RoxanRN

RoxanRN

CCRN, CNRN, Flight Nurse

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All Content by RoxanRN

  1. Med Error

    One error does not a bad nurse make. You caught the mistake and owned up to it. It is not fun when you have to write yourself up (been there, done that - my goof was very similar to yours). I wish I...
  2. Work and Pregnancy

    I worked up to the day (literally) each of my children were born. The first at 36 weeks (tried PTL at 30 - placed on trebutaline and no restrictions other than self-imposed - she was healthy and went...
  3. Considering nursing career.....ADN or BSN??

    The only thing I might add is ADN generally takes 2-3 years of school (community college) whereas BSN is general 4 years (university). I know many of my classmates who graduated with their ADN and...
  4. Lack of grip strength

    We are never expected to turn or clean/bathe patients by ourselves. I would never leave a patient like that; but, on the same token, a few more minutes while I find an extra hand (or two) isn't going...
  5. EMT's and how to deal with them

    if i may..... other frustrations i've experienced at ltcs is the lack to enough history to do my job. many rns i've encountered have appeared a little more than put out that i've asked about the...
  6. EMT's and how to deal with them

    i believe this is meant to be standard practice, but in reality...... as a paramedic, i can't count how many times i've been called to transport "miss jenny" to the hospital because she fell. when i...
  7. Share your feedback re: ethical nursing issues

    I have never given a placebo, but I do believe in the power of the mind. I will talk up most any medication I give (ie: 'This is some really good stuff. It should make you feel better soon.'). I'm...
  8. Self-Scheduling

    I love it!! Our 'pencil' schedules (4 weeks) are put out 3-4 weeks before the due date. We usually (99%) get the days we put down, however, the staffing sargeant will call before moving us. Summer...
  9. Safe Harbor when to evoke it?

    If working double shifts makes she feels unsafe passing meds, then she should feel unsafe in all aspects of her job. Don't the rest of her required tasks require the same amount of
  10. Something to always remember - Treat the patient not the
  11. Neuro Assessment Form

    The neuro assessment section of our flowsheet includes the GCS (with the motor responses further divided by extremity - each extremity gets a number) and pupil size/reaction. However, this is the same...
  12. Each school is different. My school required Comp I as a pre-req and Speech was considered a support course. My recommendation is that you get ALL your required support classes (Speech, Micro,...
  13. Is there an ambu bag in your office?

    Just FYI... Don't expect a BLS ambulance to be able/willing to take ALS medications with them to the hospital - even if the nurse put it in an IV bag. It is beyond their scope of practice. In most...
  14. Public Misconceptions

    "I've been taking Advil 800mg every 6 hours for days and it's not doing any good. Oh, by the way, I'm allergic to Toradol. 2mg of Dilaudid is the only thing I can take." :uhoh3: Do I have "Idiot"...
  15. it this has already been mentioned, i apologize..... incessant whispering/talking during lectures :angryfire :angryfire :angryfire :angryfire . it usually comes from the back of the room from a table...
  16. so frustrated with docs/when and when not to page

    When I'm calling for something outside of the ordered parameter, the conversation tends to go somthing like this - "Hi, I'm calling about Jane Smith in Neuro 8. Her b/p is 187/88 and the call...
  17. Mean/Rude Doctors

    Reminds me of a joke.... How many surgeons does it take to change a light bulb? One.... he holds the bulb up and the world revolves around
  18. suggestions on a EKG BOOK!

    I've been looking at/intertreting cardiac strips for 14 years (EMT-D/EMT-P). I would be more than happy to help anyone who wishes it (at least as best I can via email :)
  19. suggestions on a EKG BOOK!

    I adore 'Rapid Interpretation of ECG' by Dubin. It's bright orange.... can't miss
  20. Saunders Q&A---#310,I don't understand

    Without having the book/question in front of me, I'd say it's meaning no P wave 'married' to the complex(s). This could indicate a-fib, a 3rd degree AVB, a junctional rhythm or a ventricular rhythm....
  21. Anyone an RN-EMT?

    Actually, the credential you most want to have as a flight nurse is EMT-P (EMT-B means very little to flight services). There are some RN-to-EMT-P bridge programs out there. You might want to check...
  22. 2 cases of abuse covered up

    I believe you are (or should be) protected under whatever 'whistle-blower' legislation is in effect - meaning, there are stiff penelties for the employer/supervisor/co-worker to give/show retribution...
  23. Everyone has their own preferences. If you like the only you've got, keep it, but get a cheap one for school. That way, you won't garf up your 'good' one when you drop it is pee or
  24. What are JCAHO's staffing ratios? I don't remember if they have any or
  25. More certification after I graduate?

    Which 'different' level of tests are you talking