SierraBravo

SierraBravo

Member

  • Content

    547

  • Visitors

    9,360

  • Followers

    0

  • Likes

    16

All Content by SierraBravo

  1. Difficult BP

    SierraBravo replied to ritit123's topic in General Nursing

    You could always get a pressure on the leg. Granted it won't be as accurate as the arm, but it's better than nothing. And at least if you continue to get it on the leg then you can get an idea of...

  2. My experience as a pt on a med/surg floor..

    SierraBravo replied to MassED's topic in Medical-Surgical

    I assess my patients for pain q4h along with VS, or more frequently if necessary. Based on my assessment, along with my H&P, I come up with a plan with the patient for pain relief. But I do not...

  3. Hospice symptom management medication list

    SierraBravo replied to Nursemichellern's topic in Hospice, Palliative

    Don't take this the wrong way, but it's one of my pet peeves when someone uses the abbreviation mso4. I know you meant morphine sulfate, but it's easy for someone looking at it quickly to interpret...

  4. Saline Locks & Showers

    SierraBravo replied to littlebluenurse's topic in Medical-Surgical

    This. OP, think about the conditions that would perpetuate the growth of

  5. Study tips for NCLEX

    SierraBravo replied to catmom713's topic in General Students

    If you spend your time studying (read: reviewing content) then the odds are you may not do very well on the NCLEX as it doesn't generally test your knowledge as much as it tests your ability to...

  6. Failed 5th time is there God I can't study anymore!!!!!!!!

    SierraBravo replied to Godsfavorforeve's topic in NCLEX Exam, Programs

    THIS! Just because someone wants to be a nurse doesn't necessarily mean that they should (or can) be a

  7. Failed 5th time is there God I can't study anymore!!!!!!!!

    SierraBravo replied to Godsfavorforeve's topic in NCLEX Exam, Programs

    THIS!!! Here's the thing, at this point the OP should either be seriously re-evaluating the way s/he is approaching the preparation for the NCLEX or s/he needs to move on and accept that being a...

  8. Major and a Minor..is it worth it?

    SierraBravo replied to kmv2497's topic in General Students

    If I were the OP I would get the BSN and then continue on for a Masters in Healthcare Administration or an MBA. The most ideal situation would be getting hired at an institution that offers tuition...

  9. Q for those who use Lidocaine injection vials

    SierraBravo replied to klone's topic in Patient Medications

    Per USP 797, the beyond use date for multi use vials is 28 days unless otherwise stated on the manufacturers label or package insert. The vial should be labeled with the date it was first opened....

  10. Failing nursing school!!!

    SierraBravo replied to nat_22's topic in General Students

    NCLEX style questions take some getting used to. Once you get the hang of how to answer them then your anxiety should ease up with respect to exams. Not to minimize the amount of work you have to...

  11. Creative Ways to Pay for ABSN?

    SierraBravo replied to SKay226's topic in General Students

    The reality of the matter is that unless you are working while in school and your employer offers tuition reimbursement/benefits, or you have family willing to lend you money, or you have money saved...

  12. how to get work with rn probational license

    SierraBravo replied to donerick's topic in General Nursing

    Like Dishes said, you're going to be fighting an uphill battle trying to find someone to hire you in this economic climate with a disciplinary action on your license. If I were an employer and I were...

  13. Need a A or High B on next exam

    SierraBravo replied to ambereyes1987's topic in General Students

    You need to sit down with your Professor and discuss strategies for being successful in this class and nursing school. There are far too many variables for me to give you definitive advice. For...

  14. Failed Nclex again

    SierraBravo replied to ajcrowe28's topic in NCLEX Exam, Programs

    I don't know your exact situation, but maybe the reason you're not passing the NCLEX is because you are spending time reviewing content. The NCLEX does not, in general, test your knowledge of...

  15. I shouldn't be a nurse

    SierraBravo replied to scarednurse's topic in General Nursing

    One the one hand, I'm sorry for what you're going through. We're all human and we all are prone to making mistakes, especially when there are systems issues that can possibly facilitate errors. On...

  16. how to get work with rn probational license

    SierraBravo replied to donerick's topic in General Nursing

    Can you please clarify your question? And what country are you located

  17. Nurse-Midwife vs. Psych. NP

    SierraBravo replied to Anony12's topic in Certified Nurse-Midwives, CNM

    Given that these two options are at completely different ends of the spectrum, what is your passion? I would take the time to contact some psych NP's and midwives and ask to buy them coffee or lunch...

  18. Terminated after 2 months

    SierraBravo replied to LadyNikki's topic in Patient, Colleague Relations

    This should have sent up a huge red flag for you when you accepted the job. By not having a clearly defined job description right off the bat it allows for too much ambiguity. Thus, they are able to...

  19. Labs related to medications- Nursing School question (RN student)

    SierraBravo replied to Laurby92's topic in Nursing Student Assistance

    I don't know of a reference like you asked about, but if you think about the MOA of a drug you can deduce which labs might be important to look at. For example, how do statins work? Statins are...

  20. What to expect from new job???

    SierraBravo replied to work77's topic in General Nursing

    Congrats on your new job. For all intensive purposes, this is a med/surg position. With that in mind, as someone else said in another thread, come up with a good brain sheet that works for you....

  21. how often do you need to get a PPD test?

    SierraBravo replied to flipnbrenda's topic in General Nursing

    It depends on what your institutional policies dictate. My hospital requires it

  22. Ondansetron.... iv or im ..... doctor's prescription....

    SierraBravo replied to 2bNurse_kinjal's topic in Patient Medications

    If your patient has projectile vomiting, I would be contacting the provider about the possibility of some STAT head imaging because projectile vomiting, in general, is not

  23. Ondansetron.... iv or im ..... doctor's prescription....

    SierraBravo replied to 2bNurse_kinjal's topic in Patient Medications

    In oncology it is not uncommon to see ondansetron scheduled q6h for delayed onset CINV with additional anti-emetics with different MOA's prn. EDIT: Like the other posters have already said, you CANNOT...

  24. Do you cap off a discountinued IV?

    SierraBravo replied to northmississippi's topic in Patient Safety Issues

    Why would you throw away the set after each dose? Why not just cap it and reuse the

  25. IVP meds- is this safe?

    SierraBravo replied to Graduatenurse14's topic in Patient Safety Issues

    Are we talking about central lines? If so, for those who don't clean the hub each and EVERY time, I'd be interested to see your CLABSI rates. Are you seriously going to risk your patient getting an...