xtxrn

xtxrn ASN, RN

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  1. Is it possible to work as a practical nurse once I finish my ADN degree?

    xtxrn replied to Enza's topic in General Nursing

    ADN-- Associates Degree in Nursing; LPN is about the same as an LVN- mostly it's a regional name difference, though the LVNs I worked with in TX were able to do a lot more than the LPNs where I am...

  2. Is it possible to work as a practical nurse once I finish my ADN degree?

    xtxrn replied to Enza's topic in General Nursing

    Poster didn't say that ADN=LPN, but that an LPN was not a certificate program where she went- included other college courses.....

  3. Bedside report/hand off

    xtxrn replied to winter_green's topic in Patient Safety Issues

    My favorite report.... In bed, been fed, got meds, nothin' red, none dead, 'nuf said

  4. Newly graduated RN, HOH, scared.

    xtxrn replied to gemberly's topic in Nurse Disabilities

    Is there some vocational rehab center that might have info on getting the hearing aide taken care of before you start working? I have no clue if this is possible, but it wouldn't hurt to ask

  5. Is it possible to work as a practical nurse once I finish my ADN degree?

    xtxrn replied to Enza's topic in General Nursing

    Good to know :)....I've never heard of an associates leading to an LPN. Around here, they were all technical schools, specific for LPN classes, and none of the other stuff (English, soc, psych, chem,...

  6. amazing natural remedies

    xtxrn replied to Blackheartednurse's topic in General Nursing

    Also, sugarless candy works wonders- basically it's a tasty version of lactulose. If you eat a double serving (or at least 30gms of sugar alcohols - listed on the nutrition info), you should be...

  7. Hallelujah! Finally!

    xtxrn replied to laceface24's topic in General Nursing

    Congratulations :) Sometimes it's easier to just keep going, since you still have momentum...then, when it's done, it's done (unless you decide to go on

  8. Bedside report/hand off

    xtxrn replied to winter_green's topic in Patient Safety Issues

    Dry IVs, O2 off, wet bed with dry urine rings, someone on the floor, dead people in the bed....things like that

  9. Is it possible to work as a practical nurse once I finish my ADN degree?

    xtxrn replied to Enza's topic in General Nursing

    Thank you- keep asking questions

  10. feeling dumb

    xtxrn replied to esunada's topic in General Nursing

    I remember an incident with insulin back in 1986..... I worked nights, and had been floated to a med-surg floor (from neuro)... different end of the building, different protocols w/patients, different...

  11. PT/INR/PTT info?coumadin/heparin-

    xtxrn replied to angell883RN's topic in Patient Medications

    IMHO, and experience. :) An INR of 3.0 is within some ranges of therapeutic, so would not require vit K. I had vit K only when my INR was over 4.5 AND I had symptoms- otherwise it was managed with...

  12. Is it possible to work as a practical nurse once I finish my ADN degree?

    xtxrn replied to Enza's topic in General Nursing

    RNs take vitals in many MD offices. Many MD offices hire primarily RNs- some have LPNs (or LVNs depending on which part of the country you're in). LPNs do not have degrees. It's specific training...

  13. PT/INR/PTT info?coumadin/heparin-

    xtxrn replied to angell883RN's topic in Patient Medications

    But aren't some levels of CK indicative of other types of muscle damage? When I've had them done, I had some elevation in a couple of the cardiac enzymes, and my heart was fine..... :) Lab handbooks...

  14. Is it possible to work as a practical nurse once I finish my ADN degree?

    xtxrn replied to Enza's topic in General Nursing

    RNs with ADNs can work in a lot of different places. Depending on the part of the country, and ADN can go into management. By practical nurse, do you mean LPN? You can't work as an LPN unless you...

  15. I need to switch preceptors

    xtxrn replied to katygw's topic in General Nursing

    Just keep in mind :) every new nurse (if they have any sense - lol) is overwhelmed :) I hope the meeting goes well- and that you can get through the orientation period, and learn your own routine...

  16. new job/health insurance/pregnancy...

    xtxrn replied to adpiRN's topic in General Nursing

    All of the places I worked at had different lengths of time before insurance takes effect. I'm not sure about pregnancy being pre-existing, or if the Obamacare ban on pre-existing conditions has...

  17. Should I retest a patient with a positive PPD history?

    xtxrn replied to Thomas RN's topic in General Nursing

    IMHO, if a facility won't do the CXR, they're looking at the cost to them, vs the risk to the patient with a + PPD

  18. PT/INR/PTT info?coumadin/heparin-

    xtxrn replied to angell883RN's topic in Patient Medications

    Cardiac enzymes aren't my thing :) There are a bunch of them, and they can get a bit complicated. Some just indicate muscle damage of things besides the heart. Others are very specific. I hated...

  19. Can unexperienced nurses be hired PRN, or is it unlikely?

    xtxrn replied to regrebs's topic in General Nursing

    From what I understand, the job availability is regional- some areas are hiring more than others. I would think that if you can go through the orientation (which is always full-time), there would be...

  20. PT/INR/PTT info?coumadin/heparin-

    xtxrn replied to angell883RN's topic in Patient Medications

    If the person is not on Coumadin, 1.7 is high. If he's on Coumadin, 1.7 is not high enough. But, some docs won't do tests on anyone with a higher than normal INR because the increased risk for...

  21. new grad problems adjusting to big hospital- help!

    xtxrn replied to APatriganiRN's topic in First Year After Licensure

    TOTALLY agree- it's really hard to find a group of co-workers and management that are good to work with...the rest will come in time

  22. Any recommendations?

    xtxrn replied to AKA_Glamour_Pearl's topic in General Nursing

    Agree- different folks get different results from different shoes....isn't that different- LOL :) I went through a bunch of brand name shoes, wasting a LOT of money. I ended up with Everlast and...

  23. PICC Lines With Heparin

    xtxrn replied to mangua's topic in General Nursing

    When I had a PICC last spring, they would flush the heparin any time they needed to do labs, give blood/platelets/etc. When done, the rest of the SASH was done. Some nurses used the CVD dressing...

  24. PT/INR/PTT info?coumadin/heparin-

    xtxrn replied to angell883RN's topic in Patient Medications

    No- high test = higher chance to bleed And the tests are usually done together only for baseline, or if the patient is on both heparin AND Coumadin (during transition from heparin to Coumadin, to go...

  25. Should I retest a patient with a positive PPD history?

    xtxrn replied to Thomas RN's topic in General Nursing

    I was always told to never give a PPD to someone with a history of positive results, and get the CXR.