SierraBravo

SierraBravo

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All Content by SierraBravo

  1. The HARD Truth for most nurses

    SierraBravo replied to Humaneclowninscrubs's topic in Nursing Professionalism

    For me, it was because the OP is, supposedly, currently a licensed nurse that is still taking care of patients. I couldn't possibly care any less if the OP quits and decides to leave nursing, I'm...

  2. The HARD Truth for most nurses

    SierraBravo replied to Humaneclowninscrubs's topic in Nursing Professionalism

    OP - why don't you try putting yourself in your patient's shoes? Do you think they enjoy having a stranger wipe their butts? Probably not. Do you think they would prefer to do it if they could by...

  3. Scopolamine patch

    SierraBravo replied to mugs's topic in Patient Medications

    Scopolamine is an anticholinergic medication often used for motion sickness or nausea. The reason we put the transdermal patch behind the ear is because one of the suggested MOA's is that it acts in...

  4. For those that have done the NCSBN's review...

    SierraBravo replied to jayb1zzl3's topic in NCLEX Exam, Programs

    FLNurse - your problem may have been that you spent too much time "reading". This is not an exam you can "study" for. My thought was that the NCLEX was actually pretty easy, but obviously you will...

  5. For those that have done the NCSBN's review...

    SierraBravo replied to jayb1zzl3's topic in NCLEX Exam, Programs

    I used the NCSBN website solely for about 2-3 weeks as preparation for the NCLEX and I passed in 75 questions. Please don't waste your time reviewing content unless you keep getting a certain type of...

  6. PCT jobs harder than they once were?

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

    My intention was not to belittle techs. Like I said, my frustration stems from working with techs that don't want to do the job they were hired for. As you said, that also applies to nurses. I also...

  7. How many hours do you spend....

    SierraBravo replied to Lev's topic in General Nursing

    Acute care - 60-70% with patients, the rest computer

  8. Associates after Bachelors

    SierraBravo replied to Infofreak411's topic in Diploma, ADN, BSN

    I can totally understand what you mean here. I have a Bachelors degree and went through an accelerated BSN program. For me it made sense because I felt like I was "moving forward". I would have...

  9. PCT jobs harder than they once were?

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

    THIS! I'm actually slightly amused by this thread. Keep in mind that this is biased by my own experience. It usually takes virtually an act of Congress for me to get a tech to do something as...

  10. Oh, to MSN or not!

    SierraBravo replied to mmc51264's topic in Diploma, ADN, BSN

    If you employer offers tuition benefits/assistance/reimbursement, then by all means go for it (so long as you can successfully manage work, school, family, etc...). Having the MSN gives you more...

  11. Hypocalcemia - ATI priority assessment

    SierraBravo replied to LiveFit99's topic in Nursing Student Assistance

    THIS!!! OP - think ABC's (or CAB's as the priorities in BLS has changed). Circulation, Airway,

  12. Anyone currently using NCSBN for their NCLEX RN review?

    SierraBravo replied to cp11's topic in NCLEX Exam, Programs

    I used the NCSBN website solely to prepare for the NCLEX and passed in 75 questions. I didn't review content, I just used it for questions and did every single question on the site as well as reading...

  13. Is this a VALID reason to terminate someone?

    SierraBravo replied to lllenjolll's topic in Nursing Professionalism

    This is exactly what I was thinking, likely a mediport. Which begs the question, would the OP have known to do a sterile dressing change, let alone a needle change? I'm going to go out on a limb and...

  14. NClex

    SierraBravo replied to kimtx93's topic in NCLEX Exam, Programs

    Keep doing as many questions as you can every single day until you take the exam. We also used the ATI system throughout nursing school and I found it to be a pretty good predictor of NCLEX

  15. Does the name of the university OR ranking of their specialty impress employers more?

    SierraBravo replied to mooshgigila's topic in General Nursing

    If I might throw my $0.02 in here... Taking the for profits off the table and just assuming that we are talking about reputable, accredited schools, one of the very few times that the name of the...

  16. Leaving an epidural catheter in

    SierraBravo replied to Jessthemess's topic in General Nursing

    Don't take this the wrong way, but if I were in your shoes I would have been asking that question of your charge nurse, nurse educator, or even the CRNA before I disconnected the epidural and...

  17. Fired for following orders

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

    What is wrong with people? If a tech is also in nursing school and does something like this, they should immediately be fired AND dismissed from their nursing program because they clearly don't get...

  18. Do comfort care patients get oxygen?

    SierraBravo replied to quirkystar's topic in Patient Safety Issues

    The only time I would put a hospice/comfort care patient on O2 via NC is to comfort the family if they request it. It's not doing anything because someone who is actively dying is likely breathing...

  19. Are Nurses First Responders?

    SierraBravo replied to ScrubADub12's topic in General Nursing

    The only way that I can see a nurse being a first responder is if they were a flight

  20. Fired for following orders

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

    For starters, you could have refused to do the procedure. It doesn't matter if you're a nursing student working as a PCT or not. And am I reading this correctly? Techs perform dressing changes?...

  21. Fired for following orders

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

    Techs should not be passing ANY kinds of meds, IV or otherwise.

  22. fluid volume excess/deficit??

    SierraBravo replied to Shagce1's topic in Nursing Student Assistance

    Also, you really need to look at the SCr as well as the BUN to assess whether the patient is "dry" or holding on to fluid. A high BUN with a normal SCr does not necessarily mean fluid volume deficit....

  23. Selecting Senior Preceptorship

    SierraBravo replied to Miffy's topic in General Students

    If your goal is to become a CRNA then you must have at least a couple of years of critical care experience. So keep that in mind when you make your choice. Psych or Peds will give you the foundation...

  24. Thoughts on Accelerated Nurse Practitioner Programs for Non-nurses

    SierraBravo replied to speechie123's topic in General Students

    That's a touchy subject because I can tell a NP who has never worked as a nurse from a mile away, and both of the ones that I worked with didn't last more than 6 months on the job. I am in a NP...

  25. Nurse Portfolio Question

    SierraBravo replied to CCuser's topic in Job Search, Interview, Resume

    Yes, all on paper. Get yourself a nice big 3 ring binder with section