CNL2B

CNL2B

multispecialty ICU, SICU including CV

Member
  • Content

    516
  • Visitors

    7,992
  • Followers

    0
  • Likes

    7

All Content by CNL2B

  1. Clinical instructor/student 10:1?

    I think when I was in a clinical setting it was more like 8:1. 10:1 seems like
  2. Very good article. I am planning on reading it in detail -- just skimmed it for starters. Posted on
  3. Freaking out!!!!!!

    I am a BSN student taking a required health assessment class. We have to do four timed physical assessment exams throughout the course that you must pass to pass the class. They are low points (10...
  4. Did you work while in nursing school?

    I had to. No kids back then, but was self-supporting. I worked .6 (24 hours/week) on a med/surg ward as a HUC/NA (combination position) and later in school, as a tele tech. It was great experience...
  5. Expert!!!! WOW!!!!

    I am so flattered. My coworker from the education department at my work is working on her DNP, and in the course of her research project needs several "expert" ICU nurses do a performance assessment...
  6. Expert!!!! WOW!!!!

    I don't need a "club", nor is that what I was asking for (not asking for anything, really, just wanting to share a positive experience.) If you want to be taken seriously in any forum, internet...
  7. I don't think they do. Some of our drugs are in the pyxis in the med room I (I guess, technically a double lock -- the med room door and then the Pyxis) and some are out unsecured in the med room,...
  8. Holy crap. What state are you in? You seriously had to reveal that kind of
  9. Can I just say that from personal experience...

    I am so sorry you had to go through that!!!! It is good that you are on the mend now. I had a one-in-million, malpractice-y-ish error when I had my tubes tied a few years ago. I hemorrhaged -->...
  10. Effective communication at work

    We have a program called Civility, Respect, and Engagement in the Workplace (CREW, for short.) It is strongly encouraged and might even be mandatory (not sure.) It is a LOT of coursework -- like,...
  11. How to handle inappropriate comments

    This is just my two -- You could try to ugly it up a little bit. No, seriously. From your post, I am assuming that you are an attractive woman and you take care of yourself (hey, at least you...
  12. Expert!!!! WOW!!!!

    And some of us are obviously not experts on the English language. "I don't think no one is an expert", "poeple" ... maybe you should continue learning some communication skills. I pretty much...
  13. Sodium Bicarb

    From wikipedia, searched "sodium bicarbonate". You can usually find your own answers to this pathophys stuff if you look. It's the "what would you do in this situation" that allnurses is valuable...
  14. I hate my supervisor

    We hold meds all the time without express physician guidance as well. What to give/not to give certainly IS in my scope of practice if there are safety or contraindication concerns. I would have...
  15. What setting do you work in? In most hospitals, the standard of care is to do a complete skin assessment (exam) with a pressure ulcer risk scale (Braden, Norton) on admission. Usually in a hospital...
  16. Anyone here an RNC?

    I think it depends on where you work. Most hospitals in my area will at least pay you a lump bonus if not give you a raise as well for getting an initial certification, meaning you haven't held one...
  17. Cardiac cath? Should I be afraid?

    Usually they are M-F plus call. Most cath labs you need to be within 30 minutes of the hospital in case you get called in for an MI. That might be why they are having a tough time filling the...
  18. Facilitating intubations

    No. Out of the scope of practice in most cases. CRNAs do intubate regularly -- that is considered an advanced practice role. EMT-Ps also intubate. In some facilities, respiratory therapists will...
  19. Facilitating intubations

    I think in most states you can bolus propofol ONLY IF THE PATIENT HAS A PROTECTED AIRWAY. Meaning, post-intubation only. If there isn't an anesthetist there to do it, you
  20. Baptism by Fire!!

    After awhile, you'll be happy to see this. At least they aren't keeping the swans in and the drips on just to keep the patient in the unit. And, at least you don't have to have the confused,...
  21. Criticized by the media...(long)

    This sounds like somewhere I used to work, in another state. It was a horrible place. There wasn't enough to go around -- in any department. Not enough nurses, not enough beds, not enough supplies....
  22. I am physically sick with worry :(

    Are you ok? I'm just asking because it seems like this is a relatively minor concern (you almost touched something teratogenic for two seconds?) and you have been reassured by a whole lot of people,...
  23. Are you sure you can get any aid at all for an ABSN (besides, perhaps, private scholarships?) Many, many colleges will NOT provide any financial aid, or extremely reduced financial aid, for a second...
  24. what are the chances?

    I don't think so, especially if it's been awhile. Most HR departments don't keep their applicants paperwork in their systems for all that long (I think the longest I have seen is 6 months.) If you...
  25. You know, my sister-in-law is a DON at a LTC and I think it is a big misconception that she works 8-5. She has to carry a beeper 24/7 and has to cover shifts when they are short. I also think the...