phoenixrn

Latest Activity

1. ED treatment for severe burn victim

   phoenixrn replied to jcast2213's topic in Burn

   1) We don't refer to them as victims unless they're dead. Burn SURVIVOR. 2) The primary focus of the ER should be to stabilize the patient and get them to a Burn Center as quickly as possible....

2. CBD in California? Will my nursing license be safe?

   phoenixrn posted a topic in General Nursing

   Greetings! It's 2017. I'm the primary caregiver for my mother, who is showing s/s of advancing memory loss. She frequently has back pain also, and the two issues are keeping her out of the garden,...

3. How did you start in Burns?

   phoenixrn replied to dbear3's topic in Burn

   I was hired as a new grad into a hospital that has an ABA certified ICB. I was hired onto the "ortho/neuro" med surg unit. In addition to ortho/spine patients, we would see cosmetic plastics patients,...

4. Burn dressings vs. Defibrillation

   phoenixrn replied to marienm, RN, CCRN's topic in Burn

   Gosh.... this is a great question. And what if you cut the dressings down but the torso is covered in goopy silvadene and eschar? Burn patients are often slimy and slippery. And we get plenty of...

5. Nursing students who want to be NP's

   phoenixrn replied to Teaching the future's topic in General Nursing

   This is also fueled by the fact that there is a PHYSICIAN shortage..... this is why APNs are in demand. Many bright young people considering medical school will also look at the APN pathway and think...

6. Used CPR on my neighbors toddler today... it wasn't enough... warning, graphic..

   phoenixrn replied to NursingInChaos's topic in General Nursing

   Hero nurse!!! I guarantee you that mom and dad were praying to God/Allah/Jesus/Jehovah and probably Satan as well for any chance to hold their live baby again, deficits or not. You are a

7. Accepted to FNP program but having change of heart

   phoenixrn replied to phoenixrn's topic in Student Nurse Practitioner

   Update: I've accepted my admission. It's a State school (hella cheap tuition, and my facility will pay a chunk of it). Mostly online classes, but driving distance for on campus seminars and...

8. Accepted to FNP program but having change of heart

   phoenixrn replied to phoenixrn's topic in Student Nurse Practitioner

   Well hello my fellow burn nurse!! We certainly are in a niche, aren't we? You either love our specialty.... or you don't touch it with a ten foot

9. Accepted to FNP program but having change of heart

   phoenixrn posted a topic in Student Nurse Practitioner

   Greetings APNs! I could really use your advice. I was just accepted into an FNP program at a well-respected four year university. It will be dirt cheap (subsidized in-state tuition, employer tuition...

10. Non-medical staff giving injections?!!

    phoenixrn posted a topic in General Nursing

    So I was just at a "medically supervised" weight loss clinic. The "counselor" gave me a subQ injection in the upper arm. I had to tell her to wash her hands and put on gloves. I asked her if she was a...

11. Albumin Resuscitation

    phoenixrn replied to BriGuy31's topic in Burn

    Gotta watch out for pulmonary edema also. If the patient has a good, health strong heart prior to the burn injury, they'll be able to handle the fluids. Patients with weak hearts can get backed up...

12. Excoriated Skin= Sloughing??

    phoenixrn replied to Nurse_Nancie's topic in Burn

    I agree with what Marienm said... I will add: I would consider eschar to be nonviable tissue that covers a wound bed ... eschar can be yellow, white, or scabby. Eschar doesn't necessarily come off by...

13. silver nitrate sticks & silvadene creme

    phoenixrn replied to onthemark's topic in Burn

    We use silver nitrate to cauterize areas of hypergranulation in healing graft sites. Granulation tissue = pink or red smooth wound bed. Hypergranuation = raised, caviar-like dark red or purplish...

14. Forced to stay and work under mandatory evacuation?

    phoenixrn replied to squatmunkie_RN's topic in Patient Safety Issues

    I live in earthquake country.... 30 min away from the city where my hospital is at and in a safer earthquake zone than the city. If the "big one" hit and I knew my family was safe, I would do...

15. Pyxis (almost) nightmares. PLEASE be careful.

    phoenixrn replied to dudette10's topic in Patient Medications

    My routine: I check the MAR, then pull the meds. Then, I chart the meds one by one against the MAR, checking the name and correct dosage again, then opening the package, announcing the medication and...