VANurse2010

VANurse2010

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All Content by VANurse2010

  1. My thoughts. Literally. Catheter. Psych Pt. ED

    VANurse2010 replied to Ronda89's topic in Emergency

    I think this story is a figment of the OP's

  2. Too Old to Enter Critical Care Nursing?

    VANurse2010 replied to Fiddlesticks27's topic in Critical Care

    LOL! Critical care nursing is not *that* much different than acute care. Sure, it's more in depth and the patients are much closer to the brink of death - but nursing is still

  3. Transfer to Roanoke, baby.

    VANurse2010 replied to nikkulele77's topic in Virginia Nursing

    I would expect low to *maybe* mid $30s with your experience. Carilion Roanoke Memorial is the only "major" level I hospital besides UVA in Virginia that is located outside the NOVA-Richmond-Hampton...

  4. Appropriate COPD Pulse Ox numbers

    VANurse2010 replied to coffeestainedscrubs's topic in General Nursing

    In normal people, the respiratory drive is governed by blood carbon dioxide levels, not oxygen. COPD patients become accustomed to elevated CO2 and switch to oxygen sensing to drive their...

  5. How to juggle as an LPN

    VANurse2010 replied to betweenus64's topic in LPN, LVN Corner

    You do not need to wait for the trough to come back before hanging the vancomycin unless your facility policy says to. Waiting for that result is not realistic in LTC where labs have to be sent out,...

  6. per diem as a new grad???

    VANurse2010 replied to Tina_kh's topic in General Nursing

    Good

  7. per diem as a new grad???

    VANurse2010 replied to Tina_kh's topic in General Nursing

    No, just

  8. Jahi is still on 'life support'?!

    VANurse2010 replied to Julius Seizure's topic in General Nursing

    This child is dead and the only rude and sick people are those keeping her corpse

  9. Sending res to hospital- did I make the right call?

    VANurse2010 replied to suzw's topic in Geriatric, LTC

    Not for anything - but even if he were a DNR that doesn't mean you leave him in house and let him die of sepsis. DNR does not mean "do not hospitalize" or "comfort measures

  10. Do you prefer to contend with the smell of stool or the smell of Glade?

    VANurse2010 replied to RNdynamic's topic in General Nursing

    I'd rather smell either of those than perfume and hair

  11. How do you sign your credentials?

    VANurse2010 replied to heather717's topic in Nursing Professionalism

    Putting a degree when signing a note or routine signature is ridiculous in my opinion, but especially for an entry-level one like a BSN (or

  12. What's it like having a flexible work schedule?

    VANurse2010 replied to LucidDreamer's topic in General Nursing

    When you post something in a public forum, you cannot regulate the type of response you get. That's the consequence of choosing to post in an anonymous

  13. What's it like having a flexible work schedule?

    VANurse2010 replied to LucidDreamer's topic in General Nursing

    You may not be trolling, but you certainly are clueless. Maybe you'll get it after a few years on the

  14. Coping with emotionally difficult patients

    VANurse2010 replied to calivianya's topic in General Nursing

    Hmm... why was CRRT offered to the liver patient? Giving CRRT to a hepatorenal failure patient is unethical unless that person is eligible for the transplant list. I wonder if that's the

  15. How to get along with CNAs

    VANurse2010 replied to empatheticRN's topic in General Nursing

    I'm sure you'll get plenty of good advice, but I'll just throw in that some CNAs are always going to have a problem with authority and subordinating themselves no matter what you

  16. Have you ever worked with someone who had such a nasty attitude that it was almost hostile

    VANurse2010 replied to 1Jessie86's topic in Patient, Colleague Relations

    Now, now folks. Maybe this really did cross the line from being cranky to being a straight-up b___, which is NOT ok. Now, the way OP says she handled this is totally inappropriate, but just

  17. Is this low?

    VANurse2010 replied to ThePrincessBride's topic in General Nursing

    That's craziness. I accrue 10% of hours worked per pay period in PTO. For me, that's 8 hours every two

  18. ICU Patient Ratios

    VANurse2010 replied to Misnim's topic in Critical Care

    I could see that *maybe* on some kind of vent-weaning ward in a transitional or long term acute care type setting. In an actual ICU with actual ICU patients? No. just

  19. made MD angry, and resources on unit

    VANurse2010 replied to keepingalive's topic in Patient, Colleague Relations

    Where, oh where, did I say that? Stop

  20. Haldol, Pneumonia, PD

    VANurse2010 replied to Rnfortuna's topic in General Nursing

    Here's the thing - NONE of these mediations actually resolve delirium. They are really for symptom

  21. When you don't hear what the docs hear?

    VANurse2010 replied to tsm007's topic in General Nursing

    My favorite - coorifice in uppers, diminished at the bases. Yeah,

  22. Starting with an associate's degree?

    VANurse2010 replied to Dgardella's topic in Diploma, ADN, BSN

    That may be the case in 2020, but it's not the case now. And P.S. I'm allowed to think it's baloney, or B.S., or whatever I'd like. This ain't my first

  23. made MD angry, and resources on unit

    VANurse2010 replied to keepingalive's topic in Patient, Colleague Relations

    I assure you her duties as charge are far more numerous than what you're thinking/describing

  24. Haldol, Pneumonia, PD

    VANurse2010 replied to Rnfortuna's topic in General Nursing

    If the person is a danger to themselves or others, that would be an indication for an

  25. When you don't hear what the docs hear?

    VANurse2010 replied to tsm007's topic in General Nursing

    Coorifice - the most overused word in