SierraBravo

SierraBravo

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All Content by SierraBravo

  1. Contunious fluids, Incompatible antibiotics

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

    You were correct to stop the MIVF if it was not compatible with the ABX. Depending on what type of pumps you use, I would have definitely gotten a second channel instead of using just

  2. Low gpa and chance of getting into nursing schools

    SierraBravo replied to Lidochka's topic in General Students

    RNsRWe gave you spot on advice. While there may be other obstacles holding you back, your GPA is clearly front and center. Keep in mind that programs will list the "minimum" GPA required for...

  3. Forced to resign, new grad with only 1 year of experinece.

    SierraBravo replied to Elan84's topic in General Nursing

    I'm still curious to know if the OP actually put the retired nurse on the monitor or not... She certainly charted it, but that doesn't mean that it was actually done. I know I'll catch heat for...

  4. What to expect? Oncology PCU

    SierraBravo replied to NewONCnursey's topic in Oncology

    THIS! OP, regardless of whether or not you have tech's, the tech's can't manage the nursing and medical aspects of your patients, that is all on you. I'm sorry, but that patient/nurse ratio is not...

  5. What to expect? Oncology PCU

    SierraBravo replied to NewONCnursey's topic in Oncology

    Not for a true progressive care unit. Progressive care is equivalent to a step down unit. My hospital provides 6 months of orientation in ICU's and 4 months in

  6. Forced to resign, new grad with only 1 year of experinece.

    SierraBravo replied to Elan84's topic in General Nursing

    THIS! I can't comprehend how the OP thinks that she is a new grad despite having 1 year of nursing experience. A novice nurse? Yes. A new grad? Absolutely

  7. Forced to resign, new grad with only 1 year of experinece.

    SierraBravo replied to Elan84's topic in General Nursing

    First of all, if you worked at my hospital the mislabeling of a tube would have got you an automatic suspension. So be thankful that you still have a job. Regarding the patient that was supposed to...

  8. What to expect? Oncology PCU

    SierraBravo replied to NewONCnursey's topic in Oncology

    If it's a true oncology progressive care unit your patient/nurse ratio should not be 5:1. This is something that I would clarify with your

  9. Nurses doing nebs

    SierraBravo replied to sistrmoon's topic in General Nursing

    Nursing has always done nebs at my hospital. The only units where respiratory will do nebs are the ICU's because each ICU has a dedicated RT. I don't understand why RT would come to a unit to do a...

  10. Need advice from Nurse Professionals

    SierraBravo replied to Rlmatsch2's topic in General Nursing

    OP - if you're in NY the odds are that any of the big hospitals won't hire you unless you have at least a

  11. Any hospital units that DON'T use telemetry?

    SierraBravo replied to Nola009's topic in General Nursing

    OP - I don't know where you got the idea that oncology doesn't use telemetry, because in my hospital we use it virtually every day. Our patients are extremely sick. Not only do they sometimes...

  12. De-accessing a port woes?

    SierraBravo replied to EmeryRN's topic in General Nursing

    I work with central lines every day and I can count on 1 hand the number of nurses I have seen clamp a line while flushing (positive pressure technique). Our facility does not use positive fluid...

  13. DCDs and the one who should not be. What do you do?

    SierraBravo replied to blinky's topic in Nursing Professionalism

    There are 2 active issues here. It seems to me that if you corrected the above quoted issues then perhaps the issue of how your superior speaks to you wouldn't exist? It doesn't matter if you haven't...

  14. Need help ASAP please!

    SierraBravo replied to jllockie33's topic in Nursing Student Assistance

    Nursing and medicine is not, in general, cookie cutter where you can apply a simple algorithm and be done with it. Yes, there are algorithm's in medicine but it still requires critical thinking on...

  15. why do nurses need to be licensed?

    SierraBravo replied to Infofreak411's topic in Nursing Professionalism

    If you think about this from a mathematical standpoint, there is a statistical probability that someone could eventually pass the NCLEX if they took it enough times. Granted, that probability is...

  16. EKG class?

    SierraBravo replied to HisKids37's topic in General Nursing

    You will learn what you need to know in your class. My Institution sends new nurses to a telemetry class when they are hired. Remember, you're learning what you need to know in order to practice...

  17. how to land a job after multiple firings.

    SierraBravo replied to NurseCard's topic in General Nursing

    Without knowing any specifics about you or your situation, it sounds like a good idea for you to start working on your issues before continuing the cycle of getting hired and terminated. What I'm...

  18. Highest/Lowest K+ you've ever seen

    SierraBravo replied to guest769224's topic in General Nursing

    What is the source of that information? Do you work in a cardiac ICU? Are you saying that in your facility you can give 80meq of K over an hour? And obviously anyone who has a low K will (or at...

  19. Highest/Lowest K+ you've ever seen

    SierraBravo replied to guest769224's topic in General Nursing

    If you meant 40 as in 40meq, then 40meq of K is not going to make the patient's K go from 1.3 to 6.1. If it did, then one of those lab draws was wrong. The reason the pump wouldn't allow the nurse to...

  20. Am I capable enough ? Smart enough ? Is this for me ?

    SierraBravo replied to Cruz.Cookie's topic in General Nursing

    Here's the thing, you must be able to think critically because when you start practicing on your own you will be responsible for people's lives. This career is not like an assembly line job where you...

  21. NCSBN Prep Course

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

    I don't understand why more people don't take advantage of this exceptional resource instead of spending gobs of money on review books. I also used that to prepare for the NCLEX for 2 weeks and...

  22. A VERY frustrated nurse

    SierraBravo replied to RNnewbie2014's topic in First Year After Licensure

    OP I have to chuckle because I feel your pain, I've had days exactly like you described. Do you have EMR? We use EMR and I find it so useful. Also, if you bring your computer with you then you...

  23. Pharmacology

    SierraBravo replied to IJ_606's topic in General Students

    You need to come up with memorization techniques that will help you remember the vast amount of information related to pharmacology. I've said it before, there is no shortcut here. It just takes...

  24. TLC clotted over...

    SierraBravo replied to muscledriver's topic in General Nursing

    First of all, what is a TLC? I work with central lines all day, every day and have never heard of that term. How many lumens if this is a central line? As someone else said, why didn't you flush...

  25. NCLEX help pleaseee!!

    SierraBravo replied to jnnkknnj13's topic in NCLEX Exam, Programs

    Since 75 questions is the minimum amount you can get, the fact that it shut off for you at 78 and you didn't pass likely means you didn't do very well right from the beginning. With that being said,...