SierraBravo

SierraBravo

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All Content by SierraBravo

  1. Bathing with IVs, central lines and wound dressings

    SierraBravo replied to Guest650603's topic in Nursing Student Assistance

    As you know, it's important to cover the central line dressing and ports to prevent it from getting wet and thus creating a fertile breeding ground for bacteria. I've seen nurses use biohazard bags...

  2. What is the correct procedure for flushing a PICC line that has TPN running?

    SierraBravo replied to ccrunner72000's topic in Nursing Student Assistance

    That is interesting because in NY students are never allowed to even touch a central line, whether they are with their instructor or not. However, I agree with the other posters, go by your facility...

  3. Pharmacology help. I need your opinion

    SierraBravo replied to Reese2012's topic in Nursing Student Assistance

    Pharmacology is alot like anatomy in the sense that it really just comes down to memorization. Buy yourself a good nursing drug book and sit down and study. For each class of drugs put together a...

  4. A few quick questions about a patient i had

    SierraBravo replied to MarioC's topic in Nursing Student Assistance

    I agree with what Here.I.Stand said, when there is a subarachnoid hemorrhage, the patient can develop a Cushing Reflex whereby hypertension develops to maintain intracerebral perfusion (r/t high ICP),...

  5. Precepting New Grad in CVICU

    SierraBravo replied to BlueJean's topic in CCU, Coronary, Cardiac

    Apply the nursing process and begin with an assessment of the new nurse and their learning style. One of the first things I do is sit down with the person and discuss where they are coming from, what...

  6. What can you do with a nursing degree besides nursing?

    SierraBravo replied to Elidrc's topic in General Nursing

    The fact that you said that you aren't passionate about nursing but you did it to appease your parents makes me think that perhaps you should move on and try something else. The NCLEX is rather...

  7. ABSN accelerated second BSN programs

    SierraBravo replied to panda2bnurse3's topic in General Students

    There are plenty of grants out there for nursing students, you just have to do some research and be willing to write. Depending on your undergrad grades, you may be eligible for a Robert Wood Johnson...

  8. Considering ABSN Programs, Philly Resident!

    SierraBravo replied to jlamar11's topic in Pennsylvania Nursing

    I can't speak to any of those programs but I did go through an accelerated nursing program. I had a Bachelors degree in Biology. The fact that you have a science degree is going to make your life...

  9. Hospital orientation at north shore LIJ

    SierraBravo replied to nurse_miller's topic in New York Nursing

    One of my good friends that I graduated from nursing school with got a job at NSLIJ and he said there is a med/pharmacology exam. There is also a significant amount of computer work and competencies...

  10. BSN Only? Give me a break!!

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

    Let me dig around and find where I read

  11. BSN Only? Give me a break!!

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

    To the OP, learn to like it. Complaining about the new standard for nursing (BSN) is not going to change anything nor is it going to advance your career. I get a kick out of all of the ASN's...

  12. BSN Only? Give me a break!!

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

    Actually, you have it backwards. The Bachelor of Science with a major in Nursing is actually a more difficult pathway and, thus, holds more weight for some than the traditional

  13. Why can't a resident read a TB test?

    SierraBravo replied to sistrmoon's topic in General Nursing

    Same thing in our facility, you have to go to a "class" to be a PPD

  14. I am fed up with PCT position...

    SierraBravo replied to brittany1111's topic in Patient Care Technician, Assistants

    To the OP, let me assure you that CNA's/PCT's in nursing homes have it much harder and make significantly less money than hospital PCT's. Being a PCT is a job, go in and do the best you can. If...

  15. Please Help!! Need some help with making my decision

    SierraBravo replied to WoCoMurse2b's topic in Pre-Nursing Students

    Congrats as your begin your journey through nursing school! I did an accelerated program, too, and loved it. My contention is that school prepares you mostly to pass the NCLEX. Sure, you learn...

  16. Is it hard to transfer from mother/infant (postpartum) RN position to pool nursing?

    SierraBravo replied to brista's topic in General Nursing

    OB is fairly specialized and, unfortunately, you won't be exposed to many of the things you would be exposed to if you worked on a med/surg unit. However, I agree with brownbook and think that by...

  17. Minor freak out..upcoming ACLS class

    SierraBravo replied to Caffeine_IV's topic in General Nursing

    Don't get too wrapped up with rhythms, they will tell you which ones to focus on in the class. Like others have said, what is more important is the fundamentals such as BLS/CPR and being able to...

  18. Any questions for reducing anxiety?

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

    Congrats on your new job! It's great that you are following your heart and doing what you enjoy doing; floor nursing. I, too, love the acute care aspect of hospital nursing. What about work makes...

  19. Question about getting into a RN program

    SierraBravo replied to jyoo1017's topic in Diploma, ADN, BSN

    I'd venture to guess that if you're interested in applying to an accelerated BSN program you chances are slim considering it is so competitive to get into those programs. Getting into a community...

  20. Should I Become a Nurse?

    SierraBravo replied to thyme-is-honey's topic in General Nursing

    Since you have a Bachelors degree, why not consider an accelerated BSN program? That way you can finish in 1 year and you have the BSN. In NY, many hospitals are only hiring BSN prepared nurses....

  21. Continuous feed and med administration

    SierraBravo replied to GLORIAmunchkin72's topic in Patient Medications

    I'm not familiar with a med tech. Can you explain what their role is? Are they licensed? It seems that giving medications would be outside the scope of practice for them, although like I said, I'm...

  22. Primary fluids and piggyback meds

    SierraBravo replied to whitneyraeRN's topic in Patient Medications

    Our hospital has a link to Lexicomp on the electronic MAR for each medication. We used to use Micromedx but for some reason switched over to Lexicomp a while back. Either way, you should have access...

  23. Tips on how to improve communication between pharmacy and nursing staff

    SierraBravo replied to onconewgrad's topic in Patient Medications

    What area of the country do you work where they have RN's working in the

  24. Oxygen in dying patients.

    SierraBravo replied to nurseintraining1o1's topic in Patient Medications

    I agree with the above posts, O2 in a dying patient is more for family comfort than anything else. Remember, when someone is actively dying (i.e. they have hours to days), they will typically become...

  25. IV tubing port selection for Y-site

    SierraBravo replied to DatMurse's topic in General Nursing

    I've never seen something y-sited above the channel. You always y-site something below the channel, otherwise you are probably going to get an error message on the channel like "occluded, channel...