SierraBravo

SierraBravo

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All Content by SierraBravo

  1. Welcome To The Hospital - From Your Nurse

    SierraBravo replied to Lev's topic in General Nursing

    I LOVE, LOVE, LOVE

  2. What do you know/have you been taught about Sepsis?

    SierraBravo replied to clemmm78's topic in General Nursing

    At end of life, patients will more often than not spike a severe fever (>40*C). It's likely not due to sepsis but rather the normal physiology of the body during the process of

  3. Failed, nclex rn 5 times! Help?!?!

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

    Wow. Just.

  4. BSN vs MD?

    SierraBravo replied to nicuhopeful97's topic in General Nursing

    A career in healthcare might not be your best option unless you can manage your disability and become somewhat of a "people person" as being a nurse or physician requires daily interaction with not...

  5. Proofreading Lab Values and Meanings

    SierraBravo replied to rsyed47's topic in General Nursing

    Nice job. However, the CO2 level is primarily looking at acid/base balance, not necessarily lung and kidney function. The patient might have a mild alkalosis going on, but the rest of the labs look...

  6. Palpate Cardiac Valves IRL?

    SierraBravo replied to nursetobe111's topic in Nursing Student Assistance

    I didn't learn this in my BSN program, nor have I learned it in my MSN NP program. To be honest, I don't even understand how you could even possibly palpate a cardiac valve? The aortic and pulmonic...

  7. narrative documentation and use of "this nurse"

    SierraBravo replied to anon456's topic in General Nursing

    I refuse to use the term "this writer" or "this nurse" or anything to that effect in my notes. It irritates the living daylights out of me. Whenever I read those terms in a note, it's like nails...

  8. Medication Calc/Administration Help!

    SierraBravo replied to adelarosa2011's topic in Nursing Student Assistance

    1. The maximum rate that you can push lorazepam is 2mg/minute. And incidentally, it must be diluted with an equal volume of NS before pushing it. So if you have 1mL of lorazepam to give, you need...

  9. Price of Patient Satisfaction

    SierraBravo replied to knoxnurse236's topic in General Nursing

    Can I like this 1000%? And I agree with everything everyone has said. Can't wait to finish my Masters and be a NP so that I don't have to deal with being a bedside nurse ever

  10. Several questions about piggybacks, Y siting, rates, and IV med admin

    SierraBravo replied to Dangaard's topic in Patient Medications

    THIS!!!

  11. What do you think? Unprofessional?

    SierraBravo replied to CrazierThanYou's topic in General Nursing

    Do we work on the same

  12. Vent Training

    SierraBravo replied to pacosgro's topic in General Nursing

    Unless you're going to work in an ICU or step down unit, what would be the purpose of becoming familiar with ventilators? And if you're not working in an area where you will use that skill often,...

  13. I give up!

    SierraBravo replied to futurepsychrn's topic in General Students

    Just out of curiosity... Is this a for-profit nursing

  14. Job outlook for PNP's

    SierraBravo replied to Ldmorris13's topic in General Nursing

    If I were you, I would investigate the job market for PNP's before you begin the program. In my area, those jobs are virtually non-existent. You might be better off going for the

  15. Penicillin G IM injection?

    SierraBravo replied to anon456's topic in Patient Medications

    Part of the reason that it's so thick is because it is stored in the freezer in the pharmacy. I don't know how volatile it is in terms of waiting for it to come closer to room temp which might make...

  16. Does it Get Better?

    SierraBravo replied to dfc86's topic in General Nursing

    I'm really sorry that you're experiencing this. That first job is so critical because it kind of forms the basis of your nursing career. And so it makes me sad when I hear stories like this because...

  17. PICC LINE REMOVAL

    SierraBravo replied to HawaiiRN18's topic in General Nursing

    I seriously hope that the OP was trained and qualified to remove a PICC line and did so with an order. The fact that he/she says they are a new nurse leads me to believe that they might not be...

  18. Getting Away From Bedside?

    SierraBravo replied to CCRN14's topic in General Nursing

    There are plenty of online NP programs from accredited institutions. If you're in NY, you're limited to about 1 school that you can attend for an online NP program (SUNY Stony Brook). But other...

  19. Alteplase infusion for clotted port

    SierraBravo replied to Cincinatti1978's topic in Patient Safety Issues

    As you stated, an alteplase infusion and an alteplase dwell are two completely different therapies. I've on seen alteplase infusions on a step-down or ICU unit. Actually, I've seen it on a stroke...

  20. My first 100 days on the job: Week 2

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

    I absolutely love your post. Your commentary in parentheses actually made me laugh out loud. Thanks for making my

  21. Teamwork...Why do we do this to ourselves?

    SierraBravo replied to Beachbum671's topic in Patient Safety Issues

    Thank you for that information, but I don't think I'm misinformed. In NY at my facility passing medications is well outside the scope of practice for a PCT or a CNA. Then again, I don't work in a...

  22. PALS Certification

    SierraBravo replied to newmedsurgnurse's topic in Medical-Surgical

    I disagree. Unless you work with pediatric patients, there is little use for PALS. I have BLS and ACLS and never have I been in a situation where I wished I knew PALS, too. Then again, I work with...

  23. accused of verbal abuse

    SierraBravo replied to missyelaine02's topic in General Nursing

    Yes, NY is an "employment at will"

  24. Having Trouble Passing NCLEX; Suggestions?

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

    NCSBN website. Do questions. Alot of

  25. Nurses that don't ask for help then cry when they don't get it...

    SierraBravo replied to lberryj's topic in General Nursing

    This was stated so perfectly! If I could like your post again and again, I