CNL2B

CNL2B

multispecialty ICU, SICU including CV

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  1. Administration of non approved FDA drugs

    This has less to do with FDA approval than the scope of practice of the LPN. Medications in clinical trials may have effects that have not been determined yet. It requires a patient assessment to...
  2. Higher pay for BSN or MSN?

    The VA system values the BSN. A new grad ADN is paid less by almost $2,000/year and is hired in one step lower in the clinical ladder than a new grad
  3. Silly question ??

    This seems to be a popular thing with the reality TV star set (maybe with the Hollywood set in general.) That show with Scott Baio in it when he gets married -- his wife hires a "baby nurse" too. I...
  4. Administration of non approved FDA drugs

    Post #8 -- that is my understanding as well. All of our medications are FDA approved by law. Medications that are in clinical trials (not FDA approved yet) can be given by an RN. I do not believe...
  5. We have one -- Minneapolis hospital. It is an excellent program and my daughter was there for awhile before she went to preschool. It is not 24/7, I believe it is 6AM to 6PM. I would use it again...
  6. Does your day shift have food days?

    We do a big potluck every other weekend on days. Our "mom" co-worker organizes it and picks a theme, and we all pitch in some food. She is a Sam's Club/CostCo addict so we have a TON of food and...
  7. Recently was told in confidence by a co-worker that my NM refused to write a brand new (less than 2 months off orientation) ICU nurse in our unit a recommendation for a CRNA program and she was...
  8. A nurse by any other name...

    I think if we relabeled ourselves the general public would not recognize that what we do is (at least, partially) outside of the medical model. Nursing has been trying for years to write it's own...
  9. Is this just a regional problem, or are other hospitals having a hard time getting an adequate supply of propofol? Ours is mostly on lockdown and what we have is allocated to the OR. They won't let...
  10. I had this patient in an ICU setting a couple days ago. Patient background -- approx. 70 YO M had an open nephrectomy about 3 weeks ago. He went out to the ward POD 1 and came back to the unit on...
  11. Seriously...

    I thought you said she did, see above. Not sure what kind of hernia you were asking the MD about reducing in re: fundoplication surgery then. I must not be understanding what you said. Anyway, off...
  12. To recommend or not to recommend?

    I also think entitlement is pinned to Generation Y is because they are often the youngest children of the Baby Boomers -- and the Boomers have been documented as being the most financially successful...
  13. Agree that generally with nurses, white shoes have historically been correct. A lot of hospitals have gone to white "whatever" shoes -- clogs, nursing shoes, crocs, athletic shoes, it doesn't really...
  14. Seriously...

    And FYI, OP, I know you know this, but a Nissen fundoplication is surgery for severe GERD -- it's a stomach wrap. It's quite possible that this patient had a huge hiatal hernia and this is why she...
  15. This is lame, but I walk to the break room. Get a 1/2 cup of coffee. Drink it on my way back to doing something productive. Next hour, walk to the break room. Get the 1/2 cup of coffee. Drink it...
  16. OK, all 3 of those things are disgusting and completely unsanitary and yes, I know that you know this even being out of practice for 4 years!! I hope she's not orienting you. None of that is good...
  17. Does anyone else find this offensive?

    In reference to above, I've never seen an MA employed in an inpatient area, ever. This may be the way things are going in Hawaii but I've not seen this anywhere in the continental US. I haven't been...
  18. Does anyone else find this offensive?

    Perhaps I should have said "relatively" expensive, as compared to what LPNs and MAs make. That's horrible RN pay. I haven't checked clinic listings in my area, but I would venture a guess that they...
  19. To recommend or not to recommend?

    No, she didn't ask me -- she asked my boss, but I'm sure that this is going to get around to my coworkers (not from me....I didn't spill the beans in the first place.) All CRNA programs that I...
  20. Does anyone else find this offensive?

    This is common in my part of the country. I think usually the offices will take MAs if they can because they can pay them a little less, but the ad means they will consider both types of applicants....
  21. CMO (comfort measures only), however, generally means do not
  22. Most of the ones that I know that have gone through CRNA programs just take out loans and pay them back post haste when they are done. Consider your income is going to essentially double from being...
  23. Vacuum Assisted Delivery... ugh.

    So ... you are saying, they should have given me more time, or coached me better? First baby -- I didn't know WTH to
  24. Vacuum Assisted Delivery... ugh.

    I had a vacuum assisted delivery with my first after 20 hours of labor, pitocin, and pushing for two hours (had an epidural as well.) It was the one thing on my birth plan I absolutely said I didn't...
  25. Seriously...

    It is. I stated this earlier, and was going to reiterate as well. I tried digging around on TJC website to see what exactly the regs were and I had no luck (anyone else want to slog through that...