turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    Iv cath insertion class

    turnforthenurse replied to FutureRNGreen's topic in Patient Care Technician, Assistants

    Where I used to work as a NT (nurse tech), we were allowed to start IV's. We didn't have to take a course; the knowledge came from nursing school. We had to insert a few with supervision, though....
  2. turnforthenurse

    Short nursing staff

    turnforthenurse replied to nurseywifeymommy1's topic in Geriatric, LTC

    I think LTC gets hit the hardest regarding this, but this happens everywhere...not just in LTC. I was reading an article (I think it was from the AJN or something, can't remember) stating that it is...
  3. turnforthenurse

    Organize my home desk

    turnforthenurse replied to Grasshopper11's topic in Medical-Surgical

    I have an accordion folder to keep copies of my license, Proliability insurance and CEU certificates. Some of my other CEU certificates are kept online via
  4. turnforthenurse

    Would wearing a sexy nursing outfit to a party disrespect the profession?

    turnforthenurse replied to smartnurse1982's topic in Nursing Professionalism

    I don't think it is that big of a deal. The only thing you should worry about is having the pictures on Facebook and having potential employers see them. That could cost you a job opportunity, along...
  5. turnforthenurse

    Nurse Calling In Scripts to Pharmacy Illegally

    turnforthenurse replied to nurse42long's topic in General Nursing

    Did you give her payment for that Bactrim, or did you refuse it? That's a tricky situation, I'm not sure if that makes you "on the line as well" if you reported her. Her behavior needs to be...
  6. turnforthenurse

    Subq Heparin

    turnforthenurse replied to JTworoger's topic in Medical-Surgical

    I agree, don't talk them out of it for the reasons mentioned above. Patients need to be given the explanation on WHY they are receiving heparin (or lovenox) and the need for DVT prophylaxis. If they...
  7. turnforthenurse

    Staying organized on Tele

    turnforthenurse replied to CyclingMurse's topic in Cardiac

    I agree with this. Always check and periodically check your patient's rhythm on the monitor and note any changes. We have monitor techs but that doesn't mean they always watch the monitor...half the...
  8. turnforthenurse

    Patients per nurse??

    turnforthenurse replied to AmandaBusch's topic in CCU, Coronary, Cardiac

    It depends on the area. On my floor (progressive care), it's 1:4, rarely up to 5 if we are short-staffed. Typically the charge has less patients, but I know I have taken a larger load of patients to...
  9. turnforthenurse

    CCRN anyone?

    turnforthenurse replied to Good Morning, Gil's topic in Critical Care

    I finally picked a test date, I have a month! It's crunch
  10. turnforthenurse

    CCRN anyone?

    turnforthenurse replied to Good Morning, Gil's topic in Critical Care

    Here are some cardiopulmonary pearls (I will contribute more later): * Patients with mitral stenosis/left atrial enlargement may present with P mitrale, a wide (>0.1 second) and notched P wave. *...
  11. turnforthenurse

    question about NSTEMI and posterior MI

    turnforthenurse replied to skylark's topic in CCU, Coronary, Cardiac

    Glad I was able to help! Happy
  12. turnforthenurse

    question about NSTEMI and posterior MI

    turnforthenurse replied to skylark's topic in CCU, Coronary, Cardiac

    With a posterior MI, you will ONLY see reciprocal changes, as in ST-depression with T-wave inversion. You may also see a large R wave with tall T's and ST-depression, but those large R waves are...
  13. turnforthenurse

    Bored on night shift- should I ask for transfer?

    turnforthenurse replied to Happyday1's topic in Nursing Career

    A lot of hospitals will not allow you to transfer until you stay in a particular department for at least six months. Some require a year. I started out as a new grad on nights, I still work nights,...
  14. turnforthenurse

    Where should I volunteer?

    turnforthenurse replied to christwendt's topic in Pre-Nursing Students

    That's great that you want to volunteer. I would volunteer in an area that interests you. Hospitals sometimes need volunteers, too. I worked at one that had volunteers come in the daytime on the...
  15. turnforthenurse

    Staying organized on Tele

    turnforthenurse replied to CyclingMurse's topic in Cardiac

    Hello and welcome! I agree with finding a "routine" that works for you. Everyone is different. I also agree with getting a good brain sheet! If you search brain sheets here on AN you will find a...
  16. turnforthenurse

    ADN's being pushed out

    turnforthenurse replied to MSN Student's topic in Diploma, ADN, BSN

    My hospital seems to be ADN-friendly. We have quite a few nurses with their ADN but we also have quite a few nurses with their BSN. We just hired some new nurses with their
  17. turnforthenurse

    Wondering what nursing school gear i should get

    turnforthenurse replied to Stephanie143's topic in Scrubs, Uniforms, Gear

    For a stethoscope, the Littmann Classic SE II is great for students. That's what I used throughout nursing school and then after I graduated I upgraded to the Littmann Cardiology III, but I still...
  18. turnforthenurse

    Quick Head to Toe Assessment

    turnforthenurse replied to ProbowlerRN's topic in Medical-Surgical

    Orientation (also seeing if they acknowledge you when you walk into the room), pupils, heart/lung/bowel sounds, ask about any nausea/vomiting/diarrhea, palpate the abdomen, look at lower extremities...
  19. turnforthenurse

    MAP vs SBP

    turnforthenurse replied to MLB55's topic in Neuro Intensive Care, ICU

    There are a lot of times where a neurologist will not want to treat the BP until the SBP >180 or even >200, such as in cases of ischemic stroke...lowering the BP too much would deprive the brain...
  20. turnforthenurse

    tuberculosis

    turnforthenurse replied to jennymt2386's topic in Nursing Student Assistance

    Yup, isolate. You wouldn't want them with universal precautions only to find out they have + AFB cultures, which means you and a lot of other people have just been possibly exposed to TB. Also, at...
  21. turnforthenurse

    How do experienced nurses do it to memorize everything?

    turnforthenurse replied to NursingBro's topic in LPN, LVN Corner

    You can search "brain sheets" here on AN and you will find that a lot of users have uploaded their brain sheets as examples/for use. I feel lost without my brain (pun intended). But if I have...
  22. turnforthenurse

    Admit it. You do it.

    turnforthenurse replied to Brian's topic in General Students

    you caught
  23. turnforthenurse

    INSULIN DRIPS

    turnforthenurse replied to mombuxx's topic in Critical Care

    ICU, 2 patients, rarely 3 if they are short staffed. Blood sugars are done Q30min-Q1H. We *have* had patients on insulin drips come to my floor (PCU) with a max of 4 patients, with blood sugars...
  24. turnforthenurse

    Can a nurse start a hospice?

    turnforthenurse replied to anashenwrath's topic in Nurse Entrepreneurs, Innovators

    I would think you need a physician or at least a PA or NP with prescribing capabilities, because as a nurse we cannot prescribe medications or treatments to patients. That is not within our scope of...
  25. turnforthenurse

    First day at work

    turnforthenurse replied to NursingBro's topic in LPN, LVN Corner

    I remember the first time I ever gave report. I was a student. We went through SBAR and all of that (and that's really how you should report nowadays) but I was so nervous, I just completely...