RoxanRN

RoxanRN

CCRN, CNRN, Flight Nurse

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All Content by RoxanRN

  1. Long-term Care Advance Directive

    RoxanRN replied to djewel's topic in General Nursing

    An Advanced Directive is NOT a DNR. It only tells healthcare providers what their wishes are. The doctor must still write the DNR order (I can't state the regs). DNR orders must also be rewritten with...

  2. Important Drug Tips!!

    RoxanRN replied to TigerGalLE's topic in General Nursing

    Verify what can be mixed in what solution and what your unit or facility policy is. On my floor (Neuro Critical Care in a Primary Stroke Care Center), our orders dictate the pharmacy mix everything...

  3. Crazy Thing Pts Say or Do

    RoxanRN replied to Pepper The Cat's topic in General Nursing

    Because hyperventilation can be a symptom of something serious, this is NOT a recommended (nor care standard) treatment (this 'treatment' went out of vogue many, many years ago). As you suggested, an...

  4. Important Drug Tips!!

    RoxanRN replied to TigerGalLE's topic in General Nursing

    This apparently varies from facility to facility. Check your regulations and policies and run

  5. Important Drug Tips!!

    RoxanRN replied to TigerGalLE's topic in General Nursing

    Not only can't Lantus be mixed, it can't be given IV - must be given SQ. Dilantin, Mannitol and Prevacid require IV filters. Cerebrex is preferred over Dilantin when you don't have a central line...

  6. EMT's in the ER

    RoxanRN replied to lauralassie's topic in General Nursing

    Check out this thread..... https://allnurses.com/forums/f18/paramedics-er-120255.html EMTs aren't even allowed to do this things in the field. I think you mean to talk about EMT-Ps (paramedics) -...

  7. paramedics in the ER

    RoxanRN replied to blufoxtrot's topic in Emergency

    Medic2RN -- Well said!!! :yelclap: OK... I misspoke. Most programs out there are associates degree. It is getting progressively more difficult to find certificate only programs. I don't know of any...

  8. paramedics in the ER

    RoxanRN replied to blufoxtrot's topic in Emergency

    Actually, most states do require an associates degree before a paramedic can be awarded their license/certification. If there is any question, contact your state's Board of

  9. Cnrn

    RoxanRN replied to NeuroICURN's topic in Neuro Intensive Care, ICU

    It almost made NCLEX and CCRN look like cakewalks!!!:selfbonk:

  10. Cnrn

    RoxanRN replied to NeuroICURN's topic in Neuro Intensive Care, ICU

    Congrats!! :smiley_aa I'm right there with you!!!! I got my certificate in the mail on Friday. I could have sworn I bombed

  11. Question for the ICU nurses??

    RoxanRN replied to GWVRNS's topic in MICU, SICU

    Always 1 (or 2) ICU RN and 1 ICU PCT (or 2), and RT (if needed). If the patient is deemed to need an MD at bedside constantly, then they are too critical/unstable to go off the unit (yes, there is...

  12. Help, my preceptor is in neuro....

    RoxanRN replied to focker-male nurse's topic in Neuro Intensive Care, ICU

    How were you planning on preparing for an experience in CICU?? Prep the same way. If nothing else, brush up on a basic neuro assessment. You'll do just fine!

  13. having a baby due during nursing school..

    RoxanRN replied to nd deb's topic in General Students

    I found out I was pregnant 3 weeks into nursing school. I delivered about half way through 2nd semester. I only missed 2 lecture days (1 for a doctors appointment and the other for delivery) and 2...

  14. School uniforms.. ugh..

    RoxanRN replied to Scrubz's topic in General Students

    We were purple 'smurfs!' We had to wear royal purple scrub pants and jacket with a white scrub top (if you are from Kansas, the easiest color I can equate them to is 'K-State purple'). We had a...

  15. ED admitting orders

    RoxanRN replied to bill4745's topic in Emergency

    Here, the ER doc discusses the patient with the PCP and then writes orders for admission - usually "Admit to X floor. Call Dr. Attending for orders." Upon arrival to the floor/unit, it's up to the...

  16. JCAHO and Clogs

    RoxanRN posted a topic in General Nursing

    What is JCAHOs position on clogs/shoes. We've been having a descusion where I work and I can't find anything about it on the JCAHO web

  17. Doctor Visit Gone bad or Good??

    RoxanRN replied to MaleRNstudent21's topic in General Nursing

    My ....... I would have gotten up and walked out - appointment over or not - and told him where he could put his prayer (yes, I am a christian and church goer, but I will not excuse his behavior! )!...

  18. What kind of pill crushers are you using?

    RoxanRN replied to GLORIAmunchkin72's topic in General Nursing

    I work in an ICU and have to deal with several PEGs and dobhoffs. After several frustrating sessions of crushed meds clogging my tomey (pill powder can settle to the bottom rather quickly when dumped...

  19. Applying for Charge Nurse

    RoxanRN posted a topic in General Nursing

    What will help me in the interview? Other than things related to nursing, what do I need to have a grasp of (ie: management, etc)? I'm applying for a Neuro ICU night charge position. I am "3 years...

  20. EMS abandonment?

    RoxanRN replied to UtErRnEmt's topic in Emergency

    Unfortunately, it IS a matter of policy at my facility. Working in the ER as a paramedic, I was not allowed to take

  21. Applying for Charge Nurse

    RoxanRN replied to RoxanRN's topic in General Nursing

    Thanks for the thoughts and comments!! Aside from relieft charge, I spent time in the military as a junior NCO (rank = E4). I've also been the 'leader' (aka ranking person) on an ambulance for many...

  22. Shifts

    RoxanRN replied to Happeetxn's topic in General Nursing

    I see your profile says 'nursing student.' When do you graduate? My unit will/should have nurse tech slots open in December (if not earlier)..... Via-Christi RMC - St. Francis Campus, Wichita (Neuro...

  23. EVD's, and Brain drains

    RoxanRN replied to fillyupp's topic in Neuro Intensive Care, ICU

    Always go by your facility's policy!!! As for drains, here, RNs can pull JPs (as they are in the subdural space); MDs/PAs/NPs pull the others and instill meds in the ventrics. As for the KS NPA, I...

  24. Shifts

    RoxanRN replied to Happeetxn's topic in General Nursing

    Where in Kansas are you looking?? Depends on the facility. My unit self schedules so my schedule usually varies. We also work 12 hours (ICUs) - 36 hours/week is considered full time (only paid for...

  25. Had a mom flip out on me today...

    RoxanRN replied to ItsyBitsySpider's topic in Pediatric

    When I worked in the ER, I would always take Mom and Dad aside to explain what was going to happen. At the top of my list was "Junior takes his cues from you. If you freak out, he'll freak out. If you...