SierraBravo

SierraBravo

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All Content by SierraBravo

  1. If this was your patient what would you do?

    SierraBravo replied to azalight90's topic in General Students

    As all of the others have said, there needs to be more assessment done. Without knowing all of the details of the case, nobody can help you. Yes, of course, it's appropriate to call the provider for...

  2. Labs that I need to focus and report

    SierraBravo replied to jtanga's topic in Critical Care

    Others have given you some great advice. Here's the tough love part of it... You need to find the time to keep up on labs and, equally importantly, know what they mean and how/why they relate to...

  3. meds - confused

    SierraBravo replied to nurs15's topic in Patient Medications

    Next thing you know the OP is going to ask a discussion question about whether it's OK for an EN (or whatever) to push 500meq of KCL and whether they should consult their supervising RN. You know,...

  4. Gaining confidence

    SierraBravo replied to Katniss88's topic in General Nursing

    This makes me wonder if you've considered talking to a professional about your issue. Does your institution have an employee assistance program? You're attaching your "self confidence" arbitrarily...

  5. Post-partum or Med-Surg

    SierraBravo replied to EH44's topic in Medical-Surgical

    You really want your first nursing job to be a good one. With that being said, going into OB as a new grad will limit you, in my opinion. As you said, the only medical thing done on that unit is VS....

  6. Gaining confidence

    SierraBravo replied to Katniss88's topic in General Nursing

    I agree with the above posters. However, OP, you stated that you also lack confidence when it comes to critical thinking. I guess I just don't see how one could lack confidence in critical thinking;...

  7. IV Medication Setup

    SierraBravo replied to starlane's topic in General Nursing

    The answer to your questions depends on 1.) your institutions policies and procedures, and 2.) what type of pumps you are using. So, your best bet is to use your resources including your policy and...

  8. Has anyone taken statistics I?

    SierraBravo replied to FutureRN020's topic in General Nursing

    It's impossible to answer your question because everyone has different academic strengths. Telling you that I found statistics easy, or one class more difficult than another, is completely...

  9. Furosemide drip

    SierraBravo replied to NewlyGradBSN's topic in Patient Medications

    My institution used to use Micromedex but we have since switched to a competitor. I don't know why, but to this day I'm still surprised how different resources will have different information... I...

  10. ready to give up

    SierraBravo replied to Fruit Sucker's topic in General Nursing

    Trying to get a job where you did clinicals is a good idea. NYC is a tough place to find work right now, several of the hospitals that are hiring state on their websites that they are specifically...

  11. meds - confused

    SierraBravo replied to nurs15's topic in Patient Medications

    Well, if someone actually did order 500g of acetaminophen, you might as well have them order acetylcysteine as well and call the ICU to let them know they'll be getting an acetaminophen overdose...

  12. Furosemide drip

    SierraBravo replied to NewlyGradBSN's topic in Patient Medications

    THIS!!!! 200mg/hr of furosemide is not a safe dose. The maximum dose/rate of a furosemide drip is 80-160mg/hr. And that is assuming that all other alternatives have been

  13. Respiratory depression

    SierraBravo replied to Kissy1818's topic in Patient Medications

    I understand what you're saying and I'm sorry that you don't work with supportive colleagues; I can imagine that it would be challenging to work in that type of environment. However, your nursing...

  14. When to piggyback This

    SierraBravo replied to Birdy2's topic in General Nursing

    Perfect! If there is one thing that I have learned in my NP program thus far is that when teaching patients about adverse effects of medications, only give them the top 3 or 4 that are most...

  15. When to piggyback This

    SierraBravo replied to Birdy2's topic in General Nursing

    Certain resources actually state that Zoledronic acid and Famotidine are compatible at the y-site. But I agree, when you are getting conflicting information (i.e. Pharmacy says yes, but pump says...

  16. Respiratory depression

    SierraBravo replied to Kissy1818's topic in Patient Medications

    This is a great point. It's essential that nurses know what and why they are giving meds. Beyond that, I feel that knowing pharmacokinetics/pharmacodynamics, at least the fundamentals, is also...

  17. When to piggyback This

    SierraBravo replied to Birdy2's topic in General Nursing

    I agree with this 100%. The only time I would give 2 ABX at the same time is if the patient had been getting them and hasn't had any adverse reactions. That's not to say that the next time I hang...

  18. Tips for Pharmacology

    SierraBravo replied to Mommy_RN1211's topic in General Students

    You have to find what works for you while in school, be it flash cards, rote memorization, etc... However, when you get out in the real world and you have anywhere from 3-6 patients, and maybe each...

  19. When to piggyback This

    SierraBravo replied to Birdy2's topic in General Nursing

    Birdy, I think that is a good idea. Don't take this the wrong way, but if I were your nurse manager I would prefer that you check with someone on your unit to make sure you're doing things correctly...

  20. Role Transition in the NICU

    SierraBravo replied to sassynscrubs's topic in General Nursing

    Not necessarily. It depends on how your school allocates students to different locations. If your school takes into account GPA and other factors with respect to certain placements, and if the NICU...

  21. Being let go during orientation in ICU

    SierraBravo replied to hyed's topic in First Year After Licensure

    OP, I admire you for your determination and tenacity. But here is the thing... the ICU is not for everybody, and the ICU at the hospital you work at is obviously not the right place for you right...

  22. Can someone explain BIPAP to me?

    SierraBravo replied to Birdy2's topic in First Year After Licensure

    Interestingly enough, the machines we use at our institution allow it to be set up as either BiPAP or CPAP. A dedicated BiPAP machine can be setup to function as either BiPAP or CPAP, but a dedicated...

  23. Swedish nurse want to compare

    SierraBravo replied to Nkn86's topic in Men in Nursing

    I re-read your post twice and I still don't understand what it is you're

  24. PA vs. NP

    SierraBravo replied to mayleesa423's topic in General Nursing

    At this point, you could take either route since you are effectively right at the start of your academics. Not every PA program requires a Bachelors degree for entry, some have a 5-6 year program...

  25. When to piggyback This

    SierraBravo replied to Birdy2's topic in General Nursing

    The concept of running a secondary or y-siting something together is rather easy to understand once you've been taught how to do it; but as Rose Queen said, it really depends on which brand of pump...