Twinmom06 ASN, APN

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All Content by Twinmom06

  1. Twinmom06

    Do you titrate drips?

    on our stepdown we will run dopamine but anything besides that will go to the unit as far as pressors go. We run heparin (titrate based on blood levels), cardizem (based on HR and BP) insulin (Q2...
  2. Twinmom06

    giving D50 for hyperkalemia

    push it real
  3. Twinmom06

    giving D50 for hyperkalemia

    I've only ever pushed it. Usually its 10 units of IV Novolog push and a half amp (half of one of those huge syringes) of D50 in a non diabetic
  4. Twinmom06

    What's to complain about?

    and do you know how hard it is to get into the State Police Academy in PA? 2-3 year waiting list. Local cops make approximately $10-$15 an hour. One of the nurses I work with was a local cop. Most...
  5. Twinmom06

    How many jobs/units until you found your "niche"

    I'm only out of school 2 years - I did Med/Surg/Telemetry/Float pool for the first 18 months and moved into a step down role in January. This is definitely NOT my niche...I had always wanted...
  6. I'm so glad our hospital has a written policy AGAINST hiring managers making decisions on hiring based on social media. Our accounts are ours and it is specifically against policy stalk us. I also...
  7. Twinmom06

    Bedpan? Why not a Poise pad?

    along those lines - nothing is crueler than an 80 mg dose of lasix at 2200 in an 85 year old woman with limited mobility and no
  8. Twinmom06

    Staffing Woes

    just a vent I suppose - is anyone else so short staffed that they're robbing Peter to pay Paul to get enough nurses for a shift? We've had 4 people leave recently, 2 more are leaving by June 15th and...
  9. Twinmom06

    Taking care of DNR patients. The point?

    I work step down and get plenty of DNR patients...some are in their 50's they generally have several co-morbidities. The vast majority of them are not dying, they simply don't want the violent nature...
  10. Twinmom06

    Haldol IV?

    I've given it IV more often than IM although the other night I gave IM ativan because the pt went ballistic after awaking from an OD on Elavil. He'd pulled out his IV in the time I went to the med...
  11. Twinmom06

    List of level IV NICU's

    I believe Geisinger Medical Center in Danville PA is a Level
  12. Twinmom06

    Will green skin hurt my career?

    I don't know about your career but you'd make a great Orion from Star
  13. given the fact that I have diarrhea (no gallbladder) there would be a pile of crap on her shoes - cuz when I gotta go I GOTTA
  14. Twinmom06

    RNs!!!! Did you fail Any classes???

    Passed everything on the first try - lowest grade was a B- Passed NCLEX on the first try with 75 questions (and in less than an hour!) Plenty of people in my class would withdraw from classes before...
  15. Twinmom06

    I hate night shift

    and that in and of itself isn't healthy! Find some friends, peers etc...my hubs is my BFF too but I've got other friends, some just acquaintances and some that I'd run in front of a bus for - you...
  16. Twinmom06

    I hate night shift

    my FIL worked away for the first 40 or so years of my IL's marriage - my husband and I are convinced that's why they're married 50
  17. Twinmom06

    I hate night shift

    are you a newlywed? So my husband and I worked together for 10 years before he found another job and I got laid off....and went to nursing school. I've been working nights for several years and...
  18. Twinmom06

    Black Humour

    OMG one of our nurses with years of experience called a provider to come and pronounce a comfort care patient. So when she called she said to the provider "the patient in room X expired" I...
  19. Twinmom06

    Charge nurse/ years of experience

    a year and take the "charge nurse seminar" which is basically 8 hours of fluff and how to deal with other
  20. Twinmom06

    Black Humour

    when my gram passed away a few years ago, it was quite sudden - she'd had CAD for YEARS but was managed well and lived 20+ years with no issues, and one night she had a massive MI and that was it. So...
  21. Twinmom06

    Black Humour

    thanks for the laugh! That was quite funny! and to the poster that said something about karma - if I die and someone rolls me over and I fart I hope they get the last
  22. Twinmom06

    Black Humour

    Poop - I realize that this is about death but dark humor rises in me over poop. We had a patient on tube feeds - literally looked like a murder scene - he outlined himself on the bed in liquid feces....
  23. Twinmom06

    Oldest practicing Nurse?

    wow - that's
  24. Twinmom06

    Esme Needs Your Prayers

    Hope you're on the mend very soon Esme! Many healing vibes and positive
  25. I graduated in May 2013 and started applying, interviewing in January/February of that year and had 2 offers by