jlr820

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 cartridge after it has been screwed into the top of th...

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 noticed is that the pace is different, as is the range o...

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 technique, etc. there shouldn't be any issue. It...

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 remove glucose through urination. They cannot effec...

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. What IS true, however, is that the test is done by ...

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 entered your bloodstream. That said, I'm sure you are a...

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 mind perhaps that's a small price to pay. Best of l...

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 downside is that it costs about $600. here's the ...

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 sometime down the road.

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 complaint...

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 that takes it without doing any organized preparat...

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 that he was triaged appropriately and had no neur...

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 good, and I used the CD for more NCLEX question pr...

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 after they have completed their officer basic course...

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 superiority. I agree with a previous poster. Usually, i...

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 beneficial to "fill in the blanks" regarding ED nurs...

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. Also, you can't read anything into the number of ques...

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 inaccurate.

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 profile is enough to "clue in" some faceless cybe...

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 even there but they still spout off about what TH...

In my short amount of experience, I've come to the conclusion that family members are a gigantic pain in the arse at least 75 % of the time. I'm certain they don't see it that way, but it's sort of like a person with bad hygiene/BO...aren't they the ...

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 it goes into more depth on several topics regardi...

It should just be criminal history (arrests, convictions, etc.).

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 time). Thus, as long as you pass it the first time, y...

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 pressure to the injection site for 15-30 seconds fo...