Here.I.Stand BSN, RN

SICU, trauma, neuro

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All Content by Here.I.Stand

  1. Here.I.Stand

    Schools grading scale

  2. You should ask the school's admin. I wouldn't *think* changing majors would be an issue alone, but you would still have to complete nursing prereqs. Consider what each option would cost in time and...
  3. Here.I.Stand

    Grade appeal please help!!!!!

    I didn't ignore that
  4. Here.I.Stand

    working holidays

    Everywhere I have worked, FT and PT staff have worked alternate holidays. Either we work Thanksgiving AND New Year's, OR Christmas. Where I am now, Christmas Eve and Day are "Christmas" -- we work...
  5. Here.I.Stand

    Instructor Issue

    Don't let a snapped "I'm busy" have this much effect on you. You will hear maaaaaaaaaaaany sharp responses over the course of your career. Frustrated or jerk pts and families, fellow nurses, other...
  6. Here.I.Stand

    Does Hyperkalemia Cause Bradycardia or Tachycardia?

    Excess serum K+ impedes electric activiy, so you'll see brady-arrhythmias/BBBs etc. if K+ is high enough. Now most healthy people will excrete some of that; someone with renal failure however, is...
  7. Here.I.Stand

    Grade appeal please help!!!!!

    I would think the time to bring it up should have been during the exam: "Professor, is this supposed to be 'burn,' not 'bun?'" Rather than assuming the answer is wrong. I mean I can't think of how...
  8. Nope! It's not your job to staff the unit. Enjoy your Daddy
  9. Here.I.Stand

    Jewett brace and SCI

    Not sure of the specifics of this pt's fracture -- anterior, posterior, spinous or transverse process, involvement of facets, compression fx, burst fx... Was he fused? I'm assuming his SCI is...
  10. knowledge deficit The pt may well have a knowledge deficit. rt diabetes condition r/t refers to the etiology; DM is not the *cause* of said knowledge deficit. as evidence by DKA These are your...
  11. Here.I.Stand

    Many nurses do not chart?

    Well what is "done" *is* that exception -- you still document any wound care, collaborative interventions, meds given, etc. If abdominal assessment is WNL, just click the WNL box, vs. writing out the...
  12. Here.I.Stand

    What Else Can I Do For A Living?

    My mom's licensed massage therapist is an RN who worked at the bedside for years. Obviously that would require more schooling, but this woman's nursing knowledge puts her a cut above other LMTs in...
  13. Here.I.Stand

    Doctor upset by charting

    You make some pretty significant assumptions of someone who isn't here to defend himself. If you truly consider it narcissistic to not want a statement connecting you to impaired practice... I don't...
  14. Here.I.Stand

    Afraid to quit my job

    First, you have no reason to feel guilty for them. Their policies and culture have proven intolerable -- THEY chose not to make changes. They are exhibiting insanity: treating good nurses like mules...
  15. Here.I.Stand

    Fat Embolism

    I don't have my patho book from school anymore, but all of the info Google gave me said they can/do cause pulmonary sx like hypoxia, SOB etc. (This was the first I'd heard that it does NOT cause...
  16. Here.I.Stand

    I'm In, Now What?!?!

    Congratulations! I did nothing beforehand; instructors don't necessarily plan topics in the same order as the book does. Do plan on reviewing the material daily; I was one who could cram and get...
  17. Here.I.Stand

    Could Not Make It Through The Orientation Of My First Job

  18. Here.I.Stand

    Living Will Tattoo

    Well.... How do we know the pt didn't sign a POLST under duress? How do we know it wasn't forged or altered in some way? How do we know the pt didn't change his mind ten seconds before arresting --...
  19. Here.I.Stand

    I don't know how I could've handed this differently

    I agree that selfish people don't care about being short staffed, but I think it is absolutely appropriate to point out that these lengthy q 2 hr calls are taking away from the care of THEIR loved...
  20. Here.I.Stand

    Doctor upset by charting

    I'm picturing a courtroom and subpoenaed notes. Would any of us appreciate the "smoking something" accusation refer to us...in ANY context? I don't know that I would trust every single tort lawyer...
  21. Here.I.Stand

    Sexual Assault Nurse Examiner (SANE)

    I think she meant the forensic exam the SANE performs on a sexual assault
  22. Here.I.Stand

    Neuro (ALS) question!!! Please help!

    Or -- The ALS Association If you click on "find local services," they have links to clinics and support groups. That might generate some
  23. Here.I.Stand

    Neuro (ALS) question!!! Please help!

    You could also call your local hospitals and see if you could speak to a CNS or nursing educator. I agree with the poster before me in that you should *GO* ... I would not recommend approaching the...
  24. Here.I.Stand

    Neuro (ALS) question!!! Please help!

    These essay questions are probably best asked of someone who works in a neuro clinic. It's also best for you to take notes while the nurse talks, rather than ask her to answer essay questions....
  25. For what it's worth, two of my SICU colleagues were hired from psych and do really well. There are A TON of psychosocial issues in neuro: pts' and families' lives can be forever altered, and they can...