Dranger

Dranger

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All Content by Dranger

  1. Could it be a heart attack or Pneumonia?

    Dranger replied to Isis Phoenix's topic in General Nursing

    His BP is fine currently for post CVA perfusion. That's why I asked in a previous post how long ago was the CVA? Without that knowledge how would I know? You were saying he was have some chest...

  2. Most challenging nursing department

    Dranger replied to rose89's topic in General Nursing

    PCU is also the drunk tank. Med surg has no idea how to handle CIWA and withdrawal protocols so they send them to us WAYYYYY under medicated when they start getting out of hand. Always a fun night....

  3. RNs to do glucose checks on patients without DM

    Dranger replied to sistrmoon's topic in General Nursing

    I have to do all my own glucose sticks usually 6-8 times a shift. So

  4. Anyone Stationed at Fort Hood?

    Dranger replied to Reeshemah's topic in Government, Military

    Killeen isn't great....but Austin is sorta close which makes life

  5. started clinicals, need advice

    Dranger replied to Qka's topic in Student Nurse Practitioner

    How is that not what I suggested? Combo of lifestyle and oral agents then go from there. Of course with metformin renal function is monitored. There are several classes or oral agents I didn't mention...

  6. started clinicals, need advice

    Dranger replied to Qka's topic in Student Nurse Practitioner

    Exactly how is this wrong info? Lifestyle changes=>oral agents=> insulin use (long acting first then work to sliding scale). A1C levels should not be dropped abruptly but lifestyle and oral...

  7. Could it be a heart attack or Pneumonia?

    Dranger replied to Isis Phoenix's topic in General Nursing

    Rapid vasodilation can effect the watershed areas of the brain especially if pressure are dropped too fast causing an atypical infarct further compromising the penumbra. We already know that lowering...

  8. Could it be a heart attack or Pneumonia?

    Dranger replied to Isis Phoenix's topic in General Nursing

    Doesn't mean you can't take a stab at it...he asked for med diagnosis as well. I completely ignored the nursing diagnosis in mine I vowed to never use them again when I left

  9. Most challenging nursing department

    Dranger replied to rose89's topic in General Nursing

    True that. My number goal for the day on their care plan board was to downgrade to med surg

  10. Army Nurse Corps Uniform?

    Dranger replied to nrryan's topic in Government, Military

    I'll let this slide because you are a new cadet lol but yes the uniforms are the same with the branch colors being just like the rest of the medical branches (maroon and silver/white piping). The...

  11. Most challenging nursing department

    Dranger replied to rose89's topic in General Nursing

    I second floating. As the odd duck on the unit you KNOW you are going to get stuck with the worst run and the unfamiliarity is

  12. started clinicals, need advice

    Dranger replied to Qka's topic in Student Nurse Practitioner

    Metformin or Glypizide and lifestyle changes should lower a A1C levels at least a few % before jumping into insulin. ACE inhibs are good first line meds for DM as well as ARBs. What has his BP trend...

  13. Could it be a heart attack or Pneumonia?

    Dranger replied to Isis Phoenix's topic in General Nursing

    How long ago was the CVA (Permissive HTN)? What did the MRI say location and occlusion wise? Hemorrhagic or ischemic? CT w and w/o contrast? TPA used? or IR? LOC? 9 resp is odd unless we are talking...

  14. Most challenging nursing department

    Dranger replied to rose89's topic in General Nursing

    Hardest-Trauma PICU/ICU...ED depending on the hospital. But I am critical care so maybe I am biased.... Easiest: M/B or M/B transition. Before you all bite my head off, my gf works M/B and is aghast...

  15. Are there any np to pa transition programs?

    Dranger replied to Sagira's topic in Student Nurse Practitioner

    I could see this as a issue in outpatient work with private practice but I am talking about inpatient hospitalists that belong to the hospital or large medical groups. Pay does fluctuate regardless of...

  16. Army Reserve Nursing-Behavioral Health

    Dranger replied to leap_of_faith's topic in Government, Military

    I think you will be fine, but I am just extrapolating on why a 3 week course for AMEDD reservists is adequate. Honestly, the only reason I would go to the full course is for pay, actual knowledge...

  17. Army Reserve Nursing-Behavioral Health

    Dranger replied to leap_of_faith's topic in Government, Military

    FSTs are the exception but the slots are few and far between for most nurse especially the ABN

  18. Emergency Department NP

    Dranger replied to NP2BeNY's topic in Advanced Practice

    I know quite few ED residency programs for PAs, some might accept NPs as

  19. What's harder, nursing school or the education program to be a teacher?

    Dranger replied to Infofreak411's topic in General Nursing

    The people at my university who couldn't get into nursing school went into psych or education. There is your

  20. Are there any np to pa transition programs?

    Dranger replied to Sagira's topic in Student Nurse Practitioner

    Umm I lived/worked in WA for a long time and it is one of the most independent states for PA/NPs. PAs often did admissions and rounds without an MD and their charts were "cosigned" by a doc not...

  21. Army Reserve Nursing-Behavioral Health

    Dranger replied to leap_of_faith's topic in Government, Military

    You would think but that's just how it is. AMEDD is the butt of many jokes among the rest of the Army. Make no mistake everyone knows how important maintaining medical readiness but time and time...

  22. Liberia: Nurses Abandoned Redemption Hospital

    Dranger replied to Been there,done that's topic in Disaster Preparation

    That being said I feel really bad for these people afflicted. They did nothing wrong unlike most of the patient's in the US who are in the hospital for reasons exacerbated by their own

  23. Problems nurses face that no other professions understand

    Dranger replied to alcal's topic in Nursing Professionalism

    People feel they have the right to treat you like crap. I have friends who did nursing in Europe and they say the patients were a lot nicer than

  24. Being a SAHM after graduation

    Dranger replied to KatarinaCoffman's topic in Nursing Career

    You need a year experience after graduation or you will be screwed. After that you can go

  25. Are there any np to pa transition programs?

    Dranger replied to Sagira's topic in Student Nurse Practitioner

    I went from BSN to PA, I prefer the education and it seems like you do too. My eye is on UC Davis because it has a dual NP/PA program. You get the lobbying/independence of NP but the medical schooling...