guest64485

guest64485

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All Content by guest64485

  1. Drowning in prior authorizations... Help!

    I'm also in outpatient specialty so I've got a lot of experience with PAs. With experience the PA process will come a little quicker as you'll know what's likely to be approved or not. A common...
  2. New way to give shots

    How many injections are given every day, every year? Unlikely to hit a vein does not mean impossible. Would you knowingly ignoring Humira's manufacturer instructions to aspirate? Would you feel...
  3. New way to give shots

    Just prior to your quote they article is talking about immunizations. They then reference 10,17,19,20, which all are in reference to immunizations, not to any
  4. New way to give shots

    I just finished reading the article. Their conclusion is not that aspiration is unnecessary for all injections, but only unnecessary for vaccines, heparin, and insulin. Here's 2 quotes from that...
  5. New way to give shots

    Its definitely a topic of debate, and I agree that the data is lacking, and that there isn't much need to aspirate low risk medications. But its the high risk ones that I'm concerned about, which is...
  6. New way to give shots

    Right, that's what I said: Multiple people have been saying here that you should not aspirate any injection. What I'm asking for is any major definitive source which confirms guidelines to be that...
  7. New way to give shots

    Does your text specifically state to not aspirate with any injection(not just immunizations/heparin/insulin)? Or does it just not mention aspiration at all? See my post above, the manufacturer of...
  8. New way to give shots

    Can you provide a link from a solid, definitive source like CDC/WHO/major nursing text specifically stating aspiration should be stopped with all medications? Again, the only guidelines I've seen...
  9. New way to give shots

    What guidelines? Can you link a good definitive source for this? I haven't seen definitive sources say this except for immunizations, heparin, and
  10. New way to give shots

    Can you link a good definitive source for this? As far as I was aware only immunizations and insulin/heparin were clearly spelled out that there was no need to
  11. How many of you actually enjoy your job?!

    I greatly enjoy the science of nursing and the ability to really help patients. I loved working hospital med-surg but the working conditions were very poor so it took a bad toll physically and...
  12. Help me figure out how to be happy!

    That's great! Good luck!
  13. Ethical question-WWYD?

    Just out of curiosity, if you were to call 911, would the operator tell you to administer someone else's epi? What is the 911 operator's scope in this
  14. Help me figure out how to be happy!

    You spoke of school on the weekends but I don't know if you mean your kids' school or yours. So if you aren't currently in school: Does your employer offer financial assistance for additional...
  15. Anti-vax nurses? Are you serious?

    Why do you feel this way? Obviously people are passionate, especially when it involves kids. But here you have good people like BostonFNP posting objective, data-driven rationale, so it seems like...
  16. Anti-vax nurses? Are you serious?

    Do your kids have some kind of major medical issue where they are at greater risk from problems with the vaccines? The rate of serious issues of vaccines is incredibly low in the average kid. Have...
  17. We use our lidocaine vials on multiple
  18. Anti-vax nurses? Are you serious?

    I definitely agree with this and I agree that its important to question everything! But a good way to check on the appropriateness of the CDC recommendations is to look at what other countries do,...
  19. I suck at interviews.

    As NightNurseRN13 said, you need to practice. Before sending a resume to a place, research the place and position, and customize your cover letter. Before going to an interview, write down the...
  20. Its hit or miss whether they'll have a triage book for you. Workload really depends on the doc's schedule, doc's personalities, and if you have additional responsibilities such as nurse visits,...
  21. Ugh. Rejected from dream job

    Getting your dream job is generally not common right out of school. I think those people you know got lucky. Most of us have to put in our dues. When you say babies do you mean NICU? If so, what...
  22. Aspirating air bubble from the IV line

    All you have to do is set the maintenance IV pump to have slightly less volume than is actually there. For example, don't set the pump to 1000mL, set it to 950 or 975. That way the pump will beep...
  23. Can't sleep!

    Agreed with Don. When I worked night shift I slept during the day even on my days off, it seemed to be gentlest on my body. Is this something you can do
  24. Is taking 10 patients too much

    I think the biggest question you need to ask is what is the support staff/CNA ratio? That makes an enormous difference, especially in
  25. Should I pursue a career as an RN? Help

    The majority of people I know, myself included, changed their major several times in college. Try not to stress so much right now regarding what you will do for a career, and instead focus on...