Asystole RN

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All Content by Asystole RN

  1. Asystole RN

    Burned out and hate nursing

    There are so many different specialties and practice settings for nurses it is hard for me to understand anyone who hates nursing. If you do not like your current setting then find a new one, which...
  2. Being on the policy and administration side of things (working with hospitals but not at any one in particular) I can honestly tell you that hospitals with Magnet status do operate differently and are...
  3. Asystole RN

    Handling a central venous line port

    Good practice is never an extra nor unnecessary. Reasonable and prudent care is never about eliminating as many seemingly "unnecessary" steps as possible but rather eliminating as many risks to the...
  4. Asystole RN

    Handling a central venous line port

    Priming as in instilling saline into the needleless access device prior to attaching? Any reason why you would not prime the needleless access device? Ask you local rep, they will truly be the best...
  5. Asystole RN

    IV Push Medication

    If you ever give something IV push with color you would know this answer. IV tubing tends to hold a significant portion of the medication for an extended period of time unless there is a large amount...
  6. Asystole RN

    SQ Lidocaine Administration/PICC Placement

    I've never worked for a facility that had a firm restriction on the maximum amount of lido a patient could recieve. 3-5mls was generally the max ever given to any one patient, mostly because we only...
  7. Asystole RN

    theraputic phlebotomy

    At the places I have worked we based the time they waited on how well the patient tolerated in the past. Standard new patient was about 15 minutes. Tolerated really well in past then maybe 5. INS...
  8. Asystole RN

    What type of PICCs are you placing?

    At one job I use Bard Power PICCs (5Fr-3Fr) with Bard Per-Q-Caths for midlines. Other job we use Bard 4Fr Per-Q-Caths almost exclusively. Bard has about 80% of the PICC
  9. Asystole RN

    Mayo Clinic vs Scottsdale Healthcare

    Going down hill or not they are expanding and have a resume boosting reputation. You would do well to put in a couple of years there as a
  10. Asystole RN

    Mayo Clinic vs Scottsdale Healthcare

    If you are in Mayo and about to become a RN you would be stupid to leave. Give Mayo a couple of years as a RN and then leave, your options and career will be better for
  11. Asystole RN

    Nurses with Medical Marijuana Cards.

    A nurse was just hired at one of my jobs and was immediately terminated because he popped positive for THC. Had a medical MJ card too. State
  12. Asystole RN

    Nurses with Medical Marijuana Cards.

    There is not a single non-government employer that can conduct a search and seizure, especially not bodily fluids, without your consent. That being said, we do not work retail, we are not...
  13. Asystole RN

    Only partial mileage reimbursement??

    For every company that I have worked for that paid mileage I had to keep a mileage log. I save all those in my Google Drive and at the end of the year add up the miles and subtract the difference that...
  14. Asystole RN

    Only partial mileage reimbursement??

    The pre and post 20 mile rule is not too unusual, it is considered average commute time or whatever. The one way reimbursement sucks though. Keep in mind that whatever the facility does not pay you...
  15. Any more secret than any other aspect of healthcare? Do you run to the news every time your patients come up with lice, scabies, or TB? We pay for lots of people... Ar least some of those jumping the...
  16. It is hard to identify what is real or not real since this is an opinion piece. Without knowing what their confidentiality agreements stated nor what their exact role and relationship is considering...
  17. Asystole RN

    new grad

    Why are manhole covers round? You are on a sinking ship, who do you save first? Tell me about the most regretful moment of your
  18. Asystole RN

    B52 cocktail

    Why do you think the three mixed in the same syringe for IV push are incompatible? Once you determine that then think about how they would be compatible mixing them in a syringe and delivering the...
  19. Why do you use a saline wipe? If the idea is to remove the CHG then why use a CHG scrub at all? When scrubbing the skin with a CHG prep the vast majority of the initial killing is actually due to the...
  20. Tegaderm dressings all use a pressure sensitive adhesive that requires you to massage the dressing onto the skin. Edge lift is a cardinal sign that the dressing was not pressed into place, especially...
  21. Asystole RN

    VACC Certification

    Should have told you prelim results before you left. I had official word within 5 business
  22. Yes. I contract as a vascular access nurse and am paid for "after hours" cases. My home infusion gig where I am a vascular access and infusion nurse also pays "after hours" premium. Depends upon your...
  23. Asystole RN

    Midline/picc line classes.

    Training a nurse to become a vascular access nurse is not an easy thing to do. There is a significant amount of education and hands on training that needs to be done with a high failure rate. In the...
  24. Asystole RN

    Working two jobs

    I currently work 3 jobs. I have a full-time Mon-Fri job, a weekend Per Diem, and an anytime Per Diem. 70hrs or so a week on average? Two kids at home, wife is a nurse who works at home. Was working...
  25. Asystole RN

    Seeking Advice About Jobs

    Getting a job in an intermediate care floor is about 1,000 times easier than landing an ED job as a new grad. Don't be silly, most new grads would kill for an opportunity to get into an