crappy day)

    highlandlass1592 replied to Sugarcoma's topic in General Nursing

    May I suggest you meet with a counselor? Sounds like there are some issues here that are more than learning to set boundaries regarding patient care. If you're taking this much home, you need to speak...

  23. Question

    highlandlass1592 replied to mom4josh's topic in General Nursing

    Do you see this doctor on rounds? I'd try to speak to him directly.And yes, it's very appropriate to ask, you just have to find out if this MD is willing. The surgeons I work with were very happy to...

  24. Does this follow ACLS guidelines?

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

    Here's one link, the updates are in the new issue of Circulation http://circ.ahajournals.org/cgi/reprint/122/18_suppl_3/S729 Hopefully that will work for you, I accessed it from our work library. If...

  25. To all LTC and ALF staff: Thank you

    highlandlass1592 replied to Ruby Vee's topic in General Nursing

    Ruby: you eloquently expressed much needed words of encouragement to many of our brothers and sisters who so often work in difficult situations to provide care for some of our most needing patients....