turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    Clinical tidbits I wish someone would've told me.

    And if you work in a place that doesn't have a 24hour pharmacy and you do not carry the drip in your Pyxis/Omnicell or whatever, make sure you check first and tell pharmacy or your supervisor ahead of...
  2. Flagyl is also used to treat c.diff/pseudomembranous
  3. turnforthenurse

    Taking ACLS Class Tomorrow...

    I think you should be fine. They do suggest that you read over the book prior to taking the class, though. ACLS isn't a dysrhythmia course - they will expect you to know your cardiac rhythms. Know...
  4. turnforthenurse

    How to make hospital beds without mattress covers?

    We cannot put a fitted sheet on some of our beds...mainly the bariatric beds or some of the other speciality beds, like the low air loss ones or ones with lateral rotation. For those we just use a...
  5. turnforthenurse

    What kind of nursing bag do you have?

    I just use a Vera Bradley bag
  6. turnforthenurse

    Hiring Process for VA (veteran's administration)

    I'm just wondering what makes the VA "so different" from other hospitals, other than the ridiculously long hiring process (from what I heard!)? I thought about applying to the VA. I currently work...
  7. turnforthenurse

    Pain management

    IV is good for that "breakthrough" pain because it's onset of action is much faster than PO, but the effect doesn't last long. PO is better for long-term control. I agree, I would give both IV and...
  8. turnforthenurse

    Depression/Anxiety

    How many AN members here suffer from anxiety and/or depression? The incidence of both seems to be on the rise in nursing professionals. 1 in 5 nurses are depressed and twice the amount of nurses are...
  9. turnforthenurse

    Clinical tidbits I wish someone would've told me.

    I'm sorry that happened to you and your son! How frustrating. As for that tidbit...thanks! I never knew that. I just always squeeze the contents of the JP into a cup and hope I don't make a...
  10. turnforthenurse

    Clinical tidbits I wish someone would've told me.

    If your patient suddenly has no urine output, you better jump on the docs and start to intervene. I know that seems like common sense, but it's true. I've seen this with three patient so far, and...
  11. turnforthenurse

    The worst code you've seen?

    I wasn't the primary nurse of this patient, but I was in charge. The primary RN was asking me for advice for her patient, a 94-yo who had a bad case of pulmonary edema. You could hear how wet the...
  12. And try just cannot put their finger on it, what do you do? I have encountered patients like this and was told to never ignore it, because usually when patients think they are going to die, they do....
  13. turnforthenurse

    Do you take vitals on babies who are sleeping?

    Yes you still do. If anything, I think it's easier to get a HR and RR on a sleeping baby than a crying, fussy
  14. turnforthenurse

    Name Badges Worn Backwards

    This is a good idea. I don't intentionally wear my ID badge backwards. It often gets flipped around throughout the day. If I notice it facing backwards, I will turn it the right way. Not that big...
  15. turnforthenurse

    White Board Credentials

    "RN-C" means you are specialized at the national level as a nurse in a medical specialty area. These exams are offered through the ANCC (American Nurse Credentialing Center) and a list is here....
  16. turnforthenurse

    LTAC nurse of 2 yrs. Am I eligible to take CCRN?

    Typically, those eligible for taking the CCRN exam work in an ICU or some other type of critical care unit (CCU, CTICU, SICU, etc). Your best bet would be to contact the AACN and ask them about your...
  17. turnforthenurse

    Is Anyone PCCN Certified?

    maybe we can form some sort of online study group? or have a random PCCN fact throwing thread? no one around here is studying for the PCCN so I'm kind of on my own right now! I ended up purchasing...
  18. turnforthenurse

    When a patient states "something isnt right..."

    There have been studies done that show that about 70% of patients who end up with cardiopulmonary arrest experience feelings of anxiety, 8 hours before their arrest. That's a big
  19. turnforthenurse

    Chest Tube Question

    Check your hospital policy. They need to be checked frequently because critical situations CAN and DO happen, like a tension pneumothorax or sudden increase in drainage. Typically drainage of...
  20. turnforthenurse

    8 or 12hr shifts?

    12 hour shifts can be hard on the body but I personally think I would burn out faster working five 8-hour shifts/week and only have two days off vs. three 12's and ending up with 4-5 days off in...
  21. turnforthenurse

    Job interview

    For my nurse tech position, I had two interviews - one with HR, where they asked me some more generic questions (tell me about yourself, where do you see yourself in 5 years, why you want this...
  22. turnforthenurse

    Where can a new LPN grad get a job?

    Unfortunately, the market is very tough for new grad nurses. I hope you find work soon. Until then, all you can really do is apply, apply, apply! LPNs are very prevalent in LTC facilities but...
  23. turnforthenurse

    Renewal of RN License

    Texas requires 20 contact hours. Continuing Competency: Lifelong Learning You do not have to submit proof unless you are selected for audit, which is why you need to meet your CNE requirements....
  24. turnforthenurse

    Is it conceivable ?

    Go for
  25. turnforthenurse

    NG tube irrigation

    I've always used tap