Nalon1 RN/EMT-P BSN, RN

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All Content by Nalon1 RN/EMT-P

  1. Nalon1 RN/EMT-P

    Adensonie

    Nalon1 RN/EMT-P replied to FirstLadyRN's topic in MICU, SICU

    I see no issue with it either. As a paramedic I gave it many times, but that is a different area. So long as you had a valid order, you should be good to go if your comfortable with it. ACLS...
  2. Nalon1 RN/EMT-P

    Memorial Hermann Summer 2016 Residency

    Nalon1 RN/EMT-P replied to ms.simone's topic in Texas Nursing

    That is better shift diff. Nights for Hermann is $4/hr. Weekends is like $2.50/hr (don't remember off hand, but is not as much as
  3. Nalon1 RN/EMT-P

    Memorial Hermann Summer 2016 Residency

    Nalon1 RN/EMT-P replied to ms.simone's topic in Texas Nursing

    3 years ago base pay for new grad was $25, so they have gone up quite a bit since then. That is only $1.00 less/hr than a friend of mine with 3 years experience makes at MH. Cost of living in Houston...
  4. Nalon1 RN/EMT-P

    How to think like and ER nurse

    Nalon1 RN/EMT-P replied to amzyRN's topic in Emergency

    I think they are saying while discharging one patient (patient "A"), orders are placed on another of their patients (patient "B"). By the time they are done discharging patient A, they only have 20...
  5. Nalon1 RN/EMT-P

    How to think like and ER nurse

    Nalon1 RN/EMT-P replied to amzyRN's topic in Emergency

    Organization? What is that? Controlled chaos maybe. I came from IMU/ICU to the ER (but was a paramedic for many years before that). There is no comparison, you come in running and leave running some...
  6. Nalon1 RN/EMT-P

    Does completing a residency program at a hospital make you an RN II?

    Nalon1 RN/EMT-P replied to AesthesiaSeeker's topic in Texas Nursing

    No way you can almost double your salary after 1 year. $25/hr is ~$46,000/yr (no shift diff or anything). With OT and shift diff, sure it is possible, but you can make that much as an RN I if you...
  7. Nalon1 RN/EMT-P

    NG insertion Doctors VS nurses

    Nalon1 RN/EMT-P replied to BendyEm's topic in Critical Care

    Never seen a MD insert an NG tube (well, I have at teaching hospitals with residents). It is nurses that do it where I am. ED techs used to be able to if they had been trained, but no longer allowed....
  8. Nalon1 RN/EMT-P

    Float Pool Nursing Pay

    Nalon1 RN/EMT-P replied to Murse0341's topic in Texas Nursing

    Hermann PRN pay (either in hospital PRN staffing or their internal staffing PRN service, Premier) is $35-45/hr max. To make $16,000 in a month that would mean they are working 90 hours per WEEK...
  9. Nalon1 RN/EMT-P

    Sodium bicarbonate push

    Nalon1 RN/EMT-P replied to lvcrn's topic in Critical Care

    Interesting post. I was going to say that Bicarb does not cause HTN, but did not think about acidosis causing hypotension. Fixing the acidosis now allows the patients body to be able compensate for...
  10. Nalon1 RN/EMT-P

    Post ops coming back to ED as "holding" patients

    Nalon1 RN/EMT-P replied to anursedad's topic in Emergency

    Never seen a post op to ER as an admitted patient to be held. Only time I have ever seen any thing similar is when we have had an endoscopy that went up but came back down for discharge, but endoscopy...
  11. Nalon1 RN/EMT-P

    Yearly volume of your ER

    Nalon1 RN/EMT-P replied to agiboma's topic in Emergency

    It will all depend on location and hospital size. The hospital I work at has around 37,000 ER visits/yr. This is a local ER in the suburbs, we have 16 rooms in the ER, with daily use of another 4-5...
  12. Nalon1 RN/EMT-P

    Reality VS Fiction of ER

    Nalon1 RN/EMT-P replied to loosemoose's topic in Emergency

    It really depends on where you work. A level I trauma center will see a lot more "excitement" than a level IV. It also depends on the person. 95% of my shifts in the ER are boring and monotonous (but...
  13. Nalon1 RN/EMT-P

    Obesity; The "Second Hand Smoke" of Modern American Society

    Nalon1 RN/EMT-P replied to Brenda F. Johnson's topic in General Nursing

    You can live without smoking, drinking and drugs. You must eat to live. There is no irony here. Smoking, drugs, and alcohol are all addictive choices people make because they decided they wanted to...
  14. Nalon1 RN/EMT-P

    BON Investigating Excelsior College

    Nalon1 RN/EMT-P replied to cleogeorgie's topic in Excelsior College

    I remember in 2009 when this came up the first time. This is not a TxBON issue, it is a legislative issue. I wrote to my state senator (who was on the is now Lt Governor and has a daughter that is a...
  15. Nalon1 RN/EMT-P

    Worried about phenergan IV push

    Nalon1 RN/EMT-P replied to Jaellys's topic in Patient Medications

    When I was on the ambulance (1996-2008) we gave it all the time that way. No dilution. It was just the way it was done. No idea if I ever had any long term issues with the patients. In our ER, it...
  16. Nalon1 RN/EMT-P

    Nurse pt ratio in the er

    Nalon1 RN/EMT-P replied to floridaRN38's topic in Emergency

    You have 10-14 patients in the ER at one time? That is outright
  17. Nalon1 RN/EMT-P

    OG Tubes after Intubation - suction

    Nalon1 RN/EMT-P replied to Genavina's topic in Critical Care

    NG/OG tube placement verification will vary by facility. Where I am, all intubated patients need a gastric tube hooked up to intermittent suction unless contraindicated (bariatric surgery pts...
  18. Nalon1 RN/EMT-P

    excelsior cpne wait time

    Nalon1 RN/EMT-P replied to Imanurse697's topic in Excelsior College

    Yup, you pick a region (NPAC or SPAC), and then you can pick any number of sites in that region. Right now, NPAC has 7 test sites (5 in NY, 1 in PA, 1 in TX), SPAC has 5 (all in GA). You would think...
  19. Nalon1 RN/EMT-P

    Charting physician contacts..

    Nalon1 RN/EMT-P replied to ccer99's topic in Critical Care

    It is not derogatory to quote what someone says that affects patient care. You are only documenting what was said. Which looks better: "MD notified. No new orders received" or: "MD contacted regarding...
  20. Nalon1 RN/EMT-P

    Charting physician contacts..

    Nalon1 RN/EMT-P replied to ccer99's topic in Critical Care

    Write word for word what the physician said. This needs to be addressed at an administration level and having the exact words said will help them correct this. For the other pt, document in nurses...
  21. Nalon1 RN/EMT-P

    Is it for me?

    Nalon1 RN/EMT-P replied to OldIsNewAgain's topic in Men in Nursing

    I don't worry about "bonding" with other nurses. I come to work to do a job. I have a job to get paid so I can live. I don't live so I can nurse. I help co-workers out as I am able to make the day...
  22. Nalon1 RN/EMT-P

    Nurse pt ratio in the er

    Nalon1 RN/EMT-P replied to floridaRN38's topic in Emergency

    Wow, that is just insane. Literally. How the heck can they get away with placing multiple psych patients in 1 room in an ER? I would be looking for another
  23. Nalon1 RN/EMT-P

    Just wondering

    Nalon1 RN/EMT-P replied to Nursing 123's topic in Patient Care Technician, Assistants

    I did not know one could even challenge the LVN/LPN license without the schooling. Seems crazy to me. The article linked to talks about California doing it, do other states also allow this? Odd thing...
  24. Nalon1 RN/EMT-P

    Excelsior Pass Rates!!!

    Nalon1 RN/EMT-P replied to j1l4d's topic in Excelsior College

    Lubbock is out also now. There is a new site in Alice, TX though. I did my test in Lubbock. 4 of 4 passed (the other 3 were on their 2nd try). After I finished they had mentioned that the weekend...
  25. Nalon1 RN/EMT-P

    cpne

    Nalon1 RN/EMT-P replied to raquel01's topic in Excelsior College

    1 site on 1 weekend does not make it all a 63% failure rate, only your group. I did it a little over 2 years ago and 4/4 passed (I was my first try, the other 3 their second). Sorry you did not pass,...