SierraBravo

SierraBravo

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All Content by SierraBravo

  1. Help! Critical lab: morale -2.5

    SierraBravo replied to Cinquefoil's topic in Medical-Surgical

    Cinquefoil - I really enjoyed reading your post. It was well thought out and you are a great writer! I especially liked your humor throughout. I think it really says alot about you that you are...

  2. 2 NCLEX Attempt

    SierraBravo replied to faren1221's topic in NCLEX Exam, Programs

    I agree with the above post, do as many questions as you can. I'm not familiar with the Hurst review, but I am familiar with the Saunders book, etc... Our school used ATI which was integrated into...

  3. RNs to do glucose checks on patients without DM

    SierraBravo replied to sistrmoon's topic in General Nursing

    I fully appreciate what you are saying about the lack of support staff. My contention is that the techs/aides don't fully appreciate that I can do their job, but they can't do

  4. RNs to do glucose checks on patients without DM

    SierraBravo replied to sistrmoon's topic in General Nursing

    In NY, RN's are licensed by the NYS Dept. of Education. NYS Office of the Professions - State Education

  5. Recommendations for PCCN Study Materials

    SierraBravo replied to pinkpokadots's topic in General Nursing

    I've been using the online review course on the AACN website. I also have the review book by Thomas Ahrens. Both have been excellent purchases, in my opinion. I plan on taking the test this

  6. First med-surg job

    SierraBravo replied to jessicaRN32's topic in Medical-Surgical

    I agree with what Kimberly said above, no matter how long you have been a nurse you will learn something new all the time. I look at med/surg as almost a trial by fire. You will see virtually every...

  7. Clinical Assignment in Oncology

    SierraBravo replied to Grrrse's topic in Oncology

    I work in oncology and I can tell you that being stoic and unemotional certainly has its place such as in a code situation, but in general, these patients are dealing with an often life threatening...

  8. Is this common with nurses and doctors?

    SierraBravo replied to usetimewisely's topic in Patient Medications

    I agree with what others have said. Also, hopefully you work with a good team of nurses. Use your charge nurse as a resource. I run things by more experienced nurses if I'm not sure what is going...

  9. Anyone still giving Demerol?

    SierraBravo replied to Emergent's topic in Patient Medications

    We use it solely for

  10. Furosemide & KCl

    SierraBravo replied to OwlieO.O's topic in Patient Medications

    I agree with the above comments. I also hope that the patient is ordered for labs at least q24h. If it's not a dialysis patient, I would also be more comfortable if the patient had an order for prn...

  11. Heparin bolus administration

    SierraBravo replied to RDH-RN's topic in Patient Medications

    I do the bolus right from the bag. Heparin obviously runs on guardrails, so I can program the bolus on the pump to run right from the bag and then resume the ordered rate. I'm not familiar with...

  12. Interventions without MD orders

    SierraBravo replied to Novo's topic in General Nursing

    That statement is technically wrong. "The scopes of practice for the professions of registered professional nurse, licensed practical nurse and nurse practitioner are defined...

  13. Eval and treat with pharmacy

    SierraBravo replied to srvjamz's topic in Patient Medications

    That sounds bizarre to me that you have to contact pharmacy about vanco levels. The provider should be notified, who should then possibly contact pharmacy for dosing advice and potential adjustment....

  14. Question about METOPROLOL!

    SierraBravo replied to xiongmao's topic in Patient Medications

    I agree with the above comments. For me, this would warrant contacting the provider who wrote this order for clarification before giving the medication. Typically the hold parameters are for SBP...

  15. Men in nursing

    SierraBravo replied to ZacharyMoss's topic in Men in Nursing

    You can expect a job that will be extremely gratifying and, at times, extremely

  16. ADN or wait two years to get BSN?

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

    Also consider that if you want to work at a Magnet hospital, there could be potential difficulty landing a job there without the BSN. In NY, there IS a difference in pay if you have a BSN vs. an

  17. Nurse residency program cut in pay

    SierraBravo replied to Purple Lady's topic in General Nursing

    I completely hear what you're saying, and I wish I had a good solution for you. Have you considered eventually going into nursing management in order to effect change at that

  18. Interventions without MD orders

    SierraBravo replied to Novo's topic in General Nursing

    Don't take this the wrong way, but I certainly hope that when you say you just finished 2nd year that you mean you have another 2 years left before graduation (for your BSN) and not that you just...

  19. Nurse residency program cut in pay

    SierraBravo replied to Purple Lady's topic in General Nursing

    Wow, that doesn't sound like a great situation to be in. Have you spoken to the higher ups about it? In my job prior to becoming a nurse that happened all the time. New people would be brought in...

  20. Do I really need ICU experience?

    SierraBravo replied to Dakeirus's topic in General Nursing

    Exactly what I was going to say. As you already know, that is the beauty of nursing - so many different job options. Don't feel pressured to do something that you're not passionate about. Life is...

  21. bio/chemotherapy course from ONS

    SierraBravo replied to qjin74's topic in Oncology

    Taking the class without any real life oncology nursing experience probably won't benefit you, as our institution sends new oncology nurses to the class for free a few months after you start on the...

  22. Proper Sterile Tech During PICC dressing change

    SierraBravo replied to morningland's topic in Medical-Surgical

    I'm not quite sure why you would get sterile before fully removing the old dressing. By touching the old dressing with a sterile glove you have just contaminated that hand. I put on clean gloves,...

  23. PCCN question

    SierraBravo replied to aimric's topic in General Nursing

    How did you prepare for the test? I am planning on taking it soon. Do you have any feedback as to how best to prepare for

  24. New Grad Unhappy

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

    EAP is an excellent choice for your given situation. You might also consider speaking with your nurse manager and possibly

  25. Did anyone judge you for being a male nurse?

    SierraBravo replied to ddane94's topic in Men in Nursing

    While I was in nursing school, the first patient that I saw during my acute care rotation asked me where my dress was when I told him I was a student