MedicineCNS

MedicineCNS

Medicine, Surgery, Critical Care

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  1. I want to continue on with school... but which route?

    MedicineCNS replied to JSBoston's topic in Clinical Nurse Specialists, CNS

    When I started in this role it was 30% admin. No hiring firing or discipline though. I mean meeting with directors hospital driven "things"(not just initiatives in my units). I asked to come off of...

  2. What's wrong with seeking stability & security?

    MedicineCNS replied to oneflyLPN's topic in General Nursing

    Ok so clearly I am in the minority... Nursing=just a job McDonalds=if the person is into it, it is more than a just a job an they can grow professionally etc. Hmmm the mcdonalds part sounds pretty...

  3. What's wrong with seeking stability & security?

    MedicineCNS replied to oneflyLPN's topic in General Nursing

    You missed the boat here. It is not about the person its about the job itself. I was using McDonald's as an example. I imagine a small percentage of people consider McDonald's a career or profession....

  4. question about acidotic pts and labs

    MedicineCNS replied to crystalchen's topic in General Nursing

    Lactate is a byproduct of anaerobic metabolism. When muscles organs etc run with out enough 02 it builds up... The reason your muscles burn after a run. We use lactate as a measure of tissue...

  5. question about acidotic pts and labs

    MedicineCNS replied to crystalchen's topic in General Nursing

    Why was he admitted to the hospital? Infection? any cancer? Sounds like liver involvement to me. Lactate was high because he was running on that anaerobic metabolism thing :) sob was r/t him trying to...

  6. I want to continue on with school... but which route?

    MedicineCNS replied to JSBoston's topic in Clinical Nurse Specialists, CNS

    Sure! The hospital is 250 beds, in am In VA. Yes we are APNs, but no prescriptive authority which is irritating but it's a conservative state. Hopefully that will change! I am very lucky to be in this...

  7. What's wrong with seeking stability & security?

    MedicineCNS replied to oneflyLPN's topic in General Nursing

    Unfortunately many schools do not train students to be professionals they crank out workers to do tasks. Those of us that do work to improve YOUR work environment help to sustain the "benefits" of...

  8. Who Draws blood from a-lines??

    MedicineCNS replied to bran1101's topic in MICU, SICU

    GAHHH! RNs only that sounds like and ID nightmare

  9. everyone is stumped

    MedicineCNS replied to **LaurelRN's topic in MICU, SICU

    I was thinking the same

  10. NPH insuln

    MedicineCNS replied to fallrisk2008's topic in Patient Safety Issues

    Two things... new diabetes treatment guidelines day always give the patients usuals intermediate/long acting dose. If they are not going to each it is best to give them dextrose containing IV fluid....

  11. Discontinuing IJ turned into a Rapid Response

    MedicineCNS replied to Manatee111's topic in Patient Safety Issues

    I help to write policy and the goal not to write too much detail so that nurses hands are tied to do things in one way. Not always the best thing. The other take home about pulling lines beyond NEVER...

  12. To Cover or Not to Cover the IV Cap?

    MedicineCNS replied to Sweetie2005's topic in Patient Safety Issues

    ::Shiver:: its kind of like washing your hands with out soap and spreading all the bacteria around potentially around the

  13. can you work part-time or prn as a cns??

    MedicineCNS replied to NICU<3RN's topic in Clinical Nurse Specialists, CNS

    I work 4 days a week in office and the other day is at home and after the babes go to bed I catch up on work making up for the other 8 hours usually. The best part is the flexibility of hours and...

  14. I want to continue on with school... but which route?

    MedicineCNS replied to JSBoston's topic in Clinical Nurse Specialists, CNS

    I do a variety of things.... My hospital didn't have a CNS before me so they let me do whatever would give the nurses and patients in Medicine and Surgery the best benefit. I LOVE my job. 1.I have a...

  15. Nursing mgrs who interview floor nurses - which candidate is more desirable?

    MedicineCNS replied to klone's topic in General Nursing

    Honestly... I would take the one that wants to go back to school full time. She will most likely give back based on what she learns in school. The other piece is she is more likely to stay that...

  16. What's wrong with seeking stability & security?

    MedicineCNS replied to oneflyLPN's topic in General Nursing

    I have both clinical and admin. The biggest problem I see with nursing and salaries is that those that are in mainly for money punch in and punch out and that is it. Nursing is not a JOB it is a...

  17. Now, if you saw this on a chart, what would YOU think?

    MedicineCNS replied to AngelfireRN's topic in General Nursing

    Hahaha I didn't read your thread first great minds

  18. Now, if you saw this on a chart, what would YOU think?

    MedicineCNS replied to AngelfireRN's topic in General Nursing

    My favorite is Levofed... ugh! If you are giving a med that means life or death know how to spell it! A person favorite in chart review is description of an infected wound bed ...puss*. Purulent...

  19. more jobs with new universal health care?

    MedicineCNS replied to Phlavyah's topic in General Nursing

    I do not think so. Right now hospitals are trying their best to SAVE money which means trimming the fat and unfilled vacancies if units are functioning "ok". The more the government gets involved with...