wheeliesurfer

wheeliesurfer

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All Content by wheeliesurfer

  1. IVP vs Drip

    I know most NPAs cover flushing IV lines, so I would assume (bad thing, I know) that diluting 1mL IVP into a 10mL flush is well within scope of practice. However, fluids require a providers order, so without the providers consent to dilute that 1mL (...
  2. Advice for going to nursing school

    My advice is to click on the "Students" tab in the main banner at the top of every page. Read through the Student forums and see what questions have already been asked and answered there. Once you have a better defined question to ask, instead of the...
  3. Telephone interview --> in person

    They aren't gonna want you so badly that they chase you/hunt you down for a face-to-face interview. If they hunted me down, that would scare me just as much as getting hired based solely on a phone interview! As a job applicant it is YOUR job to foll...
  4. Getting a PRN job in cardiac with Parralon?

    In my opinion, any offer letter that you are required to sign as a "contract" for employment should have a few basic things covered. It should list your status (full time, part time or PRN), should cover your guaranteed base salary when you are calle...
  5. NCLEX-RN in California

    I'm sorry to say, but the BON in California is rejecting ALL applications for ATT to sit for the NCLEX-RN where there are issues with concurrency in the RN program completed. It doesn't just cover Philipine grads, it would even affect US grads if the...
  6. How much info can a roommate get?

    In my opinion the immunocompromised (possibly neutropenic) cancer patient should have been placed in a private room right at admission or onset of immune system dysfunction/neutropenia. This would help place a barrier so that if a patient in a semi-p...
  7. Nurse Clueless

    Is THAT why my fries were so difficult to chew at lunch the other day?!?
  8. HELP!!! Rapidly Progressing Numbness

    Sorry, as per terms of service that you agreed to upon registration we are unable to provide medical advice. We are also not qualified to make a diagnosis and it would not be good to speculate anything with only the facts presented here. Good luck to...
  9. Criminal Charge

    As well as starting to attend AA meetings ASAP, I would add that you should seek out the help of a therapist and possibly anger management. Since I don't know what began the incident I don't know if anger management would be recommended, but I'm assu...
  10. Wound care at your facility

    I've seen PT do it in an outpatient setting. I believe that PTs are trained in at least basic wound care in school. After I had knee surgery previously it was PT that did the regular dressing changes. This facility treated patients who had venous sta...
  11. Newboy, I have attached Ruby Vee's first post in this thread for your convenience. I believe that this post was well thought out, nicely worded and not condescending. She explained the difference in the NM's attitude from interview to write up and wh...
  12. And you are full of sunshine and daisies. No snark or nastiness to be found! I would be honored to have Ruby Vee as my nurse or coworker. She is very knowledgeable and helpful, and when you are open to learning and accepting of constructive criticism...
  13. New nurse

    I fully believe that you have less face time (and code browns) than you would in a different position. The problem that I have with NOADLs posts is that he refuses to do ADLs and will "pawn off" the job to other staff or just plain hide to keep from ...
  14. New nurse

    NOADLs works in a fantasy unit where HE does not (and admittedly WILL NOT) clean up BM, ambulate patients to the restroom or do other ADL cares. The actual reality is that the majority of nurses (charge nurses included) all help patients with ADLs, t...
  15. You are not likely to receive the answer you seek here. We are more than happy to help you with your homework, but will not do it for you. I suggest you type out what information you have found so far and what you think a good sample menu is for each...
  16. Taking nclex in different state

    Correct. If you applied to be licensed in NJ and took the test in PA, then your license will be for NJ and NOT for PA. If you wanted to have a license in PA you would have to apply for endorsement/reciprocity there and fill out their paperwork and se...
  17. What to expect after graduation!

    This sounds like a homework question. What do YOU think you should do with a difficult client? What do your texts and research tell you about how to deal with difficult clients? We are happy to help you refine your ideas, but let us know where you st...
  18. Family member in the hospital

    At my hospital the provider is required to order A form a DVT prophylaxis. This can be sq heparin OR SCDs, but does not have to be both. Last time I was in the hospital my provider let me choose which I wanted during my stay.
  19. Air to Bladder

    (Personal experience and not EBP expressed here) I had a long term in dwelling catheter for over a year and would find that at times the foley would get "stuck" to the bladder wall and would be irritating/painful. I always kept a cath tipped syringe ...
  20. Best school for MSN IN NY THats affordable

    MSN in what focus? Are you looking for entry to practice MSN or ? Jobs that offer tuition reimbursement are few and far between now because of the glut of nurses in practice. It will probably be really hard to find a job in NY to pay for a masters de...
  21. Re: Nursing CAS

    As students and professionals it is YOUR responsibility to keep copies of all necessary documentation in your personal records at home. It is not the responsibility of CAS that you no longer have access to your transcripts, letters of recommendation,...
  22. Dealing with drug seekers without alienating them

    Even documented "drug seekers" are prone to accidents that may cause acute pain. As professionals one must be objective in their treatment of patients. I know that as a chronic pain patient myself, if I am not on a long acting opioid and am solely re...
  23. Deciding what to give to the patient who gets everything

    GrnTea and Heather basically took the words right out of my mouth! Thanks for the great posts :)
  24. When to piggyback This

    From personal experience I prefer Vanco to be delivered over at least two hours if infusing into a PIV instead of a central line because it is so harsh on the veins. If a patient has Vanco running through PIV and is complaining of pain ask the consul...
  25. Pierce County, Washington nurses suing over mandatory flu shots

    There are egg free preparations of the vaccine as well as vaccines that are certified latex free. At the facility I am at there is an ancillary staff member who is required to wear a mask because of a near fatal reaction to what they assume is a pres...