Sun0408 ASN, RN

Trauma Surgical ICU

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All Content by Sun0408

  1. Sun0408

    Femoral CVLs- do you change the site?

    Yes we do. We also change out our TLC's within 7 days to a PICC if the pt still needs a central line. We also use
  2. Sun0408

    Hanging Fluids

    I always hang my fluids on the pole before I remove the cap and then spike. Removing the cap does not allow the contents to spill out. OP, please ask your questions to either your instructor or the...
  3. Sun0408

    Can you take NCLEX in a different state?

    KelRN is the most correct. Your application for NCLEX will ask you which state to send the results to or something like that. You will have to apply to the state you want your license issued. Your...
  4. Sun0408

    NPO for surgery

    My facility has a policy that states NPO is just that unless they also write x meds.. If the MD wrote NPO, they get nothing from me... This policy is drilled into all staff and
  5. Sun0408

    ICU nurses: Do you check cornea reflex and gag reflex q4h ?

    I had a pt last week with one glass eye, that eye was charted all day as 3B LOL, I would love to see a glass eye react
  6. Sun0408

    Doubt about a question

    Always keep in mind what will keep the pt safe. Test questions can be tricky like that because they don't give you all the details, so with the info you have, which answer is the safest..Not knowing...
  7. Sun0408

    Does anyone know why....

    The 30 extra minutes could be over lap to give report etc.. My shift is 7p to 7a but after giving report, I am not out before 7:30.. Hard to leave at 7 when dayshift doesn't get there til
  8. Sun0408

    Are there really enough jobs???

    There is no nursing shortage and many many new grads as well as experienced nurses are having a tough time finding a job. Some areas are better than others, some places like hiring new grads; while...
  9. Clinic,Doctor's office, urgent care, school nurse, day camp, nursing home, rehab, home health, hospice.. I'm mean the list can go on and on but the question is "will they hire you". Make yourself...
  10. Sun0408

    Am I being overly sensitive?

    If what you describe actually happened, I would call your clinical instructor tonight and tell them what happened so she/he could handle this appropriately. I'm really not sure the chain of command...
  11. Sun0408

    Failed twice...anyone try hurst??

    I used Hurst back in 2009 and loved it.. I passed first attempt with 78 questions. That was the only review material I used besides Kaplan's strategies book for NCLEX.. The strategies came into play...
  12. Divita(sp) and similar dialysis companies are willing to train,many of them have locations across the US; also healthsouth is a large rehab
  13. NC has a tough market right now as well as FL, not sure about WA but from what I've seen on here it is tough also.. As a new grad with a ADN, I never had issues landing a hospital job. I am now in...
  14. Sun0408

    Length of time after a fall to chart?

    The fall should have been charted after the resident was taken care of, the family and MD were notified. Lesson learned, you did good with the other stuff but the charting should have been completed...
  15. Sun0408

    New hospice nurse.

    I'm ICU so a pen light may be useful but other than that, I would think your orders/other staff would tell you what you will need for this pt or that.. Personal hand sanitizer and gum come to mind for...
  16. Sun0408

    ICU nurses: Do you check cornea reflex and gag reflex q4h ?

    We only did corneal or gag on our really bad neuro pts ie: potential donors. Normal vented pts, we do not regularly check. Corneal and gag are the last things we check unless the person comes in with...
  17. Sun0408

    New hospice nurse.

    The types of supplies needed would depend if your pt had wounds that needed dressing changes, Central lines that need dressings. Do you take vitals at your company, if so then you would need a BP set,...
  18. Sun0408

    Can nurses use medical marijuana?

    Go to CA BON website and in the upper right corner, type in medical marijuana; you will have plenty to read... Several that I looked over had a laundry list of charges all stemming from the MJ....
  19. Sun0408

    Can nurses use medical marijuana?

    MJ can stay in your system for up to 30 days. That's a huge risk if something should happen at work. Hoping someone will ring in with more concrete info.. I don't live in CA; I just wanted to see what...
  20. Was the needle at an angle?? I am trying to envision how it popped out. I dart mine in just like a deep IM injection, straight in and straight out. I can usually "pinch" some even on distended pts...
  21. I know why they came to the hospital, what their admitting dx is, what tests they have had and what lab values are of importance.. Not every lab value is important.. A renal pt, I will know their k,...
  22. Sun0408

    Basic IV help

    You are not alone, many people think the "needle" is still in their arm. It is a common misconception. No, the needle is removed and the soft cath is left in place unless it just a venipuncture for...
  23. Sun0408

    Trauma on Med/Surg unit

    Our trauma dept is a team of MD's and PA's. We have everything from the trauma doc that see the pt in the ED and follow them til DC. If we need a medical management on the pt then the critical care...
  24. Sun0408

    Blood Stream Infections (BSI) in your unit

    We use the wipes before accessing the ports and the sticks to clean to site at each dressing change. The bio patch is a round disk that goes over the cath at the insertion
  25. Sun0408

    Trauma ICU

    Take an extra set of clothes to work. Know the supplies need to put in a ventric, A-line, central line, chest tube. Know what your room will need before the pt arrives and set it up.. Tubing, suction,...