moonshadeau ADN, BSN, MSN, RN, APN, NP, CNS

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All Content by moonshadeau

  1. moonshadeau

    So upset got passed for charge

    moonshadeau replied to Emilysmom2, RN's topic in General Nursing

    I agree with the others that if you really feel this strongly about wanting to be in charge, you really should direct the questioning to your supervisor. There are lots of reasons why some people are...
  2. moonshadeau

    drawing blood with tpn running

    moonshadeau replied to sweet sunshine's topic in General Nursing

    30 minutes is an awfully long time to have the patient off of their TPN, at least in my perspective from the critical care setting. If this were the case with as many lab draws that occur in this...
  3. moonshadeau

    NP or floor nurse (HELP!)

    moonshadeau replied to guineachick's topic in General Nursing

    It sounds like you are really leaning towards continuing with bedside nursing. I would say look at what will be best for you and your family. Depending on your college, your NP credits could be...
  4. moonshadeau

    drawing blood with tpn running

    moonshadeau replied to sweet sunshine's topic in General Nursing

    First pause the TPN. Also try not to draw blood from the port that the TPN is running through. There is a higher risk for infection when you pull blood through the same port. The method that I have...
  5. moonshadeau

    First day of unemployment

    moonshadeau replied to moonshadeau's topic in Clinical Nurse Specialists, CNS

    Yeah I was compensated. It is just hard knowing that I put in all of that schooling and WAS making a difference, but not to the "bean" counters who decided who was going to be cut. I have had several...
  6. moonshadeau

    Hyponatremia causes

    moonshadeau replied to Mommy_of_3_in_AL..RN's topic in MICU, SICU

    Where was the blood drawn from? Arterial line, Central line or peripheral? If it was drawn centrally, then that seems like a logical possiblity that it was a technique error, perhaps from the line...
  7. moonshadeau

    Early Mobilization after Open Heart (what does this mean to you?)

    moonshadeau replied to rickard's topic in CCU, Coronary, Cardiac

    We had a very high acuity level for our post-operative CABG/Valve patients. The gold standard was to try to get them extubated if stable within 6 hours. To try to get them to dangle at the bedside...
  8. moonshadeau

    Perclose angiograms

    moonshadeau posted a topic in General Nursing

    Anyone know anything useful to tell me about perclose angiograms. I am familiar with angioseal and the standard angiogram seal, but not perclose. Heaven forbid that we may actually get inserviced on...
  9. moonshadeau

    Preparing for a perc trach

    moonshadeau replied to nursingdude78's topic in MICU, SICU

    Lots of Vec, Versed and Fentanyl, and an extra set of eyes to watch my other patient while I am in the perc trach for 45
  10. moonshadeau

    What should your title look like?

    moonshadeau posted a topic in General Nursing

    So why do so RN's put their degree first instead of RN? Are we not all RN's first and foremost, regardless of what degree from ADN to PhD we earn? Does the patient care that a nurse at the bedside...
  11. moonshadeau

    What should your title look like?

    moonshadeau replied to moonshadeau's topic in General Nursing

    I was simply pointing out a common counterpoint- it was not an attack you or any particular comment that was made by any of the posts. I don't think the question is how you sign your name outside of...
  12. moonshadeau

    What should your title look like?

    moonshadeau replied to moonshadeau's topic in General Nursing

    I have heard the arguement that "you can never take away the nursing degree". In actuality, an educational insitution can revoke your degree, mostly on the basis of fraud (it is rare, but has...
  13. moonshadeau

    What should your title look like?

    moonshadeau replied to moonshadeau's topic in General Nursing

    Do you mind if I ask why you support
  14. moonshadeau

    Difficulty finding clinical sites for online students?

    moonshadeau posted a topic in Post Graduate Students

    Hello fellow grad students, Are any of you that are completing a graduate program online having problems finding clinical sites that will accept you? I have had a terrible time getting contracts...
  15. moonshadeau

    what do nurses hate about doctors?

    moonshadeau replied to futureMD's topic in General Nursing

    Wash your hands when you enter and exit a room. The rest of us have to. Same goes for isolation garb. There is no invisable force field that will protect you from the nasty germs. Be respectful and...
  16. moonshadeau

    Nursing ethics??

    moonshadeau replied to deepurple's topic in General Nursing

    Look at the Code of Ethics manual. It should give you a place to
  17. moonshadeau

    How does forking over $179 for ANA membership benefit me?

    moonshadeau replied to Kiringat's topic in General Nursing

    What have you done to help any cause related to nursing since you have been a nurse? The problem really is that people are not willing to participate and that is pretty much across the board for any...
  18. moonshadeau

    How does forking over $179 for ANA membership benefit me?

    moonshadeau replied to Kiringat's topic in General Nursing

    Networking at the local, state and national levels. Nominations to national boards of organizations and other opportunities. I also belong to AACN and have three speciality certifications, but like...
  19. moonshadeau

    How does forking over $179 for ANA membership benefit me?

    moonshadeau replied to Kiringat's topic in General Nursing

    Nursing does not have one organization that speaks for all nurses, because we have splintered ourselves off so much. When physicians have an issue, they all clammor for the AMA to address the issue...
  20. moonshadeau

    Accountability of UTI

    moonshadeau replied to TAC50133's topic in General Nursing

    I honestly do not believe that you are going to be held financially libel for any UTI's. What I believe that your supervisor was trying to instill in the unit was a sense of accountability as a nurse...
  21. moonshadeau

    When pulling sheaths after a cath...

    moonshadeau replied to qt2168's topic in CCU, Coronary, Cardiac

    I found that Datascope makes a really neat device called the Safeguard. It does really cut the time to hold in about half. It is a sterile dressing that looks similar to the femstop, but you can see...
  22. moonshadeau

    What do you think about foleys and infection?

    moonshadeau replied to BlearnRN's topic in General Nursing

    Coming up here pretty soon, it isn't going to matter what you want to deal with: Medicare is not going to pay for either hospital aquired pressure ulcers or catheter associated urinary tract...
  23. moonshadeau

    PBDS Questions

    moonshadeau replied to Narine's topic in General Nursing

    I heard Dorothy speak at a PBDS seminar when our program when up. I have to say that her tactics of teaching were downright appalling - but her tactics were driven by the desire to pull the answer...
  24. moonshadeau

    PBDS Questions

    moonshadeau replied to Narine's topic in General Nursing

    That should have been increased ICP or decreased
  25. moonshadeau

    Acute Dialysis - CRRT : Role of Critical Care Nurses or Renal Nurses?

    moonshadeau replied to bluefabian's topic in MICU, SICU

    Agreed in my practice, except that ICU nurses do not run