sunnycalifRN

sunnycalifRN

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All Content by sunnycalifRN

  1. Nurse Practitioner vs. Medical School, subjects covered?

    sunnycalifRN replied to Skylarslaughter's topic in Nursing Career

    Skylar, I've had some background in medical school, as well as now being in nursing. I've also been a respiratory therapist, machinist, tire builder and systems programmer. My point is just that...

  2. Male nurses hired faster?

    sunnycalifRN replied to Chemistry Sux's topic in General Nursing

    No difference in hiring and no target. I was an RRT before switching to nursing; if you have any questions, send me a private

  3. Punctured lung via OG tube with intubated patient?

    sunnycalifRN replied to Alford's topic in General Nursing

    I agree with the other posters. Not likely. If you're inserting the OG and the pt has an intact cough/gag reflex, once you slid past the ETT cuff, when you touched the carina, the coughing would...

  4. LVN to MD

    sunnycalifRN replied to amtpl's topic in General Nursing

    Correct. I majored in history, also did the pre-med coursework, and got into med school. I did this a long,long time ago: at that time, the pre-reqs were Calculus A & B, Bio A,B,C, Physics...

  5. Recording output from a CTT drainage

    sunnycalifRN replied to jlsr's topic in General Nursing

    It's a small image, but I think it's the flag of the

  6. Is there a slower paced floor to work at in the hospital?

    sunnycalifRN replied to *Butterfly8*'s topic in Medical-Surgical

    My observation has been that every unit thinks that all other units have it easy. For example, med-surg thinks that ICU nurses just sit around filing their nails with their two patients and...

  7. My patient suddenly begings c/o pain in the right side, around the rib cage.

    sunnycalifRN replied to emmanuil's topic in General Nursing

    OP, you've got your answer!! pneumo 2/2 acrylic knitting needle puncture wound c/b the dreaded acute acrylic sepsis!

  8. Open Heart Recovery Training

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

    And, don't forget icufaqs.org!! Lots of applicable info there,

  9. Blood transfusion

    sunnycalifRN replied to blessed02's topic in General Nursing

    Agree with the 4 hr maximum time out of the fridge. We usually give blood over 60 to 120 mins so we never push the time

  10. What are your thoughts on working PRN on top of FT?

    sunnycalifRN replied to ANH_RN's topic in General Nursing

    I'm sure it varies with the facility, but at my facility, our charge orients the per diem for a few hours, gives them some printed instructions and then they're on their own. That's why you have to...

  11. What makes you irritated by student nurses?

    sunnycalifRN replied to Aly529's topic in General Nursing

    Haha! Yes, pretty much every student nurse that comes through ICU wants to use it as a stepping stone to become a CRNA. And, when I probe a little to find out why . . . ....

  12. Sedation..Your thoughts?

    sunnycalifRN replied to Da_Milk_of_Amnesia's topic in MICU, SICU

    You're so right. I have to run the propofol at 100 mcg routinely and the pharmacists are always ranting and raving!! We used to have the propofol as ward stock but now pharmacy keeps it locked up in...

  13. Cordis/Introducers

    sunnycalifRN replied to kc4nrsng's topic in CCU, Coronary, Cardiac

    I understand what you mean. Before we can DC the cordis, we have to have two good peripheral IV's. So, usually, any drips have been switched to the peripheral IV's or a PICC. If we're still running...

  14. What are your thoughts on working PRN on top of FT?

    sunnycalifRN replied to ANH_RN's topic in General Nursing

    We call it per diem and yes, per diem gets paid more than regular staff because of no benefits. In this economy, many of the RN's I work with are the sole breadwinners because their spouses are often...

  15. Weight-based drips

    sunnycalifRN replied to Otessa's topic in General Nursing

    Nor have

  16. Cordis/Introducers

    sunnycalifRN replied to kc4nrsng's topic in CCU, Coronary, Cardiac

    "Locking off" the cordis? Please explain. In my unit, PA cath is DC'd and the cordis is left for our use until we transfer the patient to the stepdown unit. We usually DC the cordis prior to...

  17. Anti-Intellectualism/Autonomy in nursing

    sunnycalifRN replied to felineRN's topic in General Nursing

    OMG! I'd hate to work there. I work in a teaching hospital, so we usually tell the docs what to order, if you know what I mean. The interns and new residents really appreciate our experience when...

  18. what are some reasons for a low rbc and high mch count?

    sunnycalifRN replied to onlyj's topic in General Nursing

    I agree with roser13. One of the reasons for doing care plans is to learn about disease and the healing process. You won't learn anything if you're given the answers. Read your

  19. Sedation..Your thoughts?

    sunnycalifRN replied to Da_Milk_of_Amnesia's topic in MICU, SICU

    Our anesthesiologists will bolus a non-intubated patient with 10 to 20 mgs of propofol during moderate sedation procedures. We, RN's, are not allowed to push propofol at my

  20. nitro drips

    sunnycalifRN replied to gonzo1's topic in General Nursing

    Our post-op day 1 hearts are almost always on a nitro gtt and we MUST (or the surgeon will scream at us) get them out of bed to the chair. Granted, the dose is usually minimal. It's usually a two...

  21. cardiothoracic ICU vs STICU

    sunnycalifRN replied to garfieldshome's topic in MICU, SICU

    Congrats on getting the internship! You'll get good experience in any of those units. If you don't like your choice, you can always transfer later. CCRN is a certification, did you mean

  22. Board exam!!

    sunnycalifRN replied to Anett's topic in General Nursing

    Ditto to BrookeeLou's post. Definitely get one of the NCLEX study guides and use it to prepare. If you know any of the students ahead of you in school, you can probably buy their used NCLEX review...

  23. How does your hospital recognize, reward, and motivate staff (RN, CNA, etc.)?

    sunnycalifRN replied to krystin954's topic in General Nursing

    We get an "attaboy" or "keep up the good work"!! Most

  24. What was your first nursing job?

    sunnycalifRN replied to Idaho Murse's topic in General Nursing

    My first and present job was in ICU. It was a very easy transition for me because I had 10 yrs of RT experience before switching to nursing. So, I was familiar with ICU, all the nurses, docs, RT's,...

  25. Moderate (Concious) Sedation by RT?

    sunnycalifRN replied to OkieICU_RN's topic in MICU, SICU

    GreyGull, I stand corrected. I should say, the hospital that I worked at (you probably know which one), changed their policy and forbade RT's from doing light sedation during bronchoscopy. I know...