CNL2B

CNL2B

multispecialty ICU, SICU including CV

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  1. Where I work, we have a clinical ladder -- it's not really called that, but that's what it is. Nurses are paid and placed into categories based on their work performance, which gets evaluated once a year by the NM. There are 4 levels for staff nurs...
  2. So, the June 2010 issue of Good Housekeeping has a big expose on for-profit colleges, article titled "School of Hard Knocks". It goes into a pretty good amount of detail on how these schools find their students (with recruiters that receive bonuses,...
  3. Does anybody know or ever gone thru it?

    If OP is planning on starting a program now, it is likely that she will have to be admitted to a doctoral level program. That is the point. Just because there are Master's Degreed PTs still out there doesn't mean that that is the level that most sc...
  4. Does anybody know or ever gone thru it?

    Don't think this is true. There are still Master's Degreed PTs out there, as there are RPh's, etc. It looks to me like most accredited programs are now DPT programs. The accrediting body that I linked wants all PTs to be DPTs by 2020 and it looks ...
  5. Does anybody know or ever gone thru it?

    APTA | CAPTE Here is a list of accredited programs. All it takes is a simple internet search to find the info you are looking for. It is my understanding that all PTs are now doctorally prepared. I did not go through all these programs listed but...
  6. EMLA Cream with Circs

    An older kid or adult? That seems excessive to me too, regardless.
  7. Fired After 50, Part IV: A Time to Punt

    OP -- Keep your chin up. It's a hard spot you are in. I get the not making bills thing. My husband had no work for 18 months and is just recently employed again. We, too, managed to not lose our assets (barely) on my salary but with three kids bet...
  8. EMLA Cream with Circs

    I'm not a pedi nurse but I sat in on my son's circ (outpatient at 1 mo, in a clinic). He got a local (I think lidocaine). He cried more from being tied down to the board than the procedure itself, for which I was thankful. I would not have been h...
  9. what are common times to run IV's in ?

    I can't tell you about meds you didn't ask about, but of the ones you did, this is how I do it (per facility guidelines): Mag - 1 gm over 15-20 minutes, 2 gm over 1/2 hour K - 20meq/hour MAX, must be on cardiac monitoring to run it that fast. The fl...
  10. how to deal with this intensivist

    I think you should go to management with the concerns you have with this intensivist. It is NEVER acceptable to hang up on another caregiver on the phone. It is NEVER acceptable to not listen to nursing concerns about patient that he is covering. ...
  11. "I know, I know"

    Are you orienting this person? If you're not, I would stay out of it. She obviously doesn't want help -- at least, she doesn't want help from you. She has her own license. She has the right to figure it out on her own if she wants to. The only wa...
  12. BLS vs. CPR/AED??

    These terms (BLS/CPR) are often used interchangeably. If you took a CPR for healthcare providers I think you are probably covered. I wouldn't go ahead and take different one unless I was specifically asked.
  13. Are nurses becoming more negative on Allnurses?

    I don't know about more negative either as I haven't been on here all that long. From my experience, the negativity that I have seen comes from 3-4 regular posters only, who seem to be very careful to get just snarky enough to not violate the TOS. ...
  14. Guys, I am not a nurse in recovery and I have not ever had any substance abuse/addiction problems. I've experienced the loss of several coworkers over the years to substance abuse (four that were fired, one of those four has subsequently ODed and di...
  15. How many of you hate your job?

    I'm not sure what hating your job has to do with having/not having a BSN. Care to rephrase? What "job" are you talking about specifically -- bedside nursing, or other areas? I'm not sure what you are asking. Seeing that I don't really know what yo...
  16. Potassium IV solutions

    If what the above poster is true (with you giving 30 mEq of KCL PO = 1200mg), For a K+ of 2.6, getting 30 mEq PO + 40 mEq of IV KCL isn't all that much, especially with normal renal function. It's also not uncommon to administer by both routes at th...
  17. Is Dakins still used?

    Good short post, good info. This is what I was thinking all along. There can't be any way that pouring a diluted bleach solution on an open wound is going to help it heal.
  18. OP, I see that you are 18. I am assuming you have had no nursing education at all at this point (didn't look at your whole profile, perhaps you are a CNA.) Does ANY entry level nursing program prepare you for the workforce? In one word, no. It pre...
  19. ICU Ratios in the US

    What's a HDU? It is pretty standard in the US that ICU patients are 1:2 these days. There is a post right now on the home page that asks this question as well that you might want to look at (re: ICU staffing and what makes a 1:1.) Most hospitals ha...
  20. Is Dakins still used?

    Well, I hope she's mixing it sterile. The Dakins website also says that it's only stable for 7 days once opened so I hope she's dumping it after awhile.
  21. staffing

    This is a grey area. We are always arguing about it amongst ourselves. We have a decision tree thingy but it is so old it is pretty much obsolete. I wish we would make a new one. Our 1:1s are - OHS for the first 6-8 hours, or longer if bleeding/...
  22. Is Dakins still used?

    Welcome to Century Pharmaceuticals, Inc! --- This is the Dakins site, there is a lot of info in their FAQs. Nope I was wrong. The company says that it can be used for local wound care and is OTC. There are a lot of articles linked about it's antimi...
  23. Is Dakins still used?

    I've seen it ordered for really contaminated wounds. Some of our surgeons like to use is for pseudomonas. It's not ordered often, however. My ICU pulled it from the shelves because it is so rarely used and so it doesn't get confused with bottles o...
  24. what would you have done?

    Patient had outpatient surgery. Patient needed to be deemed stable, recovered from anesthesia and sent home. Getting versed means putting the patient back down. It is counterproductive to the patient goal, which is leaving to go home safely. I ca...
  25. Wrong label on drip..suggestions?

    Oh, and BTW I think it's crap that you it went in your file when you found the levo/neo mixup 30 minutes into your shift as well. Sounds to me like you were the one that identified that error -- correct me if I'm wrong!! Was that gtt mixed on the f...