ArmaniX

ArmaniX MSN, APRN

Critical Care

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All Content by ArmaniX

  1. CNA in nursing school, got two job offers. ICU or med/surg?

    ArmaniX replied to michigan94's topic in General Nursing

    While in school I worked my hospitals "Corporate Pool" at nights. I was able to make my own schedule (I always worked 3 nights) and would float to any and every unit, where ever the need was for that...

  2. Experienced nurses help- heparin subq question....

    ArmaniX replied to IHeartPeds87's topic in Medical-Surgical

    Simple call the doctor and ask if he would like any dose of the heparin to be held. You cannot make that decision without speaking to a physician

  3. Broke sterile field. Doc got mad

    ArmaniX replied to Mrs.in2015's topic in First Year After Licensure

    Next time tell the doctor to lay his stuff down more neatly. It was a mistake, a very silly one but they happen. Guarantee the doctor would've been just as mad if you called him out for a break in...

  4. Job offer different than what was said in interview

    ArmaniX replied to FuturenurseL's topic in First Year After Licensure

    Call HR? Possible mgmt misquoted though. I actually faintly remember something similar happening when I got my first job as a nurse assistant. I was originally offered a rate of an experienced nurse...

  5. Major Med Error

    ArmaniX replied to keynurse's topic in Patient Medications

    Because I expect that when we, as professionals, medicate a patient we take the time to monitor our own actions and take accountability for our mistakes. The OP made a med error. Did 2mg of ativan...

  6. Major Med Error

    ArmaniX replied to keynurse's topic in Patient Medications

    You show no real remorse for the fact that you made a medication error and instead place the blame on factors other than yourself. Grow from this and take accountability for your actions. "I don't...

  7. Transfer reason

    ArmaniX replied to CelticGoddess's topic in General Nursing

    Professional

  8. Hospital security & patient falls

    ArmaniX replied to Djadia's topic in General Nursing

    How is it no one saw this patient wondering the hall? As others have said you neglected to make sure your bed alarm was activated.. or if you're depending on a door exit alarm you should have made...

  9. Question about weekend schedules

    ArmaniX replied to melc0305's topic in General Nursing

    How small is your units staffing? I believe the expectation at my hospital is 1 weekend shift every other week or 4 per scheduling period, which is about 8 or 9 weeks. But I'm not sure because, I too,...

  10. Can I get hep C without a needle stick?

    ArmaniX replied to futurerntho's topic in Patient Safety Issues

    I was, very much so,

  11. Can I get hep C without a needle stick?

    ArmaniX replied to futurerntho's topic in Patient Safety Issues

    You should be safe so long as it was a negative airflow room and you had a properly fitted TB

  12. Bullied? What the heck is this about?

    ArmaniX replied to ORTech2RN's topic in Men in Nursing

    Report her for harassment. . I'm sure she'll stop after

  13. NG tube feeding

    ArmaniX replied to brenns14's topic in General Students

    I'd hope you already checked placement if you're feeding via the

  14. Ambulating a pt while on vasoactive drugs?

    ArmaniX replied to nurs1ng's topic in CCU, Coronary, Cardiac

    I would say no.. in our unit (not ccu) if a patient is on pressors they do not even get OOB to chair. Pressors=instability. Once the pressor is weaned off we can

  15. Vasopressin vs. Levophed

    ArmaniX replied to sugarmagnoliaRN's topic in CCU, Coronary, Cardiac

    I don't work CCU (we primarily use levophed as first choice) .. my thoughts were that neo would be the first option for cardiac patients but not an expert. Hopefully someone can inform

  16. PICC dressing will not adhere

    ArmaniX replied to isitfridayyet?'s topic in Infusion, Intravenous

    If the area is constantly moist from oozing/weeping skin then I believe the proper thing to do is to apply a gauze dressing which is to be changed qshift/24hrs per protocol/appearance. There is no...

  17. Nurses expecting to do too much!

    ArmaniX replied to CosmoRN77's topic in General Nursing

    It all falls along the lines of being a patient advocate. If you don't advocate for your patient to get that beta blocker.. then no, you're not a "good

  18. Chose med surg like I'm supposed to, but really unhappy.

    ArmaniX replied to enytsyrhk572's topic in First Year After Licensure

    Almost guaranteed if you apply your current manager would find out. I'd speak with your manager and let them know how you're feeling. If they're amazing. Maybe they'll let you go and will help you. Or...

  19. Texas BON won't allow to take the NcLEX since graduated from BSN for more than 4 years

    ArmaniX replied to zachqu's topic in Texas Nursing

    No information to actually help you.. but if you failed the NCLEX several times post-BSN then how exactly do you plan to pass 5 years after the program and having had no clinical experience ? If you...

  20. Nurses: How many phone calls do you get per shift?!

    ArmaniX replied to Cola89's topic in General Nursing

    Less than 5. I work

  21. Fentanyl Drip

    ArmaniX replied to FirstLadyRN's topic in Critical Care

    Your propofol dropped the heart rate.. that is a common effect seen with

  22. How to give IVP into a primary line with incompatible medications?

    ArmaniX replied to Sara-Allison's topic in Medical-Surgical

    Just run them all together and hope for the best! But.. seriously, your work place should provide you a resource to view IV compatibilities. It may take some time initially but eventually you will...

  23. Catheters

    ArmaniX replied to tori3195's topic in General Students

    A cars attendant? As in valet? Why were you in a patients room? I'm confused. Possibly the hardest skill to learn is to gather the courage to call out a fellow team member. It is not to be rude or...

  24. In a pickle

    ArmaniX replied to JaxJax5423's topic in Nursing Professionalism

    As JustBeachy stated... more likely than not your manager already knows as they would have to approve your transfer and I'm sure the new manager spoke to your current manager for reference. In the...

  25. Monitoring & PCA Use

    ArmaniX replied to AllieSparksRN's topic in Medical-Surgical

    I would imagine if a patient is ambulatory to the bathroom we wouldn't be too concerned with their CO2 levels or oversedation. Can you set alarm limits / parameters that will alert you at the nurses...