SierraBravo

SierraBravo

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  1. Hope you can help

    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 matter. Here's the thing, you need to take account...
  2. Heparin

    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 activates the clotting cascade), an oncology patient ha...
  3. Hope you can help

    Well this statement really doesn't do you any favors or paint you in the best light.
  4. Exposure to Chemo

    OP - have you taken the ONS Chemotherapy & Biotherapy certificate course? If not, I'd suggest it. Your hospital should require it if you are administering chemotherapy and biotherapy. Have you received any education or training about handling...
  5. Why Do We Say "Nursing School"?

    Ranger school. The United States Army | Fort Benning
  6. GPA for Graduate School

    Many graduate programs require a 3.0, minimum. If you don't meet that qualification they won't even look at the rest of your application. What it really comes down to is the other applicants that are competing for the finite amount of seats in a pr...
  7. 8 yrs post nursing school

    I'm not going to sugar coat it for you, but you have your work cut out for you. You have a very big uphill battle ahead of you if you want to now get licensed and work as a nurse. I get it, life happens. We all have issues in life. I'm sure that ...
  8. On the surface this patient is presenting like someone in right sided heart failure (4+ pitting edema, pulmonary edema, tachypnea). Is there any JVD? Why are there no VS? If the patient is not hypotensive, give the lasix. I'd also want cultures t...
  9. Advice for a New Grad

    I think you're thinking too far ahead. It's going to take you anywhere from 6+ months just to start feeling comfortable in your new role as a nurse. If your unit requires ACLS, they should pay for it and send you to the class. If I were you, I wou...
  10. 5-Wire Telemetry. Which lead tracing do I interpret?

    1. It depends on which area of the heart you want to look at. 2. Each lead looks at the heart from a different position (i.e. II, III, and aVF look at the inferior part of the heart, V1-V4 look at the antero-septal area of the heart, etc...).
  11. Tracing Lines Each Time

    From a systems perspective, it's a surprise that you haven't had more unintended effects by using those pumps. I don't know what type of pump your hospital uses, but at first glance it sounds like there are way too many moving parts to keep track of...
  12. Hospitals in Atlanta r Bad for nursing

    The OP has upper management written all over her/him. Reminds me of the movie Office Space. HAHA
  13. Fail nclex two times, what will i do?

    OK, so here's the reality of the matter. If you are not getting past question # 75 and failing, you are doing very poorly on the exam. Like others have said, you need to assess your performance on the past 2 exams and tailor your future studies to ...
  14. Hospitals in Atlanta r Bad for nursing

    Now this is a well thought out and lucid post.
  15. PCCN Exam 2014 - any & all comments appreciated

    I just passed the PCCN exam. I used the med-ed review course and did the self assessment exam from AACN.
  16. new graduate advice

    Congrats on your new job, but I agree with the fact that hospice isn't an ideal place to start for a new grad. For starters, you won't be developing critical skills that you would otherwise learn in a hospital like acute changes to a patient's asses...
  17. Epidural question

    One of the reasons is that blood from the brain returning to the heart via the SVC returns by gravity. If you put someone in trendelenburg position then it minimizes the blood return to the heart, which obviously exacerbates the SNS response and com...
  18. Become a Nurse without Nursing School

    I just can't... Is this real life?
  19. Infusion pump simulator.

    Are you a nurse or a nursing student? Either way you should be getting (or have gotten) practice both in school and in clinical. My institution has an online simulator for the pumps that we use, but I'm sure it's not free and I'm sure that they pay...
  20. Exposure to Chemo

    If the Pharmacist is compounding the chemotherapy drug appropriately, they should be using a vertical laminar flow hood with appropriate PPE (gown, double gloves, and mask) which would virtually minimize the risk of exposure with proper technique.
  21. Thyroid medication

    Per Lexicomp, PO Levothyroxine should be administered in the morning on an empty stomach. What is the source of your information that states it can be administered in the evening?
  22. Master's level pharmacology?! wowza!

    I'm probably going to be the odd person out here, but I found advanced pathophysiology and advanced pharmacology rather easy; the classes left me wanting more. I did an accelerated BSN program and already had a Bachelors degree in biology. With my ...
  23. advice? asked to go home during shift

    I'm not coming at you in a negative way, but I'd virtually guarantee you that you've been fired/dismissed/relieved (however you want to classify it) from this job. Keep in mind, while you are on orientation you can be dismissed for any reason and th...
  24. Admission essay Accelerated BSN course

    Is there a limit on the length of the essay? For my accelerated BSN program our admission essay was limited to 500 words. I realize that this is a draft, but you might consider being a little more concise with your writing. As keylimesqueez said, ...
  25. New Grad - BMT

    If you've read that whole thread, particularly LaRoseRN's and carolinapooh's posts, then you should have a very good idea of what to expect. Despite the fact that those posts are 2 years old, let me assure you that nothing has changed since then. Bu...