SierraBravo

SierraBravo

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All Content by SierraBravo

  1. PCCN 2015

    SierraBravo replied to lilhendy's topic in General Nursing

    Which review course did you take and

  2. New RN needs Senior RN Advice

    SierraBravo replied to RN-4Ever's topic in General Nursing

    This is only my opinion, so take it for what it's worth. I feel like specialized areas such as psych, OB, and the OR are great, but they may or may not make it more challenging if you want to move...

  3. Just want some advice

    SierraBravo replied to brody31's topic in General Students

    I agree with loriangel, find yourself an accelerated BSN program. With your education you should have no trouble excelling in nursing school and with clinical aspects of nursing/medicine. You seem...

  4. Anyone ever have to give report to that one nurse who's grouchy all the time?

    SierraBravo replied to Littleguccipiggy's topic in Nursing Professionalism

    I worked with an individual that I simply could not stand being around, so I did what one of the previous posters suggested and gave this person report in a very factual manner and moved on quickly....

  5. Declining a position after accepting it.

    SierraBravo replied to movingforwardRN's topic in Nursing Professionalism

    OP, what part of NY are you talking

  6. Do you carry around your stethoscope?

    SierraBravo replied to tarotale's topic in General Nursing

    Given that the OP hasn't returned to this thread and replied to the 9 pages of posts, perhaps his original post was simply to elicit reactions from people? Or maybe, hopefully, all of the replies...

  7. Your advice for a new RN Intern

    SierraBravo replied to crossfitnurse's topic in General Nursing

    I keep hearing about these nurse residencies and I have to admit I have no idea what they are or what the purpose of it is. But in addition to what Mike said above, make sure and discuss with your...

  8. NP School Acceptance? GPA?

    SierraBravo replied to GraceWilling77's topic in Student Nurse Practitioner

    While most schools will give you a minimum acceptable GPA for acceptance, the average GPA of accepted applicants is often much higher. It really boils down to the other applicants you are competing...

  9. Why am I starting out making 19 an hour?

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

    Wow. As a new grad I started out at $50k and after 2 years I was at $60k with an incredible benefit package. I am in a medium sized city working at a large academic teaching hospital. I totally...

  10. Do you carry around your stethoscope?

    SierraBravo replied to tarotale's topic in General Nursing

    I agree. This made me wonder what the OP's manager would think about his/her comment if they read this

  11. Speaking of vomit

    SierraBravo replied to BSNbeauty's topic in General Nursing

    I write a note for every patient, every shift, even if just to say that their vitals were stable throughout the shift. Our EMR has a field under intake/output to chart episodes of emesis and, if...

  12. Best unit to start for new grad?

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

    The hospital I work at has a 6 month orientation for the ED and ICU's. I'm not sure about the step down units... For an experienced nurse, sure I can see 12 weeks orientation for the ICU. But for a...

  13. Pre- NP program floor experience

    SierraBravo replied to jnf7882's topic in Student Nurse Practitioner

    I'm in a NP program right now, and I agree with Birkiegirl. Your experience on a step down unit will be so valuable to you as you embark on your journey to become a NP. I think the only exception...

  14. Preferred knowledge for NP degree

    SierraBravo replied to FoundAndy's topic in Student Nurse Practitioner

    I am in a NP program, and all of the programs at my school require 3 common core classes (advanced pathophysiology, advanced pharmacology, and advanced health assessment). If you know where you want...

  15. Do you carry around your stethoscope?

    SierraBravo replied to tarotale's topic in General Nursing

    OK, this literally made me laugh out loud. But seriously, to the OP, are you kidding me? Like Esme said, is this thread just to create drama or do you need some remediation in terms of why it's...

  16. Vancomycin rate question

    SierraBravo replied to Birdy2's topic in Patient Safety Issues

    Do you use Alaris pumps at your institution? I don't hang ABX as a primary, always as a secondary because I always have something running and I usually have a free KVO line running, too. That way,...

  17. Becoming a (d)NP with only OR experience?

    SierraBravo replied to mhy12784's topic in Doctoral Nursing Degrees

    You don't need to be a Nurse Practitioner in order to earn a DNP. The DNP is a doctorate in nursing practice and, depending on the program you are enrolled in, can be earned after you complete your...

  18. Vancomycin rate question

    SierraBravo replied to Birdy2's topic in Patient Safety Issues

    Don't take this the wrong way, but asking multiple people on your unit the same question will tend to land you in a precarious situation. People will eventually talk and realize that you asked...

  19. Respiratory depression

    SierraBravo replied to Kissy1818's topic in Patient Medications

    Metabolic acidosis would likely manifest as tachypnea and a decreased CO2 level (as seen on CMP). Respiratory acidosis could manifest as hypoventilation, mental status changes, dyspnea, and/or...

  20. Best unit to start for new grad?

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

    THIS!!!!! There is virtually no way possible that 8 weeks is enough time for orientation to a progressive care unit/step down for a new

  21. Deciding what to give to the patient who gets everything

    SierraBravo replied to Birdy2's topic in Patient Safety Issues

    I love the fact that you are so diligent and meticulous with respect to this case. Not only that, but you're also thinking critically (i.e. hypotension, trouble breathing, etc...) with respect to...

  22. Vancomycin rate question

    SierraBravo replied to Birdy2's topic in Patient Safety Issues

    Vancomycin, if given peripherally, cannot exceed 5mg/mL; thus the need to dilute > 1.5g doses in 500mL or more. If given centrally and in the OR the concentration can be > 5mg/mL (I've seen...

  23. frustrated with transition to icu

    SierraBravo replied to bewitched's topic in MICU, SICU

    I 100% agree with the previous posters. Take comfort in knowing that working in a step down environment and the ICU are two related, albeit, still different environments. Your step down experience...

  24. Infusion Pump - I feel stupid!

    SierraBravo replied to skewlgurlRN's topic in Patient Medications

    Nobody is belittling you here, but this is basic, fundamental math which every nurse should have a grasp on before even starting nursing school. I totally understand what it's like to have a brain...

  25. Respiratory depression

    SierraBravo replied to Kissy1818's topic in Patient Medications

    Let me just say, and this may already be understood, but palliative care is not the same as hospice. You can have a patient that is full code but has pain management issues being followed by...