sunnycalifRN

sunnycalifRN

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All Content by sunnycalifRN

  1. Mechanical Ventilation- what's the difference between settings?

    sunnycalifRN replied to Steph, RN's topic in MICU, SICU

    a good place to start is http://www.icufaqs.org after that, talk with one of the experienced RT's in your ICU when you have a patient on a vent. explanations make more sense when they're about your...

  2. Are swans going "out of style?"

    sunnycalifRN replied to TemperStripe's topic in MICU, SICU

    Not where I work; every "heart" gets a swan. However, it is usually removed by post-op day 2. The CT surgeons tried the non-invasive devices but decided that they want continuous monitoring; the...

  3. Whats a good way to prep for Nursing/medical situation?

    sunnycalifRN replied to mpolo's topic in General Nursing

    Just relax and get plenty of rest. All TV medical dramas are just for entertainment purposes and have nothing to do with reality . . . if you enjoy them, then, by all means, watch them. The way I...

  4. I talked to HR

    sunnycalifRN replied to TwilightRNurse's topic in General Nursing

    Do you own any Kevlar body armor?? You've just painted a large "bulls-eye" on your

  5. Best Place to be as an RN

    sunnycalifRN replied to Maymie's topic in General Nursing

    I agree with bill4745. Although jobs are scarce right now, it might be three years before you're on the job market and hopefully, this recession will be over by then. If you're already in the Nor...

  6. NO PRIVACY: HIPPA? What's HIPPA

    sunnycalifRN replied to daniedi77's topic in HIPAA Challenges

    You'd better believe it!! Our information technology staff puts "tracers" on all sensitive records, such as employees who are patients or VIP's, and if someone not directly caring for the patient...

  7. Why do I have such a bad feeling about this?

    sunnycalifRN replied to greenclover's topic in General Nursing

    I agree with other posters who said "go with your gut feeling". Exit, stage

  8. Have you ever had a pt that you knew in real life?

    sunnycalifRN replied to AmericanChai's topic in General Nursing

    I've certainly seen people that I know come in as patients but as soon as I see them, I let my charge nurse know that so and so is a friend/acquaintance/relative, and I am not assigned to care for...

  9. Just passed my RN boards!!!

    sunnycalifRN replied to jschut's topic in NCLEX Exam, Programs

    :ancong!::dncgbby:It's a great feeling, isn't

  10. If Nurses were paid $8.50 per hr, would you or would you not

    sunnycalifRN replied to RNnbakes's topic in General Nursing

    To the OP, how did you come up with $8.50/hr? Why not $0.85/hr?? That's what I started out earning at my very first job (not nursing). And, the answer . . . if homes cost $12,000, cars cost $850...

  11. Troponin of greater than 300! What is the highest you have seen.

    sunnycalifRN replied to nlhnurse1982's topic in General Nursing

    Uh, are you sure that the 300 is for troponin? Maybe it's the CK-MB? I've never heard of troponin levels that

  12. Drawing blood

    sunnycalifRN replied to dtermineddenise's topic in General Nursing

    Excellent advice. Many nurses try to "look" for veins, rather than feel for them. Even veins that are visible, may have no bounce, or if the vein is hard (often due to chemo), there may be little to...

  13. How often do your pts thank you?

    sunnycalifRN replied to cmonkey's topic in General Nursing

    I work in the ICU, so many patients cannot say thanks. But, of those that can, I usually get a "thank you for your care" or "will you be my nurse again tomorrow?", at the end of the

  14. White Boards

    sunnycalifRN replied to Zippy Head's topic in General Nursing

    Years of experience?? You've got to be kidding!! Why not write your GPA, your BMI, and your percentage body

  15. Proning

    sunnycalifRN replied to nightshift82's topic in MICU, SICU

    Uhh, sandbags?? That would only make it more difficult for the patient to breathe . . . increase PIP's, drive the RRT nuts. That does not mimic

  16. no wash cloths!!!!

    sunnycalifRN replied to NurseEmRN's topic in General Nursing

    Yes, the cost-cutting measures that the "bean-counters" come up with are amazing. We use the ComfortCare disposable wipes, but only one package per patient per

  17. Two step blood preasure????

    sunnycalifRN replied to newway's topic in General Nursing

    For school, just do it like the instructor says so you can be checked off. In the "real world", you'll see that automated BP machines are used most of the

  18. Most embarrassing thing that happened to you at work

    sunnycalifRN replied to AngelfireRN's topic in General Nursing

    Before becoming an RN, while working as an RRT in the ICU . . . was in an intubated patient's room . . . just me and the patient, who was sedated . . . . decided it was safe . . . so passed gas . . ....

  19. Dialysis center Business?

    sunnycalifRN replied to jtanga's topic in Dialysis, Renal, Urology

    To start a single center? Hmmm, probably many millions. The overhead costs are very high; licensing, insurance, equipment rental, dialysis techs, dialysis nurses, medical director, admin staff,...

  20. 2 Bachelor's degrees + ADN = means nothing???

    sunnycalifRN replied to KamiK85's topic in General Nursing

    It all depends on the particular hospital and the particular unit. I cannot speak for my entire hospital because I'm an RN, not an HR person. But, I know that in my unit, well over 50% of the staff...

  21. Do you think there will be more nursing jobs by the time I graduate in 2013-14?

    sunnycalifRN replied to TrinaCNA's topic in General Nursing

    I asked the Magic 8 Ball . . . it said "outlook good"!! So, it must be

  22. What have other nurses done that have freaked you out?

    sunnycalifRN replied to texas_lvn's topic in General Nursing

    I did not witness this myself but heard about it. Everyone heard about it. Patient was made "comfort care". Morphine gtt ordered. RN hung the morphine bag using piggyback tubing (not on a pump!!)...

  23. Techs don't like to be asked to do "scut" work

    sunnycalifRN replied to LNDRN19's topic in General Nursing

    I second

  24. End stage COPD

    sunnycalifRN replied to rachelgeorgina's topic in Pulmonary

    home hospice referral is definitely needed. once that is established, the hospice protocols will make her comfortable. our hospice uses nebulized morphine for dyspnea along with IV and I'm told that...

  25. BIG QUESTIONS for ALL NURSES

    sunnycalifRN replied to AB normalRN's topic in General Nursing

    It's definitely a tough job market right now. We just hired a new grad RN who had done her preceptorship with us and after graduation, volunteered in our unit (through volunteer services). She...