jlr820

jlr820

ED Nursing, Critical Care Nursing

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All Content by jlr820

  1. 9 Newbie Nurse Mistakes to Avoid

    jlr820 replied to Nurse Beth's topic in First Year After Licensure

    Wow, let's see. I've been "bizz" for 6 years. Let's see how many "craniorectal inversion" moments (think about it for a second...) I can remember. Forgetting to "pop" the seal on an Add Vantage...

  2. New ER nurse, but old Cardiac nurse

    jlr820 replied to al7139's topic in Emergency

    Hi, First, your prior experience in cardiovascular nursing will serve you well. You already have experience with assessments, rhythm interpretation, etc so that's good. What you have probably...

  3. Vaccination at Dorsogluteal Site

    jlr820 replied to ryxx's topic in General Nursing

    I've never heard of the dorsogluteal site being contraindicated for vaccines. As long as you employed proper techniques for locating IM landmarks (as another poster said, upper out quadrant), aseptic...

  4. Student trying to understand DKA and Dehydration

    jlr820 replied to ghurricane's topic in Nursing Student Assistance

    Yes it is. The bloodstream is absolutely full of glucose (since it isn't entering cells and being metabolized). This glucose load makes the blood HYPERosmolar and the kidneys respond by trying to...

  5. taking CA NCLEX, is it harder?

    jlr820 replied to watchasay10's topic in General Nursing

    I'm not sure how this rumor about NCLEX difficulty varying by state got started, but it's totally incorrect. The NCLEX is a national examination, and there are no differences in difficulty by state....

  6. hiv exposure?

    jlr820 replied to burs79's topic in General Nursing

    This is one of those "DOH!" moments. Your risk is probably small. Basically, you would have to have an open wound on your hands and the client's blood would have to have contacted that wound and...

  7. blood exposure from hiv patient

    jlr820 replied to dRkazN's topic in General Nursing

    The risk is likely small, but as others have said the risk is still there. I think the main issue with the anti-retroviral therapy will be the side effects of the drugs. But, for your own peace of...

  8. Recommend an Excellent Emergency Nursing Textbook?

    jlr820 replied to All4Seasons's topic in Emergency

    i'd recommend sheehy's emergency nursing: principles and practice as others have done. you can also enroll in an online emergency nursing course through the ena, which is based on the sheehy text. the...

  9. Should tell 'em I am leaving in person, or email?

    jlr820 replied to AnnieOaklyRN's topic in Emergency

    You really need to do this in person. I think it would look really bad to do it via e-mail. No need to risk burning a bridge. You never know..you may need to cross back over that same bridge...

  10. A funny and warped FACES pain scale

    jlr820 replied to SlightlyMental_RN's topic in General Nursing

    Next time I do a pain assessment, I'm gonna ask "Is it like you're actively being mauled by a bear?" with a sidelong, eyebrows raised expression on my face. Prolly draw a

  11. Not studying for NCLEX?

    jlr820 replied to Sl1011's topic in NCLEX Exam, Programs

    I certainly wouldn't recommend the "no studying" approach. I know two classmates that took it without studying and managed to pass, but I know many more who took the test cold and failed. So, someone...

  12. Brain surgery last week, then coming to ED for pain. Wait 4 hours to be seen.

    jlr820 replied to happy2learn's topic in General Nursing

    i'm an ed nurse. this is hard to answer with the information given. i'm sure that he was triaged upon arrival by an experienced rn (focused history and neuro exam, vitals, etc). i just have to believe...

  13. Anyone use JoAnn Zerwekh books for NCLEX prep

    jlr820 replied to Elleveein's topic in General Nursing

    Hi, Yes I did use the Zerwekh book, but as a supplement to my main NCLEX-RN prep book, which was Prentice Hall's Comprehensive Review for NCLEX-RN by Mary Ann Hogan. I did think the Zerwekh text was...

  14. Do Army National Guard nurses get deployed?

    jlr820 replied to jallen5's topic in Government, Military

    I'm a former army officer, and an OIF veteran. I wasn't an RN when I was in the military (that came later) but it doesn't matter...your recruiter is basically lying to you. An officer IS deployable...

  15. Who plays the "I'm a Nurse Card"?

    jlr820 replied to Doc Lori, R.N.'s topic in General Nursing

    I've never done it, and won't unless there was a major problem with the care being provided. I don't like it when a patient or family member does it to me, as it is usually stated with an air of...

  16. Will EMT help me get a job in ER?

    jlr820 replied to greenfaery's topic in Emergency

    It absolutely cannot hurt. Some on here have said that it won't help you much as an RN, but I disagree. I was a paramedic prior to becoming an RN (still maintain licensure) and it has really been...

  17. Just took the PN nclex :(

    jlr820 replied to supra9355's topic in NCLEX Exam, Programs

    Indeed, that is a common feeling. I felt the same way with the NCLEX-RN (the NCLEX-PN's evil cousin). Statistically, the majority of people do pass it on the first try, so try to focus on that....

  18. Syringe Question

    jlr820 replied to maggiemum's topic in General Nursing

    It's 25 ml...the measurement is taken from the base of the black triangular cone. Just make sure that all air bubbles are expelled from the syringe first, or the reading will be

  19. RN on your facebook name?

    jlr820 replied to laynaER's topic in General Nursing

    I think people put far too much personal information on their social networking profiles. Information can be pieced together and, in some cases, used against you. Placing your nursing credentials on a...

  20. was i wrong?

    jlr820 replied to goldc8's topic in General Nursing

    Based on your description, you did exactly the right thing. As someone else has already said, there's an awful lot of backbiting and second-guessing from other nurses. Most of the time, they weren't...

  21. Family Members With Nothing Better To Do.

    jlr820 replied to Honeynurse's topic in General Nursing

    In my short amount of experience, I've come to the conclusion that family members are a gigantic pain in the orifice at least 75 % of the time. I'm certain they don't see it that way, but it's sort of...

  22. ENPC vs. PALS

    jlr820 replied to Nurse Joey's topic in Emergency

    I think both are valuable, and my particular ED would like you to have both (but REQUIRES you to have PALS). I haven't actually taken ENPC (have it this week in fact), but what I've been told is that...

  23. Nursing School FBI Background check

    jlr820 replied to jamieusmc_17's topic in General Nursing

    It should just be criminal history (arrests, convictions,

  24. ADN/BSN-Two different NCLEX's?

    jlr820 replied to PurpleLVN's topic in General Nursing

    The NCLEX-RN is the NCLEX-RN no matter what state you take it in, and you only have to take it once (unless, I suppose, you let your license lapse and leave the nursing profession for a period of...

  25. IM injections -should we massage or not?

    jlr820 replied to charlie19's topic in General Nursing

    I was not trained to massage the injection site following an IM. In fact, with some medications, we are specifically advised NOT to massage (e.g. Lovenox). I have, however, read that you can apply...