SierraBravo

SierraBravo

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All Content by SierraBravo

  1. Meds left in IV line

    SierraBravo replied to Perrythedog's topic in Patient Medications

    Meropenem that is compounded by pharmacy MUST be refrigerated immediately because of stability issues. It's been a while, but I remember that compounded solutions are good for 1 hour at room temp and...

  2. BS to MSN?

    SierraBravo replied to salernoa1's topic in Diploma, ADN, BSN

    I agree with phirstlady19, but you're already enrolled in a program. If it was financially feasible, I would have chosen to do an accelerated BSN program as you already have a Bachelors degree in...

  3. has anyone failed their hospital's pharm exam twice?

    SierraBravo replied to mquinox's topic in General Nursing

    As said above, the medication exam is central to ensuring that you can provide basic and safe care with respect to administering medications. I'm sorry you didn't pass it, and I don't mean this to be...

  4. quick questions re abx and

    SierraBravo replied to AJpcvRN's topic in Patient Medications

    Chemo always infuses alone, unless there is some maintenance fluid that needs to go along with it like NS. Sometimes you will have a multiple chemo preparation all in the same bag, but same thing, it...

  5. Does anyone know the salary and benefits of an RN in a doctors office in New York?

    SierraBravo replied to AshyRN's topic in Ambulatory Care, Clinic

    Instead of leaving the hospital and inpatient nursing, what about transferring within the hospital to a different service? Perhaps there are ambulatory jobs available there which would allow you to...

  6. Joint Commission had me for lunch.

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

    You make a great point. We're not just robots following orders. We're trained professionals who are licensed to practice nursing. As a trained professional, I always apply critical thinking and my...

  7. Pyxis report question...being falsely accused!

    SierraBravo replied to Jasper676's topic in Patient Medications

    Keep in mind that the iteration of the Pyxis you are using will determine how you waste your narcotics. The Pyxis medstation 2000's gave you the option of administering the whole dose (if your...

  8. Advancing your degree...

    SierraBravo replied to ash0416's topic in Diploma, ADN, BSN

    I graduated with my BSN and then took 1 semester off, after which I immediately began working on my MSN. I'm doing the MSN part time which allows me to continue to work full time and hone my skills....

  9. I work in a sauna!!

    SierraBravo replied to MsPebbles's topic in General Nursing

    This is hilarious that there is a post about this as I struggle with this constantly on my unit. In the dead of summer the thermostats will regularly be set to 80* and the interior temp with be in...

  10. Dealing with your feet

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

    Does anyone else find that sometimes after a 12-13 hour shift your feet and ankles sometimes swell up? I have knee high compression socks but hadn't thought about picking up a pair of

  11. Anatomy of a crash cart

    SierraBravo replied to delphine22's topic in General Nursing

    We have 2 code carts on our unit and each one must be thoroughly checked to make sure everything is present and not expired each month. Each cart has a binder with laminated pages which details each...

  12. How to assess central lines?

    SierraBravo replied to holdensjane1's topic in General Nursing

    In our institution, we use Tegaderm dressings for central lines. Those dressings are changed every 7 days or if they fail to become occulsive. Of course, with Tegaderm dressings they are transparent...

  13. Accessing Ports

    SierraBravo replied to Caffeine_IV's topic in General Nursing

    Pretty much what everyone else said. I work in oncology and many of our patients have IVAD's. The key for the ones that are not as prominent is, as someone said above, to palpate the port. If it's...

  14. who does the blood draws in your hospital?

    SierraBravo replied to annieboo444's topic in General Nursing

    Most of our patients have central lines, too. But occasionally there is the need to do a peripheral stick (such as for a peripheral blood culture). The nurses do all lab draws on our unit,...

  15. having difficulty deciding..LPN or RN?

    SierraBravo replied to shelbyy102's topic in Pre-Nursing Students

    Tough decision. If you pursue the LPN route first, it will be a much longer path to getting the RN. I like to think of it as the scenic route. :) Now, there is absolutely nothing wrong with...

  16. No more 12 hour shifts?

    SierraBravo replied to UpennRN's topic in General Nursing

    I am in NY and I have not heard anything like that. In fact, if that did come to fruition, I would immediately start looking for a new position which did offer 12 hour shifts. I have absolutely NO...

  17. Non-Invasive Hemoglobin Monitor

    SierraBravo replied to OhioCCRN's topic in General Nursing

    That is interesting. We have a Masimo portable O2 sat monitor on the unit, but if someone needs to be transported we just hook them up to the AED which has tele, O2, and BP monitoring built in. From...

  18. Starting on medical/oncology unit next week

    SierraBravo replied to msosinski's topic in Oncology

    I work in oncology, and I hung chemo during orientation with my preceptor. I had to complete the ONS chemotherapy/biotherapy provider course (paid for by my unit) before I could hang chemo by myself....

  19. Starting on medical/oncology unit next week

    SierraBravo replied to msosinski's topic in Oncology

    In my opinion, 5 weeks is not nearly enough for a newly minted nurse. This is particularly true for oncology where you will have to deal with chemotherapy as well as most other drugs that you would...

  20. Non-Invasive Hemoglobin Monitor

    SierraBravo replied to OhioCCRN's topic in General Nursing

    What is the brand of the monitor? Has it been properly calibrated? And what area of the US are you

  21. HELP PLEASE! New grad nurse about to quit new Nurse job before orientation is over.

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

    I agree with what someone said above, it sounds as if you are idealizing what it is like to work in the ED. The fact of the matter is that if you don't like med/surg, you are probably not going to...

  22. What is the better antiemetic zofran or phenergan?

    SierraBravo replied to Infofreak411's topic in Patient Medications

    Were you referring to my

  23. bumex drip administration

    SierraBravo replied to moonunit1130's topic in Patient Medications

    With all due respect, I don't understand how running NS at 0.1-0.2mL/hr. can keep a CVC patent. Our institutional policy states that peripheral IV's need at least 5mL/hr. to KVO, and CVC's need at...

  24. What is the better antiemetic zofran or phenergan?

    SierraBravo replied to Infofreak411's topic in Patient Medications

    I agree with what others have said, it is completely dependent on the patient. Some will respond to Zofran, some won't. Some will respond to Phenergan, some won't. Phenergan and Compazine are in...

  25. Applying To Nursing School - Discouraged

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

    If your passion is nursing, then I would say keep forging ahead to achieve that goal. I have a friend who scored a 21 on the MCAT and thought that there was no way she was getting into med school....