CNL2B

CNL2B

multispecialty ICU, SICU including CV

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All Content by CNL2B

  1. Is nursing really THAT bad?

    CNL2B replied to CuriousCC's topic in General Nursing

    I have to say that: Yes. At times, it is that bad. If you can stomach the job itself though, that part isn't bad. What is going to get you in the end is the hospital politics, the backbiting by...

  2. Broke My 6 Week Contract

    CNL2B replied to jlbic's topic in General Nursing

    How long have you been licensed and working? Are these new feelings, or is this the way it's been all along? I have to say that with the way you are feeling, it doesn't look like you are going to...

  3. Dopamine drips in SNF?

    CNL2B replied to mercury7's topic in Geriatric, LTC

    Just checked the drug book I have, Mosby's 2010. Adult dosing for "shock" ranges from 2-10 mcg/kg/min. That implies that whoever wrote this book believes that the pressor effect begins at 2 mcg....

  4. Dopamine drips in SNF?

    CNL2B replied to mercury7's topic in Geriatric, LTC

    I was always taught that the pressor/inotropic effect of dopamine begins in the 3-5 mcg/kg/min range, and that the renal perfusion dosing is at max 5 mcg, typically given more at 2-3 mcg. It is a low...

  5. Advice Please- MSN, no specialty?

    CNL2B replied to Peace.Love.Cupcakes.'s topic in Post Graduate Students

    A CNL is not a management track Masters. It is an advanced generalist/leadership prepared role. A CNL track will not pin you to any specific specialty area, which is the point I was trying to make....

  6. Advice Please- MSN, no specialty?

    CNL2B replied to Peace.Love.Cupcakes.'s topic in Post Graduate Students

    Also just an FYI to babyRN -- all DEMSN students have either "generic" MSNs when they graduate or they have a CNL

  7. Advice Please- MSN, no specialty?

    CNL2B replied to Peace.Love.Cupcakes.'s topic in Post Graduate Students

    I respectfully disagree. I am planning on going into a MSN/CNL (Clinical Nurse Leader) program next year. CNLs are prepared as advanced generalists. If you look at curriculum and the CNL white...

  8. Dopamine drips in SNF?

    CNL2B replied to mercury7's topic in Geriatric, LTC

    Absolutely not appropriate. Someone on dopamine should be on a stepdown unit as the minimal level of care. It is a PRESSOR, for Pete's sake, and even if they are using it for renal perfusion (which...

  9. Inhumane Treatments

    CNL2B replied to Tait's topic in General Nursing

    FYI PICCs and central lines are routinely inserted with LOCAL anesthesia -- usually systemic pain medication is not needed. The need for sedation should be assessed on every patient having any kind...

  10. Male Nurses

    CNL2B replied to BackfromRetirement's topic in General Nursing

    Just an FYI for you, in addition to the previous posters mentioning that specialties like ER/ICUs attract men, the VA system attracts a disproportionately high number of men. I work in the VA system...

  11. CNA doing Rectal Stimulation for Fecal Evacuation?

    CNL2B replied to protrend's topic in General Nursing

    Definitely has. I keep getting updates. I am really surprised to find out that this is a "licensed only" function in some areas. It isn't here (state of MN) and it didn't even occur to me that...

  12. Advice for interview for CNA position on Cardiac

    CNL2B replied to hearts895, RN BSN's topic in General Nursing

    You should try to act like you want to work in that care area (cardiac) as opposed to others (and hopefully, you do.) Think up some reasons why that interests you (hopefully, it does.) They will...

  13. Nursing Acuity

    CNL2B replied to ImproveOutcomes's topic in Patient Safety Issues

    What is "acuity creep"

  14. Metropolitan State vs. Mankato State (RN to BSN)

    CNL2B replied to NSJodi's topic in General Nursing

    I went through Metro (well, am going...almost done.) Yes, there is a lot of B.S. I think realistically for nurses that have been in practice for awhile most if not all of it is B.S, and that is...

  15. facility acquired pressure ulcers

    CNL2B posted a topic in LTC: Directors, Assistant

    Hi, I'm a hospital nurse. My grandmother in law is W/C bound after a bout of Guillian-Barre about 18 months back. After it was determined that she was never going to walk again she was placed in a...

  16. Microbiology and Anatomy and Physiology II online?

    CNL2B replied to kammel's topic in General Students

    Second GM2RN. I don't know a nursing program that will take those classes as didactic only. Make sure you do your

  17. Who has the most "gravy" RN job ever?

    CNL2B replied to OnaTrek's topic in General Nursing

    OK, have to comment on this one. Our hospital WOC nurses are overworked and they do a DISGUSTING thing for a living!!!!!! I wouldn't call that a gravy job at all!!!!! They DO rotate call on the...

  18. Arterial Line Bloodstream Infection

    CNL2B replied to studenthawk24's topic in General Nursing

    Studenthawk -- I have never seen a bloodstream infection that has been pinned to an arterial line in practice. They typically don't get infected because of the direction of the blood flow. You might...

  19. Turn every two hours

    CNL2B replied to Alnitak7's topic in General Nursing

    Don't know what care setting you work in. In most hospital settings, a pressure ulcer risk assessment is done and if the patient scores "at risk" to any degree and is bedridden, they get turned q2h...

  20. Fear Factor

    CNL2B replied to Rensoul's topic in Patient Education

    Rensoul, So sorry that you have to deal with all that. You are right in finding a new PCP after that kind of commentary. I would also be looking for a new nephrology office. If you have the option...

  21. Who plays the "I'm a Nurse Card"?

    CNL2B replied to Doc Lori, R.N.'s topic in General Nursing

    Ha ha ha, me too! Actually this happened to me when I got pulled over at about 10 PM long ago as an HHA going in to do the night shift for my vent-dependent quad in a home environment. The cop asked...

  22. Can't do anything right

    CNL2B replied to prinsessa's topic in Geriatric, LTC

    I've said this before, and I will say it again -- I totally respect anyone that can stay and function in LTC. Having 15-30 patients to me is ridiculous. I know that jobs are tight right now and that...

  23. CRNA vs Medical Sales

    CNL2B replied to Magnus's topic in Certified Registered Nurse Anesthetist, CRNA

    I wouldn't even know how to start to advise you. Both of those are good jobs but as I see it, require some specific personality traits, and they are not exactly the same ones. You might want to do...

  24. Potential MN Nurses Strike?

    CNL2B replied to Brian's topic in Collective Bargaining, Union

    Just read the paper and read through some of the contract proposals. Go MNA

  25. What you wished you had known before you started your first job?

    CNL2B replied to AndreaBallard's topic in General Nursing

    Nobody, including the patient, really appreciates what you are doing for them. It's just expected these days. That was a rude awakening for me when I got out of