PacoUSA BSN, RN

ICU / PCU / Telemetry / Oncology

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All Content by PacoUSA

  1. PacoUSA

    IV bolus ordered because pt hypertensive

    PacoUSA replied to Are Enn's topic in Patient Medications

    I'd like to know myself as I would not think to give a bolus to a hypertensive patient. Sent from my iPad using
  2. PacoUSA

    Problems with ER

    PacoUSA replied to ReggieN's topic in Patient Safety Issues

    We get patients from the ER without report all the time, it's actually the standard practice at the hospital I work at right now (one of the top 10 hospitals in the country per US News & World...
  3. PacoUSA

    IV bolus ordered because pt hypertensive

    PacoUSA replied to Are Enn's topic in Patient Medications

    Too complicated to explain? Does that fool of a doctor think a nurse cant understand it or is it more likely that he couldn't understand it himself to explain it? Sent from my iPad using
  4. PacoUSA

    Code during dialysis

    PacoUSA replied to producerRN's topic in CCU, Coronary, Cardiac

    Sorry to be crude, but it sounds to me like it was his time to go. End stage liver disease can really cause a quick shutdown. I've seen it happen a couple of times sadly. Don't beat yourself up too...
  5. PacoUSA

    floating?

    PacoUSA replied to huntergirl's topic in Travel

    When in the ER, are you taking care of patients that are in holding to go to a med surg unit? You in that case would be qualified to take care of those patients. Med surg nurses float to the ER for...
  6. PacoUSA

    I am the wife of a male student nurse and having trouble coping.

    PacoUSA replied to Theotherone's topic in Health, Stress Management

    No, I am not telling you that while I was in the program I didn't spend any time "what so ever" with my family. I did. I made concerted efforts whenever I could and while not to the extent that they...
  7. PacoUSA

    I am the wife of a male student nurse and having trouble coping.

    PacoUSA replied to Theotherone's topic in Health, Stress Management

    I haven't bothered reading the entire thread of comments, so I just decided to post my own in response to the OP's post. My reaction is probably off the cuff from my usual demeanor but I don't care...
  8. PacoUSA

    Nurse who survived Ebola is suing the hospital

    PacoUSA replied to anon456's topic in Disaster Preparation

    I'm sure it was a facetious statement. Sent from my iPad using
  9. PacoUSA

    Torn between specialties

    PacoUSA replied to FRNHEBRARD's topic in Critical Care

    My advice for your first job out of nursing school is to choose a unit that is not very specialized. By that I mean avoid ones like L&D, NICU or home health. These specialties are worlds into...
  10. PacoUSA

    I think I failed Nclex in 75 questions

    PacoUSA replied to RN_Dreams's topic in NCLEX Exam, Programs

    Hahaha! I just read the whole thread, it was like a suspenseful soap opera until the end. I knew there would be a happy ending, congrats!! Change your username ... this is no longer a dream!! :) Sent...
  11. PacoUSA

    Prior to PACU, what experience is better ... ICU or ER?

    PacoUSA posted a topic in PACU

    So I'm currently a travel nurse working in telemetry. I have almost 2.5 years experience as a staff ms/tele RN and add to that almost 6 months so far on assignment in cardiac tele. My next assignment...
  12. PacoUSA

    Can someone help me?

    PacoUSA replied to jme4ya25's topic in Travel

    I think this is normal for a rapid response agency such as Fastaff. Sent from my iPad using
  13. PacoUSA

    Company lost paycheck and getting the runaround.

    PacoUSA replied to GadgetRN71's topic in Travel

    It's 2015, I cant believe that in this day and age there is a delay in getting direct deposit set up. I mean really, it takes 2 paper checks before direct deposit kicks in? Even if this is arranged...
  14. PacoUSA

    Snow bird nurses

    PacoUSA replied to WannaBNursey's topic in Travel

    What I mean is, is it really possible to make a year's salary in 6 months working full time at 36 hours a week in Florida? I'm from the northeast, so my idea of a decent year's salary is likely higher...
  15. PacoUSA

    Snow bird nurses

    PacoUSA replied to WannaBNursey's topic in Travel

    Not quite realistic for Florida, is it?? Sent from my iPad using
  16. PacoUSA

    Hemoglobin level

    PacoUSA replied to Livewire's topic in Nursing Student Assistance

    I've HEARD in passing that getting transfused one unit of PRBC is supposed to bump hemoglobin an average of 1 point, 2 units is 2 points, etc., absent any existing bleed of course. Not sure however if...
  17. PacoUSA

    Nurse who survived Ebola is suing the hospital

    PacoUSA replied to anon456's topic in Disaster Preparation

    That would be Brianna Aguirre. Sent from my iPad using
  18. PacoUSA

    Hemoglobin level

    PacoUSA replied to Livewire's topic in Nursing Student Assistance

    By any chance, do you mean hemoglobin levels of 9.9 and 8.2, respectively? Your numbers are way out of normal range and don't make sense without decimals. My first thoughts are (1) any risk of GI...
  19. PacoUSA

    Forced to resign, new grad with only 1 year of experinece.

    PacoUSA replied to Elan84's topic in General Nursing

    Possible in New York. When I was a new grad, my permit allowed me to work for up to a year without taking NCLEX. But if you fail the NCLEX within that year, the permit terminates and so would your new...
  20. PacoUSA

    Fired from first job

    PacoUSA replied to stevejer's topic in First Year After Licensure

    Ha! No way. Most applications nowadays specifically warn applicants that any false information on an application discovered before AND after employment offers will result in immediate termination of...
  21. PacoUSA

    Forced to resign, new grad with only 1 year of experinece.

    PacoUSA replied to Elan84's topic in General Nursing

    Lmao!!! So dang ... my 3 years of licensed RN experience should sail me right into the Chief Nursing Officer position! Why the hell am I wasting my time on the floor? I'm calling HR tomorrow STAT!...
  22. PacoUSA

    NYC and Buffalo RN pay

    PacoUSA replied to 3kids's topic in New York Nursing

    I lived in Buffalo for 3 years back in the '90s. The snow was way too much for this nurse to tolerate . Although I MIGHT consider a travel assignment there, it will NEVER be during the winter, I can...
  23. PacoUSA

    NICU with no experience

    PacoUSA replied to iHeartPeds4ever's topic in NICU, Neonatal

    Lots of NICUs in the northeast hire new grads. Keep applying! Sent from my iPad using
  24. PacoUSA

    NYC and Buffalo RN pay

    PacoUSA replied to 3kids's topic in New York Nursing

    In NYC you're looking at much higher hourly rates than in Buffalo. Last I heard for instance, NYP was starting RNs at $42/hr, and that's without differentials for BSN, experience, certs, and night...
  25. PacoUSA

    Manhattan

    PacoUSA replied to Cetutko's topic in Travel

    Wasn't Onward purchased by American Mobile? Sent from my iPad using