Be_Moore

Be_Moore

Pulmonary, MICU

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All Content by Be_Moore

  1. Have you ever wanted more?

    Welcome to the pit of despair that is nursing! Burn out among nurses is incredibly high because of the situation you are experiencing. The work is getting more and more stressful as patients get...
  2. Blood glucose protocol in LTC facilities

    AHHH, LTC's. I was thinking about an LTAC..which I am now assuming that these are not. Sorry for the confusion. I will say, however, that it is pretty correct for the acute care setting. I'll use 2...
  3. Lpn in ltc assessment

    Definitely not, and as an RN I disliked working with LPN's at my previous job...not because I dislike LPN's, but because my license was on the line every time I had to cosign an assessment or give an...
  4. Consider this a golden opportunity! MOVE. Put your finger on a spot on the map and start calling hospitals..or browsing HR websites. There are jobs available all over the place...just pick a place you...
  5. Blood glucose protocol in LTC facilities

    Seriously? Really? My argument to that is that if said nurse worked in the ER, she was probably ACLS certified...and if you have your ACLS, you don't NEED a doctor to even be present at the code. Most...
  6. I'm can see both sides of this argument, but I am in agreement with legwedz. While there probably should be a miminum (such as 1 year critical care), an extensive minimum causes a nurse to potentially...
  7. Blood glucose protocol in LTC facilities

    Welcome to the morally gray areas of nursing! You have the knowledge of what to do. You have the expertise. You have the skills required. But you can't do it because you don't have an order, and the...
  8. what can I say to a family member?

    It is a great thing that you care for your patients, but thicker skin is necessary. The problem wasn't with her and her family member...the problem is with a society that is too attached to their...
  9. Finally got an interview....HELP!

    Phew! Do this now: Go buy a CCRN book. Start reading it. State your intent to obtain your CCRN. Explain that you are studying now in preparation for the job. If you study now maybe you can impress...
  10. What do you guys think?

    So, a little more research led me to a phenomena that might fit the bill of your patient. Lown-Ganong-Levine syndrome. It is similar to what I described above EXCEPT: In LGL you have an accessory...
  11. What do you guys think?

    She's right. On a lead with a positive R deflection (such as lead II) a junctional rhythm will exhibit a negative deflection that is either prior to, during, or after the QRS, and this is always. The...
  12. Finally got an interview....HELP!

    Hope this isn't too late, and if it is, hope it went well anyway! 1) Don't act cocky, because they know that as a new grad you don't know anything. Focus on what you DO know. Did you take an EKG...
  13. Will summer internship help me get a job?

    In agreement with the above poster. In addition, at my facility, the ONLY new-grads who are hired into Critical Care are those who have done an internship, externship, or worked on the floor as a tech...
  14. How do you stay so organized?

    Experience is the key. As you practice nursing, things will become intuitive such that you don't have to think about them as much. For example, if I am going to give digoxin I already know that I need...
  15. couple of interviews and need adv

    1) Take the job you want. Money shouldn't be a huge issue. Are they not comparable in pay at least, +/- a couple dollars? 2) Take the job you want. 3) Union is nice, but realistically the protection...
  16. Need Help

    If these people "can't find work" it leads me to believe one of two things. 1) They can't find the job they WANT. 2) They aren't looking hard enough. When I moved to Colorado I was bummed because I...
  17. what are the best mens scrubs you have found?

    I'm currently rocking Cherokee Workwear scrubs, 2 pocket tops (which I love) and elastic band cargo pants (which I have a love hate relationship with). I love the pockets and the waist fit, but I hate...
  18. What did you NOT expect when you became a nurse.

    I didn't expect to have such a hard time finding scrub pants that actually fit correctly. Lets face it, unisex pants are not truly
  19. Need Help

    The idea that they are always looking for "male nurses" is pretty sexist and it would actually be illegal to hire you just because you are male. So that part is untrue. The other side of it is that...
  20. That's ridiculous. Nursing is an amazing job for guys and there is no "going soft" because of it. I guess if going soft means spending your working life seeing and doing things that most of the world...
  21. Respiratory arrest

    The lasix did not cause the respiratory arrest, they just happened to be next to each other chronologically. Likely she had pulmonary congestion (CHF) on top of the above problems. Even if she didn't,...
  22. The above reply is 100% correct. A mantra that I live by is "There is no truth, there is only perspective." What this means...any time you have to write something, especially something with rhetorical...
  23. Go for it or play it safe?

    I agree, tell them the partial truth...Critical Care is your primary choice, ED is your secondary, but you'll do Med/Surg if you have to (pick a Tele floor if you have to, it's a great way into an...
  24. Why is my pt's blood glucose so high?

    I think Hekate nailed it. Occum's Razor would dictate that the BG is most likely climbing related to dehydration. But then you say "But the patient isn't eating, either!'' Odds are that the BG is...
  25. Advice for the NCLEX-RN

    I will either add credibility to the above posts (or beat a dead horse), but Saunders is an amazing tool. The key to the NCLEX-RN is remembering what it is...it is a test of PATIENT SAFETY. Keep that...