Boston-RN

Boston-RN RN

LTAC, Telemetry, Thoracic Surgery, ED

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All Content by Boston-RN

  1. QRS question

    where I work we learned .04-.12 is normal
  2. chest tubes

    Depending on the reason for the chest tube, yes it's OK for "clamping" trials as long as there's a MD order
  3. Best advanced ekg resource

    my hospital website has a good EKG quiz/resource go to home.caregroup.org and on the bottom right it's call the EKG wave-maven I don't know if you'd have access or not but it's worth a shot and it's free
  4. Has anyone done the Post masters NP tract?

    Good question.....I was wondering the same thing myself. I asked this of one of the NP's I worked with and she made a good point, why get the education masters when you can teach with an NP? I still plan on doing it that way (education then NP cert...
  5. First seizure, feelings of incompetence

    You handled it perfectly.....
  6. Advice - Graduating Aug 08 and relocating

    Yes MA accepts at least excelsior, that's how I did my LPN to RN.
  7. Any MA students/nurses go to Excelsior?

    I did....I am a good self learner, I got through the program and graduated in a year. I had no problem getting a job. I work at BIDMC and my mgr had never heard of the program so I got to give her the description of how the program works and how ha...
  8. Chest tube to suction?

    We leave the canister in. The chest tube has a dial you set for the amt of suction you want in the tube. The wall could be turned up to 100 but you'll only get 20 if thats what you set it to.
  9. 18-gauge vs. 20-gauge

    Unless otherwise indicated, the smallest cath in the largest vein.....blood can go into a 22 (depending on policy)
  10. OK to push Dig IV without a monitor?

    I am always of the opinion do what you need to do to treat the pt but according to policy....if there is no policy at your facility on pushing dig then call someone above you to make sure it's OK. Second...what was the DIG for? If there was no moni...
  11. What nursing skills do you use the most?

    I agree, assessment skills first and foremost. All day every day
  12. Blood Pressure

    Palpate for the pulse first, then line up the arrow with the artery, put your steth right over where you palpated, make sure the cuff is the proper size, pump up the cuff no more than 20-30 mm Hg above the baseline bp and let'er rip. If you don't he...
  13. Question/Concern about pt and Dilaudid IVP

    I had a cancer patient not on hospice getting 240mg of oxycontin BID scheduled 175mcg patch of fent at home and oxy cont + methadone 10mg QID and PRN Dilaudid 36-42mg PO Q3H and 4mg IV Q3H at one point he was on . and he could not have been more th...
  14. Are Cardiology Steths Really Heavy?

    Yes they do, I bought a steth clip to put in on my waist and it keeps popping out....I need bigger pockets. I have littman master cardiology with the heavy metal head and the tubing is thicker
  15. Can I still work as a PCT in MA if I passed my boards?

    I'm pretty sure you can't in Mass. I know for example if you are and LPN and get your RN you can no longer work as an LPN. I don't know if the same holds true for the PCT as there is not license per se (not in mass anyway) but I would have a heart ...
  16. Um.....trolling? At least I hope so because this can't be a serious post.
  17. No new grad positions in Boston hospitals

    Even though it's not an ideal place to start you can look at acute rehabs. You can at least get a year under your belt and sometimes it's less stressful and you could build a better base. You'll get down the basics like time mgmt, safe medication a...
  18. New ED nurses who "know it all"

    I'm assuming most ER's have a protocol for what needs to be done when a person comes in with certain complaints, most complaints justify a standing order for either IV access or some other med/infusion that obviously requires and IV so you can always...
  19. Do you start your own IVs?

    Both....We have IV therapy but they're usually busy, I LOVE inserting IV's. If I cannot see or feel a vein I call the IV team because I'm not mean but otherwise I always tell the other nurses on the floor to let me know and I'll at least take a peek...
  20. Your Call Light is On Can I help YOU?

    NO Kidding.... "I can't find my TV remote" (yes it's the same as the call bell) "Oh I can't find that either"
  21. I have to agree 100% w/jerzytech
  22. Epidurals...do you like them?

    I agree, they're not moving/breathing/IS'ing without an epidural, they lay curled up in a ball
  23. Edema.

    Pitting edema is just that, when you press against the tibia (or other boney area) it pits and doesn't return immediately. The rating of +1-+4 is how long it takes to return to normal.
  24. I hate direct admits

    Sounds like my hospital LOL
  25. Excelsior FL nursing grad endorsement dillema

    Tampagirl, I have read your comments .......but before I make any comment that may be perceived as negative may I ask what kind of experience you have in nursing and additionally with regards to Excelsior and their clinicals that leads to your commen...