AngelRN27

Hey OP, I graduated from Keiser's Miami campus RN program in 2012. Right now I'm actually finishing up my BSN with them as well (RN to BSN program) after having practiced as a nurse for about 4 years. I cannot express how glad I am that I chose Kei...

This thread should be moved to LTC. This is not the same as LTACH.

Good Morning All, I am currently at a crossroads when it comes to deciding what program to pursue. In lieu of seeing an advisor as I am still a couple of months away from completing my BSN, I wanted to post here for some advice. Background: *please s...

Thanks for the info! Def some things to consider.

Good Afternoon All, I am finishing up my BSN in 2017 and plan on pursuing my ACNP (Acute Care Nurse Practitioner) soon after. I wanted to get some input on the programs that are available in the South Florida area. I live and work in Miami, FL. The t...

Thanks for the advice, BuyerBeware. My choices are limited because (1) I need to stay local and (2) as per what I've been able to find on my own, there aren't really that many ACNP programs out there, at least not in my area. There are PLENTY of MSN ...

The rationale behind starting distally and working proximally is that if you blow/damage a proximal vein (further up) then all veins communicating with that vein will run into that same clot/occlusion/injury. Therefore, whatever is being administered...

This thread should be moved to LTC; LTACH is not the same as LTC/SNF/Rehab/Nursing Homes.

Thanks for all of your responses. I already prepared a new spreadsheet (by name) and printed it for use by charge nurses. I left for vacation after that and will be returning to work tonight, so I will see how it's worked. Thanks again! Angel

Fellow managers/supervisors: I work at an LTACH facility and recently we've been in somewhat of a census drought, which of course has led to census-related cancellations often--especially of nursing assistants. Our facility is small, so charge nurses...

Thank you for all the replies. I think I'm going to suggest we use a list of staff names instead the method we're using now. It's essentially a tiny printed Excel calendar and the names are printed in. Therefore, when it's time to cancel, you have to...

We tried that originally, but then apparently the spreadsheet wouldn't save right across all users on our intranet... not really sure why.

I straddle the fence on this one... My university taught us both IV & foley insertion, as well as the maintenance of both. They were introduced with "theory" (common practice/indications/cautions) and then were followed up by "skills labs" which...

I realize that the CCRN is more comprehensive, but just as an aside, I passed the PCCN with 83% only using the resources provided by the AACN. No DVD's, no expensive reviews. Their resources are pretty good, so if you have a good amount of experience...

^^^ This. The gut is not sterile, so I'm not sure how effective using sterile water for NG/OG tubes would be. Did those of you who use this method at your hospitals have some sort of evidence-based back up for this practice? It's uncommon for hospita...

Hello, How new is this SOFA scoring? I currently work a PCU/ICU and haven't heard of this yet. We currently use the SIRS method. I am also PCCN certified (granted by the AACN) who uses the latest evidence-based practice and they still publish SIRS in...

Hello BendyEm, I assume by "site" the NG, you are referring to insertion? (that's not really a term we use in the US) Personally, I have been working ICU/Step-down for 3 years and have never even heard of an MD inserting an NGT, that's like having an...

I don't know that your practicum site/area plays a huge role in the direction of your career, IMO. I was lucky enough to get my first choice as my practicum site, which was PICU at our local, nationally renowned children's hospital. I loved it & ...

Our facility has a q4hr oral care policy (also shared between RN/RT when possible) but our policy for rotation of the ETT is qshift and PRN as someone mentioned above. We also use the Hollister holder as another poster mentioned. My facility hasn't h...

Hmmm... not sure exactly what your preceptor meant, but in the clinical example you presented, everything sounds right. The interventions you mentioned (administering bicarb/initiating bicarb drip + increasing RR on vent) seem standard to me, especia...

I'm not sure that there is any one thing I could tell you to "review" to help... one of the biggest things you may need to get used to that we don't really work with much in LTC is lab values. You will get used to what is emergent and what is "okay,"...

Good Morning! I currently work night shift at a LTACH and I also started my career in LTC/SNF. Very big change, but if you're a quick study, critical thinker, a doer, and enjoy somewhat of a fast pace, you will do just fine. It helps immensely if you...

You definitely should not regret your decision to call a rapid response. In this situation, you were acting as pt advocate and perhaps saved the pt from a respiratory arrest or at the very least some respiratory distress. I do agree, however, that th...

Some things you become accustomed to, others you don't. Some people can't deal with smells, others shy away from seeing sputum/respiratory secretions... it all depends. And I disagree that wearing a mask is offensive. It's part of PPE. I highly doub...

To be fair, graduating with honors and taking extra clinical courses/certification courses also does not indicate anything about your ability to function clinically in any setting. My nursing class had many stellar *academic* students that just weren...