CNL2B

CNL2B

multispecialty ICU, SICU including CV

Member

  • Content

    516

  • Visitors

    7,992

  • Followers

    0

  • Likes

    7

All Content by CNL2B

  1. Anyone ever invoke Safe Harbor?

    CNL2B replied to fungez's topic in General Nursing

    What is safe harbor? Is that an unsafe work conditions complaint or something of the like? We call ours the "pink slip" (it is literally a pink piece of paper you fill out that goes to...

  2. Bizarre Case- Any guesses?

    CNL2B replied to flygirls2's topic in General Nursing

    I've seen this before in the ICU. I would pin this on a bloodstream infection of some type causing a severe cold sepsis. Severe sepsis often goes hand in hand with ARF (high K) and DIC (plt count)...

  3. Time to call a duck a duck?

    CNL2B replied to eriksoln's topic in Nursing Professionalism

    I think there is a difference between what the public thinks of nurses and what other hospital employees think of nurses (meaning MDs, pharmacists, management, therapy disciplines, techs, etc.) I...

  4. HELP!

    CNL2B replied to BAMARN09's topic in General Nursing

    I'm not saying that you CAN'T get it from semen/lady partsl fluid....I'm not saying that you can, either. I'm just not sure. I do know for sure that skin/skin will transmit the virus

  5. HELP!

    CNL2B replied to BAMARN09's topic in General Nursing

    There is tons of info out there on genital warts. Did she wiki it? Emedicine? mayoclinic.com? The one thing about genital warts from my OB/GYN education (from a GYN NP) is that it is the most...

  6. Time to call a duck a duck?

    CNL2B replied to eriksoln's topic in Nursing Professionalism

    This is going to be a very interesting and thought provoking thread. I essentially agree with you, and I don't think that nursing is heading in the more professional direction, in spite of the never...

  7. ACLS

    CNL2B replied to LMoonRN's topic in General Nursing

    Don't take it. If it is required for your job, your employer will put you through it for free. ACLS courses make the assumption that you know all rhythms and are familiar with all emergency...

  8. interview....now what?!?!?!?!

    CNL2B replied to MDRN10's topic in General Nursing

    You got your directions straight from HR. If you don't hear by Monday afternoon -- call. Maybe she is having a tough time deciding. It seems reasonable to me to give her the weekend to think about...

  9. Did Nursing Supervisor do the right thing?

    CNL2B replied to EtoseLvr03's topic in General Nursing

    Said nurse may not still work there. I am wondering if this is part of the reason why the formerly responsible nurse wasn't asked to do it. Wish OP would come back and say

  10. To Fall or Not To Fall?

    CNL2B replied to Tait's topic in General Nursing

    Somewhat related -- At my facility, we CALL A CODE if somebody falls if it isn't in an inpatient area. I live in Minnesota. It gets icy in the winter, and sometimes the floors get really wet from...

  11. Sedation in an outpatient setting

    CNL2B replied to stevemj82's topic in General Nursing

    I thought MAC automatically meant deep sedation...beyond moderate at any rate. I didn't know it was a billing term. TY. Sedation level used at previous place of employment posted above --

  12. Question re: Number of test questions on NCLEX

    CNL2B replied to jansop's topic in NCLEX Exam, Programs

    Good post above. Additionally I would add that at a minimum, you need to answer 75 questions for the NCLEX-RN. I passed with 75 questions and it took me about two hours, so that's perhaps a ballpark...

  13. Sedation in an outpatient setting

    CNL2B replied to stevemj82's topic in General Nursing

    Be very wary of this situation. I would find out exactly what the expectations are and what drugs you are going to be giving, what level of sedation is expected, what procedures they are performing,...

  14. Okay to email a potential boss?

    CNL2B replied to Bumashes's topic in Job Search, Interview, Resume

    Well, the other thing is, you could be perceived as being a pest, especially considering he already left messages. Tough call either way, I

  15. Clogged feeding tubes

    CNL2B replied to Phillygryl's topic in General Nursing

    This is great info. Do you happen to know the article? I would love to read it. This is pretty much what we do as a last resort now (we use 2 enzymes and 650 bicarb though), but I think from now...

  16. Okay to email a potential boss?

    CNL2B replied to Bumashes's topic in Job Search, Interview, Resume

    I don't think I would do that. I would be hesitant about being perceived as too aggressive seeing that you are already in the system. You never know when you might run across this manager again, and...

  17. Bloody secretions from trach-normal or no?

    CNL2B replied to MattiesMama's topic in General Nursing

    First, a tracheostomy does not go in the esophagus. EtOH and varices might be a concern for this patient, but if you are suctioning out a variceal bleed from this patient's trachea, the patient has...

  18. Could my patient get vancomycin toxicity?

    CNL2B replied to Winston229's topic in General Nursing

    I would not worry too much. Two doses of 1 gm 8 hours apart in a patient with healthy kidneys is not all that much. In the setting of sepsis, I have given a 1750mg load in a single dose, to give you...

  19. How did you afford to get through CRNA school?

    CNL2B replied to Hartley's topic in Certified Registered Nurse Anesthetist, CRNA

    I'm not going this route but I work in an ICU and watch many that go to anesthesia school. Here are a couple experiences that I have observed in the past year re: CRNA school and kids: One couple --...

  20. Why don't I have a job right now?

    CNL2B replied to PeepnBiscuitsRN's topic in General Nursing

    I'm experienced and employed, so I can't really comment on the new grad difficulty that is going on out there right now. My husband was laid off though (love that economy!) for an extended period of...

  21. Respiratory therapists switching to RN

    CNL2B replied to alissadancer's topic in General Nursing

    I have known a few that have gone this route, and of the ones I know, it's about the $$$. RTs and RNs have some job overlap so the learning curve isn't that steep, and at least in this part of the...

  22. Did Nursing Supervisor do the right thing?

    CNL2B replied to EtoseLvr03's topic in General Nursing

    I don't think you can legally backdate an assessment if you weren't caring for the patient at the time -- that would be falsifying a medical record. If the paperwork is overdue, I believe your boss...

  23. New grad needing advice for cardiac interview

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

    Like the OP mentioned, many hospitals have gone to behavior based interviews. Start thinking of clinical or real-life scenarios you handled well and get ready to talk about them, and think about...

  24. i shouldn't be asking this.

    CNL2B replied to smartnurse1982's topic in General Nursing

    Actually, it is exactly the same dose, and the dose available is less concentrated, not more concentrated. If you can't do med math, then by all means, ask away I guess, but I am quite sure these...

  25. Dreaming about work

    CNL2B replied to CNL2B's topic in General Nursing

    All interesting responses, thanks guys. Sometimes I wish I knew something about dream interpretation --- would be interesting to know what all this is about, besides the repressed anxiety that seems...