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Son Tava

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  1. Ah yes, we're all desperate becaause: the economy is awful or we're new nurses or we're overweight or... whatever. You deserve what you negotiate. Just rry to hold on to it.
  2. yes, i do have a recommendation. push your limits academically now. go for it all. find your groove where most of your final grades are as and bs. keep up your gpa. volunteer in the local hospital for at least one full-time summer or part-time during the school year. do your american heart association basic life support (cpr) certification. start working on college recommendations from strong people in your community and/or medical professionals. and always have a plan b that you can move toward if or when you change up. be fair with yourself. don't push for something you may not want.
  3. well, we've never had a nickname for it like 'more fo lean' or such but, i can say it's pretty much oxyocodone x 10. yeah yeah, i know about the conversion chart... nevertheless. it's short acting, psycotropic, highly addictive. probably best used in recovery or debridement rooms. if ivp morphine isn't sufficient, acutely, consider a pca and/or regional..
  4. When RNs attain provider priviledges then I will consider receiving an order from an RN. Otherwise, never.
  5. Beta2-adrenergic agonist agents promote cellular reuptake of potassium, possibly via the cyclic gAMP receptor cascade. Stimulates cellular uptake of K+ within 20-30 min; administer glucose along with insulin to prevent hypoglycemia (monitor blood glucose levels closely). Calcium polystyrene sulfonate is a cation exchange resin prepared in the calcium phase. Each gram of resin has a theoretical in vitro exchange capacity of about 1.3 to 2 mmol of potassium. As the resin passes through the colon, it comes into contact with fluids containing increasing amounts of potassium If you want specifi biochemical pathways... see for yourself.
  6. Why does K+ burn? It irritates the intimal lining of the vein. Why do we infuse TPN into a large vein? Otherwise, it irritates the vein. Try using a larger peripheral vein and smaller cannula lumen for K+ infusions.
  7. You use what the facility provides. Don't ask why. Just do.
  8. why bother? unless you're working toward a master's for employment purposes, skip the agony. nothing in the bsn curriculum will approach the level of rigor that your ba program required. it's a step backwards.
  9. i am about to give you some very good advice. assess your personality type. i mean what kind of guy are you? are you a man's-man ... whatever that is ... or are you effeminate? how do you relate to women? no, really, how do women relate to you? seriously, nursing is a women's world; like it or not and no matter what the egg heads say. women are the nursing circus and men are the stage crew. you'll get a mention in your obit. otherwise, it's all about the flower power. perhaps, it's likely that your woman supervisor is dissatisfied with men. she will run your ass ragged and then put you out... with deep self-regard for that matter. if the women in your workplace are balanced, good natured and not men haters (deep down most of them are), then you have a chance but, good luck finding your comfort zone. if you think your competence and skill will help you to hold your own, think twice. it'll be a big fat bulls-eye. you will suffer snipers and rumor mongers all your day. the only hope appears when you are the relative or friend or stool-pigeon of somebody(s) in the organization. if you're street, you could impart that your 'street affilliated'; works in our city. most employers in our area would hire a gang member before a cool, compassionate, competent white male. you must learn to triangulate and manipulate and play the women's game. after your wrist goes a little limp and you begin to speak with a lisp and you become patently non-threatening, overindulgent in inane banter and, devote every waking moment helping your women coworkers feel superior will you survive. best of luck amigo.
  10. yep, we're just a bunch of itinerant day laborers trying to make it through the shift. good grief, how did it become this way?
  11. Yes, it's all about MANAGEMENT. If the crew stinks is because management stinks; and I do mean smells bad. We tolerate the smell because we fear losing something if we poke our heads up above the crowd and say 'no more' or make a suggestion toward improvement. The nasty's come crawling out from their dark place looking for their next feast. So how do you address this? What's the game plan?
  12. Imagine who those nurses are that remain behind. The same one's who are pushing so many excellent people away from the bedside. Consolidation is ugly yet, it makes for a great target to reform.
  13. The Peter Principle: "In a Hierarchy Every Employee Tends to Rise to His Level of Incompetence."
  14. Yep, there are ALOT nurses out there who can't pronounce terms correctly which they should be able to pronounce, spell and define. This begs the question, isn't there a high probability they simply don't know of what they are speaking? Yet, they are so self-assured. Cool huh?
  15. Yes, the more we know the more there is to be anxious about. That's why those new grads seem to glide around uninhibited. So, how about managing your weekly contact time. Don't go for max hours. Go for quality hours. Make it work for your personal comfort zone. Forget trying to impress anyone. They're probably all quite busy being impressed by themselves. Just be 'competent'. And don't forget to forget your experience and qualifications but, build the egos of the young guns or they may eat your lunch.

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