SierraBravo

SierraBravo

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All Content by SierraBravo

  1. MSN without BSN

    SierraBravo replied to friyaah's topic in Diploma, ADN, BSN

    So long as the program is accredited I don't foresee any

  2. reasons to go into nursing over social work?

    SierraBravo replied to Nursetobe25's topic in General Nursing

    I would ask her if I could find

  3. pharmacology and pathophysiology for FNP program

    SierraBravo replied to gonetocarolina's topic in Student Nurse Practitioner

    One clinical semester. But considering most PA programs consist of over 2000 hours of clinical training, the clinical exposure for NP students pales by comparison. For example, my program requires...

  4. Pt stable with a very low Bp?

    SierraBravo replied to sugar12's topic in General Nursing

    Well, unless the patient goes to an ICU or a step down you're unlikely to see him/her have an art line. So on a med/surg unit the manual calculation is about all you're going to get. And that's not...

  5. pharmacology and pathophysiology for FNP program

    SierraBravo replied to gonetocarolina's topic in Student Nurse Practitioner

    I did an accelerated BSN program at a prestigious private University and now I am in the NP program there, too. We had to do pharma and patho in our BSN program, and obviously again for the NP....

  6. PICC lines

    SierraBravo replied to NurseQT's topic in General Nursing

    I agree with the above posts, even though you are only using the line once a day, it should be flushed and assessed for patency q8h or once a shift. In our facility we don't change out the clave with...

  7. Pt stable with a very low Bp?

    SierraBravo replied to sugar12's topic in General Nursing

    But we certainly don't want to compromise what kidney function they have left. Just because the patient is on dialysis doesn't mean they have no kidney

  8. Pt stable with a very low Bp?

    SierraBravo replied to sugar12's topic in General Nursing

    MAP=((2*Diastolic)+Systolic))/3 Therefore the MAP with that BP is 42. That's well below the minimal MAP of 60 to maintain end organ

  9. Stethoscope? Type...

    SierraBravo replied to minerwife927's topic in Scrubs, Uniforms, Gear

    Littmann Cardiology S.T.C. - hands down the best stethoscope I have ever owned. I'm constantly amazed at how much better I can hear subtle sounds that I could never hear with my Littmann Classic

  10. Miserable RN

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

    I was just thinking the same thing. Don't take this to be unsupportive, but there is sometimes 3 sides to a story (your side, the other side, and the truth). I agree, being fired for one...

  11. Pt stable with a very low Bp?

    SierraBravo replied to sugar12's topic in General Nursing

    Like Blondy said, how much fluid was taken off during dialysis? Perhaps they took off too much fluid? 62/32 is pretty concerning despite the fact that the patient is A&Ox3. Like someone said,...

  12. What do you do to stay positive?

    SierraBravo replied to tuxedopenguino's topic in Health, Stress Management

    I like this alot! Great

  13. How to use Exergen temporal thermometer?

    SierraBravo replied to studentnurse9806's topic in General Nursing

    Your patients must love you! HAHA just

  14. ASN vs BSN

    SierraBravo replied to Jks322's topic in Diploma, ADN, BSN

    If you can get into an accelerated BSN program, that would be your best option as you already have an existing Bachelors degree. Doing an accelerated BSN program will get you ready to start working...

  15. How to use Exergen temporal thermometer?

    SierraBravo replied to studentnurse9806's topic in General Nursing

    Yes, you keep the button depressed while the thermometer is lifted from the temporal artery and placed on the spot behind the ear. If you let go of the button the temperature will display and will...

  16. What do you do to stay positive?

    SierraBravo replied to tuxedopenguino's topic in Health, Stress Management

    1. Work three 12 hour shifts which gives you 4 days a week off. 2. Surround yourself with positive, upbeat people. 3. Make sure you take care of yourself when you're not at work (and when you're at...

  17. reasons to go into nursing over social work?

    SierraBravo replied to Nursetobe25's topic in General Nursing

    I don't mean this to be derogatory, but I've never seen our social worker actually "work". To this day I have no idea what she does to earn a paycheck. Every time I email her about something she...

  18. Nursing Student Question

    SierraBravo replied to arp898's topic in HIPAA Challenges

    THIS!

  19. Nursing Student Question

    SierraBravo replied to arp898's topic in HIPAA Challenges

    Here's the bottom line, social media and healthcare simply don't go hand in hand (from a nursing perspective). I don't even list on my FB page that I'm a nurse because I want my professional life and...

  20. can you get fire

    SierraBravo replied to nyt010806's topic in HIPAA Challenges

    Agreed with everyone else above. HIPPA is very specific and is in place to protect patient's privacy. Since your friend is a medical assistant and has access to patient's PHI, she undoubtedly went...

  21. Any advice to the concerns I have as a new GN?

    SierraBravo replied to 1Jessie86's topic in First Year After Licensure

    With respect to communicating with Physicians, if you have the time think about what you want to say before contacting them. Maybe "reheorifice" it in your head for a minute or two if you can....

  22. Med/Surg, offered position in Hospice

    SierraBravo replied to Laicia's topic in Hospice, Palliative

    This sounds like a wonderful opportunity given your current situation on your unit. When making your decision, keep in mind that many hospitals want at least 1 year of acute care experience (which...

  23. BSN Only? Give me a break!!

    SierraBravo replied to michaelvgrigsby's topic in Diploma, ADN, BSN

    There is absolutely nothing wrong with going to a community college. I attended a community college and got my A.S. in liberal arts. I then attended one of the country's best Universities (according...

  24. BSN Only? Give me a break!!

    SierraBravo replied to michaelvgrigsby's topic in Diploma, ADN, BSN

    No worries. I've seen how this whole topic has gotten people rather passionate. :) I didn't realize that there were accelerated programs that didn't require a prior degree. I don't think my science...

  25. BSN Only? Give me a break!!

    SierraBravo replied to michaelvgrigsby's topic in Diploma, ADN, BSN

    Some of your comments are rather pointed and bordering on disrespectful and unprofessional. I attended an accelerated BSN program, which you are referring to as a "worthless education" and further...