sunnycalifRN

sunnycalifRN

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All Content by sunnycalifRN

  1. *Pain Mgmt for Sickle Cell Crisis*

    sunnycalifRN replied to kgriffiRN's topic in MICU, SICU

    And, in my experience, many adult Sickle Cell patients are very hard sticks, due to their vasculature being trashed by the disease. I remember having to place an IV on the

  2. Can they fire you for not picking up overtime?

    sunnycalifRN replied to pinkiepie_RN's topic in General Nursing

    Always let the call go to voicemail. You don't have to call back, even if they ask you to in the message . . . you just tell them that you didn't get the message (if they

  3. Nitrates to Patient with Aortic Stenosis

    sunnycalifRN replied to leahvm's topic in CCU, Coronary, Cardiac

    Yes, I believe your explanation is correct. Note that the OP said it was a patient with severe AS and experiencing an MI, so the coronary perfusion was already compromised. I would expect that...

  4. How much more do wound care nurses earn?

    sunnycalifRN replied to sea~level's topic in General Nursing

    I don't work in long-term care but in ICU, our wound care specialists don't earn any more than other staff nurses. I am sure that it is facility-dependent, however. Maybe other facilities will give...

  5. Just Relax?

    sunnycalifRN replied to canesdukegirl's topic in General Nursing

    Or, another well-meaning but off-the-mark comment that visitors make to some of my ICU patients is, "Get some rest". Ha ha, sure, get some rest while alarms go off constantly, while we turn you Q2,...

  6. Just a random vent

    sunnycalifRN replied to himilayaneyes's topic in General Nursing

    I think you're right about this. I've had a phlebotomist family member call herself "nurse". After chatting with her a little, it became clear that she was not a nurse, however. On the other hand, I...

  7. Just Relax?

    sunnycalifRN replied to canesdukegirl's topic in General Nursing

    You are so right! It would be like a husband telling his wife in labor, "I know the pain is bad, but you can get through it!" If I had said that to my wife during labor, she would've broken my...

  8. Did you ever see a patient taking two laxative at the same time

    sunnycalifRN replied to Blackheartednurse's topic in General Nursing

    All the time. Recently, gave docusate, senna, Miralax and Lactulose to a patient who had not had a BM for a week. After about 3 doses, patient had a VERY large stool, aka "head to

  9. 39 and just starting?? Am I crazy?

    sunnycalifRN replied to collegegirl209's topic in General Nursing

    Jeanie, I starting nursing school at age 52 and started working as an RN at age 54. Nursing is one of the professions that, in my opinion, does not discriminate based on age. As you have read on...

  10. Is this a microcosm of what happens in nursing on a DAILY basis!?

    sunnycalifRN replied to Spikey9001's topic in General Nursing

    To the OP, do you think that the video represents a microcosm of what happens in nursing? And, by the way, that caregiver was most likely not an RN, so maybe a better question would be, "Do you think...

  11. Is this a microcosm of what happens in nursing on a DAILY basis!?

    sunnycalifRN replied to Spikey9001's topic in General Nursing

    This does happen and it's despicable, as you said. The person will pay for their crime. While there are always bad people out there, be they nurses, doctors, presidents or truck drivers, I believe...

  12. Taking a Pay Cut To Get Out of Nursing

    sunnycalifRN replied to PAERRN20's topic in General Nursing

    I'm was in the Mon-Fri 9-5 working world for many years and was laid off three times and worked countless hours for no pay ( due to being salaried ). Yes, nursing is hard work but I think I'll stick...

  13. New Grad: How to you approach a potential employer who isn't advertising

    sunnycalifRN replied to HealerWoman's topic in General Nursing

    It doesn't matter whether or not a hospital is advertising open positions or not. In this job market, they don't need to. Definitely, dress nicely, bring your resumes with a cover letter, and go...

  14. PRN fluid boluses post open heart?

    sunnycalifRN replied to aCRNAhopeful's topic in CCU, Coronary, Cardiac

    We can give up to 3 liters of LR, which are part of the standard CABG order set. After that, we must do the dance described by the

  15. Factor VII for OHS

    sunnycalifRN replied to grandmawrinkle's topic in MICU, SICU

    We use FEIBA, for our hearts, that are bleeders (only seen it used 4 times in the past year). The CT surgeon explained that it is generalized oozing from the sutures that doesn't stop, that warrants...

  16. Please give this nursing student some answers...

    sunnycalifRN replied to PinkRocksLikeMe's topic in General Students

    This question is frequently asked, and the answer depends on your location. Check out the answers to the following thread, Is it realistic that I'll make 80-100,000 thousand after I graduate with...

  17. Waste of Time

    sunnycalifRN replied to casper1's topic in General Nursing

    Welcome to nursing!! Unfortunately, I would guess that at least 25% of my time is spent looking for meds that are not where they're supposed to be, looking for supplies that are not where they're...

  18. new grad who didn't get into a specific nursing program

    sunnycalifRN replied to dedicate's topic in General Nursing

    I agree. If "you were an excellent candidate, but more qualified candidates were selected" helps you, then ask away. No HR department will ever explain their reasons for rejecting an applicant, nor...

  19. ACLS=not having to have BLS?

    sunnycalifRN replied to HeartsOpenWide's topic in General Nursing

    Yep, you must have BLS to take the ACLS class . . . sometimes, the AHA class will include BLS recert as a part of the ACLS

  20. Age of a Nurse

    sunnycalifRN replied to ttpurtee's topic in General Nursing

    We have many RN's who have worked 40+ years and are in their 60's, a few in their 70's. Not all at the bedside, but many are still. Our hospital newsletter posts the names of employees who have...

  21. SVR too low!!

    sunnycalifRN replied to HeartRN80's topic in CCU, Coronary, Cardiac

    Absolutely! We always check cortisol level as soon as we get the patient from OR and often will give hydrocortisone before we even get results, esp when the SVR remains so low with all those pressors...

  22. Is it realistic that I'll make 80-100,000 thousand after I graduate with associates.

    sunnycalifRN replied to Awright162's topic in General Nursing

    At the VA, where I work, the stated hiring policy is "BSN required". But, I was hired with an ADN, and about 1/2 of the new grad RN's I work with are ADN's. And, yes, this includes the new hires in...

  23. What are the Chances of Getting Hired at the VA

    sunnycalifRN replied to pat8585's topic in General Nursing

    I work at the VA and can vouch for the previous poster who said it takes a long time to hear from HR. Back in the day, when hospitals were fighting over new grads, we used to get ticked off because...

  24. males vs females as new RN's.

    sunnycalifRN replied to yahoo1's topic in General Nursing

    Um, I'm not aware of any advantage for males in nursing. I was the only male in my nursing class of 24 and the only special treatment I got was that I got to be the "mannikin" for EKG lead placement...

  25. Have you always known you wanted to be a nurse?

    sunnycalifRN replied to Getreal2011's topic in General Nursing

    Nope. First, went to med school for 2 years then dropped out, then worked as a machinist for a while, then worked in high tech for 12 years, then worked as a respiratory therapist for 10 years, then,...