ZASHAGALKA RN

Critical Care

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All Content by ZASHAGALKA

  1. ZASHAGALKA

    Incident reports: Who uses, completes and where do they go???

    ZASHAGALKA replied to NRSKarenRN's topic in General Nursing

    I don't let everything go, but I bring them up verbally with the person, my manager, or whoever needs to know. It's not my job or desire to create a 'paper' trail. That just leads to games people...
  2. ZASHAGALKA

    Incident reports: Who uses, completes and where do they go???

    ZASHAGALKA replied to NRSKarenRN's topic in General Nursing

    In 13 yrs, I've only filed an incident report against one nurse, and only because I thought the case would turn into a lawsuit and I felt I needed to justify my position for future reference. I see...
  3. ZASHAGALKA

    Is it true that a BSN will be mandatory soon?

    ZASHAGALKA replied to szccdw's topic in Diploma, ADN, BSN

    Any change would require a consensus of all stakeholders. In reality, there is a balance between education and experience, or, more to the point, experience is an education all its own. Any such...
  4. ZASHAGALKA

    Death by Arterial Line?

    ZASHAGALKA replied to MarySunshine's topic in CCU, Coronary, Cardiac

    If you widen out the bp parameters, the disconnect alarm is still intact, and it will alarm timely if disconnected. How many times have you guys accidentally tripped that alarm when zeroing or drawing...
  5. ZASHAGALKA

    Light at the end of the tunnel for Foreign Nurses

    ZASHAGALKA replied to Rep's topic in International Nursing

    Americans want their Southern border closed. Period. Everything else, including what YOU want so badly, is just extraneous noise. I see no clamor out there - at all, for 'fair immigration reform'. A...
  6. ZASHAGALKA

    Light at the end of the tunnel for Foreign Nurses

    ZASHAGALKA replied to Rep's topic in International Nursing

    While I might agree with this assessment, you missed the mark on the analysis by 180 degrees. In many cases, Republicans lost seats because their constituents were upset that they did not hold the...
  7. ZASHAGALKA

    Light at the end of the tunnel for Foreign Nurses

    ZASHAGALKA replied to Rep's topic in International Nursing

    Immigration reform is probably one of the FEW things that could potentially get done in the next two years. I don't think that is good news for nursing visas, though. The result will be that the next...
  8. ZASHAGALKA

    Are the Democrats good for nurses.

    ZASHAGALKA replied to cinja's topic in General Nursing

    Anything related to Democrat pushed 'health-care' reform will be radioactive and pushed off to '08. And Hillary knows better then to touch that third rail from her 'career' again. Not bad, but not...
  9. ZASHAGALKA

    Death by Arterial Line?

    ZASHAGALKA replied to MarySunshine's topic in CCU, Coronary, Cardiac

    I quoted this earlier, the AACN CC Procedure Manual uses 'frequent ABG/lab sampling' as a rationale for an arterial line. It is a valid and recognized use for an arterial line. ~faith,
  10. ZASHAGALKA

    Death by Arterial Line?

    ZASHAGALKA replied to MarySunshine's topic in CCU, Coronary, Cardiac

    Absolutely. Spurts and puddles. You're talking about rapid exsanguination in mere minutes. IF you are in the room, you'll see the blood everywhere. If you're turning your other patient, if that abp...
  11. ZASHAGALKA

    Adn's Who Don't Care

    ZASHAGALKA replied to nursing4me23's topic in General Nursing

    Why mess with success? The ADN model has proven to be a highly successful 'entry to practice' model. And until we reach a non-sarcastic consensus on where to go in the future, that is where the issue...
  12. ZASHAGALKA

    Is it true that a BSN will be mandatory soon?

    ZASHAGALKA replied to szccdw's topic in Diploma, ADN, BSN

    the nj proposition is by a student organization, hardly a legislative feat. the ny proposition died unvoted on in both houses. bills that don't receive either debate or vote are generally doa issues...
  13. ZASHAGALKA

    Is it true that a BSN will be mandatory soon?

    ZASHAGALKA replied to szccdw's topic in Diploma, ADN, BSN

    Some organization might have promoted the idea, and some state legislator may have given it lip service for votes, but no state is seriously considering this idea. In fact, it was tried, in N. Dakota...
  14. ZASHAGALKA

    Change in BSN requirements

    ZASHAGALKA replied to texan's topic in Diploma, ADN, BSN

    For at least 20 yrs before the advent of ADN programs, leaders such as Dr. Brown advocated a jump to college level prep. The BSN programs didn't 'take off' on this model because it was very difficult...
  15. ZASHAGALKA

    Change in BSN requirements

    ZASHAGALKA replied to texan's topic in Diploma, ADN, BSN

    It can work someday, but not by strong arm tactics. And not by quotes such as ADNs 'dumb down' nursing. An astounding lack of nursing history goes into that statement. Indeed, ADN programs provided...
  16. ZASHAGALKA

    Tips for new nurses to protect license

    ZASHAGALKA replied to willdgate's topic in First Year After Licensure

    I've posted this before: Look at the 'first year in nursing' forum. I think this is, indeed, a common sentiment. It's a reality check, eh? But, it's also a gut check. Some environments are better than...
  17. ZASHAGALKA

    What is your philosophy of nursing?

    ZASHAGALKA replied to gentle02's topic in International Nursing

    My philosophy of nursing comes down to the Golden Rule: I treat patients and their family members the way I would want MY family or myself to be treated. ~faith,
  18. ZASHAGALKA

    Change in BSN requirements

    ZASHAGALKA replied to texan's topic in Diploma, ADN, BSN

    I disagree. The current shortage is not the reason that ADN remains the primary education model or that would have been directly addressed in the 1980's, when the shortage ebbed for a time. The reason...
  19. ZASHAGALKA

    What does critical thinking mean to you?

    ZASHAGALKA replied to AVC82080's topic in Nursing Student Assistance

    This is how I define it: the ability to choose the right priority, at the right time, and to provide the right intervention, without losing track of other priorities. It is a combination of the...
  20. ZASHAGALKA

    If your license is disciplined

    ZASHAGALKA replied to ZZTopRN's topic in General Nursing

    While you are correct, that 10k will at least secure a lawyer and future fees could be negotiated and paid out. In effect it is a retainer. That is still nothing to sneeze at for 100 bucks a year....
  21. ZASHAGALKA

    Moms who want to feel absolutely NO pain

    ZASHAGALKA replied to HappyNurse2005's topic in Ob/Gyn

    EX-wife. BTDT. Otherwise, I would have been too chicken to say that. ~faith,
  22. ZASHAGALKA

    If your license is disciplined

    ZASHAGALKA replied to ZZTopRN's topic in General Nursing

    Just a reminder and a reason to secure your own malpractice insurance: many or most provide legal representation for board issues. My policy has a $10,000 rider for legal representation for any issues...
  23. ZASHAGALKA

    Moms who want to feel absolutely NO pain

    ZASHAGALKA replied to HappyNurse2005's topic in Ob/Gyn

    I don't know what the big deal is. I had 3 boys and I didn't have an epidural or any pain management for that matter, and I don't recall hurting a bit. ~faith, Timothy. :chair: :chair: :sofahider...
  24. ZASHAGALKA

    I've got initials after my name, and they're LPN.

    ZASHAGALKA replied to NurseDaddy2006's topic in Male Nursing Students

    Congrats. It might not be the path you started on, but any path that gets you to the same destination is a valid path. In the meantime, trials sharpen us. So, even though the path you couldn't take...
  25. ZASHAGALKA

    Denied Entry to USA even with Visa

    ZASHAGALKA replied to talkworks2000's topic in International Nursing

    Congrats on the VISA. Welcome to America and I hope you have great experiences while here. It's a wonderful place, but BIG. Try to get out and see some of it, if you can. ~faith,