lazyrocking

Please feel free to E mail. We have been using First Net for about a year. Have lots of good and bad

Did you get a chance to find your step by step instructions? I could certainly use that at our facility also. Thanks.

Rocephin smell like cat urine. I also smell human urine odor when reconstituting maxipime. Ick.

Try www.aviatorscrubs.com. I get all my scrubs from there because you can customize pockets, length of pants, length of shirt etc. They're pricey but last for years and years.

Our facility is currently revamping a lot of things. Charting is one of them. I've been selected to review the negative aspect of charting by exception. I've used it in other facilities and have to admit I'm pretty opposed. I've seen nurses simply check Within Determined Limits without comparing to care plans or even really looking at the patient in depth. I understand this is due to high patient loads, etc. But it seems staff gets desensitized by using a form rather than having to think about what they're assessing. I've checked threads and haven't seen a lot of postings on this subject. One of my other concerns is that while I can look at the chart and recall the patient for a while, what happens in a civil suit 7 or 10 years later, when nursing is called in to testify in court.

I have just the opposite problem and couldn't find small enough scrubs. I found www.aviatorscrubs.com for on-line ordering and love them. I've had four pair for over two years and haven't had any shrinking or fading. They're a little pricey but well worth it. You can order pockets where you need them on both the tops and pants. They have gotten me lots of compliments from staff and patients.

This really hit home. I've been an advanced EMT for many years and am graduating the ADN program this spring. It seems like there is a feeding chain that occurs in health care. I've seen ICS dis on med-surg nurses, RNs on LPNs, LPNs on CNAs, Paramedics on Adv EMTs and Adv EMTs on basics. It also seems that the one's that are the meanest are also the most incompetent or lazy. I hope a way of making a difference is being involved in both the EMS and nursing fields. But to change it I think it's important to be a part of both worlds. That way you can serve as a type of "interpreter" because even though we're all in health care, there are completely different perspectives and understanding is the only way to personalize the positions and not rely on outdate or just plain arrogant misconceptions. As an EMS instructor, I also address this subject in the basic, advanced and refresher courses that I teach.

I have had an Adscope 656 for two years now and love it. I originally got it for EMS as it screen out engine noise and amplified lung sounds etc. They take a while to get used to but are invaluable. Since I've had mine, several docs and nurses have used it and ended up getting their own.

Several years ago I had a c5 - 6 fx. After a couple years I experienced the same s/s. It turned out to be a small cyst at the site of the initial injury. MRI was the only way to dx it. It was just watched and the fluid reabsorbed but was told that if it continued to grow, another surgery was called for. Please get right in to a neuro.

Just a suggestion but I learned blood draws and IV's in the back of an ambulance. You don't get time to think about it and they become automatic. You might try to get in with your local service and do some ride a longs. You learn to start and draw in all types of situations including the dark, blind sticks, moving sticks, etc.

Thanks very, very much. Your input is really valuable.

I'm currently an ADN student graduating this spring. My long term goal is to complete the nurse practitioner program. My dilemma is I've been offered a position at a larger hospital, med-surg floor for post op and also an emergency dept position in a much smaller hospital. The pay and benefits are comparable. The large hospital offers more in the way of acute care and the small hospital offers more opportunities to practice with more independence regarding decision making and skills. I do have many years of emergency experience in EMS. Which would be more advantageous as far as my plans to become a nurse practitioner???