CNL2B

CNL2B

multispecialty ICU, SICU including CV

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All Content by CNL2B

  1. As a nurse, what do you do?

    CNL2B replied to nursestudent1975's topic in General Nursing

    That's a weird situation, for sure. Another thought -- if she's never been to the doctor, how does she know her uvula is swelling? What does this have to do with not drinking before eating? Sounds...

  2. Do I automatically get a CNA after first year in nursing school?

    CNL2B replied to onlyjesus22's topic in General Students

    Not totally true. Although RNs are licensed professionals and can obviously do a lot more with their licensure then a NA, both RNs and NAs do NURSING. There are obviously differences in the...

  3. Burnout?

    CNL2B posted a topic in General Nursing

    I am pretty much sick of my job in a busy SICU. I'm beyond familiar with all the treatments and therapies. I feel like there is nothing left to learn (although I know that's not true -- point being,...

  4. Do you have a system for making fair pt assignments?

    CNL2B replied to findingmywayRN's topic in General Nursing

    This is a hard question. Previous poster is right -- most hospital's acuity classifications suck. I work in a SICU and the patient classification scale goes from 1-4, with 4 being the sickest. Most...

  5. how long do you have to stay at work because of paperwork?

    CNL2B replied to cebuana_nurse's topic in General Nursing

    I'm in a SICU and I think our paperwork is comparatively minimal. I do have coworkers that stay over to write notes but I generally try to get that done in the last few hours of my shift. With two...

  6. New nurse working and AHHHHHH!!! Nuts!

    CNL2B replied to Epona's topic in General Nursing

    Yep. Normal. You'll get there. It takes time to get used to any job, and nursing, on a really busy unit, is harder than most jobs out there. Give yourself a little time and try to take care of...

  7. facility acquired pressure ulcers

    CNL2B replied to CNL2B's topic in LTC: Directors, Assistant

    Yes, they are, to the best of my knowledge. Medicare as well stopped paying for them about 5 years ago, to my understanding. Patient is Medicare and Medicaid dependent, and apparently according to...

  8. New male nurse getting ready to tackle first nursing job

    CNL2B replied to scsunurse85's topic in General Nursing

    Hey, I got it right away!!!! I thought it was funny. Good that you have some perspective when you hear stuff like this. Good for

  9. Why are so many nurses so bad these days?

    CNL2B replied to ghillbert's topic in General Nursing

    Why are they making her walk laps (esp. without O2) if she is in palliative care? That's a post-op routine. Yeah, that is crummy if her pain meds aren't on time if that is what she is there

  10. *Sigh* another vent. My poor pt died. Long...

    CNL2B replied to Bumashes's topic in Patient, Colleague Relations

    Here are some resources for you about the standard of care. Sorry if this is repetitive or you know this already. They are from the AHA site -- obviously a very reliable source on coronary disease...

  11. *Sigh* another vent. My poor pt died. Long...

    CNL2B replied to Bumashes's topic in Patient, Colleague Relations

    I am obviously not a medical provider but I will give you my two cents. Regardless of age, this lady should have been transferred to an ICU after it was determined that she was in the middle of a...

  12. facility acquired pressure ulcers

    CNL2B replied to CNL2B's topic in LTC: Directors, Assistant

    Michelle, thank you for posting -- that is a big question that I have too. When did these start? Not sure. I'd be interested to know if it was documented in the hospital or the NH. She has never...

  13. Nursing Diagnoses

    CNL2B replied to believeallispossible's topic in General Nursing

    ROFLMAO!!! This is the funniest thing have read all day. Don't completely agree with your statement, but I get the burned out, bitter, "I had a bad day" business. We've all been there. Our care...

  14. New male nurse getting ready to tackle first nursing job

    CNL2B replied to scsunurse85's topic in General Nursing

    Don't worry about being a "male nurse." I have come to grow and love my coworkers of both sexes, but it has come to be that my best friend and most trusted coworker at my workplace is a man. My unit...

  15. Tightness in chest with uterine contraction

    CNL2B replied to Citrine44's topic in Ob/Gyn

    This is a nursing message board. Terms of service clearly state that we don't give medical advice. If you are 36 weeks along I am assuming you have an OB. You should call him/her for

  16. "Can I take one of your patients for this one?" "No! And I resent your asking!"

    CNL2B replied to Alnitak7's topic in General Nursing

    Agree with previous poster. No one should be chronically asking to switch assignments. There are always going to be those undesirable patients on the ward from time to time and if you get that...

  17. 1460 on GRE and not accepted?

    CNL2B replied to sandmanwife's topic in Student Registered Nurse Anesthetist

    I don't know what to tell you, except that I know that anesthesia programs are really, really competitive, everywhere. Many, many excellent candidates get turned down for a variety of reasons....

  18. ANP vs.CNL

    CNL2B replied to Thor77's topic in Post Graduate Students

    I am looking for grad programs to start as of next year. An ANP and a CNL have very different jobs -- prescriptive capabilities vs. none, a practitioner-type job vs. a leadership-type job. I...

  19. insertion of a CVAD

    CNL2B replied to fostersgirl6993's topic in General Nursing

    Xray, to verify placement and to make sure that the a pneumothorax didn't develop because the MD inadvertently punctured a lung (applies to subclavian and IJ placement, not femoral, obviously.)...

  20. CNA doing Rectal Stimulation for Fecal Evacuation?

    CNL2B replied to protrend's topic in General Nursing

    I don't follow this rationale at all. I have been working in healthcare/nursing, unlicensed and not for 13 years and attitudes like this from know-it-alls that don't really know are my absolute pet...

  21. CNA doing Rectal Stimulation for Fecal Evacuation?

    CNL2B replied to protrend's topic in General Nursing

    I think he modified it. That is not what it originally

  22. Do your ICUs/hospitals offer all therapies?

    CNL2B posted a topic in MICU, SICU

    So, I work in a relatively small urban facility (250-300 beds.) Our SICU is 8 beds only and we take multispecialty surgical admits including CV surgery. There is a fair amount of stuff my SICU...

  23. CNA doing Rectal Stimulation for Fecal Evacuation?

    CNL2B replied to protrend's topic in General Nursing

    A lot of the time the digital stim is done in conjunction with a stimulant-type suppository. That helps alot as it causes the bowels to move on their own

  24. CNA doing Rectal Stimulation for Fecal Evacuation?

    CNL2B replied to protrend's topic in General Nursing

    I wouldn't classify digital stimulation as an "invasive procedure". Pretty sure that state BONs would not either. I'd be interested to see where it is documented that CNAs can't do

  25. CNA doing Rectal Stimulation for Fecal Evacuation?

    CNL2B replied to protrend's topic in General Nursing

    Did this, not even with a NA/R class. I have done this with paras and quads at home for a HH agency as a PCA many years ago (no training whatsoever!!!) Most paras and quads are on bowel programs and...