sapphire18

sapphire18

ICU

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All Content by sapphire18

  1. homosexual patients

    sapphire18 replied to miray19's topic in Patient, Colleague Relations

    GrnTea- that literally hurts my

  2. homosexual patients

    sapphire18 replied to miray19's topic in Patient, Colleague Relations

    I haven't read any comments yet...but if I even know that a patient is homosexual, nothing about my nursing care changes...nothing. Maybe it's a cultural thing and this has more significance in...

  3. Pregnancy and OB Nursing

    sapphire18 replied to TNgirl2010's topic in Ob/Gyn

    I have many friends from nursing school who delivered on their units. Definitely not awkward, just exciting and joyous! To be able to share this experience with your work "family"?? Just awesome....

  4. BSN vs ADN

    sapphire18 replied to Grizabelle's topic in Diploma, ADN, BSN

    I'm sorry, but that's disgusting. Really??

  5. HIPAA Violation or no? And is it wrong of me to point out to employer?

    sapphire18 replied to lovecena's topic in HIPAA Challenges

    WifeMother, I'm sorry that happened but that is in no way related to

  6. Professionals or "workers"

    sapphire18 replied to blackribbon's topic in Collective Bargaining, Union

    I'm not talking about anything specific in THIS thread, but just read the numerous ADN vs. BSN debate threads. You yourself have said that you won't allow your SICU to hire BSNs because they are not...

  7. Professionals or "workers"

    sapphire18 replied to blackribbon's topic in Collective Bargaining, Union

    I'm not sure why a masters-prepared nurse would be working at the bedside (unless they couldn't find another job), but that's another issue. Show me a masters nursing program where your undergrad can...

  8. Professionals or "workers"

    sapphire18 replied to blackribbon's topic in Collective Bargaining, Union

    I have never heard of a "profession" as against higher education as nurses. It makes a lot of sense that someone with a 2-year degree can write orders, examine patients and document progress notes,...

  9. Professionals or "workers"

    sapphire18 replied to blackribbon's topic in Collective Bargaining, Union

    This is news to me. Everywhere I've worked PAs are midlevel providers just like

  10. HIPAA Violation or no? And is it wrong of me to point out to employer?

    sapphire18 replied to lovecena's topic in HIPAA Challenges

    Per diem employees still need to work a certain amount of shifts per specified amount of

  11. What is one to do feeling like this?

    sapphire18 replied to gloryfied's topic in Health, Stress Management

    Same, Joanna. I am by nature a night owl, always have been, but look forward to a time when I can work "normal" hours and interact with the world. And experience sunshine

  12. Patient Picking At Clothing/Bed Linens

    sapphire18 replied to 84RN's topic in Home Health

    I see this all the time in delirious pts. Just can't keep those johnnies on

  13. MICU nurse becomes Trauma Pt.

    sapphire18 replied to L&DWannaB's topic in MICU, SICU

    So glad you're ok...that sounds terrifying. I have been at patient several times myself, and it opens up your eyes to what your patients are going through, without a doubt. Thank you for sharing your...

  14. Do we have to give IV pain meds if patient requests when PO meds are ordered?

    sapphire18 replied to VegRN's topic in Patient Medications

    Haha yup you're totally right...50mcgs...never heard of

  15. Saline bolus for high HR?

    sapphire18 replied to SimplisticRnx's topic in Medical-Surgical

    Good points made by some previous posters. It does seem too high for simple dehydration, as they are now in SVT territory. Unless it's afib with RVR. I would be expecting some IV cardiac drugs given....

  16. Do we have to give IV pain meds if patient requests when PO meds are ordered?

    sapphire18 replied to VegRN's topic in Patient Medications

    Just because someone requires more medication to adequately manage their pain, does not make them noncompliant. And I'm guessing you meant 50mg of fentanyl? I've never seen lower than 25

  17. Nurses: Hospital Red Flags

    sapphire18 replied to Soliloquy's topic in Job Search, Interview, Resume

    Sorry if this is dumb, but what is HCA? I agree with the high turnover being a major red

  18. Saline bolus for high HR?

    sapphire18 replied to SimplisticRnx's topic in Medical-Surgical

    I would agree with dehydration, however I wouldn't be comfortable with a HR that high, esp on an unmonitored patient. Another thing- I wouldn't consider 250cc/hr a "bolus." did it

  19. Be careful with FACEBOOK

    sapphire18 replied to Stephieee's topic in Job Search, Interview, Resume

    Congrats on the new job!! As an aside, does anyone know if you can still restrict your entire page to "friends only" all at one time, or do you have to go through post by post now? Things seem to have...

  20. Do we have to give IV pain meds if patient requests when PO meds are ordered?

    sapphire18 replied to VegRN's topic in Patient Medications

    If a patient is too sedated for IV meds, then they are too sedated for PO meds too. If vitals are fine though, including resp rate, you still need to treat the pain. IMO, you should give the patient...

  21. Whats your record??

    sapphire18 replied to Rhi007's topic in General Nursing

    I

  22. A little puzzled, looking for some input

    sapphire18 replied to RunninOnCoffee's topic in General Nursing

    Def sounds like an anoxic event. His blood gasses are

  23. What is the one thing that turns your stomach?

    sapphire18 replied to FDW630's topic in General Students

    Anything having to do with childbirth (regular, not c-sections), lady partsl exams, periods, etc.

  24. Difference between DNP and MSN/MBA

    sapphire18 replied to gentlerain's topic in Doctoral Nursing Degrees

    Well since a DNP is a longer amount of school, I would have to say that takes more of a time commitment than an MSN. In terms of advancing your career, what are your ultimate

  25. thoughts on nursing school......

    sapphire18 replied to AloeBlox's topic in California Nursing

    Congrats, and good luck on the