Rob72 ASN, RN

Infectious Disease, Neuro, Research

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All Content by Rob72

  1. Rob72

    Nursing Diagnosis...the sacred cow that needs to go.

    Rob72 replied to Idaho4me's topic in General Nursing

    To respond to the billing issue- it is not something we do(outside of possibly HH) but what the facility does to validate our salaries. The NANDA-variation checksheets/screens "validate" paying the...
  2. Rob72

    Nonresponder to HepB Vaccine

    Rob72 replied to NewlyGradBSN's topic in General Nursing

    That is a clinical lab standard interpretation. If one have no antibodies, one shows no indication of immunity- you won't find a pathologist saying otherwise. One may feel immune. One may think they...
  3. Rob72

    Nursing Diagnosis...the sacred cow that needs to go.

    Rob72 replied to Idaho4me's topic in General Nursing

    You kinda lost me there. What assessment do I make that I am unable to make immediate intervention w/o a doctor, regardless of medical dx? EDIT: w/in scope of practice. We're talking emergent vs....
  4. Rob72

    Risk of exposure doing CPR

    Rob72 replied to DemonWings's topic in General Nursing

    Be sure to buy a new one roughly once a year. Plastic has a hard time surviving the temperature variations, and being in a pocket/purse for extended periods of
  5. Rob72

    Nonresponder to HepB Vaccine

    Rob72 replied to NewlyGradBSN's topic in General Nursing

    Confrontational and condescending. The position would be more substantial without the overbearing personalized presentation. Personal experience is anecdotal, and for generalizations, I try to avoid...
  6. Rob72

    white scrub tops and males

    Rob72 replied to jltbone's topic in Men in Nursing

    Hmmmm.... murder-dismemberment is a "civil rights violation", too, I
  7. Rob72

    Quick Concept Map Question...(Psych)

    Rob72 replied to KristeyK's topic in Nursing Student Assistance

    Is his assessment of his personal condition realistic, or is he pushing his limits? Is he ready for information about necessary modifications to his lifestyle? It may(probably will) depend on your...
  8. Rob72

    Maslow's Hierarchy - Security with an elderly client

    Rob72 replied to ADPIE1's topic in Nursing Student Assistance

    An over-used word: respect. Staff should knock when entering the room, address the patient as "Mr./Ms./Mrs.X" unless or until directed otherwise, and ask before moving things, setting down lab tray,...
  9. Rob72

    Nursing Diagnosis...the sacred cow that needs to go.

    Rob72 replied to Idaho4me's topic in General Nursing

    I'll disagree with you on that. I had 20 years of direct care before I went for my RN, and "Nursing Diagnoses" are the most convoluted, dissociated, disjointed clap-trap taught, discounting an...
  10. Rob72

    im selfish? hmmm

    Rob72 replied to OhioCCRN's topic in General Nursing

    Look deeper. It wasn't you she was talking to. A lot of self-hate in that statement, and a lot of wishing she'd been more discriminatory in her own life. Most meanspirited/judgemental folks 1) lack...
  11. Rob72

    Nursing Diagnosis...the sacred cow that needs to go.

    Rob72 replied to Idaho4me's topic in General Nursing

    Getting more into some of the previous posts, what you suggest hipcrip, is exactly right. The problem is billing; sepcifically, that if "other people" are able to make medical judgements, on even a...
  12. Rob72

    IV draw vs Lab draw?

    Rob72 replied to Double-Helix's topic in General Nursing

    So what I have to pitch back to you is, how is the A line/central/port different in infection risk than accessing the PVA site? Unless all your central access kits are antibiotic
  13. Rob72

    help with dementia patient please!

    Rob72 replied to Tarabara's topic in General Nursing

    Pretty much what Jenni said. In basic terms, try not be be definitive in responding to their questions (i.e., "I let the dog out...") Qualify with things like, "I believe your...
  14. Rob72

    ANOTHER UPDATE --> interview AND nclex

    Rob72 replied to CaliforniaRNnow's topic in General Nursing

    CONGRATULATIONS!!
  15. Rob72

    Nursing Diagnosis...the sacred cow that needs to go.

    Rob72 replied to Idaho4me's topic in General Nursing

    What is the difference between nursing and medicine? Zero. Zip. Zilch. Nada. Physcian assistant? No. Cohort? Yes. How should we "be paid"? By analysis of the patient's holistic status within the...
  16. Rob72

    As a patient, is it okay to suggest a vein for IV?

    Rob72 replied to Lahryn04's topic in General Nursing

    I've started my own, in similar circumstances. Two perspectives: 1) Yes, you absolutely have the right to make a suggestion. Particularly since most people sticking lack any sort of theory training...
  17. Rob72

    IV draw vs Lab draw?

    Rob72 replied to Double-Helix's topic in General Nursing

    Interesting perspectives! The actual rational is avoiding contamination of the specimen, and/or hemolysis. this goes waaaay back to when steel butterflies were the IV catheter. Yes, you can cause...
  18. Rob72

    Help needed - please!

    Rob72 replied to cherylg's topic in Medical Assistant, CNA/MA

    Am I misinterpreting your acronym: Geriatric Nursing Assistant? If she is already a CNA, and working at a VA, and if she is transferring to the VA VA (haha!), and if the GNA is a VA state...
  19. Rob72

    Common Medications on Neuro Floor

    Rob72 replied to CanCan's topic in Neurological

    Geez. Anti-epileptics, commonly: dilantin, tegretol, keppra, lyrica, for a start. Strokes: lovenox, heparin, ACE-Is, statins, ASA, plavix, mannitol. Dementia/Alz: namanda, cogex, aricept Movement:...
  20. Rob72

    white scrub tops and males

    Rob72 replied to jltbone's topic in Men in Nursing

    Bwahahahaha! Some are comfortable with their masculinity, some are not. That is
  21. Rob72

    What can I do now to help get the job I want?

    Rob72 replied to chaplainjanie's topic in General Nursing

    You might want to narrow it down- are you wanting to do bedside, or something else? With chaplaincy experience, I would think you would do well in case-work/mgnt, patient advocacy, rehab, psyche, or...
  22. Rob72

    Assulted on the job

    Rob72 replied to Vedder316's topic in General Nursing

    Weelll. It is unsafe. It is the "new paradigm". "Training" is unlikely to make much difference, since you are unable to place limits on the subjects behaviors. (I.e., those who are unable to...
  23. Rob72

    how hard really is School and Work ?

    Rob72 replied to prettypiedra's topic in Nursing Student Assistance

    Pretty similar situation for me. If you're a self-starter, I highly recommend on-line, if you have it
  24. Rob72

    Selecting syringes

    Rob72 replied to queenjulie's topic in General Nursing

    ^^ This. Larger needles cause more displacement(hurts). They allow more rapid infusion of the solution (hurts). For something thick, like Rocehpin, a larger needle is appropriate, however, simply to...
  25. Rob72

    Surgery Specimen & Lab Procedure

    Rob72 replied to lhawkins's topic in General Nursing

    I think (I hope!) what you've stated is being on the simplistic side, as far as, "rinsing out", the containers. Basically, this is falling under OSHA guidelines for labelling repackaged biohazardous...