RoxanRN

RoxanRN

CCRN, CNRN, Flight Nurse

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All Content by RoxanRN

  1. Tips to Fix Positional Arterial Lines

    Sometimes, a good, firm flush will help - hopefully, get the end of the catheter to move away from the vessel wall. Occasionally, I will find art lines which 'like' to have the hand bent bit (or more)...
  2. RN Pay Wichita / Hutch

    Base pay in Wichita is $16 or $17. It's changed so much in the last few years I don't remember. Also, I don't think any facility pays an ICU
  3. TCDs, SAH, HHH VERY LONG

    my opinion is that this doctor should be written up for unprofessional conduct. it is so not professional to talk crap about a fellow physician's work in front of other people - whether they agree...
  4. Family: The Monitor Monsters

    i've had patients/families like this. explaining each line on the monitor helps. so does explaining that patient movement can cause wave artifacts and alarms (my wording is something like "the...
  5. Kansis CIty ER's

    Current legal issues with HCA..........
  6. Paramedic to Nursing??

    Depending on your location, being a medic may or may not be of benefit when applying to nursing school. Personally, I think having your medic does make it easier. Because medic school tends to touch...
  7. Any other good critical care conference

    I personally think the Trends conferences in Philadelphia are wonderful. They have one focused on Trauma and CV in the spring and Critical Care in the fall....
  8. paramedic nursing

    Just have to ask the Instructor. I, personally, think it's a wonderful
  9. studying for CNRN exam this fall...

    I am interested as well.......... Thanks in
  10. Working for Via Christi?

    I'll be looking for
  11. Working for Via Christi?

    millkay........ How did your tours
  12. Precedex

    hhmmmm.... I know we certainly run it for longer than 24
  13. NIHSS stroke scale

    It depends on your facility. I am in a Neuro Critical Care Unit. We do it on assessment by the stroke team (in ER or on the floor/other ICU), on unit admission and on transfer. This does not...
  14. Working for Via Christi?

    Gotta give a shameless plug for my unit (Neuro Critical Care) We are hiring. Have several night slots open (I'm a night shifter). Also looking to staff a neuro stepdown within the unit. Another...
  15. Working for Via Christi?

    I work at Via Christi (St Francis Campus) in the Neuro Critical Care Unit. This is the only facility I've worked at. The only experience I've had with Wesley is as a paramedic taking patients to the...
  16. RN and Paramedic

    the only time i got paid for my paramedic education was when i worked in the er as a tech (actually, they were paying for an associated degree which just happened to be in paramedicine [associate...
  17. Medics vs Nurses in the ER

    shouln't have said that, now we wil be getting the ems providers telling you every call he/she goes on is an overturned bus full of children in a ditch at 3am in the morning and all of the 50 kids are...
  18. Title of "BSN" on badge?

    The general public doesn't know the difference. To them, a nurse is a nurse is a nurse. Heck, some even think PCTs are nurses - and that's clearly printed on their name
  19. Vitamin K IV

    I just realized I misspoke...... we routinely use IM Vit
  20. Vitamin K IV

    I'd sure like to see the
  21. Vitamin K IV

    By our policy, only MDs give IV Vit K. Too much potential for clotting. We use SQ route
  22. KCl through central access

    Our policy is 10meq/hour - regardless of access. Have given it through a peripheral IV with lido added. CVL is much
  23. calculating drugs doses

    I wish I could link what my school teaches, but the site is password protected. I can copy/paste or email if you are interested. Also have a bunch of practice
  24. ICP Transducers

    We (RNs) routinely draw from the access port nearest the patient (which tends to lend the most accurate sample) as well as flush (toward the drain only!) PRN. It is all done using as sterile/aseptic...
  25. Gosh... to have class or even orientation to charge would have been nice!! I got thrown (literally) into a relief charge roll at the age of 9 or 10 months. The regular charge had called in sick and...