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seamang2

seamang2 BSN, MSN

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seamang2's Latest Activity

  1. seamang2

    Transducing Lytic Sheaths

    Hey everyone, I am looking to see what others are doing in their ICUs and what evidence they have behind it. We had a practice of transducing all arterial sheaths and lines including lytic catheters as a method of ensuring that the catheter has not been dislodged between q1h checks. We recently decided not to transduce lytic caths as they have specific meds at specific rates and the pressure bags allow for a rate of three ccs an hour, changing the rates and potentially diluting the meds. This change has caused an uproar that it is unsafe for patients, but no one can show any evidence one way or the other. With this in mind I wanted to see what everyone else does. Thanks to everyone, and if anyone has any articles please let me know!🙏
  2. seamang2

    Why can't nurses intubate?

    In Nevada, the state BON says that nurses may intubate. No hospital policy allows for it because medicare/medicaid will not reimburse for an intubation performed by the nurse. Hence, no nurse intubations in NV. It's all about the $$$'s.
  3. seamang2

    To disclose or not to disclose?

    SXCESS, I am in a similar boat as you (i.e. juvenile offenses, being male, had background checks). I would recommend that you let the board know and just offer what information you have and a letter expressing your remorse and that you are no longer engaging in these types of activities. I look at it this way: If I don't tell them and they find out, I have just lied to the board of nursing. If I tell them and they couldn't find out, I have just wasted 2 hours trying to secure my license. A worth while trade off. seamang2
  4. seamang2

    I'm a navy nurse and have a question

    The UCMJ only allows for close friendships and romantic relationships between Officers and Enlisted in the event that they both: A) existed before the Officer accepted their commission or warrant and B) are not prejudicial to good order and discipline. If you were to pursue a relationship that doesn't meet that criteria, you would be at fault and risking your career. The Enlisted person does not face anywhere near the punishment that you would. As I am sure you have heard before "You are an Officer in the United States Navy and are expected to uphold a higher standard." That being said your choices and actions are your own. Do what is best for you.
  5. seamang2

    Pharm

    Hi everyone, I'm glad to say that I just passed Pharm with a 79.72. That get's me a C+ or a 2.4, and I wish to continue to grad school. I'm keeping up a good gpa in all of my other classes, but this was a class that was a pain. I'm not great with memorization but think I will do well if I am only focusing in this. Has anyone else retaken Pharm after they graduated? Thank
  6. seamang2

    What to do after being fired.

    Really??? I always thought that we were supposed to be patient advocates. If someones actions were endangering patient safety you can bet your a** that I would report them as well. If you feel that you were wrongfully fired you should get a lawyer.
  7. seamang2

    Great First Day!!!

    I wanted to share my first clinical experience and ask what I should expect for my second. My first day of clinicals was great! The night before I spent over 6 hours devising a care plan for my pt. I never used it, but I learned a lot about putting one together. The next day, I introduced myself to my pt, to vital for six pts, and then I got a unique request. There was a verbally abusive male pt on the floor refusing pain meds. I was requested to feed the pt, and feed him I did. I used my skills to get breakfast into him with little difficulty and even a thank you afterwards. Feeling proud of that task I went back to my pt and offered a bath. When he declined, I went and found a CNA and asked if she had any pts that required AM care. I was assigned to a pt who had right side paralysis and a NG tube, so I got to practice pericare, bed baths, and linen changes. After this I answered several call lights, emptied a few bedpans, and charted I/O's, again I get to practice skills I learned in class. Then my entire clinical class (6 of us) were invited to observe a VAC bandage dressing change. The wound care nurse allowed us to aid in the preparation and application of the bandage. Then after we were done with that we had scheduled post-conference, but missed it because one of my classmates had passed out. Instead we went to the ICU with the wound care nurse where we observed a case of degloving (and I saw critical thinking in action, pt was bleeding too much) and then to a bandage change on a pt with a recent case of narcotizing fasciitis. All the students left at 1230 when the end of our shift came around, but I asked to remain until the procedure was finished. At 1330 I went to the lobby, walking out of the hospital thinking that this may be the best day ever. Could all the nurses let me know what I did right, what needs work, and what I should be expecting in my next clinical day. In addition to vitals, this week I should be able to pass enteral meds. Thanks PS So far nursing is great!!
  8. seamang2

    Drug Legalization

    Interesting thread. I too firmly believe that all drugs and drug use should be decriminalized. Additionally, there should be pardons for all those currently incarcerated for drug use. The pushers can rot. The use of street drugs will never be eliminated, but we can control the use. We can sell marijuana cigarettes next to tobacco ones. Other, minor drugs can be sold at state run "Drug Stores" (think liquor store). Finally, drugs that are determined to be to dangerous to use with out supervision can only be used in "clinics" under supervision of medical staff. With this kind of layout the user receives pure substances, the government takes some off the top in taxes, and we have just reduced the prison population. There are logistical issues to work out, who grows, who sells, what are the punishments for stoned behind the wheel, are you insurable, and others that I couldn't possibly fathom right now, but nothing insurmountable. For those of you who think that you don't want your Air Traffic Controllers or Bomb Squad members high, calm down. No one will higher a person for sensitive possessions without drug screening. You want you dream job, you don't do drugs. Lastly, for those of you who have read this rant to the end, I do use one drug without a prescription: Alcohol!!! Should be a DEA Schedule 3 drug. And I quit using Nicotine, a drug that should be Schedule 1. Just because you can doesn't mean you will or should.
  9. I just started my program 2 weeks ago and after 10 years in the military, I can say that the first few weeks of nursing school are more difficult than basic training! I would recommend that you live by yourself for the first semester and then if you think you can handle it move on to living with a roommate if you need/want to!
  10. seamang2

    LVN "teamate" not doing meds properly-advice wanted

    Just a simple bit of advice, it's your license, so you need to do what your career can handle.
  11. seamang2

    What references do you you use?

    My nursing program wants you to keep some of your old books from your prereqs. I borrowed the texts for my Nutrition and Development course and will be giving them back in two weeks. Long story short, I hate the texts and I wonder what references everyone here uses for nutrition and development? Thanks everyone.
  12. seamang2

    Acceptable Mens Hair Styles

    This kind of seems like a no brainer. As a nurse interacting with patients you need to look like a professional. The problem is that what you think is professional may not be what your patients think is professional, or your what your Nurse Manager thinks. Put simply, do whatever you think your career can handle.
  13. seamang2

    Nevada BON Background Check

    Thank you. Just to clarify, I had a very "adventurous" youth, an wish to run my own BG check, in order to make sure that I don't miss a small item. Not telling the BON because I truly don't remember, and then being denied a license, would be a travesty.
  14. Shining brighteyess, I keep running into the level of respect issue in a slightly different way. My fiancee's father is an anesthesiologist (MDA) and my dream is to become a CRNA. He firmly believes that the MDA should be the only one to provide anesthesia. I recommend that you just do what I'm doing. Follow your dream and to hell with the rest of them. They won't be the one determine how great you can be.
  15. seamang2

    Nevada BON Background Check

    Hello everyone, I have just entered into the nursing program at UNLV and have a question about the background check that the Nevada State Board of Nursing uses to evaluate new and renewing nurses. I have no problem admitting that I had a checkered juvenile past, nor listing any crime that I have been convicted of (I had a traffic violation that was reduced to a parking ticket.). But I would like to run my own background check to make sure that I have no surprises when the time comes to apply for my license. I know that the BON uses the FBI for a background check. Do they use any services as well? Thanks in advance.
  16. seamang2

    Best type of experience?

    Greetings all, I am just about to start clinical at UNLV for my BSN. We can choose a home hospital for our clinical site. There are two options for home hospitals, one is a great cardiac hospital and the other is a level 1 trauma center. Now for my question... What would be the best type of experience for an aspiring CRNA? Cardiac or Trauma? In addition, if you don't chose a hospital, you rotate to several other hospitals in the community, lots of variety. There are many options that are out there, but is there on that stands out as a good choice? Thanks everyone.