SierraBravo

SierraBravo

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All Content by SierraBravo

  1. Teamwork...Why do we do this to ourselves?

    SierraBravo replied to Beachbum671's topic in Patient Safety Issues

    I can assure you that it is absolutely not happening at my facility (acute care inpatient, Level 1 trauma center). I can also assure you that if I ever caught a CNA or PCT administering medications...

  2. Certified nursing assistants not welcome!

    SierraBravo replied to Barbie8808's topic in Medical Assistant, CNA/MA

    Pardon me, but come

  3. Can I be rehired?

    SierraBravo replied to sunkistisawesom's topic in General Nursing

    It sounds as if there were a number of issues at your previous job. I agree with Jules A. If I were you, I would sit down and really reflect on what happened and how you can prevent those mistakes...

  4. New Grad RN Feeling so OVERWHELMED

    SierraBravo replied to justudentnurse1's topic in General Nursing

    The reality of the matter is that there is often a big gap between school and working as a nurse. Hence why orientation is so important, as well as getting connected with a really great preceptor....

  5. Are care plans valuable?

    SierraBravo replied to Nurse Beth's topic in General Nursing

    I acknowledge the care plan in Epic because it is required. So that takes me about 2 seconds. If I spend any more than 2 seconds thinking about a "care plan", then I'm quite honestly wasting my...

  6. giving D50 for hyperkalemia

    SierraBravo replied to NurseT88's topic in Patient Medications

    What's the rationale for pushing NaHCO3? The acidosis (if even present) will resolve once the K level

  7. Teamwork...Why do we do this to ourselves?

    SierraBravo replied to Beachbum671's topic in Patient Safety Issues

    What really bothers me is when people don't fully understand the scope of their role, or when they think that their role is more than it is. I have known PCT's that have "in their own mind" believed...

  8. New grad interested in operating room nursing

    SierraBravo replied to Nicole018's topic in Operating Room

    I agree with this. However, for those who want to go straight into the OR as a new grad, just keep the big picture in mind. If you plan on doing it for a while and then transferring somewhere else...

  9. Washed RBC

    SierraBravo replied to vuphan86's topic in General Students

    Oh my, I have no words right now... I just can't... All I'm going to say to the OP is consider the source of your information. If you are studying for the NCLEX in the USA, your best bet would be...

  10. LONELY

    SierraBravo replied to mb1123's topic in General Nursing

    Does your employer have an employee assistance program? Make the time to go and speak with someone before you start resenting your

  11. Math Problem Help

    SierraBravo replied to HelloWish's topic in Nursing Student Assistance

    OK, so NS (aka 0.9% Normal Saline solution) means that there is 0.9g of sodium PER 100mL. Therefore, there would be 9g of sodium in 1L. You just multiply by 10 because 100mL x 10=1000mL. Therefore,...

  12. Washed RBC

    SierraBravo replied to vuphan86's topic in General Students

    I'm sorry, but

  13. I Hate People (my rant)

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

    OP - I give you credit for acknowledging that you have a problem and seeking out help for it. However, and I'm going to go out on a limb here, my guess is that you might not be very successful in...

  14. Med/Surg too much, what now?

    SierraBravo replied to snow22's topic in General Nursing

    I know that it's probably more common than I can imagine, but that doesn't necessarily make it right. Our hospital gives a little over 2 months of orientation for med/surg, 3 months for step down,...

  15. Med/Surg too much, what now?

    SierraBravo replied to snow22's topic in General Nursing

    One of the things that screams out to me in your post is that your hospital only gave you 5 weeks of orientation. Sorry, but 5 weeks for a brand new grad is inadequate. Period. And I know that...

  16. Hope you can help

    SierraBravo replied to Mreed8959's topic in NCLEX Exam, Programs

    But s/he's not a nurse because s/he failed, gave up, and is now "remembering" that s/he wants to retake the NCLEX. I'm sorry that I'm not sorry about my opinion. I'm not jumping on anyone, I'm...

  17. Hope you can help

    SierraBravo replied to Mreed8959's topic in NCLEX Exam, Programs

    You might rethink that if you were the OP's patient and she "forgot" to give you your cardiac meds or your insulin, then you went into Vtach or DKA, respectively. But yeah, you're right... Cause...

  18. Clinical and bio class

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

    I can tell you that it's not going to be easy, hence why most nursing programs require anatomy and physiology as a pre-requisite before starting nursing school. I'm sure that there are some that...

  19. Case study - what would you do?

    SierraBravo replied to Lev's topic in General Nursing

    This makes me think of the post from the guy who said he was an ED nurse and didn't think it was necessary to carry a stethoscope or use one for assessment. I

  20. MSN at the bedside

    SierraBravo replied to nataliehsly's topic in General Nursing

    You could get your MSN as a nurse practitioner but not take the certification exam, thus allowing you to still work as a bedside RN. If you decide in the future that you want to practice as a NP then...

  21. Notes in 3rd person style

    SierraBravo replied to MunoRN's topic in General Nursing

    I remember in nursing school something about being taught to state, "this nurse (writer) performed...". To be honest, it has always sounded awkward to me. Actually, for me, it's like nails down a...

  22. Why don't you just read the chart?

    SierraBravo replied to Guest219794's topic in Patient, Colleague Relations

    #1 - read the excellent PP's comments about why a verbal report IS faster than looking things up in the computer (assuming that you have completed your documentation, which we all know is less...

  23. Hope you can help

    SierraBravo replied to Mreed8959's topic in NCLEX Exam, Programs

    Look, eventually you'll come to realize that how close to the top of your class you were in school doesn't matter a whole lot (except for your own personal edification). What does matter is whether...

  24. Hope you can help

    SierraBravo replied to Mreed8959's topic in NCLEX Exam, Programs

    Well in your original post you specifically say that you "forgot about it". Maybe that's not what you meant but that's what you typed. I'm not judging you, I'm just pointing out the reality of the...

  25. Heparin

    SierraBravo replied to bear14's topic in Medical-Surgical

    Sepsis causes microclots in the circulation regardless of your platelet count. In cancer patients the reason for an increased incidence of clots is secondary to the cancer itself (it inherently...