hollyster

hollyster

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All Content by hollyster

  1. ICU techs

    We have no techs in our unit. primary care by RNs only. We would love to have a tech's
  2. I'm starting to panic

    Hi Nellie Remember this is a learning experience. Buy a pocket size notebook and write notes about surgeries,positioning,room set-up, etc and most importantly Dr.s preferences and quirks. The amount...
  3. How can you say you're not paid well?

    Sure thing. But for truth in advertising I have to tell you they pay well because they cannot keep nurses with this new ccu nurse manager. (she actually walks around saying I am the queen of the CCU...
  4. Malpractice Insurance?

    Exactly. You are protected for malpractice, depositions, and any BON issues. To me that is worth ten dollars a month. I have heard the argument that if you have insurance that pts will try to bring...
  5. Malpractice Insurance?

    Me too Suzanne. They offer the highest amount of protection and the policy is mine, no matter where I choose to work. Best $100.00 a year I
  6. Malpractice Insurance?

    It is imperative that every nurse carry thier own malpractice insurance. Even if the facility you work for tells you that you do not need it or describe it as a benefit. The insurance that the...
  7. Medication error

    Isn't someone licensed suppose to check your meds before you give them? I do not know how LTCs train students but whenever we precept students in the unit the preceptor must be with the student and...
  8. How can you say you're not paid well?

    Sounds like a plan. Nothing sharp though or we will spend a whole shift suturing them. I went PRN because on top of the 5.00 an hour raise I get a 1000.00 bonus every 10 weeks for renewing my...
  9. How can you say you're not paid well?

    I have heard that some people actually do get lunch and on top of that they get to use the bathroom. :0) 3-4% yearly wage increases only put us behind each year. I know several nurses that change jobs...
  10. Acls

    ACLS has changed drastically since I started instructing. Back then 50% of a class would fail. If you did pass you were ACLS Certified. THERE IS NO SUCH THING AS BEING ACLS CERTIFIED ANYMORE. Now we...
  11. No, those are called Libertarians. It saddens that such narrow mindedness still exists. We are all humans, no matter who you sleep with (as long as they are over 18 and consent willingly) or pray to...
  12. Are we going to start labeling everyone and go back to the horror of the Holocaust? Will Gay or Lesbian people be made to wear letters or symbols on their clothing or will they be tattooed on their...
  13. angioplasty - balloon

    Sorry for the confusion. Repeated needle insertions and sometimes just the pts inflammation or scarring tendencies will cause a narrowing in the area around the buttonhole. Angioplasty stretches the...
  14. angioplasty - balloon

    Angioplasty with a balloon is used to strech open the venous or arterial side of the fistula to reopen an occluded or narrowed area, a buttonhole would be used if the occlusion was at the site where...
  15. Your Worst Mistake

    The error that haunts me happened while I was in nsg school. I was working fire/rescue an decided to become a RN. On my way home a young woman ran out into the street. The car in front of me hit her....
  16. Diabetes question

    I agree with you both LAW NURSE and TWEETY. Excess weight and poor diet are the root causes of of Type II diabetes. The same way an alcoholic wears out a liver, constant spikes in blood sugar wear...
  17. Complete HB, bradycardia, and hypertension

    You are right. SVR is responsible for the hypertension. BP does not go up when a pt goes into heartblock or is hypovolemic. Pt's vascular system is clamped down in response to low CO. Stress is also...
  18. To the RN's in research

  19. open visitation in ccu

    Pts in the ICU / CCU need a lot of care most of it invasive and/or could violate a pts privacy. Our units visiting hours are every odd hour except @ 0700 and 1900 (change of shift.) We do full...
  20. Turning your patients

    We only have RNs in the unit. It is our responsibility to turn them every two hours. If the pt is on a rotation/percussion bed we must still perform skin assessments(along with all systems assessment...
  21. Artificial feeding-Terri Schiavo

    I could not agree
  22. tridil and heparin together?

    In our unit we put two IVs in whenever anyone is on a drip. If you lose one site there is always another one ready to go. Heparin is hard on the veins and it is hard to get IV access after a pt codes....
  23. How do you deal with backstabbing

    In my facility backstabbers get promoted to administration. :rotfl: There is a good article about this in the March issue of Nursing 2005. If backstabbing is rampant look for a new position quickly....
  24. Artificial feeding-Terri Schiavo

    Today's Gainesville (FL) paper stated that this new law would remove a parent's right to remove hydration and nutrition from minor children as well. Now, how can a child make known thier wishes when...
  25. tridil and heparin together?

    Heparin and tridil are compatible. We have no policy on how they can be run so it is up to the nurse how they want to run it. Hopefully, two large gauge IVs are in place in he AC or high on the...