Double-Helix BSN, RN

PICU, Sedation/Radiology, PACU

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All Content by Double-Helix

  1. Double-Helix

    How to Compute Age of Gestation

    An easy way to calculate the EDD is Naegele's Rule: How to Compute Age of Gestation By using some simple addition and subtraction, you can easily calculate the EDD. As far as calculating the AOG at any certain date- get yourself a calendar ...
  2. Double-Helix

    Love school nursing, but can't pay my bills.

    You’re working 4 hours per day M-F, right? Why can’t you pick up an evening or weekend job that will allow you to earn more while continuing school nursing? I‘m sure there are LTCs and skilled facilities looking for staff for those hours.
  3. Double-Helix

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    Perhaps the timing. If the patient requested an anxiolytic immediately before the scan was going to start, the medication ordered would need to have a short onset. PET scans involve injection of a radioisotope about 1 hour prior to the scan and imagi...
  4. Double-Helix

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    The article says that the nurse couldn't find "Versed" (brand name) in the Pyxis. So she tried to search for it using "VE" (again, implies she was looking for the brand name. My assumption is that the nurse didn't realize that the medication would b...
  5. Double-Helix

    Grading system

    Yes. It's very common in nursing schools. The average of your test scores must be above X%. Other assignments like projects and papers are only factored into your grade if your test scores are adequate. This is because your ability to answer test que...
  6. Double-Helix

    Are my hours being cut?

    PRN means "as needed" and it sounds like you're not needed so frequently due to the availability of others with similar skills who probably are full or part time. Your decrease in hours may be temporary or long term- that's the nature of per diem wor...
  7. Double-Helix

    Tube feedings: To pause or not to pause?

    But how did this thread progress two years ago without someone pointing out to the OP that "parenteral nutrition" is given intravenously?
  8. Double-Helix

    Nurses who fail pre employment and employment drug test

    This is rather confusing to me. The lab and the employer will obtain a HIPAA waiver for results that are not protected by HIPAA? Then why is the waiver required?
  9. Double-Helix

    To appeal, or not to appeal. Desperately seeking advice!!

    The student handbook says an average at or below 74.49 will not be rounded up. It doesn't say that 74.5-74.99 will be rounded up. The handbook doesn't address this situation all. You can certainly inquire to the Dean and ask for policy clarification,...
  10. Double-Helix

    New grad pediatric interview questions

    Why Peds? Only you can answer that. What draws you to pediatric nursing? Use this forum as a practice interview. Tell us what YOU think. How would YOU answer those questions? We can help you with phrasing or help adjust your responses, but if you go ...
  11. Double-Helix

    OR vs Post Surgical - Which would you pick

    Is there any way you could shadow in each role for a day and see what you like best? OR circulating is not for everyone, but some love it. PACU nursing will vary depending on the type of surgical facility. An inpatient PACU that recovers ICU level an...
  12. Double-Helix

    Safe Harbor and a Pedi/ICU harbor

    I agree that this patient, excepting the postpartum status, was an adult trauma patient. This entire situation likely could have been avoided by some open dialogue and by having a postpartum nurse come to the PACU to assist with monitoring for the im...
  13. Double-Helix

    What are my chances? :/

    These are question you need to direct to your program of interest. How they calculate GOA, what credits will transfer, and how recent your previous courses need to be are all dependent on the individual program. You may find that you are not competit...
  14. Double-Helix

    Robots, automation, and A.I. tech to replace nurses?

    I'm intrigued, but not threatened. There are many less conplex and more profitable medical professions to automate than nursing. Nurses use far more critical thinking, nursing judgement and therapeutic communication to guide our care than most non-n...
  15. Double-Helix

    Being An Advocate

    This is not a battle. The OP simply reported a concern. It's the manager's responsibility to take it from here. Where's the fight?
  16. Double-Helix

    Being An Advocate

    The responses you get are going to be based on individual experience, history and the culture on your unit. My hospital, for example, encourages reporting all "near miss" safety events when someone could have been harmed but wasn't. Others subscribe ...
  17. Double-Helix

    Pearson Vue Trick NOT accurate

    You used in an invalid credit card. Using the correct card number and changing the expiration date does not make it a valid card. You can't go off about how something doesn't work if you didn't do it correctly.
  18. Double-Helix

    Help with ABG

    O2 admin may be the percentage of oxygen being administered to the patient. In this case, 21%=room air. We'd like to hear your thoughts first. What do you think is going on? Is the pH normal, acidic or alkalotic? Is it compensated or uncompensated?
  19. How does one know if orders are appropriate without understanding the rationale behind them?
  20. Double-Helix

    Nursing implications of birth control?

    It might be easier for you to think of implications if you brainstorm some situations where this might come up. I'll give you a couple of examples: 1. RN is working in an outpatient clinic and a female patient is prescribed an antibiotic for UTI. The...
  21. Double-Helix

    Central line dislodging?

    Yes, tension or pulling on the line can dislodge it.
  22. Double-Helix

    IV lines

    Unless you clamp the line while you are flushing, you can get a small amount of backflow into the catheter hub or tubing. No, there is no need to change a bag or tubing due to a small amount of back flow in the tubing of a general IV fluid. You would...
  23. Double-Helix

    S.M.A.R.T goals for preceptorship?

    These are examples to help the OP think of and format goals. OP should obviously choose goals that are within his/her scope as a student.
  24. Double-Helix

    Good Resume Fillers

    L&D nurses are more likely to need ACLS and possibly NRP. I doubt PALS would be required since it would not apply to your population. Certifications without the experience to back it up are just extra letters, for the most part. AClS is not a di...
  25. Double-Helix

    S.M.A.R.T goals for preceptorship?

    Make task-oriented goals that are measured by the number of times you perform them. I.e. Succcessfully access 3 ports on first attempt by end of preceptorship. Independently prepare IV tubing set up for primary and secondary fluids twice by week 6 of...