SierraBravo

SierraBravo

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All Content by SierraBravo

  1. A personal oncology story

    SierraBravo replied to Toronto1977's topic in Oncology

    Great post! Thank you for

  2. I.V.Albumin 25%

    SierraBravo replied to NGYSUN's topic in Medical-Surgical

    I've also hung it by gravity wide open. Albumin is a protein and giving it through a pump could potentially disrupt the protein which would result in a less than therapeutic effect to the

  3. 500 cc of Vanco/Ns over 2 hours via pump via picc line

    SierraBravo replied to lumbarpain's topic in Patient Medications

    OK, from a pharmacological perspective... Vancomycin being infused into a peripheral vein SHOULD NOT exceed 5mg/mL with respect to the prepared concentration. That is why you see the commercial bags...

  4. Drug seekers

    SierraBravo posted a topic in Patient Medications

    I have a good friend who is a nurse on a busy med/surg unit and she was telling me about this chronic patient that seems to get readmitted to her unit every 3-4 weeks for a variety of reasons. The...

  5. CNA as a career

    SierraBravo replied to unbrokenx3's topic in Medical Assistant, CNA/MA

    I agree. Any CNA that earns $20/hour has probably either been doing the job for 20 years or, like you said, live in CA or NYC. As others said, it's a stepping stone

  6. Ortho floor nurse or OR Nurse?

    SierraBravo replied to KMarie10's topic in Diploma, ADN, BSN

    The other thing to consider is that if you take an OR job out of school it will be a significant challenge to transfer to a medicine or surgical unit in the future, if you decide to transfer at some...

  7. Taking Pulseox- SPO2

    SierraBravo replied to mugs's topic in General Nursing

    Wherever you get the best perfusion index (PI) and

  8. Would you send this patient to the unit?

    SierraBravo replied to Birdy2's topic in Patient Safety Issues

    Oh how I love that you said this! Unless the patient had poor skin turgor, dry mucous membranes, or other outward signs of dehydration, the BUN/SCr ratio most certainly suggests an intrarenal cause...

  9. Would you send this patient to the unit?

    SierraBravo replied to Birdy2's topic in Patient Safety Issues

    A K of 2.4 is most definitely concerning, but there is no way I would be pumping in 4 runs of K on top of the 40meq that the patient got orally with a SCr of almost 12. Keep in mind, giving IV K can...

  10. social media problem

    SierraBravo replied to Fruit Sucker's topic in Patient, Colleague Relations

    THIS!!! Unfortunately, depending on your facility's policies, if you list your place of employment on your social media account then they could make the argument that you represent their...

  11. I don't mean to complain..

    SierraBravo replied to Nurse216's topic in General Nursing

    This just goes to show that we don't work in a vacuum and validates my previous post, that having a motivated and competent tech can go a long way in making hospital nursing more enjoyable. Instead...

  12. Struggling new grad. Tips on critical thinking

    SierraBravo replied to leilo0's topic in First Year After Licensure

    When you experience something new, write it down and then when you have free time (or at home) do some research on it. That way the next time it pops up in your practice you will have that knowledge....

  13. Pathophysiology

    SierraBravo replied to dbarbaccia's topic in Nursing Student Assistance

    Are you trying to determine the pathology or pathophysiology of a compression

  14. Lab question- please help!

    SierraBravo replied to dolphin1006's topic in Nursing Student Assistance

    That kid needs a hematology/oncology consult

  15. I don't mean to complain..

    SierraBravo replied to Nurse216's topic in General Nursing

    I disagree. Having an aide that is motivated and competent can go a LONG way in improving nursing satisfaction in the hospital. As others have said, it would allow the RN to practice at the full...

  16. PCT jobs harder than they once were?

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

    I do agree with you, our techs have on average 12-16 patients each. And I totally understand that they might be getting asked to do things by several different RN's at the same time. I mean, the...

  17. PCT jobs harder than they once were?

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

    Well you seem to be delusional because you keep calling me egotistical, so I thought I'd illustrate to you what it might look like if someone were acting in an egotistical fashion. See above where I...

  18. PCT jobs harder than they once were?

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

    This goes to show how uneducated and ignorant you are. You don't even know this person yet you know that he/she is an example of an excellent nurse. Best wishes being a lifelong

  19. PCT jobs harder than they once were?

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

    Nope, I have no use for techs at all. Yesterday I did a 12 hour shift and the tech that was scheduled didn't even show up for work. Did I miss a beat or even think twice about it? Nope. Did it...

  20. Reviews of the new Littmann Classic III?

    SierraBravo replied to thimba's topic in Scrubs, Uniforms, Gear

    I have the II which we got free in nursing school. But I bought the master cardiology several months back and I love it. It was so worth the extra

  21. Spare set of scrubs

    SierraBravo replied to Texas_RN77's topic in Scrubs, Uniforms, Gear

    I put them in a clear garbage bag folded with a dryer sheet in the bag to keep them smelling fresh and clean and keep the bag in my

  22. Changing Nursing Specialities

    SierraBravo replied to meownur's topic in General Nursing

    In my experience, there are those nurses that know they want to be an OB, Psych, or OR nurse all of their lives. And that is great. The not so great thing about those areas of nursing is that is is...

  23. Concerns, asked to resign, etc.

    SierraBravo replied to LostKitten's topic in General Nursing

    This is the one thing that stood out to me in your post. Going forward, you need to get over being afraid to ask questions or ask for help or else I can almost assure you that you will be in the same...

  24. PCT jobs harder than they once were?

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

    I don't know how to put this more clearly, but if you go back and reread my posts I said that I have no need for techs (secondary to their poor work ethic and attitude). I also said that I am good...

  25. PCT jobs harder than they once were?

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

    Can you please quote where I stated that because of the useless techs on my unit that I am not satisfied with my job? Can I implore you to please grow up. The fact that you are playing into the...