Double-Helix BSN, RN

PICU, Sedation/Radiology, PACU

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All Content by Double-Helix

  1. Double-Helix

    Is the CVICU and CVRU the same thing?

    Sounds like a facility-specific definition. I would think that a cardiac recovery unit does post-operative care for short-stay cardiac procedures that don't require ICU admission, such as cardiac...
  2. Law school and med school are both graduate programs. I think the majority of people who have chosen those career paths have a good understanding of the level of work and commitment that will be...
  3. Double-Helix

    RN-NP?

    Enrolling in graduate level courses is going to require an undergraduate degree. The majority consensus here at AN is that NP programs that require direct under-graduate entry with no RN experience...
  4. Double-Helix

    Philly area jobs

    It is the unfortunate consequence of the propagandized "nursing shortage" that enticed thousands and thousands of college students and second-career students to pursue a nursing degree with the false...
  5. Double-Helix

    Controlled Drug Vials in Pyxis

    I can only see this being a good solution if your PAR is no more than 18 vials. For 20-30 vials, you're still going to run into the same issue. My unit does the same as RubyVee. Ziplock bags with 10...
  6. Double-Helix

    Philly area jobs

    To put it in perspective: 3 years ago, it took me 3 months of applying to jobs in Philly and South Jersey to even get a call back. And that was WITH 3 years of Pediatric ICU
  7. OP is not in the nursing field. He/she is a patient sitter, and has been employed as such for all of 5 days. It sounds like her employer offered very little in the way of instruction or orientation...
  8. Double-Helix

    Pressure infuser bag questions?

    1. Pressure bags are disposable because of infection control reasons, not because the effectiveness decreases after each use. You can use the same pressure bag for multiple fluid bags. 2. You're...
  9. Double-Helix

    New Hire Physical

    Legally, employers who have made a job offer can access your worker's comp records. Legally, they can only rescind an offer due to your previous disability claims if you fail to disclose it during the...
  10. Double-Helix

    Thoughts on buying a laser hair removal machine

    Hmm. I can't imagine there are any legal issues with you doing treatments on yourself (although it's certainly not risk free). I'd consult a lawyer before performing treatments on anyone else. While...
  11. Double-Helix

    Good looking male borderline patient.

    I agree that you need to disclose the situation to your supervisor and have another nurse take over as his key nurse. You are doing yourself and the patient a disservice by remaining his primary...
  12. Double-Helix

    Thoughts on buying a laser hair removal machine

    I think it depends on what kind of machine you're considering. If you're talking about buying a professional grade laser hair removal machine, it's going to run you upwards of 5K. Recouping your cost...
  13. Double-Helix

    Auditing falls .. where to begin?

    After each fall, gather the immediate staff together (RN/LPN, CNA) and ask why did this fall happen?”, Can it happen to any other patients?” and What can we do to prevent it from...
  14. It sounds like the issue is the communication between the contracting hospital and your scheduling team. How are patient reports usually handled? Do you get any kind of report from the nursing staff?...
  15. Double-Helix

    Nurses that are moms plz I need your input

    I work full time M-F as an RN. My daughter (4yo) is in daycare for about 9 hours per day (roughly 7a-4p), 5 days per week. She loves her school and is well taken care of, but I hate that I cannot be...
  16. Double-Helix

    Informed Consent? Input needed...

    No, anterior is not a laterality. The surgeon is not not replacing the anterior hip.” The surgeon is replacing the right/left hip via an anterior
  17. Double-Helix

    Zofran IV

    I'm sorry that you're not feeling well. Unfortunately, we cannot give medical advice here and these are questions that you need to bring to your primary physician or the ER doctor that treated you....
  18. Double-Helix

    At a crossroads... any advice?!

    Night shift works well for some parents, specially if the children are school aged or they have some support at home to help with child care. Working nights, you're home in the morning to get the kids...
  19. Double-Helix

    Philly area jobs

    It is an extremely competitive area. You're competing with graduates from a handful of local, well-respected nursing schools (Drexel, Penn, Temple, Villanova, Jefferson, LaSalle) as well as many other...
  20. Double-Helix

    Informed Consent? Input needed...

    The anterior approach has a smaller incision, quicker recovery, and lower risk of dislocation. It is a technique, not a procedure. I see no reason for the approach or technique to be listed on the...
  21. Double-Helix

    assessmentso that apply to diagnosis

    Was the patient diagnosed with anxiety by the medical team, or did your assessment of the patient point you to a nursing diagnosis of anxiety? These are very different. Your care plan needs to be...
  22. Double-Helix

    Secondary diagnosis

    Yes. The primary diagnosis is the reason the patient is in the hospital/treatment facility. A secondary diagnosis is another condition that influences their medical needs. A few examples: A woman...
  23. Double-Helix

    SQ injection

    Just remember not to rush. For a cooperative adult, what will hurt the most is the needle being inserted. Once it's in, take your time and make sure that you've given the entire dose before removing...
  24. Double-Helix

    Debilitating anxiety and fear of harm

    I agree with Alex. Learn the algorithms for the times when the patient is dead (V-fib, pulseless V-tach, and PEA). And in those cases, high quality CPR and defibrillation are going to be your priority...
  25. Double-Helix

    Future of GPs and FNPs

    I think this idea is going to be similar to the self-driving car. Great in theory, but extremely slow to develop and catch on. Every time someone is harmed, misdiagnosed or killed by the "electronic...