Double-Helix BSN, RN

PICU, Sedation/Radiology, PACU

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All Content by Double-Helix

  1. Double-Helix

    NCLEX Advice/Help Needed

    At this point, just do something. You're less than three weeks away from your exam date and don't have time for a full program anyway, so just pick a website or book and crack it open. Unless there's...
  2. Double-Helix

    New Grad RN - Placeholder Position

    A new grad program IS orientation. I'm not sure what this arrangement is, but you're well within your rights to request additional clarification from HR. There are a lot of new grads that get hired...
  3. Double-Helix

    Has HIPAA gone too far?

    HIPAA” has become synonymous with patient privacy”. Often when people talk about violating HIPAA, what they really mean is violating their employer's policies surrounding confidentiality....
  4. Double-Helix

    Should I call hospital back...twice?

    If they took the position down, there isn't a job to be filled- passionate or not. Calling about this job is pointless now, but there could have been a lot of reasons someone else was selected....
  5. Double-Helix

    Stethoscope recommendation?

    When you're learning to distinguish different heart and lung sounds, it's critical that you have a quality stethoscope. In the grand scheme of things, $75-100 for a stethoscope that will last you up...
  6. I agree with wtbcrna that it may create conflicts between your license and your job description. Similar to an RN working as a CNA, you are held to the standard of your highest licensure. So if you're...
  7. Double-Helix

    Why did you become a nurse?

    Good income, stable career, ability to find a job in any part of the country, and flexibility to raise a family. Yeah, I like to help people too, but there's lots of ways I could have done
  8. Double-Helix

    Doing Checked off Clinical skills at home?

    You would not be "performing a clinical skill you have been checked off on”. You would be providing care to a family member after receiving education from a registered nurse. The fact that you...
  9. Double-Helix

    double lumen PICC & incompatible meds

    It is fine to give incompatible solutions through separate lumens of a multi-lumen line. That's one of the purposes of multiple lumens. When you think about the speed of blood flow through the veins...
  10. Double-Helix

    iv catheter/needle gauge selection

    INS standards recommends using the smallest gauge catheter that will accommodate the prescribed therapy. The reason for this is because a smaller needle causes less trauma to the vessel and blood flow...
  11. Double-Helix

    picking up an extra shift

    This may not be permitted by your facility. If you're being paid by the same organization, you are still legally entitled to overtime for more than 40 hours worked. So if picking up extra shifts...
  12. Double-Helix

    Being a CNA in the PICU

    It will depend on the PICU. I hope you got a chance to ask those questions and tour the unit at your interview. My PICU had CNAs, and while they did a lot of running for supplies and answering phones,...
  13. Double-Helix

    Portfolio disaster!

    What is the purpose of the
  14. Double-Helix

    Question about policy/procedure

    I can't really speak from a legal standpoint, but as an employee, you can only work with what you have. It's not your responsibility to keep the outpatient clinic stocked with the appropriate...
  15. Double-Helix

    Multiple Acceptances ? How to pick ?

    Does any school have a better reputation among local hospitals? Personally, I wouldn't look for the program with the highest NCLEX pass rates (which can be manipulated), but the highest percentage of...
  16. Double-Helix

    Documenting injection the MD gave

    Yes, it would be inappropriate. A note like that belongs in an incident report, not a patient's medical
  17. Double-Helix

    HIPAA violation?

    But, stating that a particular person paid (and therefore received services) at a certain clinic may be. Say OP works at a psychiatric treatment center for suicidal patients. Disclosing publicly that...
  18. Double-Helix

    M in the Box

    It's not a HIPAA violation in an of itself. HIPAA laws cover personally identifying information- name, DOB, address, etc. The same way that is isn't a HIPAA violation to put an isolation sign on a...
  19. Double-Helix

    Regional vs National Accreditation

    What is the accrediting body for the regionally” accredited school? The only accrediting bodies for nursing programs are the ACEN or CCNE accredited school. I'm thinking that a regional...
  20. Double-Helix

    About nclex rn

    Foreign trained nurses have far more difficulty passing NCLEX than US trained graduates in general. Not only that, but your knowledge base is almost two decades old. You also report that you have not...
  21. Double-Helix

    Getting hired, vs. where you graduated from.

    There are thousands of nursing programs. IMO, the school you attend usually doesn't make a difference. In a few situations, it can sometimes help you, sometimes hurt you. It can help you if 1. You...
  22. Double-Helix

    CT scan job advice

    I work in radiology, as a portion of my job. Inserting peripheral IVs is certainly a big part of the job. You'll also be screening patients for contrast risk factors. There's also a high potential for...
  23. Compressions to restore cerebral perfusion is the most vital aspect of CPR. Your patient needs those compressions far more than they need a breath. At the moment a patient codes, there is still enough...
  24. Double-Helix

    This is why I do this job

    We all know our job isn't perfect. Nurses endure a lot of physical and emotional stress, frustration, a lack of resources, etc, etc. It's easy (and often justified!) to get caught up in the...
  25. Double-Helix

    IR Nurses that deal with outpatient LP Chemo

    Who is administering the chemo? In our hospital, it's the responsibility of the person administering the intrathecal injection (usually an oncology NP) to double check the medication against the...