VANurse2010

VANurse2010

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All Content by VANurse2010

  1. Starting with an associate's degree?

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

    There is nothing in magnet rules that require an 80% BSN workforce. Their only rules have to do with management credentialing. You're thinking about IOM recommendations for an 80% BSN workforce....

  2. Why do you wear a white coat? (if you indeed do)

    VANurse2010 replied to RNdynamic's topic in Nursing Professionalism

    Frankly, I would worry more about giving competent care of patients and recognizing good care by these medical professionals than worrying about their clothing choices. Priorities,

  3. Bad situation

    VANurse2010 replied to NativeNurseBre's topic in General Nursing

    That's actually not true - the part about management courses. It depends on the

  4. med error!!!

    VANurse2010 replied to alwayslearning55's topic in General Nursing

    A nurse who would report you for 4 hours 20 min. is a GD

  5. Who do you work for the patient or the facility?

    VANurse2010 replied to hppygr8ful's topic in General Nursing

    Tell them that their medical director refused to accept to patient without the BIPAP machine and to take it up with him. In this case you are "just the nurse" and you do not "accept" or "reject" an...

  6. Failed CCRN again

    VANurse2010 replied to Whitroth05's topic in Critical Care

    I'm certified in both, and they

  7. Cardiac Stepdown or SICU-new grad

    VANurse2010 replied to squeetleb34's topic in CCU, Coronary, Cardiac

    Stepdown - busy, busy, busy; needy, call-bell riding patients. Multiple discharges and admissions in one shift. May or may not have a PCT SICU - ICU and all the ego and BS that goes with it,...

  8. Given bad report all the time.

    VANurse2010 replied to MoonlightingNurse's topic in General Nursing

    Feeding pump errors are not worth all the drama. Pushing KCl by accident is a serious mistake. Running a pressor through a leaking 22 in the hand is a serious mistake. This was

  9. 0200 BP's - Dealing with Tired Rude Doctors

    VANurse2010 replied to Jennifer in Cali's topic in Patient, Colleague Relations

    I think you're confusing the acute setting with long-term

  10. 0200 BP's - Dealing with Tired Rude Doctors

    VANurse2010 replied to Jennifer in Cali's topic in Patient, Colleague Relations

    Patients are typically not symptomatic at 170 because it is not a hypertensive

  11. 0200 BP's - Dealing with Tired Rude Doctors

    VANurse2010 replied to Jennifer in Cali's topic in Patient, Colleague Relations

    Systolic of 170 in a non-critical patient is not a reason to call at 0200, sorry. Everywhere I've worked, hydralazine and labetalol were not pushed until the SBP was at least 180, and often the...

  12. 0200 BP's - Dealing with Tired Rude Doctors

    VANurse2010 replied to Jennifer in Cali's topic in Patient, Colleague Relations

    *ding ding ding* and this folks is what it all comes down to. So common on here nowadays. Don't post something on a public forum and then get mad when the response isn't what you wanted. P.S....

  13. 0200 BP's - Dealing with Tired Rude Doctors

    VANurse2010 replied to Jennifer in Cali's topic in Patient, Colleague Relations

    You're not giving enough information to really judge. Should the hospitalist have said that? No. Should you have called for a SBP of 170 in an otherwise asymptomatic patient at 0200. Probably

  14. Obesity; The "Second Hand Smoke" of Modern American Society

    VANurse2010 replied to Brenda F. Johnson's topic in General Nursing

    Crime rates are about as low as they've ever been. Such a fallacy about modern safety that's repeated over and

  15. Should I become a nurse if I can't work night shifts?

    VANurse2010 replied to Kellywon's topic in Nursing Career

    Nobody is saying there's anything wrong with it - it's just not a realistic expectation for a new grad or someone contemplating entering the

  16. Should I become a nurse if I can't work night shifts?

    VANurse2010 replied to Kellywon's topic in Nursing Career

    You can find jobs that don't involve nights, but you shouldn't count on that nor enter a career where a huge proportion of the jobs are at 24/7 facilities that require night shifts. Your complaints...

  17. Ratio + Acuity Controlled Facilities?

    VANurse2010 replied to PrayingToPass's topic in General Nursing

    There are always going to be issues unless you're in an environment that by its nature entails dealing with one patient at a time (and even then there can be

  18. What do you do when a pt goes into anaphylactic shock?

    VANurse2010 replied to xmilkncookiesx's topic in General Nursing

    there is other literature out there that says the exact opposite - and you left out the second part of that which essentially agrees that seafood allergy is not a contraindication to

  19. Is LinkedIn Necessary?

    VANurse2010 replied to bete-noire's topic in General Nursing

    Here's the thing, OP, you say you want to be "out there" for recruiters or employers but are uncomfortable sharing anything "personal" on the Internet. The two don't really go

  20. Is it expected for new FT RNs to pick up extra shifts?

    VANurse2010 replied to Jaellys's topic in General Nursing

    Excessive use of overtime by a unit/hospital is a sign of bad management and bad staffing. You're not responsible for fixing their

  21. What do you do when a pt goes into anaphylactic shock?

    VANurse2010 replied to xmilkncookiesx's topic in General Nursing

    That's actually a myth, i.e. not evidence-based at all. Just

  22. Starting neuromuscular blockers

    VANurse2010 replied to pharmd8888's topic in MICU, SICU

    You don't need TOF to check for ablation of native effort, nor do you need it to monitor peak

  23. PO vs IV Medication Question

    VANurse2010 replied to smithma5's topic in General Nursing

    Yep. Not something you'll see outside an ICU that does post-arrest

  24. Will I get hired? ADN + non-nursing bachelor's

    VANurse2010 replied to 8130's topic in General Nursing

    I was in the same position. You will have difficulty without a BSN. Should it be like that? Not in my opinion, but that's how it is. Fortunately, you can do an RN-to-BSN fairly swiftly because of...

  25. No One Talks About… An Easier Way to Catheterize Women (and Prevent Complications)

    VANurse2010 replied to melissamabd's topic in General Nursing

    (1) Most patients are cooperative enough not to lock their legs or tip or "trip" onto the field. (2) Most (better) hospitals have policies now for 2 person insertion of Foley catheters. My facility...