climberrn

climberrn

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All Content by climberrn

  1. Any Acute care pediatric NPs here?

    climberrn posted a topic in Nurse Practitioners, NP

    I'd love to talk to you about your role, how you made the choice to do this instead of primary PNP, working with the docs, job security, etc.,

  2. How did you choose where to apply?

    climberrn posted a topic in Student Registered Nurse Anesthetist

    I'm in the enviable position of being able to apply most anywhere so I'm having a difficult time figuring out what my criteria are. Currently i have PICU experience ( 10 yrs.) so that limits me...

  3. How did you choose where to apply?

    climberrn replied to climberrn's topic in Student Registered Nurse Anesthetist

    Thank you for the replies. Sorry for the delay, I've been on my phone and hate posting from there. Sedatetime, that website is awesome, thanks for pointing it out to me. wtbcrna, those are all...

  4. Vanderbilt Direct Entry Fall 2011

    climberrn replied to 5ofPEEP's topic in Post Graduate Students

    Accepted to peds primary care focus,

  5. Demand for NPs? Sources?

    climberrn posted a topic in Nurse Practitioners, NP

    I've been googling like a madwoman and I can't really find much on a projected demand for NPs. Does anyone have recent numbers from a reliable

  6. Demand for NPs? Sources?

    climberrn replied to climberrn's topic in Nurse Practitioners, NP

    I could have sworn I replied.... Tammy79, thanks for all your research on costs! Unfortunately I'm looking for a program that's pretty limited (pediatric critical care NP) which has only a handful of...

  7. Demand for NPs? Sources?

    climberrn replied to climberrn's topic in Nurse Practitioners, NP

    I mostly want to have information to present so I can convince my husband that I'll have a job after we pay 45,000 in tuition. By job forecast sites do you mean places like

  8. straight MSN?

    climberrn posted a topic in General Nursing

    This didn't seem to fit in the specialty threads but please move this if you need to. I'm in the process of applying to grad school, NP programs. In my research, many of them have a certain number of...

  9. What is considered ICU experience?

    climberrn replied to ButterPeacanRican's topic in Certified Registered Nurse Anesthetist, CRNA

    A couple programs that I looked at (sorry, can't remember which ones) specifically excluded both ED and NICU as experience for

  10. suctioning the intubated patient...1 nurse/RT or 2?

    climberrn replied to kessadawn's topic in MICU, SICU

    Suctioning not a sterile procedure? Really? That's definitely not how I learned it and not how I practice

  11. Deciding between RN vs PA vs MD

    climberrn replied to xpinchx's topic in General Nursing

    Eh, I have a history degree I never used either and the $30,000 in loans that came with it. I'm definitely not alone either. In the grand scheme of things it won't matter. Yes, I hate that loan...

  12. Very disrespectful !!!

    climberrn replied to RedhairedNurse's topic in General Nursing

    Ugh, sorry you got the eye roll. I'll never understand why some nurses feel the need to bring their fellows in the trenches down. I'm wondering about something you said though. Many times, when I'm...

  13. PICU - mcg/kg/min questions

    climberrn replied to marilynmom's topic in PICU, Pediatric

    Our facility uses different concentrations so I would not go with 'it's always x, y or z mcg/cc'. It will vary depending on your facility, on your doctor, on the patient's condition (do they need to...

  14. Calling Docs by their first name...

    climberrn replied to zamboni's topic in General Nursing

    I vary. If I don't know them very well I'll call them Dr._____. If they've introduced themselves with their first name I'll do that or once I get to know them. I will call them Dr_____ in front...

  15. standard concentrations, does your facility use them ?

    climberrn posted a topic in PICU, Pediatric

    We use them here and the patients on them seem to have wicked labile blood pressure that I never saw when pt's were on gtts made with rule of 6's (my other 2 hospitals). Anyone else seen this? It's...

  16. Nimbex IVP

    climberrn replied to OKRN's topic in General Nursing

    I didn't read that as Zookeeper saying it was a conscious sedation drug, I read it as like conscious sedation drugs, you need to be in a 1:1 ratio until it wears off. That being said, like the other...

  17. I want critical care, I just don't know what kind!!

    climberrn replied to nightingale1969's topic in General Nursing

    I've worked both PICU and NICU and depending on what level nursery the NICU is, it might not be that critical. Once the babies are about 27-28 weeks, they are critical for a very short time. After...

  18. Why are RN-RN relations at work 'bad', but MD-RN ones okay?

    climberrn replied to MaleRNsoon2bOMDoc's topic in Patient Safety Issues

    As a general rule workplace relationships are a no-no but that's pretty much only if it ends or ends badly. Since you are both planning on leaving I'd say keep up what you've been doing, keep it...

  19. Somewhat of a PICU nursing vent...

    climberrn posted a topic in PICU, Pediatric

    So my husband and his partner started a PICU in a community hospital. I'm a PICU RN and work there part-time. When he gets paged, I can hear most of the conversation and some of it just blows me...

  20. standard concentrations, does your facility use them ?

    climberrn replied to climberrn's topic in PICU, Pediatric

    That's what I do for most of my stuff anyway. I just don't get the hospital's priortizing. Hmmmm. Ceftriaxone or epi? six of one...:icon_roll PM on it's way.

  21. standard concentrations, does your facility use them ?

    climberrn replied to climberrn's topic in PICU, Pediatric

    Our problem (as denoted by pharmacy) is that since we aren't a children's hospital, they have to load drugs for all age groups and there is a limited amt of data that can be loaded. Additionally,...

  22. standard concentrations, does your facility use them ?

    climberrn replied to climberrn's topic in PICU, Pediatric

    We use syringe pumps but we also have bags of drugs mixed. Our concentrations are either 4 mcg/cc or 64 mcg/cc. The former can end up with giving way too much volume, the latter has been resulting...

  23. Critical care NP programs vs. regular NP programs...

    climberrn posted a topic in Nurse Practitioners, NP

    I've been contemplating going back and getting my NP (peds). For a long time I was only interested in the critical care programs (Duke, Vanderbilt, Rush and Penn) because that's my interest...

  24. standard concentrations, does your facility use them ?

    climberrn replied to climberrn's topic in PICU, Pediatric

    So the syringe pumps don't have that same delivery system? It makes sense but I never thought of it that way. Do you have a policy about it? I'd love to look at it...it's starting to be a big...

  25. DVT and Homan's sign

    climberrn replied to HarmonyW's topic in General Nursing

    I do agree that charting circumference, redness, etc. is more useful but you're not making a DX by charting Homan's (regardless of it's usefulness), you are reporting + or -, that's it. No CYA...