SierraBravo

SierraBravo

Member

  • Content

    547

  • Visitors

    9,361

  • Followers

    0

  • Likes

    16

All Content by SierraBravo

  1. Hospital vs dr office nursing as a new grad..

    SierraBravo replied to Loxam10's topic in Job Search, Interview, Resume

    I couldn't agree more. This is a critical time for you. As a new grad you need to develop and hone your skills which simply won't be possible in a Dr.'s office. In the future if you decide you want...

  2. nurse

    SierraBravo replied to alipournashr's topic in General Nursing

    Well I'll assume that your question is rhetorical since everyone has been new at something at one point or another, including myself. But I'm not clear as to how you arrived at your deduction. You...

  3. nurse

    SierraBravo replied to alipournashr's topic in General Nursing

    What is the deal with these folks who just register and post something nonsensical, and then never return to the

  4. Options in Oncology

    SierraBravo replied to db2xs's topic in Oncology

    Why do you not enjoy being in the hospital? It sounds as if your expectation of hospital medicine/oncology is far different than what you are experiencing. But what you described above is precisely...

  5. Do all nursing schools give the TEAS test?

    SierraBravo replied to Nursetobe25's topic in Pre-Nursing Students

    It is dependent on the program because not all nursing programs require the TEAS

  6. So disappointed in hospital RNs and MDs

    SierraBravo replied to carachel2's topic in Patient, Colleague Relations

    As I read all of these posts, I find myself getting really fired up over the thought of nurses not doing an assessment and documenting that they did it. Like I said before, I don't care how busy you...

  7. Shadowing a Nurse Manager in NYC

    SierraBravo replied to janurse1990's topic in New York Nursing

    If I were in your shoes I would start contacting HR/nursing recruitment at the facilities where you want to

  8. docusate sodium vs saline laxative

    SierraBravo replied to combinate's topic in Nursing Student Assistance

    Actually, docusate does not draw water into the colon. The MOA of docusate is by reducing the surface tension of the oil-water interface of the stool, thus the stool becomes "softer". An example of...

  9. Reconstitution Problem- penicillin G potassium

    SierraBravo replied to ljgeronsin's topic in Nursing Student Assistance

    There is an upper limit to the amount of volume you can give IM. For adults, I believe it is 3mL but I would have to double check it. In general, your patient will thank you if you can minimize the...

  10. Zofran

    SierraBravo replied to Paramedic51's topic in Patient Medications

    That BP looks suspiciously like septic shock vs. trauma, although if the patient is bleeding out then of course no matter how much norepinephrine the adrenals pump out the diastolic won't be...

  11. So disappointed in hospital RNs and MDs

    SierraBravo replied to carachel2's topic in Patient, Colleague Relations

    I only have one word for that scenario: scary! I don't care how busy med/surg nurses are and whether they've had the same patient for several days, they should be doing a head to toe assessment q...

  12. Huber Needle

    SierraBravo replied to altynai1's topic in Patient Safety Issues

    The Huber needles come in different gauges and lengths, as well as power needles and non-power needles. The size of the needle doesn't sound like it was the problem. For example, if you have a...

  13. feeling guilty about blood draw

    SierraBravo replied to RNexplorer's topic in Critical Care

    It scares the you-know-what out of me when new(er) nurses don't ask questions. Even experienced nurses have questions at times, albeit not as many as when they first started nursing. Please continue...

  14. APN logs in under Doctor's name and charts. What do I do?

    SierraBravo replied to StealthRN's topic in Nurse Practitioners, NP

    This scenario is bad on every level. Like you said, it could be construed as insurance fraud because the physician isn't actually seeing the patient. Does your institution have an anonymous tip...

  15. Afraid of loosing my job

    SierraBravo replied to Katniss88's topic in General Nursing

    I think that as a new nurse it's hard to demonstrate the hard and soft skills simultaneously, at least for most new nurses. However, once your hard skills (technical aspects of nursing) get...

  16. Peak and Trough Levels

    SierraBravo replied to ChooSoul's topic in General Students

    Exactly! I have completed graduate work in cellular and molecular physiology and pharmacology so I fundamentally understand the theory and application, but obviously not at the level of a Pharm.D....

  17. Peak and Trough Levels

    SierraBravo replied to ChooSoul's topic in General Students

    Actually, the peak and trough levels aren't drawn according to the time of the drug peak according to a drug reference. To completely understand this concept, you need to have a working knowledge of...

  18. Med error and disciplinary action

    SierraBravo replied to Trolleydoll's topic in Patient Medications

    I agree with this. I'm not clear on why you notified the MD; he/she wasn't even tangentially involved in the situation. I understand filing an incident report. But like someone else said, why not...

  19. New nurse and feeling discouraged by older nurses?

    SierraBravo replied to x28y31's topic in Patient, Colleague Relations

    That is a great point, make sure that the pleth is good and that the PI is good, too. However, I don't understand what people are talking about with respect to a patient desatting and calling...

  20. Working on a medcart redesign and would like some input - University of Cincinnati

    SierraBravo replied to PriyaK's topic in Oncology

    A machine exactly like that already exists and has for a long time. Models include Pyxis, Omnicell, Cerner, and AmerisourceBergen. Unless you're improving on an existing technology that already...

  21. med surg

    SierraBravo replied to aleena23's topic in General Nursing

    SNF does not qualify as med/surg clincial

  22. New nurse and feeling discouraged by older nurses?

    SierraBravo replied to x28y31's topic in Patient, Colleague Relations

    First of all, I think it's great that you acknowledge that you're brand new and know very little clinically. It shows that you have good self-awareness. But also know that with time the clinical...

  23. New Grad RN, solid organ transplant unit

    SierraBravo replied to latte123's topic in General Nursing

    I never understood why they gave the floaters the total cares, if I was a floater I wouldn't want to come back if a unit kept giving me the heaviest assignments. But the thing is that the patients...

  24. Report: is it too much to ask.....

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

    To the OP: I couldn't agree more with your post. I am a type A person and I pride myself on giving accurate, thorough information in report. I take the time to read the H&P and pass along that...

  25. New Grad RN, solid organ transplant unit

    SierraBravo replied to latte123's topic in General Nursing

    #1 buy comfortable shoes because you're likely going to be running around... ALOT. #2 I hope you're not averse to poop and diarrhea, thanks to lactulose. #3 not every patient is going to be compliant...