CNL2B

CNL2B

multispecialty ICU, SICU including CV

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All Content by CNL2B

  1. have to work full time and study full time

    CNL2B replied to LookForward's topic in General Nursing

    Agreed with the busting your ass part. After doing a BS and then an ADN as a single woman with no kids, I am now doing a BSN at 3/4 time, and then will do an MSN full time with a husband, 3 dogs, and...

  2. Help !!! suprapubic catheter care

    CNL2B replied to Dorain's topic in General Nursing

    Should not be recommending triple antibiotic ointment --> drug. Should refer to a provider with prescriptive abilities for this if site looks infected. Also of note, triple antibiotic ointment...

  3. BSN or certification in case management first?

    CNL2B replied to thekid's topic in General Nursing

    I don't know why you couldn't do both concurrently. Doing a BSN program is a fairly long time investment (like you said, 18 months) and usually nursing certifications just require that you know the...

  4. Describe the Ugliest Scrubs You Have Seen!

    CNL2B replied to PacoUSA's topic in Nursing Humor

    The worst (?) weirdest scrub combo I have ever seen is this -- there is this pharmacy tech where I work. He is obviously a pre-surgery transexual (he is growing his hair out, has been growing boobs,...

  5. How long till I can re-apply?

    CNL2B replied to HurricaneRN's topic in General Nursing

    Definitely apply again. You could probably get by with just calling HR and saying that you want to be considered for this opening as well. I bet you anything they still have your old app and your...

  6. Ambulation with Femoral Lines?

    CNL2B replied to Ruby Vee's topic in MICU, SICU

    This varies facility to facility. At my facility, 30 degrees is ok'ed because of the VAP risk but not higher than that. Some facilities want 15

  7. Just wondering -- what is the "cost" of hiring new grads?

    CNL2B replied to SoundofMusic's topic in Activism, Healthcare

    I think the bulk of the "cost" has to do with essentially being paid to train. A nurse that is in training, either in a classroom or precepting with another nurse, does not carry a patient load and...

  8. Not Understanding Train-of-Four Use

    CNL2B replied to Pachinko's topic in MICU, SICU

    Some of the TOFs at my facility do not have adjustable voltage. Of the ones that do, we turn the voltage all the way up (to 10 mA) and adjust based on the twitches from that. I have played with...

  9. Ambulation with Femoral Lines?

    CNL2B replied to Ruby Vee's topic in MICU, SICU

    You didn't specify whether this was an arterial or a venous line. Arterial -- absolutely not, no way, no how. High, high, high risk of bleeding. Most facilities will have a policy to keep all...

  10. Apical Pulse Rate

    CNL2B replied to healthstar's topic in General Nursing

    This thread just goes to show that what you learn in nursing school is not what is always appropriate for clinical practice. - the monitor/no monitor debate, assessment techniques, etc. I see a lot...

  11. How do I protect airway when trach gets pulled out?

    CNL2B replied to ahicks's topic in CCU, Coronary, Cardiac

    I'm not sure about the "ditto" part - at my hospital, it is not the nurses responsibility to reinsert. Yes, we need to ensure all the appropriate equipment is in the room (extra trachs, obturators,...

  12. Counting respirations

    CNL2B replied to dudette10's topic in General Nursing

    In the ICU, it's pretty easy to do. You can get a very accurate RR off of the ventilator (it counts them for you) and our monitors will also pick up a RR off the telemetry leads for a non-vented...

  13. Apical Pulse Rate

    CNL2B replied to healthstar's topic in General Nursing

    My understanding is that we are talking about taking an AP on an alert patient. In that context I would trust the

  14. Apical Pulse Rate

    CNL2B replied to healthstar's topic in General Nursing

    This is perhaps due to poor cardiac functioning and a decreased EF (the fact that you couldn't hear/feel all the beats), or perhaps abnormal complexes. If the heart isn't pumping particularly hard,...

  15. Apical Pulse Rate

    CNL2B replied to healthstar's topic in General Nursing

    I was taught in school to use the stethoscope. I've never seen this "hand" method you are discussing done either by an instructor or in practice. Now I work in the ICU, and we have heart monitors....

  16. Caught a big med error!

    CNL2B replied to NickiLaughs's topic in General Nursing

    In my ICU, it is not required to re-check your drips with a second person if you are just hanging a new bag -- it's required at shift change and when you get handoff from the PACU/OR or another ward....

  17. Workplace violence

    CNL2B posted a topic in General Nursing

    So, I reported to my NM an instance of workplace violence (I was the lucky recipient of such) -- condescending, bully-ish behavior, aggressive, mean, etc. Essentially this staffperson didn't like a...

  18. 6 mos pregnant and offered new grad position

    CNL2B replied to avroman13's topic in General Nursing

    I started a job 6 months pregnant and then went out on leave. I didn't discuss it in the interview but I feel that it was obvious. I have had my job for over 5 years. In the grand scheme of things,...

  19. Workplace violence

    CNL2B replied to CNL2B's topic in General Nursing

    Thank you all for your points. I am still hoping that I did the right thing in the end. I still think that I did -- but it makes you wonder when it comes back to you and there is all that denial...

  20. drips connecting at y-site

    CNL2B replied to fiveofpeep's topic in MICU, SICU

    http://www.freepatentsonline.com/7001418-0-large.jpg This isn't an awesome pic, as to me it looks like this is actually inserted into the patient (like a quad-lumen line - is what it looks like to...

  21. Heparin IV Administration

    CNL2B replied to NurseNibbles's topic in Patient Medications

    I don't see why you would ever, under any circumstances run a gtt as an IVPB. It hangs higher than the primary that way and is going to run in first. What if the rate you set your primary at is...

  22. How serious/lifethreatening is ETOH detox?

    CNL2B replied to klone's topic in Emergency

    This is serious. I didn't really understand the physical effects of long term EtOH use until I had to take care of patients in DTs. What happens when you drink regularly, steadily, often, etc. is...

  23. Dealing with CNA's

    CNL2B replied to miss_c's topic in General Nursing

    I think this type of situation is common. I've encountered it myself, actually. I've had NAs helping me with patient care and they will say something like "that's not the way that is supposed to...

  24. Advice for new grad RN, after terminated after 3 1/2 months

    CNL2B replied to luvnursingRN's topic in First Year After Licensure

    I'm sorry about the problems you are having. I have a little insight into the ER position -- sounds like you were probably not coming along in your orientation the way you should have, and perhaps...

  25. Anyone know about Clinical Nurse Leader?

    CNL2B replied to Oakstyn's topic in Post Graduate Students

    I am strongly considering a CNL track masters. I will probably start sometime in 2011. I work for a VA facility where the role is in the implementation phase throughout the organization. If you...