CNL2B

CNL2B

multispecialty ICU, SICU including CV

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All Content by CNL2B

  1. Heparin IV Administration

    CNL2B replied to NurseNibbles's topic in Patient Medications

    I'm not sure what your question is exactly. At my facility we run heparin alone, but if you wanted to plug it into a maintainance IV, keeping the heparin on it's own pump, you could ( at the lowest...

  2. (not a thread for medical advice!!) What do you think about Vaginal Ultrasound?

    CNL2B replied to lina.561's topic in General Nursing

    I am not giving you advice, only telling you my experiences here and my opinion on what happened with you. I have given birth to two children lady partslly following uncomplicated pregnancies. I have...

  3. Nurses with tattoos

    CNL2B replied to Deargceann's topic in General Nursing

    If you have tattoos on your forearms and your employer or school says you need to cover them up and you do, you should be fine. I don't know of anywhere that you aren't allowed to wear a long-sleeved...

  4. What would you do?

    CNL2B replied to perc71's topic in General Nursing

    I actually encountered this situation once. My patient was coherent, and complaining of numbness in one of his arms. I start assessing and, lo and behold, above the elbow (but under his gown) was a...

  5. Confused by direct entry Masters in Nursing

    CNL2B replied to SnowStar4's topic in General Nursing

    I am working with a new grad nurse

  6. IV start in Assisted Living Facility

    CNL2B replied to CrazierThanYou's topic in Geriatric, LTC

    THIS IS COMPLETELY INCORRECT. You do not need a nursing license to start an IV. EMTs start IVs on the back of ambulances. In the hospital, many non-licensed staff with the phlebotomy/IV team start...

  7. Concerned for new grad in ICU supervisor role

    CNL2B replied to AOx1's topic in General Nursing

    This is coming from another seasoned ICU charge nurse. I as well completely disagree with both the hiring decision on the employer's part and the decision to apply and accept by your friend....

  8. IF you WEREN'Ta nurse, what would you be???

    CNL2B replied to sjoy's topic in General Nursing

    I adore my dogs. I think in an ideal universe I would breed and train dogs, and maybe have a little hobby farm that generated a little cash on the side. I don't think there is much money in that --...

  9. Potential MN Nurses Strike?

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

    MN hospitals are going to have to shell out huge sums of money to get nurses to come here on contract to cover their positions. I fail to see how that is abandoning a patient. Anyone is free to walk...

  10. Hyperdynamic circulation

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

    Agree with the above. I think one of the hardest things you have to overcome as a new ICU nurse is to learn what to treat and what not to treat. We all have the "normal" hemodynamic ranges and what...

  11. eICU ever heard of this?

    CNL2B replied to wanderlust99's topic in MICU, SICU

    It appears these are being implemented in hospitals all over the country. My facility has one in the works to monitor our smaller hospital's ICUs in the system. No experience in one -- but I think...

  12. ACLS, only a week to study

    CNL2B replied to ava'smomRN's topic in General Nursing

    Where I work, they give you a book pre-class (has to be returned) to study from and require that you do a 50 question multiple choice pre-test prior to coming, so you are prepared. ACLS does require...

  13. Failed, I need some advice!

    CNL2B replied to kindofageek's topic in General Students

    Sorry about your problem, first off. Looks like you have pretty much explored your options fairly thoroughly already. The one thing that I would have to add is that I would probably NOT go ahead and...

  14. Question: Give blood AND heparin?

    CNL2B replied to TangoLima's topic in MICU, SICU

    I didn't see you post what his PTT was. This would be a piece of relevant data. Without knowing that, yes, I would be concerned if my patient had an almost 3 gm unexplained drop in Hgb over the last...

  15. Frequency of running/documenting telemetry strips

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

    We are required to run a tele strip in two leads (usually we use II, V1) every shift (8 hours, so 3 times/day) and write a complete interpretation including intervals and rhythm. Our invasive...

  16. Very Concerned (please read)

    CNL2B replied to CuriousGreorge7's topic in General Nursing

    "As a side note, it just blows my mind that someone who professes to wanting to be a nurse so much would throw the chance away for the sake of one "fun" night." Give me a freaking break!!!! Rather,...

  17. Very Concerned (please read)

    CNL2B replied to CuriousGreorge7's topic in General Nursing

    I think you will probably be fine. I don't think that an employer like a NH and schools talk to each other about their students, and I am SURE that no one that actually works on the ward at this NH...

  18. Tuition Waiver Programs

    CNL2B replied to jadedgreeneyes's topic in General Nursing

    I would do it if you think the hospital you are going to be placed at is good and you think you could stand to work there. Definitely do some research on the working conditions (staffing) and...

  19. Day/Night with young children at home

    CNL2B replied to jesshopper12's topic in General Nursing

    I did this for about 6 months with a newborn while I was waiting to get on day shift. You do pretty much have to have someone that is going to help you a whole lot. Who is going to watch your kids...

  20. Ever Killed Someone?

    CNL2B replied to Bug Out's topic in General Nursing

    I can't think of something that I did directly, but I have seen negligence happen directly. I had a patient that was post-op something in the SICU, on HIGH pressure BiPAP (40/20) to keep him...

  21. gift for new grad

    CNL2B replied to rnatheart76's topic in General Nursing

    If you want to get her something professionally based, you could get a gift cert to a uniform store or something like that. There are tons of nurse figurines etc. stuff out there available as well....

  22. Advice for current nursing student

    CNL2B replied to CrazyCatLadyRN's topic in Emergency

    I think you have a great shot at getting into an ER as a new grad. I can't think of one single thing that you could do to improve your odds of getting a job in an ER --obviously RNs with experience...

  23. Do you need to check placement before using a Bard Button or a Mic-key

    CNL2B replied to changeseeker's topic in General Nursing

    It was hard for me to tell whether or not from this article they went after the NURSES who were using the tube that had been incorrectly placed or the PHYSICIAN who misplaced it, or the NURSING HOME...

  24. Do you need to check placement before using a Bard Button or a Mic-key

    CNL2B replied to changeseeker's topic in General Nursing

    Maybe I'm backwards, but I have NEVER in my career checked placement of any type of gastrostomy tube. They are surgically placed and should be in the stomach, held in by a balloon. NG tubes and...

  25. Potential MN Nurses Strike?

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

    I'm not quite sure where you are getting that I am bitter. Just because most of the stuff that you have said is baseless and factless -- it doesn't make me bitter. I'm still not understanding what...